Task-specific fear rather than general kinesiophobia assessment is associated with kinematic differences in chronic low back pain during lumbar flexion: a preliminary investigation

Imai, Ryota; Imaoka, Masakazu; Nakao, Hidetoshi; Hida, M.; Fujii, Ren; Shiba, Takehiro; Nishigami, Tomohiko

doi:10.1097/pr9.0000000000001025

Cited by 11 publications

(11 citation statements)

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“…52 This may not be due to slowed movement so much as alternative joint coordination choices 86 and stops and hesitation in movement 94 (associated with fear of movement 39,67,71 ). The relationship between fear and movement detection seems stronger when the fear of movement is measured in relation to the movement task 26,27,38 rather than the total TSK score 38,54 or pain-related anxiety 85 rather than general anxiety. 46,90…”

Section: Resultsmentioning

confidence: 97%

“…1,3,88 Task-specific fear might be expected to be more closely related to performance than broader fear of movement. 38 In addition, there is some evidence that movement velocity captures kinematic features affected by fear of movement better than do displacement and ROM measures, 39,64,72,86 with longer time of movement execution associated with fear of movement. 70,72 A recent virtual reality study using both headset and handheld sensors found changes in movement velocity to be associated with both fear of movement and reinjury and chronic low back pain.…”

Section: Movement and Activity Monitorsmentioning

confidence: 99%

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Sensing behavior change in chronic pain: A scoping review of sensor technology for use in daily life

Vitali,

Olugbade,

Eccleston

et al. 2024

Pain

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Technology offers possibilities for quantification of behaviors and physiological changes of relevance to chronic pain, using wearable sensors and devices suitable for data collection in daily life contexts. We conducted a scoping review of wearable and passive sensor technologies that sample data of psychological interest in chronic pain, including in social situations. Sixty articles met our criteria from the 2783 citations retrieved from searching. Three-quarters of recruited people were with chronic pain, mostly musculoskeletal, and the remainder with acute or episodic pain; those with chronic pain had a mean age of 43 (few studies sampled adolescents or children) and 60% were women. Thirty-seven studies were performed in laboratory or clinical settings and the remainder in daily life settings. Most used only 1 type of technology, with 76 sensor types overall. The commonest was accelerometry (mainly used in daily life contexts), followed by motion capture (mainly in laboratory settings), with a smaller number collecting autonomic activity, vocal signals, or brain activity. Subjective self-report provided “ground truth” for pain, mood, and other variables, but often at a different timescale from the automatically collected data, and many studies reported weak relationships between technological data and relevant psychological constructs, for instance, between fear of movement and muscle activity. There was relatively little discussion of practical issues: frequency of sampling, missing data for human or technological reasons, and the users' experience, particularly when users did not receive data in any form. We conclude the review with some suggestions for content and process of future studies in this field.

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Section: Resultsmentioning

confidence: 97%

Section: Movement and Activity Monitorsmentioning

confidence: 99%

Sensing behavior change in chronic pain: A scoping review of sensor technology for use in daily life

Vitali,

Olugbade,

Eccleston

et al. 2024

Pain

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“…Because the arousal of fear in general daily life and fear about specific movements differ, the results of each assessment are not correlated. 49 An earlier study showed that task-specific fear, rather than generalized fear of movement, is useful in predicting motor behavior. 49 In this study, the TSK and the NRS were completed by the LBP subject, and his NRS score decreased more immediately in the intervention phase.…”

Section: Discussionmentioning

confidence: 99%

“… 49 An earlier study showed that task-specific fear, rather than generalized fear of movement, is useful in predicting motor behavior. 49 In this study, the TSK and the NRS were completed by the LBP subject, and his NRS score decreased more immediately in the intervention phase. Therefore, among aspects of fear of movement, the improvement of task-specific fear might have contributed to the improvement of impaired trunk movement in the LBP subject.…”

Section: Discussionmentioning

confidence: 99%

Changes in task-specific fear of movement and impaired trunk motor control by pain neuroscience education and exercise: A preliminary single-case study of a worker with low back pain

