Lumbar Kinematics, Functional Disability and Fear Avoidance Beliefs Among Adults with Nonspecific Chronic Low Back Pain

Overview

Journal Sultan Qaboos Univ Med J

Specialty General Medicine

Date 2016 Dec 23

PMID 28003888

Citations 2

Authors

Nancy G Jette

Yi L Lim

Hui L Lim

Sabarul A Mokhtar

Kok B Gan

Devinder K A Singh

Affiliations

Soon will be listed here.

Abstract

Objectives: This study aimed to examine correlations between lumbar kinematics, functional disability and fear avoidance beliefs among adults with nonspecific chronic low back pain (LBP).

Methods: This cross-sectional study was conducted between March and December 2014. A total of 32 adults diagnosed with nonspecific chronic LBP were recruited from outpatients attending either an orthopaedic clinic at a university hospital or a private physiotherapy clinic in Malaysia. Lumbar kinematics were measured using sensors attached at the first lumbar (L1) and second sacral (S2) vertebrae levels. The Oswestry Disability Index (ODI) and Fear-Avoidance Beliefs Questionnaire (FABQ) were used to assess degree of functional disability and fear avoidance beliefs, respectively.

Results: For maximum range of motion, positive correlations were observed between ODI scores and right lateral flexion and right rotation ( = 0.01 each), although there was a negative correlation with left rotation ( = 0.03). With maximum angular velocity, ODI scores were positively correlated with right and left lateral flexion L1 ( = 0.01 and <0.01, respectively) but negatively correlated with left lateral flexion L2 ( = 0.04). Regarding minimum angular velocity, ODI scores were positively correlated with left lateral flexion S2 ( <0.01) but negatively correlated with right and left lateral flexion L1 ( = 0.02 each), right rotation L1 ( = 0.02) and left rotation S2 ( = 0.01). No significant correlations were found between lumbar kinematics and FABQ scores.

Conclusion: These findings suggest that certain lumbar kinematic parameters are correlated with functional disability, but not with fear avoidance beliefs.

Citing Articles

The Use of Sensors to Prevent, Predict Transition to Chronic and Personalize Treatment of Low Back Pain: A Systematic Review.

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Association of pain-related threat beliefs and disability with postural control and trunk motion in individuals with low back pain: a systematic review and meta-analysis.

Shanbehzadeh S, ShahAli S, Ebrahimi Takamjani I, Vlaeyen J, Salehi R, Jafari H Eur Spine J. 2022; 31(7):1802-1820.

PMID: 35583666 DOI: 10.1007/s00586-022-07261-4.

References

Leeuw M, Goossens M, Linton S, Crombez G, Boersma K, Vlaeyen J . The fear-avoidance model of musculoskeletal pain: current state of scientific evidence. J Behav Med. 2006; 30(1):77-94. DOI: 10.1007/s10865-006-9085-0. View

Lehman G . Biomechanical assessments of lumbar spinal function. How low back pain sufferers differ from normals. Implications for outcome measures research. Part I: kinematic assessments of lumbar function. J Manipulative Physiol Ther. 2004; 27(1):57-62. DOI: 10.1016/j.jmpt.2003.11.007. View

Bijur P, Silver W, Gallagher E . Reliability of the visual analog scale for measurement of acute pain. Acad Emerg Med. 2001; 8(12):1153-7. DOI: 10.1111/j.1553-2712.2001.tb01132.x. View

Vlaeyen J, Linton S . Fear-avoidance model of chronic musculoskeletal pain: 12 years on. Pain. 2012; 153(6):1144-1147. DOI: 10.1016/j.pain.2011.12.009. View

Demoulin C, Huijnen I, Somville P, Grosdent S, Salamun I, Crielaard J . Relationship between different measures of pain-related fear and physical capacity of the spine in patients with chronic low back pain. Spine J. 2013; 13(9):1039-47. DOI: 10.1016/j.spinee.2013.02.037. View

