Are Pain Intensity and Pain Related Fear Related to Functional Capacity Evaluation Performances of Patients with Chronic Low Back Pain?

Reneman, Michiel F.; Preuper, Henrica R. Schiphorts; Kleen, Marco; Geertzen, Jan H. B.; Dijkstra, Pieter U.

doi:10.1007/s10926-007-9078-z

Cited by 61 publications

(43 citation statements)

References 33 publications

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“…As a complementary explanation, it has been suggested that pain-related beliefs, such as fear avoidance due to longstanding pain, are more important determinants of disability in patients with musculoskeletal disorders than intensity of pain per se (18). Thus the belief that rapid movement exacerbates pain (4,19,36) could potentially limit neural drive. Therefore, changes in pain-related beliefs during the course of training, and not only reduction of pain per se, may have contributed to the present findings.…”

Section: Discussionmentioning

confidence: 99%

Effect of contrasting physical exercise interventions on rapid force capacity of chronically painful muscles

Andersen

Suetta

et al. 2009

Journal of Applied Physiology

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Andersen LL, Andersen JL, Suetta C, Kjaer M, Søgaard K, Sjøgaard G. Effect of contrasting physical exercise interventions on rapid force capacity of chronically painful muscles. J Appl Physiol 107: 1413-1419, 2009. First published September 17, 2009 doi:10.1152/japplphysiol.00555.2009.-Rapid force capacity of chronically painful muscles is inhibited markedly more than maximal force capacity and is therefore relevant to assess in rehabilitation settings. Our objective was to investigate the effect of two contrasting types of physical exercise on rapid force capacity, as well as neural and muscular adaptations in women with chronic neck muscle pain. A group of employed women (n ϭ 42) with a clinical diagnosis of trapezius myalgia participated in a 10-wk randomized controlled trial; specific strength training of the neck/shoulder muscles, general fitness training performed as leg-bicycling; or a reference intervention without physical activity. Maximal voluntary shoulder abductions were performed at static angles of 35°and 115°with simultaneous recording of electromyography (EMG) in the trapezius and deltoid. Maximal muscle strength and activation (peak torque and peak EMG) as well as rapid muscle strength and activation [rate of torque development (RTD) and rate of EMG rise] were subsequently determined. Trapezius muscle fiber characteristics were determined with ATPase histochemistry. Significant changes were observed only in the specific strength training group. Whereas peak torque increased 18 -29% (P Ͻ 0.01), RTD increased 61-115% (P Ͻ 0.001). Peak EMG and rate of EMG rise increased correspondingly (P Ͻ 0.05-0.001), and trapezius type II muscle fibers hypertrophied 20% (P Ͻ 0.001). In conclusion, rapid force capacity of chronically painful muscles is highly responsive to rehabilitation with specific strength training. The underlying mechanisms were related to both pain reduction and general neuromuscular adaptations to strength training. Potentially, the present method can be a useful clinical screening tool of muscle function in rehabilitation settings. rate of force development; rehabilitation; myalgia; electromyography; histochemistry; rate of torque development PAIN AND DISCOMFORT of the musculoskeletal system are a major problem worldwide (35).

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Section: Discussionmentioning

confidence: 99%

Effect of contrasting physical exercise interventions on rapid force capacity of chronically painful muscles

Andersen

Suetta

et al. 2009

Journal of Applied Physiology

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“…Pain related fear is defined as the development of sensitivity state towards injury that may cause pain and disproportionate and exaggarated fear of physical movement that makes one feel helpless (29). It has been accepted that fear or pain leads one to restrict his/her own movements.…”

Section: Introductionmentioning

confidence: 99%

The relationship between disability, quality of life and fear- avoidance beliefs in patients with chronic low back pain

