Influence of kinesiophobia on pain intensity, disability, muscle endurance, and position sense in patients with chronic low back pain—a case-control study

Kandakurti, Praveen Kumar; Arulsingh, Watson; Patil, Sharad S

doi:10.1186/s13063-022-06406-6

Cited by 3 publications

(2 citation statements)

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“…Limited studies have evaluated the impact of kinesiophobia on LJPS in CLBP individuals. Similar to our study methods, Kandakurti et al [ 26 ] assessed the impact of kinesiophobia on lumbar extensor endurance and position sense in patients with CLBP, and this study showed that individuals with increased TSK scores had decreased lumbar extensor endurance and high LJPS.…”

Section: Discussionsupporting

confidence: 64%

“…LJPS is estimated based on the ability of an individual to actively reposition the lumbar spine to a target position, and this reposition accuracy is measured in degrees [ 22 , 23 ]. Previous studies have shown a strong relationship between LJPS, kinesiophobia, pain intensity, and functional disability [ 24 , 25 , 26 ]. However, the evidence regarding how kinesiophobia impacts LJPS in CLBP is limited and has yet to be explored.…”

Section: Introductionmentioning

confidence: 99%

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The Mediation Effect of Pain on the Relationship between Kinesiophobia and Lumbar Joint Position Sense in Chronic Low Back Pain Individuals: A Cross-Sectional Study

ALMohiza

Reddy

Asiri

et al. 2023

IJERPH

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(1) Background: Fear of movement (kinesiophobia) and impaired lumbar joint position sense (LJPS) play a vital role in developing and maintaining non-specific chronic low back pain (CLBP). However, how kinesiophobia impacts LJPS is still being determined. The aims of this study are to (1) assess the correlation between kinesiophobia and LJPS in individuals with chronic low back pain; (2) compare LJPS between individuals with CLBP and those who are asymptomatic; and (3) evaluate if pain can mediate the relationship between kinesiophobia and LJPS in CLBP individuals. (2) Methods: Eighty-three individuals (mean age = 48.9 ± 7.5 years) with a diagnosis of CLBP and 95 asymptomatic individuals (mean age = 49.4 ± 7.0 years) were recruited into this cross-sectional study. Fear of movement in CLBP individuals was assessed using the Tampa Scale for Kinesiophobia (TSK). LJPS was determined using the active target repositioning technique using a dual-digital inclinometer. LJPS was evaluated in lumbar flexion, extension, and side-bending left and right directions, and the repositioning accuracy was determined in degrees using a dual digital inclinometer. (3) Results: Kinesiophobia showed a significant (p < 0.001) moderate positive correlation with LJPS (flexion: r = 0.51, extension: r = 0.41, side-bending left: r = 0.37 and side-bending right: r = 0.34). LJPS errors were larger in CLBP individuals compared to asymptomatic individuals (p < 0.05). Mediation analyses showed that pain significantly mediated the relationship between kinesiophobia and LJPS (p < 0.05) in CLBP individuals. (4) Conclusions: Kinesiophobia and LJPS were positively associated. LJPS is impaired in CLBP individuals compared to asymptomatic individuals. Pain may mediate adverse effects on LJPS. These factors must be taken into account when assessing and developing treatment plans for those with CLBP.

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Section: Discussionsupporting

confidence: 64%

Section: Introductionmentioning

confidence: 99%

The Mediation Effect of Pain on the Relationship between Kinesiophobia and Lumbar Joint Position Sense in Chronic Low Back Pain Individuals: A Cross-Sectional Study

ALMohiza

Reddy

Asiri

et al. 2023

IJERPH

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Influence of Kinesiophobia on muscle endurance in patients with chronic low back pain- A case-control study

