The association between pain-related psychological variables and postural control in low back pain: A systematic review and meta-analysis

Van Wesemael, Sofie; Bogaerts, Katleen; De Baets, Liesbet; Goossens, Nina; Vlemincx, Elke; Amerijckx, Charlotte; Sohail, Suniya; Matheve, Thomas; Janssens, Lotte

doi:10.1016/j.gaitpost.2023.10.013

Cited by 3 publications

(1 citation statement)

References 74 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In other words, one person’s “good posture” may be another’s “bad posture” – confounding simplistic solutions. Despite common attribution of bad posture as a cause of back pain, the association is tenuous ( Van Wesemael et al, 2024 ). In our modern tech-flexed society, unless one has a perfect body with no injury history and uncommonly above average activities of daily living (ADLs) including non-sedentary behavior and consistent exercise, “bad posture” or other labels often pathologize posture.…”

Section: The Interoceptive Relevance Of Unipedal Balance For Bipedal ...mentioning

confidence: 99%

Interoceptive posture awareness and accuracy: a novel photographic strategy towards making posture actionable

Weiniger,

Schilaty

2024

Front. Neurosci.

View full text Add to dashboard Cite

Interoception, sometimes referred to as the ‘hidden sense,’ communicates the state of internal conditions for autonomic energy regulation and is important for human motor control as well as self-awareness. The insula, the cortex of interoception, integrates internal senses such as hunger, thirst and emotions. With input from the cerebellum and proprioceptive inputs, it creates a vast sensorimotor network essential for static posture and dynamic movement. With humans being bipedal to allow for improved mobility and energy utilization, greater neuromotor control is required to effectively stabilize and control the four postural zones of mass (i.e., head, torso, pelvis, and lower extremities) over the base of support. In a dynamic state, this neuromotor control that maintains verticality is critical, challenging energy management for somatic motor control as well as visceral and autonomic functions. In this perspective article, the authors promote a simple series of posture photographs to allow one to integrate more accurate alignment of their postural zones of mass with respect to the gravity line by correlating cortical interoception with cognitive feedback. Doing this focuses one on their body perception in space compared to the objective images. Strengthening interoceptive postural awareness can shift the net result of each zone of postural mass during day-to-day movement towards stronger posture biomechanics and can serve as an individualized strategy to optimize function, longevity, and rehabilitation.

show abstract

Section: The Interoceptive Relevance Of Unipedal Balance For Bipedal ...mentioning

confidence: 99%

Interoceptive posture awareness and accuracy: a novel photographic strategy towards making posture actionable

Weiniger,

Schilaty

2024

Front. Neurosci.

View full text Add to dashboard Cite

show abstract

Unraveling the impact of kinesiophobia on proprioception and balance: Mediation by pain, mobility, and psychological wellbeing in post-total hip replacement recovery

Alshehri,

Reddy,

Alshahrani

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

This study aimed to investigate the relationships between kinesiophobia, proprioception, and limits of stability in elderly individuals post-THR. Specifically, it sought to assess the direct and indirect effects of kinesiophobia on proprioception through mediating factors such as pain intensity, functional mobility, and psychological well-being. A cross-sectional observational study was conducted with 100 participants (50 post-THR patients and 50 asymptomatic elderly controls) at King Khalid University Hospital. Kinesiophobia was measured using the Tampa Scale for Kinesiophobia (TSK), proprioception was assessed via a digital inclinometer, and limits of stability were evaluated using computerized dynamic posturography. Post-THR patients exhibited significantly higher levels of kinesiophobia (p < 0.001) and impaired proprioception (p < 0.001) compared to controls. Mediation analyses revealed that pain intensity, functional mobility, and psychological well-being partially mediated the relationship between kinesiophobia and proprioception. The Sobel tests confirmed significant mediation effects for pain intensity (Z = 3.88, p = 0.021), functional mobility (Z = 2.96, p = 0.013), and psychological well-being (Z = 2.84, p = 0.015). Kinesiophobia significantly impairs proprioception and balance in elderly individuals post-THR, with these effects being partially mediated by pain intensity, functional mobility, and psychological well-being. These findings highlight the importance of addressing psychological factors in rehabilitation programs to enhance proprioceptive function and improve postural stability, thereby optimizing recovery outcomes in the post-THR population.

show abstract

Task-Specific Perceived Harmfulness Predicts Protective Movement Behaviour in Chronic Low Back Pain

Matheve,

Timmermans,

Danneels

et al. 2024

JCM

View full text Add to dashboard Cite

Background/Objectives: There is emerging evidence that task-specific pain-related psychological measures may better predict movement behaviour in chronic low back pain (CLBP) than general pain-related psychological measures. Currently, little is known regarding the prediction of movement duration and movement velocity. Methods: Baseline data from a previously published randomized controlled trial were used (clinicaltrials.gov NCT02773160). Fifty-five patients with CLBP and 54 pain-free persons performed a lifting task while kinematic measurements were obtained to calculate movement velocity of the L1 vertebra, S1 vertebra, and the lumbar spine, as well as the time to complete the lifting task. Scores on the Photograph Daily Activities Series-Short Electronic Version (PHODA-SeV), Tampa Scale for Kinesiophobia (TSK), and its Activity Avoidance and Somatic Focus subscales were used as general pain-related psychological measures. The score on a picture of the PHODA-SeV, showing a person lifting an object with a bent back (PHODA-Lift), was used as task-specific measure of perceived harmfulness. Results: The task-specific measure best predicted movement duration and movement velocity of L1 and the lumbar spine, and explained 35%, 19%, and 25% of the respective movement parameters. Although general perceived harmfulness predicted S1 velocity and movement duration, it only explained 6% and 8% of the respective movement parameters. General measures of pain-related fear were not predictive for any of the movement parameters. It took patients with CLBP significantly longer to complete the lifting task when compared to the pain-free participants (ES = 1.01, p < 0.0001), and patients with CLBP also moved significantly slower at L1 (ES = 0.85, p < 0.0001) and the lumbar spine (ES = 1.01, p < 0.0001). These between-groups differences were larger for CLBP subgroups with higher scores on the PHODA-Lift, and to some extent for subgroups with higher total scores on the PHODA-SeV. Conclusions: Task-specific perceived harmfulness best predicts movement velocity. General pain-related fear measures (i.e., TSK and its subscales) do not predict these movement parameters.

show abstract

The association between pain-related psychological variables and postural control in low back pain: A systematic review and meta-analysis

Cited by 3 publications

References 74 publications

Interoceptive posture awareness and accuracy: a novel photographic strategy towards making posture actionable

Interoceptive posture awareness and accuracy: a novel photographic strategy towards making posture actionable

Unraveling the impact of kinesiophobia on proprioception and balance: Mediation by pain, mobility, and psychological wellbeing in post-total hip replacement recovery

Task-Specific Perceived Harmfulness Predicts Protective Movement Behaviour in Chronic Low Back Pain

Contact Info

Product

Resources

About