Fujii

Imai

Shigetoh

et al. 2022

SAGE Open Medical Case Reports

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We report a case (a worker with low back pain) who was provided patient education and therapeutic exercise, and we performed a detailed kinematic analysis of his work-related activity over time. The subjects were one 28-year-old male worker with low back pain. In addition, to clearly identify impaired trunk movement during work-related activity in the low back pain subject, 20 age-matched healthy males (control group) were also included as a comparison subject. He received pain neurophysiology education and exercise instruction. We analyzed the subject’s trunk movement pattern during a lifting task examined by a three-dimensional–motion capture system. In addition, task-specific fear that occurred during the task was assessed by the numerical rating scale. The assessment was performed at the baseline phase (4 data points), the intervention phase (8 data points), and the follow-up phase (8 data points), and finally at 3 and 8 months after the follow-up phase. No intervention was performed in the control group; they underwent only one kinematic evaluation at baseline. As a result, compared to the control group, the low back pain subject had slower trunk movement velocity (peak trunk flexion velocity = 50.21 deg/s, extension velocity = −47.61 deg/s), and his upper-lower trunk segments indicated an in-phase motion pattern (mean absolute relative phase = 15.59 deg) at baseline. The interventions reduced his pain intensity, fear of movement, and low back pain–related disability; in addition, his trunk velocity was increased (peak trunk flexion velocity = 82.89 deg/s, extension velocity = −77.17 deg/s). However, the in-phase motion pattern of his trunk motor control remained unchanged (mean absolute relative phase = 16.00 deg). At 8 months after the end of the follow-up, the subject’s in-phase motion pattern remained (mean absolute relative phase = 13.34 deg) and his pain intensity had increased. This report suggests that if impaired trunk motor control remains unchanged after intervention, as in the course of the low back pain subject, it may eventually be related to a recurrence of low back pain symptoms.

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“…The Tampa Scale of Kinesiophobia (TSK) measures “fear of movement” or “kinesiophobia” in the patient [ 21 ]. The total score on this scale is from 17 to 68 [ 22 ].…”

Section: Methodsmentioning

confidence: 99%

Cross cultural adaptation, reliability and validity of the Persian version of the university of Wisconsin running injury and recovery index

Sheikhi,

Akbari,

Heiderscheit

2024

BMC Musculoskelet Disord

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Background The University of Wisconsin Running Injury and Recovery Index (UWRI) was developed to evaluate running ability after a running-related injury. The aim of this study was to translate and cross-culturally adapt the UWRI into Persian (UWRI-Persian) and to investigate its psychometric properties in patients with a running-related injury. Methods The UWRI-Persian was translated using the Beaton guidelines. One hundred and seventy-three native Persian patients with running-related injuries were participated in the study. The exploratory factor analysis was carried out using the principal component analysis method with Varimax rotation. The construct validity of the UWRI-Persian was evaluated using the Pearson correlation with the pain self-efficacy questionnaire (PSEQ), Tampa scale for Kinesiophobia (TKS), and visual analogue scale (VAS). Test-retest reliability was tested among 64 patients who completed the form again after seven days. Results The UWRI-Persian showed excellent internal consistency for total score (α = 0.966). An excellent internal consistency (α = 0.922) was shown for psychological response and good internal consistency (α = 0.887) for running progression. The interclass correlation coefficient for the UWRI-Persian total scores was 0.965 (95% CI, 0.942 to 0.979), indicating high intra-rater reliability. The UWRI-Persian showed a moderate correlation with the PSEQ (r = 0.425) and the TSK (r = 0.457) and a weak correlation with the VAS (r = 0.187). These findings suggest no floor or ceiling effects. Conclusions The UWRI is a reliable and valid tool for Persian-speaking patients with running-related injuries. The UWRI was successfully translated from English to Persian and demonstrated good to excellent internal consistency, validity and reliability with no floor or ceiling effects.

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Task-specific fear rather than general kinesiophobia assessment is associated with kinematic differences in chronic low back pain during lumbar flexion: a preliminary investigation

Abstract: Clinicians should consider the potential added value of task-specific fear assessment over the sole use of general kinesiophobia assessment.

Cited by 11 publications

References 35 publications

Sensing behavior change in chronic pain: A scoping review of sensor technology for use in daily life

Sensing behavior change in chronic pain: A scoping review of sensor technology for use in daily life

Changes in task-specific fear of movement and impaired trunk motor control by pain neuroscience education and exercise: A preliminary single-case study of a worker with low back pain

Cross cultural adaptation, reliability and validity of the Persian version of the university of Wisconsin running injury and recovery index

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