Kinematic analysis of movement impaired by generalization of fear of movement-related pain in workers with low back pain

Purpose To identify impaired trunk movement during work-related activity in individuals with low back pain (LBP) and investigate whether abnormalities were caused by generalized fear of movement-related pain. Methods This cross-sectional study was conducted at a hospital in Japan. We recruited 35 participants with LBP (LBP group; 26 males, 9 females) and 20 healthy controls (HC group) via posters at our hospital. The task required lifting an object. We used a 3D motion capture system to calculate the peak angular velocity of trunk flexion and extension during a lifting task. Pain-related factors for the LBP group were assessed using the visual analogue scale (VAS) for pain intensity over the past 4 weeks and during the task, the Tampa Scale for Kinesiophobia (TSK), the Pain Catastrophizing Scale (PCS), and the Pain Anxiety Symptoms Scale-20 (PASS-20). We compared kinematic variables between groups with a generalized linear mixed model and investigated the relationship between kinematic variables, VAS scores, and psychological factors by performing a mediation analysis. Results The peak angular velocity of trunk extension showed significant main effects on the group factors (LBP group vs. HC group) and their interactions; the value of the kinematic variable was lower at Trial 1 in the LBP group. No LBP participant reported pain during the experiment. The mediation analysis revealed that the relationship between the VAS score for pain intensity over the past 4 weeks and the peak angular velocity of trunk extension in the first trial was completely mediated by the TSK (complete mediation model, 95% bootstrapped CI: 0.07–0.56). Conclusion Individuals with LBP had reduced trunk extension during a lifting task. Generalized fear of movement-related pain may contribute to such impaired trunk movement. Our findings suggest that intervention to ameliorate fear of movement may be needed to improve LBP-associated disability.

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Self-efficacy is more important than fear of movement in mediating the relationship between pain and disability in chronic low back pain

European Journal of Pain ◽

10.1016/j.ejpain.2010.06.014 ◽

2011 ◽

Vol 15 (2) ◽

pp. 213-219 ◽

Cited By ~ 138

Author(s):

Luciola da C. Menezes Costal ◽

Christopher G. Maherl ◽

James H. McAuleyl ◽

Mark J. Hancockl ◽

Rob J.E.M. Smeetsl

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Self Efficacy ◽

Low Back ◽

Fear Of Movement ◽

The Relationship

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Fear of movement is not associated with trunk movement variability during gait in patients with low back pain

The Spine Journal ◽

10.1016/j.spinee.2020.07.007 ◽

2020 ◽

Vol 20 (12) ◽

pp. 1986-1994

Author(s):

Thom T.J. Veeger ◽

Bart van Trigt ◽

Hai Hu ◽

Sjoerd M. Bruijn ◽

Jaap H. van Dieën

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Low Back ◽

Movement Variability ◽

Trunk Movement ◽

Fear Of Movement

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The relationship between balance performance, lumbar extension strength, trunk extension endurance, and pain in participants with chronic low back pain, and those without

Clinical Biomechanics ◽

10.1016/j.clinbiomech.2018.01.023 ◽

2018 ◽

Vol 53 ◽

pp. 22-30 ◽

Cited By ~ 7

Author(s):

Jessica Behennah ◽

Rebecca Conway ◽

James Fisher ◽

Neil Osborne ◽

James Steele

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Low Back ◽

Balance Performance ◽

Lumbar Extension ◽

Trunk Extension ◽

The Relationship

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THE RELATIONSHIP BETWEEN CHRONIC LOW BACK PAIN AND PHYSICAL FACTORS IN COLLEGIATE POLE VAULTERS: A CROSS-SECTIONAL STUDY

International Journal of Sports Physical Therapy ◽

10.26603/ijspt20200537 ◽

2020 ◽

Vol 15 (4) ◽

pp. 537-547

Author(s):

Shota Enoki ◽

Rieko Kuramochi ◽

Yuki Murata ◽

Gaku Tokutake ◽

Takuya Shimizu

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Cross Sectional Study ◽

Physical Factors ◽

Low Back ◽

Sectional Study ◽

Cross Sectional ◽

The Relationship

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Correction of Posture Deviations in the Sagittal Plane Using the Pilates Method

SPORT AND SOCIETY ◽

10.36836/uaic/fefs/10.50 ◽

2019 ◽

pp. 3-13

Author(s):

Alexandru Cîtea ◽

George-Sebastian Iacob

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Postural Control ◽

Human Body ◽

Sagittal Plane ◽

The Body ◽

Lower Limbs ◽

Low Back ◽

Pilates Method ◽

The Relationship

Posture is commonly perceived as the relationship between the segments of the human body upright. Certain parts of the body such as the cephalic extremity, neck, torso, upper and lower limbs are involved in the final posture of the body. Musculoskeletal instabilities and reduced postural control lead to the installation of nonstructural posture deviations in all 3 anatomical planes. When we talk about the sagittal plane, it was concluded that there are 4 main types of posture deviation: hyperlordotic posture, kyphotic posture, rectitude and "sway-back" posture.Pilates method has become in the last decade a much more popular formof exercise used in rehabilitation. The Pilates method is frequently prescribed to people with low back pain due to their orientation on the stabilizing muscles of the pelvis. Pilates exercise is thus theorized to help reactivate the muscles and, by doingso, increases lumbar support, reduces pain, and improves body alignment.

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