Family History Influences the Effectiveness of Home Exercise in Older People With Chronic Low Back Pain: A Secondary Analysis of a Randomized Controlled Trial

Zadro, Joshua R; Shirley, Debra; Nilsen, Tom Ivar Lund; Mork, Paul Jarle; Ferreira, Paulo H.

doi:10.1016/j.apmr.2020.03.019

Cited by 5 publications

(12 citation statements)

References 49 publications

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“…Most of these questionnaire-based studies used the short form of the International Physical Activity Questionnaire (IPAQ-SF; n = 20) 29,73,76,78,79,82,85,86,112,114,116,130,131,133,138–141,146,147 which consists of 6 items assessing time spent in light (i.e., walking), moderate (e.g., carrying light loads, cycling at moderate speed, doubles tennis), and vigorous physical activity (e.g., digging, fast cycling, heavy lifting, aerobics) over the last 7 days 159 . Other questionnaires were used to assess physical activity, such as the Baecke Habitual Physical Activity Questionnaire 160 (BHPAQ; n = 5) 64,89,90,107,113 , Saltin-Grimby Physical Activity Level Scale 161 (SGPALS; n = 5) 80,104,115,125,135 , Godin-Shephard Leisure-Time Exercise Questionnaire 162 (GLTEQ; n = 2) 121,134 , Minnesota Leisure Time Physical Activity Questionnaire 163 (MLTPAQ; n = 1) 136 , Physical Activity Scale for the Elderly 164 (PASE; n = 2) 123,149 , Physical Activity Questionnaire for the Elderly 164 (PAQE; n = 1) 72 , Short Questionnaire to Assess Health Enhancing Physical Activity 165 (SQUASH; n = 1) 142 , the Tegner Assessment Scale 166 (TAS; n = 1) 63 , University of California Los Angeles (UCLA) activity score 167 (n = 1) 84 , Leisure Time Physical Activity Index 168 (LTPAI; n = 1) 67 , Global Physical Activity Questionnaire 169 (GPAQ; n = 2) 77,83 , Freiburger Questionnaire on Physical Activity 170 (FQPA; n = 1) 127 , Jurka Physical Activity Scale 171 (JPAS; n = 1) 81 , Rapid Assessment of Physical Activity questionnaire 172 (RAPAQ; n = 1) 68 , Tecumseh Occupational Activity Questionnaire 173 (TOAQ; n = 1) 136 , and Australian Health Survey-derived questions (AHS; n = 1) 71 .…”

Section: Resultsmentioning

confidence: 99%

“…In 54 of the 74 studies, kinesiophobia was assessed using the 17-item TSK (TSK-17; n = 38) 29,62,64,65,68,72,73,77,84,85,90,91,111–114,117–120,122–125,130,133–135,138–144,146,148,150 shorter versions of the TSK [(TSK-11 152 ; n = 10) 63,81,88,116,121,122,128,131,136,151 , (TSK-14; n = 1) 74 , (TSK-13 153 ; n = 2) 115,137 , (TSK-7; n = 1) 145 ], or its adaptation for patients with coronary artery disease (TSK-Heart 154 ; n = 2) 86,87 . The TSK is a questionnaire that assesses the belief that movements can lead to (re)injury, pain, or aggravation of an underlying and serious medical condition 28 .…”

Section: Resultsmentioning

confidence: 99%

“…To assess physical activity, the studies used the following outcomes: Score from a questionnaire (e.g., TAS, PAQE, BHPAQ, SGPALS, LTPAQ, n = 24) 63,64,67,68,72,80,81,84,87,89,90,104,107,113,115,119,121,123,125,127,134,137,149 , MET-min/week (n = 23) 31,73,76,77–79,83,85,86,112,114,116,130,131,133,136,138–142,146,147 , steps per day (n = 14) 63,65,75,78,88,113,120,126,128,132,143–145,150 , hours per day or week (n = 12) 62,65,69–71,74,91,113,120,138,143,145 , counts per minute (n = 4) 111,113,117,137 , kilocalories per day (n = 2) 129,144 , or percentage of active time (n = 1) 122 . Nine studies used multiple physical activity outcomes 63,65,78,91,113,120,143–145 .…”

