Disrupted body-image and pregnancy-related lumbopelvic pain. A preliminary investigation

Wand, Benedict M; Elliott, Rhianne L.; Sawyer, Abbey; Spence, Rory; Beales, Darren; O’Sullivan, Peter; Smith, Anne; Gibson, William

doi:10.1016/j.msksp.2017.05.003

Cited by 21 publications

(16 citation statements)

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“…There was no correlation between the FreBAQ-G and the TPD, in contrast to our initial hypothesis. These results were in keeping with Wand et al [ 29 ] who found no correlation between the English version of the FreBAQ and TPD in a sample of 34 pregnant women. This questions the assumption whether both assessments measure the same construct, although previous studies have demonstrated a relationship between body image drawings and tactile acuity in patients with CLBP [ 13 , 14 ].…”

Section: Discussionsupporting

confidence: 92%

“…In people with CLBP, the FreBAQ has been associated with a number of clinical characteristics such as pain duration (Pearson correlation ρ = 0.357, p = 0.01) and pain intensity (Spearman’s rho = 0.40, p = 0.004) [ 26 ] though others have found no such relationship [ 28 ]. As a measure of body perception it has demonstrated evidence for known-groups validity (median difference between healthy controls and people with CLBP = 11, Mann-Whitney test, p< 0.001) and reliability (ICC2,1 agreement = 0.652 (95% CI: 0.307 to 0.848),ICC2,1 consistency = 0.667 (95% CI: 0.317 to 0.857) [ 26 ] but did not provide evidence of convergent validity with other body perception measures in a different pain population [ 29 ]. The FreBAQ was recently translated and validated into Japanese (FreBAQ-J) [ 27 ] and Dutch [ 28 ].…”

Section: Introductionmentioning

confidence: 99%

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The translation, validity and reliability of the German version of the Fremantle Back Awareness Questionnaire

et al. 2018

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BackgroundThe Fremantle Back Awareness Questionnaire (FreBAQ) claims to assess disrupted self-perception of the back. The aim of this study was to develop a German version of the FreBAQ (FreBAQ-G) and assess its test-retest reliability, its known-groups validity and its convergent validity with another purported measure of back perception.MethodsThe FreBaQ-G was translated following international guidelines for the transcultural adaptation of questionnaires. Thirty-five patients with non-specific CLBP and 48 healthy participants were recruited. Assessor one administered the FreBAQ-G to each patient with CLBP on two separate days to quantify intra-observer reliability. Assessor two administered the FreBaQ-G to each patient on day 1. The scores were compared to those obtained by assessor one on day 1 to assess inter-observer reliability. Known-groups validity was quantified by comparing the FreBAQ-G score between patients and healthy controls. To assess convergent validity, patient’s FreBAQ-G scores were correlated to their two-point discrimination (TPD) scores.ResultsIntra- and Inter-observer reliability were both moderate with ICC3.1 = 0.88 (95%CI: 0.77 to 0.94) and 0.89 (95%CI: 0.79 to 0.94), respectively. Intra- and inter-observer limits of agreement (LoA) were 6.2 (95%CI: 5.0–8.1) and 6.0 (4.8–7.8), respectively. The adjusted mean difference between patients and controls was 5.4 (95%CI: 3.0 to 7.8, p<0.01). Patient’s FreBAQ-G scores were not associated with TPD thresholds (Pearson’s r = -0.05, p = 0.79).ConclusionsThe FreBAQ-G demonstrated a degree of reliability and known-groups validity. Interpretation of patient level data should be performed with caution because the LoA were substantial. It did not demonstrate convergent validity against TPD. Floor effects of some items of the FreBAQ-G may have influenced the validity and reliability results. The clinimetric properties of the FreBAQ-G require further investigation as a simple measure of disrupted self-perception of the back before firm recommendations on its use can be made.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

The translation, validity and reliability of the German version of the Fremantle Back Awareness Questionnaire

et al. 2018

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“…Furthermore, the score on the FreBAQ questionnaire in the CP_Pain population was no different from that seen in a matched group with LBP and no CP and very similar to the results of previous investigations that have used the FreBAQ to assess body perception in general LBP populations . This builds on work demonstrating that lumbopelvic self‐perception is impaired in people with LBP compared to matched control groups and extends this finding to include people with LBP and CP.…”

Section: Discussionsupporting

confidence: 84%

Perceived Body Distortion Rather Than Actual Body Distortion Is Associated With Chronic Low Back Pain in Adults With Cerebral Palsy: A Preliminary Investigation

