Fear of Movement Is Not Associated With Objective and Subjective Physical Activity Levels in Chronic Nonspecific Low Back Pain
dc.contributor.author | Carvalho, Flavia A. [UNESP] | |
dc.contributor.author | Maher, Chris G. | |
dc.contributor.author | Franco, Marcia R. [UNESP] | |
dc.contributor.author | Morelhao, Priscila K. [UNESP] | |
dc.contributor.author | Oliveira, Crystian B. [UNESP] | |
dc.contributor.author | Silva, Fernanda G. [UNESP] | |
dc.contributor.author | Pinto, Rafael Z. [UNESP] | |
dc.contributor.institution | Universidade Estadual Paulista (Unesp) | |
dc.contributor.institution | Univ Sydney | |
dc.date.accessioned | 2018-11-26T17:16:25Z | |
dc.date.available | 2018-11-26T17:16:25Z | |
dc.date.issued | 2017-01-01 | |
dc.description.abstract | 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 | en |
dc.description.affiliation | Sao Paulo State Univ, Fac Sci & Technol, Phys Therapy Dept, Presidente Prudente, Brazil | |
dc.description.affiliation | Univ Sydney, Sydney Med Sch, George Inst Global Hlth, Musculoskeletal Div, Sydney, NSW, Australia | |
dc.description.affiliationUnesp | Sao Paulo State Univ, Fac Sci & Technol, Phys Therapy Dept, Presidente Prudente, Brazil | |
dc.description.sponsorship | Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) | |
dc.description.sponsorshipId | FAPESP: 2015/17093-7 | |
dc.description.sponsorshipId | FAPESP: 2015/07704-9 | |
dc.description.sponsorshipId | FAPESP: 2015/02744-2 | |
dc.description.sponsorshipId | FAPESP: 2014/14077-8 | |
dc.format.extent | 96-104 | |
dc.identifier | http://dx.doi.org/10.1016/j.apmr.2016.09.115 | |
dc.identifier.citation | Archives Of Physical Medicine And Rehabilitation. Philadelphia: W B Saunders Co-elsevier Inc, v. 98, n. 1, p. 96-104, 2017. | |
dc.identifier.doi | 10.1016/j.apmr.2016.09.115 | |
dc.identifier.file | WOS000392460000012.pdf | |
dc.identifier.issn | 0003-9993 | |
dc.identifier.uri | http://hdl.handle.net/11449/162373 | |
dc.identifier.wos | WOS:000392460000012 | |
dc.language.iso | eng | |
dc.publisher | Elsevier B.V. | |
dc.relation.ispartof | Archives Of Physical Medicine And Rehabilitation | |
dc.relation.ispartofsjr | 1,501 | |
dc.rights.accessRights | Acesso aberto | |
dc.source | Web of Science | |
dc.subject | Activities of daily living | |
dc.subject | Fear | |
dc.subject | Low back pain | |
dc.subject | Motor activity | |
dc.subject | Rehabilitation | |
dc.title | Fear of Movement Is Not Associated With Objective and Subjective Physical Activity Levels in Chronic Nonspecific Low Back Pain | en |
dc.type | Artigo | |
dcterms.license | http://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy | |
dcterms.rightsHolder | Elsevier B.V. | |
unesp.department | Fisioterapia - FCT | pt |
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