Section: Resultsmentioning

confidence: 99%

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Kinesiophobia and physical activity: A systematic review and meta-analysis

Goubran,

Farajzadeh,

Lahart

et al. 2023

Preprint

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ObjectivePhysical activity is known to reduce the risk of disability, disease, and mortality. However, in some patients, an excessive, irrational, and debilitating fear of movement (i.e., kinesiophobia) is thought to induce avoidance behaviors, contributing to decreased engagement in physical activity. The aim of this study was to examine whether kinesiophobia is negatively associated with physical activity and what factors influence this relationship.MethodsThree databases were searched for articles including both a measure of kinesiophobia and physical activity. Two reviewers screened articles for inclusion, assessed risk of bias, and extracted data from each study. Pearson product-moment correlations were pooled from eligible studies using the generic inverse pooling and random effects method to examine the relationship between kinesiophobia and physical activity.ResultsForty-nine articles were included in the systematic review and 41 studies (n = 4,848) in the meta-analysis. Results showed a moderate negative correlation between kinesiophobia and physical activity (r = -0.31; 95% CI: -0.42 to -0.20; I2= 1.8%; p < 0.0001). Subgroup meta-analyses revealed that the correlation was statistically significant only in patients with a cardiovascular or arthritis condition and in studies using a self-reported measure of physical activity. There was no evidence of an effect of age, gender, or pain.ConclusionsHigher levels of kinesiophobia were moderately associated with lower levels of physical activity. However, between-study heterogeneity was considerable, and results showed no evidence of this association when physical activity was assessed with accelerometers or pedometers. Additional studies using device-based measures of physical activity are required to confirm these results and to understand the factors and mechanisms influencing this potential relationship.ImpactOur results suggest that kinesiophobia could be considered as a limiting factor when developing physical activity promotion strategies for inactive patients.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Kinesiophobia and physical activity: A systematic review and meta-analysis

Goubran,

Farajzadeh,

Lahart

et al. 2023

Preprint

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“…In this analysis, older adult subjects with various pain backgrounds such as neck (Beltran-Alacreu et al, 2022), arms (Gunst et al, 2022), back (Gunst et al, 2022;Monteiro et al, 2015;Stamm et al, 2022;Yalfani et al, 2022;Zadro et al, 2020), knee (Janhunen et al, 2023) and musculoskeletal problems (Ditchburn et al, 2020) received serious games for physical, cognitive and psychological rehabilitation. Pain intensity varied from mild (Ditchburn et al, 2020;Stamm et al, 2022;Zadro et al, 2019) to moderate (Beltran-Alacreu et al, 2022;Gunst et al, 2022;Janhunen et al, 2023;J-Lyn, 2014;Monteiro et al, 2015;Yalfani et al, 2022) (Gunst et al, 2022;Janhunen et al, 2023;J-Lyn, 2014;Monteiro et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

Efficacy of serious games for chronic pain management in older adults: A systematic review and meta‐analysis

