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

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dc.contributor.authorCarvalho, Flavia A. [UNESP]
dc.contributor.authorMaher, Chris G.
dc.contributor.authorFranco, Marcia R. [UNESP]
dc.contributor.authorMorelhao, Priscila K. [UNESP]
dc.contributor.authorOliveira, Crystian B. [UNESP]
dc.contributor.authorSilva, Fernanda G. [UNESP]
dc.contributor.authorPinto, Rafael Z. [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUniv Sydney
dc.date.accessioned2018-11-26T17:16:25Z
dc.date.available2018-11-26T17:16:25Z
dc.date.issued2017-01-01
dc.description.abstractObjectives: 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 Medicineen
dc.description.affiliationSao Paulo State Univ, Fac Sci & Technol, Phys Therapy Dept, Presidente Prudente, Brazil
dc.description.affiliationUniv Sydney, Sydney Med Sch, George Inst Global Hlth, Musculoskeletal Div, Sydney, NSW, Australia
dc.description.affiliationUnespSao Paulo State Univ, Fac Sci & Technol, Phys Therapy Dept, Presidente Prudente, Brazil
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.description.sponsorshipIdFAPESP: 2015/17093-7
dc.description.sponsorshipIdFAPESP: 2015/07704-9
dc.description.sponsorshipIdFAPESP: 2015/02744-2
dc.description.sponsorshipIdFAPESP: 2014/14077-8
dc.format.extent96-104
dc.identifierhttp://dx.doi.org/10.1016/j.apmr.2016.09.115
dc.identifier.citationArchives Of Physical Medicine And Rehabilitation. Philadelphia: W B Saunders Co-elsevier Inc, v. 98, n. 1, p. 96-104, 2017.
dc.identifier.doi10.1016/j.apmr.2016.09.115
dc.identifier.fileWOS000392460000012.pdf
dc.identifier.issn0003-9993
dc.identifier.urihttp://hdl.handle.net/11449/162373
dc.identifier.wosWOS:000392460000012
dc.language.isoeng
dc.publisherElsevier B.V.
dc.relation.ispartofArchives Of Physical Medicine And Rehabilitation
dc.relation.ispartofsjr1,501
dc.rights.accessRightsAcesso aberto
dc.sourceWeb of Science
dc.subjectActivities of daily living
dc.subjectFear
dc.subjectLow back pain
dc.subjectMotor activity
dc.subjectRehabilitation
dc.titleFear of Movement Is Not Associated With Objective and Subjective Physical Activity Levels in Chronic Nonspecific Low Back Painen
dc.typeArtigo
dcterms.licensehttp://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
dcterms.rightsHolderElsevier B.V.
unesp.departmentFisioterapia - FCTpt

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Presidente Prudente - FCT - Faculdade de Ciências e Tecnologia