Fear of Movement Is Not Associated With Objective and Subjective Physical Activity Levels in Chronic Nonspecific Low Back Pain

Objectives: To assess the association of physical activity measures, derived with an accelerometer and a self-reported questionnaire, with fear of movement in patients with chronic nonspecific low back pain (LBP) and to investigate the association between disability and fear of movement in this popu...

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Autores: Carvalho, Flavia A. [UNESP], Maher, Chris G., Franco, Marcia R. [UNESP], Morelhao, Priscila K. [UNESP], Oliveira, Crystian B. [UNESP], Silva, Fernanda G. [UNESP], Pinto, Rafael Z. [UNESP]
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2017
País:Brasil
Institución:Universidade Estadual Paulista (UNESP)
Repositorio:Repositório Institucional da UNESP
Idioma:inglés
OAI Identifier:oai:repositorio.unesp.br:11449/162373
Acceso en línea:http://dx.doi.org/10.1016/j.apmr.2016.09.115
http://hdl.handle.net/11449/162373
Access Level:acceso abierto
Palabra clave:Activities of daily living
Fear
Low back pain
Motor activity
Rehabilitation
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spelling Fear of Movement Is Not Associated With Objective and Subjective Physical Activity Levels in Chronic Nonspecific Low Back PainActivities of daily livingFearLow back painMotor activityRehabilitationObjectives: To assess the association of physical activity measures, derived with an accelerometer and a self-reported questionnaire, with fear of movement in patients with chronic nonspecific low back pain (LBP) and to investigate the association between disability and fear of movement in this population. Design: Cross-sectional study. Setting: Outpatient physical therapy university clinics. Participants: Patients (N=119) presenting with nonspecific LBP of >3 months' duration. Interventions: Not applicable. Main Outcome Measures: Physical activity levels measured objectively with an accelerometer (ie, counts per minute, time spent in moderate to -vigorous and light physical activity per day, number of steps per day, and number of 10-minute bouts of moderate-to-vigorous physical activity per day) and subjectively with a self-reported questionnaire (Baecke Physical Activity Questionnaire); fear of movement (Tampa Scale of Kinesiophobia); pain (11-point numerical rating scale); disability (Roland Morris Disability Questionnaire); and depression (Beck Depression Inventory). The associations were examined with correlational, univariate, and multivariable linear regression analyses. Results: None of the objective physical activity measures were associated with fear of movement. The apparent association of self-reported physical activity levels with fear of movement (correlational analyses: r=-.18; P<.05; univariate regression analyses: (beta=-.04; 95% confidence interval [CI], -.07 to -.01; P=.04) was not confirmed in multivariable analyses. Fear of movement was consistently associated with disability in both correlational (r=.42; P<.01) and multivariable (beta=.21; 95% CI, .11-31; P<.001) analyses. Conclusions: Our data support one aspect of the fear-avoidance model-that higher fear of movement is associated with more disability-but not the aspect of the model linking fear of movement with inactivity. (C) 2016 by the American Congress of Rehabilitation MedicineFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Sao Paulo State Univ, Fac Sci & Technol, Phys Therapy Dept, Presidente Prudente, BrazilUniv Sydney, Sydney Med Sch, George Inst Global Hlth, Musculoskeletal Div, Sydney, NSW, AustraliaSao Paulo State Univ, Fac Sci & Technol, Phys Therapy Dept, Presidente Prudente, BrazilFAPESP: 2015/17093-7FAPESP: 2015/07704-9FAPESP: 2015/02744-2FAPESP: 2014/14077-8Elsevier B.V.Universidade Estadual Paulista (Unesp)Univ Sydney2018-11-26T17:16:25Z2018-11-26T17:16:25Z2017-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article96-104application/pdfhttp://dx.doi.org/10.1016/j.apmr.2016.09.115Archives Of Physical Medicine And Rehabilitation. Philadelphia: W B Saunders Co-elsevier Inc, v. 98, n. 1, p. 96-104, 2017.0003-9993http://hdl.handle.net/11449/16237310.1016/j.apmr.2016.09.115WOS:000392460000012WOS000392460000012.pdfWeb of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengArchives Of Physical Medicine And Rehabilitation1,501info:eu-repo/semantics/openAccessCarvalho, Flavia A. [UNESP]Maher, Chris G.Franco, Marcia R. [UNESP]Morelhao, Priscila K. [UNESP]Oliveira, Crystian B. [UNESP]Silva, Fernanda G. [UNESP]Pinto, Rafael Z. [UNESP]2024-06-18T18:43:50Zoai:repositorio.unesp.br:11449/162373Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestrepositoriounesp@unesp.bropendoar:29462024-06-18T18:43:50Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Fear of Movement Is Not Associated With Objective and Subjective Physical Activity Levels in Chronic Nonspecific Low Back Pain
title Fear of Movement Is Not Associated With Objective and Subjective Physical Activity Levels in Chronic Nonspecific Low Back Pain