Saragih,

Suarilah,

Saragih

et al. 2024

Journal of Clinical Nursing

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Aims and ObjectivesTo synthesise and appraise the evidence of the efficacy of serious games in reducing chronic pain among older adults.BackgroundChronic pain in older adults generally results in a substantial handicap due to decreased mobility, exercise avoidance and various concerns that affect their overall quality of life. While serious games have been widely used as a pain management approach, no reviews have thoroughly examined their efficacy for chronic pain management in older adult populations.DesignA systematic review and meta‐analysis.MethodsThe CINAHL, the Cochrane Library, Embase, Medline, PubMed and Web of Science databases were comprehensively searched to find articles published from their inception until 17 April 2023. RoB‐2 was used to assess the risk of bias in the included studies. The efficacy of serious games for pain management in older individuals was investigated using pooled standardised mean differences (SMDs) in pain reduction using a random effect model.ResultsThe meta‐analysis comprised nine randomised controlled trials that included 350 older adult patients with pain. Serious games effectively alleviated pain in this group (pooled SMD = −0.62; 95% confidence interval: −1.15 to −0.10), although pain‐related disability and fear require further investigation.ConclusionsSerious games tended to effectively reduce pain in this older adult group; however, due to a lack of randomised controlled trials, the analysis found lower effectiveness in reducing pain‐related disability and fear. Further studies are accordingly required to confirm these findings.Relevance to Clinical PracticeThe findings of the study emphasise the importance of serious games to increase the motivation of older adults to exercise as one of the safe and extensively used pain management strategies. Serious games that effectively reduce chronic pain in older adults are characterised as consisting of diverse physical activities delivered through consoles, computer‐based activities and other technologies.Patient or Public ContributionsSerious games are recommended as being potentially useful and practical for reducing pain in older adults.

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“…Notably, Prosperini et al ( 2013) did not report but consider enjoyment since participants could play f Rating of 13 on the Borg rating scale. g But not in case of family history of activity-limiting lower back pain (see Zadro et al, 2020).…”

Section: Exergaming Interventions and Control/comparison Groupsmentioning

confidence: 99%

Commercial exergames for rehabilitation of physical health and quality of life: a systematic review of randomized controlled trials with adults in unsupervised home environments

Rüth,

Schmelzer,

Burtniak

et al. 2023

Front. Psychol.

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BackgroundCommercial exergames are widely available tools that can support physical rehabilitation at home. However, the effects of the unsupervised use of commercial exergames in home environments are not yet clear. Hence, we provide a systematic review on the effects of unsupervised commercial exergaming at home on adults' physical health (RQ1) and quality of life (RQ2). We also scrutinize adults' experiences with exergaming at home regarding participant support, adherence, and adverse outcomes (RQ3).MethodsWe searched Web of Science, PsycINFO, PubMed, Embase, and CINAHL for peer-reviewed randomized controlled trials with adults in need of rehabilitation. Overall, 20 studies (1,558 participants, 1,368 analyzed) met our inclusion criteria. The quality of evidence was assessed with the Cochrane risk of bias tool.ResultsEffects of unsupervised commercial exergaming at home on physical health were higher in seven studies and similar in five studies regarding the respective comparison or control conditions; eight studies reported non-significant findings. Of the 15 studies that also examined effects on quality of life, improvements were higher in seven studies and similar in two studies regarding the respective comparison or control conditions; results were non-significant in six studies. Participant support consisted of setup of the exergaming system, instructions, training, and contact with participants. Adherence was high in eight studies, moderate in six studies, and low in one study. Adverse outcomes related to exergaming were found in four studies and were at most moderate. Concerning the quality of evidence, six studies were related to a high risk of bias due to outcome reporting bias or ceiling effects in the primary outcome. Additionally, 10 studies yielded some concerns, and four studies were related to a low risk of bias.DiscussionThis systematic review summarizes promising evidence that the unsupervised use of commercial exergames can support and complement rehabilitation measures in home environments. Still, future studies based on larger samples and using more recent commercial exergames are needed to obtain more high-quality evidence on the effects of different exercise prescriptions. Overall, considering the necessary precautions, the unsupervised use of commercial exergames at home can improve the physical health and quality of life in adults with needs for physical rehabilitation.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022341189, identifier: PROSPERO, Registration number: CRD42022341189.

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Family History Influences the Effectiveness of Home Exercise in Older People With Chronic Low Back Pain: A Secondary Analysis of a Randomized Controlled Trial

Cited by 5 publications

References 49 publications

Kinesiophobia and physical activity: A systematic review and meta-analysis

Kinesiophobia and physical activity: A systematic review and meta-analysis

Efficacy of serious games for chronic pain management in older adults: A systematic review and meta‐analysis

Commercial exergames for rehabilitation of physical health and quality of life: a systematic review of randomized controlled trials with adults in unsupervised home environments

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