Güçlü

Güçlü²,

Ozaner³

et al. 2012

Turkish Neurosurgery

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The aim of this study is to investigate the relationship between fear and avoidance beliefs with the disability of patients with chronic low back pain and the prediction of quality of life. MaterIaL and MetHOds:105 outpatients with chronic low back pain were included in the study. Patients were evaluated with a sociodemographic questionnaire Visual Analog Scale Roland Morris Disability Questionnaire Beck anxiety inventory Beck depression inventory, Somatosensory Amplification Scale Fear and avoidance beliefs questionaire and Short form-36 health survey questionnaire. resuLts:As pain intensity increased, FABQ increased. Higher levels of anxiety, depression, FABQ (work) leads to higher level of disability. The disability predictors were found to be pain intensity and level of anxiety. When levels of pain intensity, level of anxiety and depression, FABQ increased, physical function decreased. Pain intensity and FABQ (physical) were found to be the predictors of quality of life.cOncLusIOn: Findings of our study were compatible with the previous studies that evaluated the relationship between pain intensity and FAB with the disability of patients with chronic low back pain. We think that it'd have a role for the perception of disability and connected to this to prevent the impairment of life quality by implications for FAB in these patients. BuLguLar: Ağrı şiddeti arttıkça korku kaçınma artmaktaydı. Depresyon anksiyete ve korku kaçınma (mesleki) düzeyindeki artış yetiyitiminin artmasına yol açmaktaydı. Ağrı şiddeti ve anksiyete düzeyi yeti yitiminin yordayıcıları olarak belirlendi. Ağrı şiddeti anksiyete ve depresyon düzeyleri korku kaçınma arttıkça fiziksel fonksiyon azalmaktaydı. Ağrı şiddeti ve fiziksel korku kaçınma tutumları fiziksel işlevselliğin yordayıcıları olarak bulundu. sOnuÇ: Çalışmamızın bulguları kronik bel ağrılı hastalarda ağrı şiddetinin ve korku kaçınma inançlarının yeti yitimi ile ilişkisinin değerlendirildiği önceki çalışmalarla uyumlu bulunmuştur. Bu hastalarda korku kaçınma inançlarının değerlendirilmesinin yeti yitimini anlama ve buna bağlı yaşam kalitesindeki bozulmanın önlenmesinde rol oynayabileceğini düşünmekteyiz.anaHtar sÖZcÜkLer: Kronik bel ağrısı, Korku kaçınma tutumları, Yeti yitimi, Yaşam kalitesi

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“…The authors concluded that this decrease was disproportionate to the females' lower body mass. Similarly, Reneman et al (2007) found that males out performed females during a high-intensity lifting task. The female subjects demonstrated significantly lower maximal weight that was lifted five times within 90 seconds.…”

Section: Introductionmentioning

confidence: 88%

Effects of Gender and Recurrent Low Back Pain on Lifting Style

Haddas

Yang

Sizer

2015

Central European Journal of Sport Sciences and Medicine

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Abstract. Objective: The purpose of this study was to examine the influence of gender and existing, recurrent low back pain (rLBP) on lower extremity and trunk mechanics, as well as neuromuscular control, during a lift task. Design: A multivariate design was used to examine the effects of gender and group on biomechanical and neuromuscular control variables in randomized symmetric and asymmetric lifting. Methods: 68 Males and females with rLBP and healthy performed symmetric and asymmetric weighted box lifting trials to a 1 meter height table. Results: Lifting style was different between gender and between the rLBP versus healthy groups during a 1m box lifting. A significant two-way interaction effect between gender and group was observed for multifidus muscle activity and knee rotation in asymmetric lifting. Several gender and group main effects were observed in pelvis obliquity, trunk flexion and side flexion, knee abduction angles in symmetric lifting; and in pelvis obliquity and rotation, trunk flexion and side flexion, hip abduction, knee abduction angles, external oblique and internal oblique muscles activity in asymmetric lifting. Conclusions: Females and individuals with rLBP appear to use different lifting styles that emphasize movement at the pelvis accompanied by poor kinematic control features at the hip, trunk and knee. Clinicians should be mindful of these changes when developing prevention and rehabilitation programs aimed at improving trunk control in preparation for lifting tasks during domestic and occupational activities.

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Are Pain Intensity and Pain Related Fear Related to Functional Capacity Evaluation Performances of Patients with Chronic Low Back Pain?

Cited by 61 publications

References 33 publications

Effect of contrasting physical exercise interventions on rapid force capacity of chronically painful muscles

Effect of contrasting physical exercise interventions on rapid force capacity of chronically painful muscles

The relationship between disability, quality of life and fear- avoidance beliefs in patients with chronic low back pain

Effects of Gender and Recurrent Low Back Pain on Lifting Style

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