The association between symptom severity and physical activity participation in people seeking care for acute low back pain

Gomes, Juliana Leme; Kingma, M. J.; Kamper, Steven J.; Maher, Christopher G.; Ferreira, Paulo H.; Marques, Amélia Pasqual; Ferreira, Manuela L

doi:10.1007/s00586-015-3763-y

Cited by 6 publications

(5 citation statements)

References 22 publications

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“…Furthermore, they had other symptoms such as high intensity of pain, low quality of pain and life, frequent use of drugs and another characteristic's. Although the correlations were weak, the results corroborate those of other studies [5,[24][25][26], supporting the hypothesis that low back pain patients show a worsening prognosis due to the fear of moving, negative thoughts, and sick leave for low back pain.…”

Section: Discussionsupporting

confidence: 88%

A cross-sectional study of associations between kinesiophobia, pain, disability, and quality of life in patients with chronic low back pain

et al. 2018

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Background: Low back pain is a significant health problem condition due to high prevalence among the general population. Emotions and physical factors are believed to play a role in chronic low back pain. Kinesiophobia is one of the most extreme forms of fear of pain due to movement or re-injury. The purpose of this study was to investigate the association between kinesiophobia and pain intensity, disability and quality of life in people with chronic low back pain. Methods: The study included 132 individuals with chronic back pain, with ages between 18 and 65 years old. Kinesiophobia was assessed using the Tampa Scale of Kinesiophobia, pain intensity was measured using the Numeric Rating Scale with a cut-off more than 3 for inclusion in the study, disability was assessed using the Roland Morris questionnaire, quality of pain was assessed using the McGill questionnaire, and quality of life was assessed using the Quality of Life questionnaire SF-36. Results: The results are statistically significant, but with weak associations were found between kinesiophobia and pain intensity (r = 0.187), quality of pain (sensory, r = 0.266; affective, r = − 0.174; and total r = 0.275), disability (r = 0.399) and physical quality of life (emotional r = − 0.414). Conclusion: Kinesiophobia is an important outcome to assess in patients with chronic low back pain. The results suggest that correlations between kinesiophobia and disability and quality of life are statistically significant.

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Section: Discussionsupporting

confidence: 88%

A cross-sectional study of associations between kinesiophobia, pain, disability, and quality of life in patients with chronic low back pain

et al. 2018

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“…Interestingly, the present PA intervention included not only practical but also educational activities aimed to either increase the overall fitness or reduce a sedentary behaviour possibly affecting the LBP prevalence. In this context, previous observations [37, 43] highlighted the importance of maintaining an active lifestyle through a well-defined and regular PA along with changing of sedentary lifestyle-related unhealthy behaviours to prevent non-specific LBP onset. However, our analyses revealed that there was no significant effect on LBP prevalence when comparing the PA intervention and control groups.…”

Section: Discussionmentioning

confidence: 96%

“…It is known that the non-specific LBP affects multiple aspects of an individual’s life including physical function with limitation of multiple activities, psychological well-being and the ability to work in the general adult population, and particularly among females [27–37]. In addition, fear of LBP recurrence may further limit activities [38].…”

Section: Discussionmentioning

confidence: 99%

Low back pain in healthy postmenopausal women and the effect of physical activity: A secondary analysis in a randomized trial

et al. 2017

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Epidemiological studies on the prevalence of musculoskeletal pain have consistently shown that this is a relevant health problem, with non-specific low back pain (LBP) being the most commonly reported in adult females. Conflicting data on the association between LBP symptoms and physical activity (PA) have been reported. Here, we investigated the prevalence of LBP and the effect of a 24-month non-specific PA intervention on changes in LBP prevalence in a series of Italian healthy postmenopausal women. We performed a secondary analysis in the frame of the DAMA trial, a factorial randomized intervention trial aimed to evaluate the ability of a 24-month intervention, based on moderate-intensity PA, and/or dietary modification, in reducing mammographic breast density in healthy postmenopausal women. The PA intervention included at least 1 hour/day of moderate PA and a more strenuous weekly activity, collective walks and theoretical group sessions. A self-administered pain questionnaire was administered at baseline and at the end of the intervention. The questionnaire was specifically structured to investigate the occurrence of musculoskeletal pain, the body localization, intensity and duration of the pain. Two hundred and ten women (102 randomized to PA intervention, 108 not receiving the PA intervention) filled out the questionnaires. At baseline LBP was present in 32.9% of the participants. Among women randomized to the PA intervention, LBP prevalence at follow up (21.6%) was lower than at baseline (33.3%) (p = 0.02), while in women who did not receive the PA intervention the LBP prevalence at baseline and follow up were 32.4% and 25.9%, respectively (p = 0.30). Overall, there was no significant between-group effect of PA intervention on LBP. Further studies are needed to understand the role of non-specific PA intervention, aimed to improve overall fitness, on LBP prevalence.

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“…Recovery was defined as being pain-free for at least one month before the follow-up interview [15]. This design has already been successfully used to assess physical activity participation among persons seeking care due to low back pain [22]. Participants were also asked at baseline and follow-up surveys about the presence and intensity of symptoms of depression and anxiety.…”

Section: Methodsmentioning

confidence: 99%

Return to self-reported physical activity level after an event of acute low back pain

et al. 2019

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Background Regular physical activity participation is known to promote better mobility and coordination. Although previous research has established that lack of physical activity participation may increase the risk of developing low back pain, the role of physical activity as a predictor of recovery among symptomatic individuals remains unclear. Objective To evaluate whether: (i) the level of physical activity participation before an acute episode of low back pain predicts recovery within 12 months following the acute pain episode (i.e. index episode); and (ii) participants return to their pre-pain level of physical activity participation 12 months from the index episode. Design This study used longitudinal data from the TRIGGERS case-crossover study. Setting This study was conducted through over-the-phone interviews to participants that presented to 300 primary care clinics with a new episode of acute low back pain. Participants This study included 999 consecutive patients, aged 18 years or older. Follow-up assessment was completed at 12 months following the index episode. Methods This is a cohort study where consecutive patients, aged 18 years or older, that presented with a new episode of acute low back pain were recruited between October 2011 and November 2012. Main outcome measurements Self-reported level of physical activity participation. Results A total of 830 participants completed the study. When comparing participants who reported pain at 12 months follow-up with those without pain, all participants reported similar levels of physical activity participation one week before (p = 0.449), one week after (p = 0.812) and 12 months after the index episode (p = 0.233). The level of physical activity participation before the index episode was not a reliable predictor of presence of pain at either 3 or 12 months follow-up (OR 0.99; 95% CI 0.993 to 1.003; p = 0.523 and OR 1; 95% CI 0.992 to 1.008; p = 0.923, respectively). Conclusion Physical activity participation did not predict recovery from the pain episode. Also all participants returned to their pre-pain level of physical activity participation after 12 months.

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The association between symptom severity and physical activity participation in people seeking care for acute low back pain

Abstract: Pain onset causes a significant and immediate decrease in physical activity participation, but this change does not seem to be associated with symptom severity.

Cited by 6 publications

References 22 publications

A cross-sectional study of associations between kinesiophobia, pain, disability, and quality of life in patients with chronic low back pain

A cross-sectional study of associations between kinesiophobia, pain, disability, and quality of life in patients with chronic low back pain

Low back pain in healthy postmenopausal women and the effect of physical activity: A secondary analysis in a randomized trial

Return to self-reported physical activity level after an event of acute low back pain

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