Felício Diogo C, Pereira Daniele S, de Queiroz Barbara Z, da Silva Juscelio P, Leopoldino Amanda A O, Pereira Leani S M
Department of Physical Therapy, Post Graduate Program in Rehabilitation Sciences, School of Physical Education, Physical Therapy and Occupational Therapy, Universidade Federal de Minas Gerais, Antônio Carlos, 31270-901 Belo Horizonte, MG, Brazil; Universidade Federal de Juiz de Fora, São Pedro, 36036-900 Juiz de Fora, MG, Brazil.
Department of Physical Therapy, Post Graduate Program in Rehabilitation Sciences, School of Physical Education, Physical Therapy and Occupational Therapy, Universidade Federal de Minas Gerais, Antônio Carlos, 31270-901 Belo Horizonte, MG, Brazil.
Spine J. 2016 May;16(5):619-25. doi: 10.1016/j.spinee.2016.01.004. Epub 2016 Jan 15.
The study of low back pain (LBP) is complex, and the physical and psychological aspects, including kinesiophobia, should be considered. Several studies have investigated the relationship between kinesiophobia and functionality in patients with chronic LBP. However, to the best of the authors' knowledge, no studies have investigated the association between kinesiophobia and self-reported assessments of disability and physical performance in elderly patients with acute LBP.
The study aimed to investigate the association between kinesiophobia and self-reported and physical performance measures among the elderly with acute LBP.
This was an observational, cross-sectional, ancillary study of the Back Complaints in the Elders study, a longitudinal observational epidemiologic research project by an international consortium involving Brazil, the Netherlands, and Australia.
Sample selection was carried out by convenience. The study included women from the community aged 60 years old and older who presented with a new episode of LBP. Volunteers with severe diseases, as well as visual, hearing, and mobility losses, or cognitive dysfunction, were excluded. Four hundred fifty nine elderly women (mean age: 69.0±6.1 years) were included.
Kinesiophobia was evaluated by Fear Avoidance Beliefs Questionnaire (FABQ), subscale FABQ-Phys. Functionality was investigated by the Roland-Morris Questionnaire and the gait speed test.
Statistical analysis was performed using hierarchical linear regression model. Statistical significance was established at the level of .05.
The additional predictive value because of the inclusion of the FABQ-Phys was 0.1%, using the Roland-Morris score, and 0.2% for the gait speed test.
This was the first study to investigate the association between the FABQ-Phys and functionality in elderly patients with acute LBP. The results provide preliminary evidence that kinesiophobia assessed by the FABQ-Phys cannot be generalized to disability.
下腰痛（LBP）的研究很复杂，应考虑包括运动恐惧在内的身体和心理方面。多项研究调查了慢性下腰痛患者运动恐惧与功能之间的关系。然而，据作者所知，尚无研究调查急性下腰痛老年患者运动恐惧与自我报告的残疾评估及身体表现之间的关联。
本研究旨在调查急性下腰痛老年人运动恐惧与自我报告及身体表现指标之间的关联。
这是一项针对老年人背部疾病研究的观察性、横断面辅助研究，该研究是由巴西、荷兰和澳大利亚的国际财团开展的纵向观察性流行病学研究项目。
采用方便抽样法进行样本选择。研究纳入了社区中60岁及以上出现新发下腰痛的女性。排除患有严重疾病、有视力、听力和行动能力丧失或认知功能障碍的志愿者。共纳入459名老年女性（平均年龄：69.0±6.1岁）。
采用恐惧回避信念问卷（FABQ）的身体功能分量表（FABQ-Phys）评估运动恐惧。通过罗兰-莫里斯问卷和步态速度测试调查功能状况。
使用分层线性回归模型进行统计分析。设定统计学显著性水平为0.05。
纳入FABQ-Phys后，罗兰-莫里斯评分的额外预测价值为0.1%，步态速度测试的额外预测价值为0.2%。
这是第一项调查FABQ-Phys与急性下腰痛老年患者功能之间关联的研究。结果提供了初步证据，表明通过FABQ-Phys评估的运动恐惧不能推广到残疾情况。
