Impact of Kinesiophobia on Quality of Life in Subjects With Low Back Pain: A Cross-Sectional Study

Abstract

Background: Studies has demonstrated the development of Kinesiophobia in Low Back Pain (LBP) and identified as one of the risk factor for chronicity in LBP. In addition to deconditioning effect, Kinesiophobia also install functional disability and does that affect quality of life? Literatures had exposed the association of Kinesiophobia in chronic and acute low back pain separately but paucity in estimating their quality of life thus this study aims to explore the impact of Kinesiophobia on the quality of life in LBP.Materials and Methods: One hundred and twenty study participants were recruited by convenient sampling method between 18 -60 years of age. Data were collected by using Tampa scale of Kinesiophobia, Numerical Pain Rating Scale, SF-36 Health Status Questionnaire and Modified Oswestry Disability Questionnaire for LBP. Secured scores were analysed in SPSS software to identify the association between Kinesiophobia and other functional scales.Results: Mean age of the study participant was 39.79±11.22 years. Prevalence rate of high degree of Kinesiophobia was found as to be 58.33% (n=70). As the intensity of pain increases in LBP, the development of Kinesiophobia also increased and its association exhibited as weak positive linear correlation (r=0.256, p=0.032). Development of Kinesiophobia has demonstrated increased functional disability where correlation between Kinesiophobia and Oswestry disability shows moderate positive correlation (r = 0.495, p=0.000) simultaneously correlation between Kinesiophobia and SF-36 shows moderate negative correlation (r = -0.420, p=0.000) indicating decreased Quality of Life.Conclusions: It has been found that there is a direct relationship between the pain and the development of Kinesiophobia in LBP which in turn increase in the development of functional disability thus marking decreased QOL.

Correlation between Pain, Kinesiophobia and Physical Activity Level in Patients with Chronic Low Back Pain Aged between 30 to 50 Years

“…Previous literatures also found that there is positive correlation between pain and kinesiophobia. [7,9,12,13] In present study, there is no correlation found between pain and physical activity. Previous study by Verbunt et.…”

Funkcinių judesių poveikis asmenų, kurie jaučia lėtinį nespecifinį apatinės nugaros dalies skausmą, funkcinio liemens pajėgumo ir judesio baimės rodikliams

“…Vlaeyen set al (1995) nurodo, kad didesnis nei 37 balų rodiklis rodo didelę judesio baimę. Pasak Pitchai et al (2017), yra tiesioginis ryšys tarp skausmo ir kineziofobijos lygio asmenų, kurie jaučia lėtinį ANDS. Be to, aukštesnis judesio baimės lygis didina funkcinės negalios tikimybę, o tai žymiai pablogina gyvenimo kokybę (Pitchai et al, 2017).…”

“…Pasak Pitchai et al (2017), yra tiesioginis ryšys tarp skausmo ir kineziofobijos lygio asmenų, kurie jaučia lėtinį ANDS. Be to, aukštesnis judesio baimės lygis didina funkcinės negalios tikimybę, o tai žymiai pablogina gyvenimo kokybę (Pitchai et al, 2017). Šio tyrimo duomenimis, vidutinis tiriamųjų judesio baimės lygis po 10 kineziterapijos užsiėmimų sumažėjo 5,5 4,7 balo.…”