Thomas J, France C, Lavender S, Johnson M . Effects of fear of movement on spine velocity and acceleration after recovery from low back pain. Spine (Phila Pa 1976). 2008; 33(5):564-70. DOI: 10.1097/BRS.0b013e3181657f1a. View

Fairbank J, Pynsent P . The Oswestry Disability Index. Spine (Phila Pa 1976). 2000; 25(22):2940-52; discussion 2952. DOI: 10.1097/00007632-200011150-00017. View

Michel A, Kohlmann T, Raspe H . The association between clinical findings on physical examination and self-reported severity in back pain. Results of a population-based study. Spine (Phila Pa 1976). 1997; 22(3):296-303; discussion 303-4. DOI: 10.1097/00007632-199702010-00013. View

Koho P, Aho S, Watson P, Hurri H . Assessment of chronic pain behaviour: reliability of the method and its relationship with perceived disability, physical impairment and function. J Rehabil Med. 2001; 33(3):128-32. DOI: 10.1080/165019701750165970. View

10.

George S, Fritz J, McNeil D . Fear-avoidance beliefs as measured by the fear-avoidance beliefs questionnaire: change in fear-avoidance beliefs questionnaire is predictive of change in self-report of disability and pain intensity for patients with acute low back pain. Clin J Pain. 2006; 22(2):197-203. DOI: 10.1097/01.ajp.0000148627.92498.54. View

11.

Vaisy M, Gizzi L, Petzke F, Consmuller T, Pfingsten M, Falla D . Measurement of Lumbar Spine Functional Movement in Low Back Pain. Clin J Pain. 2014; 31(10):876-85. DOI: 10.1097/AJP.0000000000000190. View

12.

Williams J, Haq I, Lee R . A novel approach to the clinical evaluation of differential kinematics of the lumbar spine. Man Ther. 2012; 18(2):130-5. DOI: 10.1016/j.math.2012.08.003. View

13.

Vianin M . Psychometric properties and clinical usefulness of the Oswestry Disability Index. J Chiropr Med. 2009; 7(4):161-3. PMC: 2697602. DOI: 10.1016/j.jcm.2008.07.001. View

14.

Geisser M, Haig A, Wallbom A, Wiggert E . Pain-related fear, lumbar flexion, and dynamic EMG among persons with chronic musculoskeletal low back pain. Clin J Pain. 2004; 20(2):61-9. DOI: 10.1097/00002508-200403000-00001. View

15.

van Weering M, Vollenbroek-Hutten M, Kotte E, Hermens H . Daily physical activities of patients with chronic pain or fatigue versus asymptomatic controls. A systematic review. Clin Rehabil. 2007; 21(11):1007-23. DOI: 10.1177/0269215507078331. View

16.

OSullivan P . Diagnosis and classification of chronic low back pain disorders: maladaptive movement and motor control impairments as underlying mechanism. Man Ther. 2005; 10(4):242-55. DOI: 10.1016/j.math.2005.07.001. View

17.

Parks K, Crichton K, Goldford R, McGill S . A comparison of lumbar range of motion and functional ability scores in patients with low back pain: assessment for range of motion validity. Spine (Phila Pa 1976). 2003; 28(4):380-4. DOI: 10.1097/01.BRS.0000048466.78077.A6. View

18.

Nattrass C, Nitschke J, Disler P, Chou M, Ooi K . Lumbar spine range of motion as a measure of physical and functional impairment: an investigation of validity. Clin Rehabil. 1999; 13(3):211-8. DOI: 10.1177/026921559901300305. View

19.

Dubois J, Abboud J, St-Pierre C, Piche M, Descarreaux M . Neuromuscular adaptations predict functional disability independently of clinical pain and psychological factors in patients with chronic non-specific low back pain. J Electromyogr Kinesiol. 2014; 24(4):550-7. DOI: 10.1016/j.jelekin.2014.04.012. View

20.

Faul F, Erdfelder E, Buchner A, Lang A . Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods. 2009; 41(4):1149-60. DOI: 10.3758/BRM.41.4.1149. View