Duray M, Yagci N, Ok N
School of Physical Therapy and Rehabilitation, Pamukkale University, Denizli, Turkey.
Department of Orthopedics and Traumatology, Medical School, Pamukkale University, Denizli, Turkey.
J Back Musculoskelet Rehabil. 2018;31(4):743-748. doi: 10.3233/BMR-170993.
Self-efficacy that is associated with various pain-related disabilities such as chronic low back pain (LBP), should be questioned besides physical assessments.
To investigate the physical factors associated with self-efficacy in patients with chronic mechanic LBP.
One hundred nine patients diagnosed as chronic mechanic LBP (65 females, 44 males) between 20-50 years old were included to this study. The intensity of LBP was assessed by using a 10-cm Visual Analogue Scale. For musculoskeletal fitness measurement; muscle strength, muscle endurance, and flexibility tests were applied. Functional Reach Test for balance evaluation, Self-Efficacy Scale for self-efficacy measurement, Roland-Morris Disability Questionnaire for disability level evaluation were used.
We found a moderate negative correlation between self-efficacy and pain intensity (r=-0.506); a negative and strong correlation between self-efficacy and disability level (r=-0.654) (p< 0.05). Self efficacy had a significant association with right (r= 0.265) and left (r= 0.290) lateral side bending flexibility (p< 0.05). According to multiple regression analysis results, it was found that disability level had a significant effect on self-efficacy (β=-2.014; p< 0.01).
Poor musculoskeletal fitness and pain intensity may cause decreasing self-efficacy but the major determinant of decreased self-efficacy was low-back related disability scores.
除了身体评估外，还应质疑与各种疼痛相关残疾（如慢性下腰痛[LBP]）相关的自我效能感。
研究慢性机械性下腰痛患者自我效能感相关的身体因素。
本研究纳入了109例年龄在20至50岁之间、被诊断为慢性机械性下腰痛的患者（65例女性，44例男性）。使用10厘米视觉模拟量表评估下腰痛的强度。进行肌肉骨骼健康测量时，应用了肌肉力量、肌肉耐力和柔韧性测试。使用功能性伸展测试评估平衡，使用自我效能量表测量自我效能感，使用罗兰-莫里斯残疾问卷评估残疾水平。
我们发现自我效能感与疼痛强度之间存在中度负相关（r = -0.506）；自我效能感与残疾水平之间存在负向且强相关（r = -0.654）（p < 0.05）。自我效能感与右侧（r = 0.265）和左侧（r = 0.290）侧弯柔韧性存在显著相关性（p < 0.05）。根据多元回归分析结果，发现残疾水平对自我效能感有显著影响（β = -2.014；p < 0.01）。
肌肉骨骼健康状况不佳和疼痛强度可能导致自我效能感下降，但自我效能感下降的主要决定因素是与下背部相关的残疾评分。