Kumar,

Ferreira,

Nogueira

et al. 2024

F1000Res

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Background Patients with chronic low back pain (CLBP) frequently present with kinesiophobia. Although kinesiophobia is found to affect outcomes such as affect pain and quality of life in patients with CLBP, it is unclear whether kinesiophobia is linked to reduction of muscle endurance in these patients. The primary aim of the study was to analyze the impact of kinesiophobia on lumbar extensor endurance in patients with CLBP and asymptomatic individuals. Methods This case-control study was proceeded with 200 patients with CLBP and 400 controls. Kinesiophobia, lumbar endurance and Pain intensity were assessed with Tampa Scale, Soren’s lumbar extensor test and visual analog scale respectively. Regression model was administered to explore the relationship between kinesiophobia and lumbar extensor endurance. Results Prevalence of kinesiophobia was found to be higher in patients with CLBP (30%) than in controls (11%) which is (6.49 ± 0.52, d= 1.07) more in CLBP than controls. Lumbar endurance was significantly lower in CLBP than controls (-20.5±6.84), further affected by the presence of kinesiophobia as lumbar endurance was negatively correlated (r = - 0.09) to Kinesiophobia. Moreover, VAS (r = 0.2) was positively correlated with kinesiophobia in patients with CLBP. Discussion and conclusion A high prevalence of kinesiophobia was reported by patients with CLBP. The presence of kinesiophobia exhibited strong linear relationship with lumbar endurance, and pain intensity among patients with CLBP. Hence management of CLBP should comprise of an assessment of kinesiophobia and appropriate treatment strategies to address it in preventing persistent CLBP. ClinicalTrials.gov Identifier NCT05079893 Registered on 14/10/2021.

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The Effect of Eight Weeks of Zumba Exercises on Kinesiophobia Views in Sedentary Women

Kurtoğlu,

Çar,

Kayacık

et al. 2024

International Journal of Disabilities Sports and Health Sciences

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This study aims to analyze the effect of eight-week zumba exercises on kinesiophobia views in sedentary women. The survey model, one of the quantitative research methods, was used in the study. Forty sedentary female participants (age: 46.45±5.40 years, weight: 69.97±13.62 kg, height: 162.90±5.52 cm, BMI: 26.41±5.24 kg/m2) were randomly selected. Participants who met the inclusion and exclusion criteria were included in the study. Participants were enrolled in eight weeks (2 days/week) of outdoor Zumba training. Kinesiophobia levels were measured before and after the exercise with the Tampa Kinesiophobia Scale developed by Miller et al. Kinesiophobia levels were also analyzed according to smoking and alcohol use, chronic disease and income status. Repeated Measures Anova test was used for statistical analysis. The kinesiophobia levels of the participants did not change significantly after eight weeks of Zumba exercise (p>0.05). The kinesiophobia levels of the participants were not significantly affected by smoking [F (2, 17) =.832, η2p= .089, p=.452], alcohol use [F (2, 17) =.221, η2p= .025, p=. 804], having a chronic disease [F (2, 17) =1.911, η2p= .096, p=.184], and income status [F (2, 17) =.132, η2p= .015, p=.878]. However, the effect size of the change in those with chronic disease was within Cohen's high reference interval. In conclusion, eight weeks of Zumba exercises did not change the level of kinesiophobia in sedentary women. However, the most surprising finding in our study was that the effect size of the change in those with chronic disease parameters was very high. This may be thought to be due to the high baseline level of kinesiophobia in those with chronic diseases. Therefore, individuals with chronic diseases can perform Zumba exercises under the supervision of a doctor.

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Influence of kinesiophobia on pain intensity, disability, muscle endurance, and position sense in patients with chronic low back pain—a case-control study

Cited by 3 publications

References 56 publications

The Mediation Effect of Pain on the Relationship between Kinesiophobia and Lumbar Joint Position Sense in Chronic Low Back Pain Individuals: A Cross-Sectional Study

The Mediation Effect of Pain on the Relationship between Kinesiophobia and Lumbar Joint Position Sense in Chronic Low Back Pain Individuals: A Cross-Sectional Study

Influence of Kinesiophobia on muscle endurance in patients with chronic low back pain- A case-control study

The Effect of Eight Weeks of Zumba Exercises on Kinesiophobia Views in Sedentary Women

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