spellingShingle Fear of Movement Is Not Associated With Objective and Subjective Physical Activity Levels in Chronic Nonspecific Low Back Pain
Carvalho, Flavia A. [UNESP]
Activities of daily living
Fear
Low back pain
Motor activity
Rehabilitation
title_short Fear of Movement Is Not Associated With Objective and Subjective Physical Activity Levels in Chronic Nonspecific Low Back Pain
title_full Fear of Movement Is Not Associated With Objective and Subjective Physical Activity Levels in Chronic Nonspecific Low Back Pain
title_fullStr Fear of Movement Is Not Associated With Objective and Subjective Physical Activity Levels in Chronic Nonspecific Low Back Pain
title_full_unstemmed Fear of Movement Is Not Associated With Objective and Subjective Physical Activity Levels in Chronic Nonspecific Low Back Pain
title_sort Fear of Movement Is Not Associated With Objective and Subjective Physical Activity Levels in Chronic Nonspecific Low Back Pain
dc.creator.none.fl_str_mv Carvalho, Flavia A. [UNESP]
Maher, Chris G.
Franco, Marcia R. [UNESP]
Morelhao, Priscila K. [UNESP]
Oliveira, Crystian B. [UNESP]
Silva, Fernanda G. [UNESP]
Pinto, Rafael Z. [UNESP]
author Carvalho, Flavia A. [UNESP]
author_facet Carvalho, Flavia A. [UNESP]
Maher, Chris G.
Franco, Marcia R. [UNESP]
Morelhao, Priscila K. [UNESP]
Oliveira, Crystian B. [UNESP]
Silva, Fernanda G. [UNESP]
Pinto, Rafael Z. [UNESP]
author_role author
author2 Maher, Chris G.
Franco, Marcia R. [UNESP]
Morelhao, Priscila K. [UNESP]
Oliveira, Crystian B. [UNESP]
Silva, Fernanda G. [UNESP]
Pinto, Rafael Z. [UNESP]
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (Unesp)
Univ Sydney
dc.subject.por.fl_str_mv Activities of daily living
Fear
Low back pain
Motor activity
Rehabilitation
topic Activities of daily living
Fear
Low back pain
Motor activity
Rehabilitation
description Objectives: To assess the association of physical activity measures, derived with an accelerometer and a self-reported questionnaire, with fear of movement in patients with chronic nonspecific low back pain (LBP) and to investigate the association between disability and fear of movement in this population. Design: Cross-sectional study. Setting: Outpatient physical therapy university clinics. Participants: Patients (N=119) presenting with nonspecific LBP of >3 months' duration. Interventions: Not applicable. Main Outcome Measures: Physical activity levels measured objectively with an accelerometer (ie, counts per minute, time spent in moderate to -vigorous and light physical activity per day, number of steps per day, and number of 10-minute bouts of moderate-to-vigorous physical activity per day) and subjectively with a self-reported questionnaire (Baecke Physical Activity Questionnaire); fear of movement (Tampa Scale of Kinesiophobia); pain (11-point numerical rating scale); disability (Roland Morris Disability Questionnaire); and depression (Beck Depression Inventory). The associations were examined with correlational, univariate, and multivariable linear regression analyses. Results: None of the objective physical activity measures were associated with fear of movement. The apparent association of self-reported physical activity levels with fear of movement (correlational analyses: r=-.18; P<.05; univariate regression analyses: (beta=-.04; 95% confidence interval [CI], -.07 to -.01; P=.04) was not confirmed in multivariable analyses. Fear of movement was consistently associated with disability in both correlational (r=.42; P<.01) and multivariable (beta=.21; 95% CI, .11-31; P<.001) analyses. Conclusions: Our data support one aspect of the fear-avoidance model-that higher fear of movement is associated with more disability-but not the aspect of the model linking fear of movement with inactivity. (C) 2016 by the American Congress of Rehabilitation Medicine
publishDate 2017
dc.date.none.fl_str_mv 2017-01-01
2018-11-26T17:16:25Z
2018-11-26T17:16:25Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1016/j.apmr.2016.09.115
Archives Of Physical Medicine And Rehabilitation. Philadelphia: W B Saunders Co-elsevier Inc, v. 98, n. 1, p. 96-104, 2017.
0003-9993
http://hdl.handle.net/11449/162373
10.1016/j.apmr.2016.09.115
WOS:000392460000012
WOS000392460000012.pdf
url http://dx.doi.org/10.1016/j.apmr.2016.09.115
http://hdl.handle.net/11449/162373
identifier_str_mv Archives Of Physical Medicine And Rehabilitation. Philadelphia: W B Saunders Co-elsevier Inc, v. 98, n. 1, p. 96-104, 2017.
0003-9993
10.1016/j.apmr.2016.09.115
WOS:000392460000012
WOS000392460000012.pdf
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Archives Of Physical Medicine And Rehabilitation
1,501
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 96-104
application/pdf
dc.publisher.none.fl_str_mv Elsevier B.V.
publisher.none.fl_str_mv Elsevier B.V.
dc.source.none.fl_str_mv Web of Science
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv repositoriounesp@unesp.br
_version_ 1853671740797878272
score 15.301603

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