Yamashita¹,

Nishigami

Mibu³

et al. 2019

Pain Practice

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Objectives The aim of the present study was to investigate whether distorted body perception is a feature of the low back pain (LBP) experience in people with cerebral palsy (CP) and whether any distortions noted are confounded by the presence of motor and postural impairments commonly seen in CP. Methods Forty‐five individuals participated in this study: 15 adults with CP with LBP (CP_Pain group), 15 adults with CP without LBP (CP_noPain group), and 15 age‐matched adults with LBP but no CP (Pain group). Body perception was evaluated using the Fremantle Back Awareness Questionnaire (FreBAQ) and by assessing 2‐point discrimination thresholds over the low back. A comprehensive assessment of motor function was also undertaken in the CP population, and postural function was assessed in all 3 groups. Results Significant differences between the 3 groups were found for FreBAQ scores (P < 0.0001). The TPD threshold in the low back of the CP_Pain group was significantly larger than that of the CP_noPain group (P = 0.01), though we found no difference between the CP_noPain group and the Pain group (P = 0.21). We found no difference in motor or postural function between the 2 CP groups. Discussion The present results suggest that body image is disrupted in people with CP who experience LBP. The disruptions in perception were similar to those seen in people with LBP and no CP, suggesting that the distortions may be more related to the presence of pain than the presence of CP.

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“…They also found more perceptual dysfunctions in moderate-disability sub-groups respect to lowdisability patients (median score: 6.5/36 points) and pain free controls (median score: 2/36 points), however there was no statistical significance (respectively, p = 0.282 and p = 0.095; personal communication). Wand et al (2017) instead collected data on pregnancy-related LPP (within the 3rd trimester of pregnancy and not over the 38th week): women with pain referred significantly (p = 0.005) more perceptual dysfunctions than those pain-free (median score: 3.5/36 vs. 1/36), and authors found a significant correlation (p = 0.027) of FreBAQ score with pain intensity (r = 0.378), despite it was not correlated with self-reported disability (p = 0.143).…”

Section: Self-administered Questionnairementioning

confidence: 99%

Explicit and Implicit Own's Body and Space Perception in Painful Musculoskeletal Disorders and Rheumatic Diseases: A Systematic Scoping Review

Viceconti

Camerone

Luzzi

et al. 2020

Front. Hum. Neurosci.

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Background: Pain and body perception are essentially two subjective mutually influencing experiences. However, in the field of musculoskeletal disorders and rheumatic diseases we lack of a comprehensive knowledge about the relationship between body perception dysfunctions and pain or disability. We systematically mapped the literature published about the topics of: (a) somatoperception; (b) body ownership; and (c) perception of space, analysing the relationship with pain and disability. The results were organized around the two main topics of the assessment and treatment of perceptual dysfunctions.Methods: This scoping review followed the six-stage methodology suggested by Arksey and O'Malley. Ten electronic databases and grey literature were systematically searched. The PRISMA Extension for Scoping Reviews was used for reporting results. Two reviewers with different background, independently performed study screening and selection, and one author performed data extraction, that was checked by a second reviewer.Results: Thirty-seven studies fulfilled the eligibility criteria. The majority of studies (68%) concerned the assessment methodology, and the remaining 32% investigated the effects of therapeutic interventions. Research designs, methodologies adopted, and settings varied considerably across studies. Evidence of distorted body experience were found mainly for explicit somatoperception, especially in studies adopting self-administered questionnaire and subjective measures, highlighting in some cases the presence of sub-groups with different perceptual features. Almost half of the intervention studies (42%) provided therapeutic approaches combining more than one perceptual task, or sensory-motor tasks together with perceptual strategies, thus it was difficult to estimate the relative effectiveness of each single therapeutic component.Viceconti et al. Body Perception in Musculoskeletal DisordersConclusions: To our knowledge, this is the first attempt to systematically map and summarize this research area in the field of musculoskeletal disorders and rheumatic diseases. Although methodological limitations limit the validity of the evidence obtained, some strategies of assessment tested and therapeutic strategies proposed represent useful starting points for future research. This review highlights preliminary evidence, strengths, and limitations of the literature published about the research questions, identifying key points that remain opened to be addressed, and make suggestions for future research studies. Body representation, as well as pain perception and treatment, can be better understood if an enlarged perspective including body and space perception is considered.

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Disrupted body-image and pregnancy-related lumbopelvic pain. A preliminary investigation

Cited by 21 publications

References 82 publications

The translation, validity and reliability of the German version of the Fremantle Back Awareness Questionnaire

The translation, validity and reliability of the German version of the Fremantle Back Awareness Questionnaire

Perceived Body Distortion Rather Than Actual Body Distortion Is Associated With Chronic Low Back Pain in Adults With Cerebral Palsy: A Preliminary Investigation

Explicit and Implicit Own's Body and Space Perception in Painful Musculoskeletal Disorders and Rheumatic Diseases: A Systematic Scoping Review

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