Author(s): 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]
Date: 2018
Persistent ID: http://hdl.handle.net/11449/162373
Origin: Oasisbr
Subject(s): Activities of daily living; Fear; Low back pain; Motor activity; Rehabilitation
Made available in DSpace on 2018-11-26T17:16:25Z (GMT). No. of bitstreams: 0 Previous issue date: 2017-01-01
Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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
Sao Paulo State Univ, Fac Sci & Technol, Phys Therapy Dept, Presidente Prudente, Brazil
Univ Sydney, Sydney Med Sch, George Inst Global Hlth, Musculoskeletal Div, Sydney, NSW, Australia
Sao Paulo State Univ, Fac Sci & Technol, Phys Therapy Dept, Presidente Prudente, Brazil
FAPESP: 2015/17093-7
FAPESP: 2015/07704-9
FAPESP: 2015/02744-2
FAPESP: 2014/14077-8
