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慢性下腰痛患者和健康对照者在日常生活活动中与疼痛相关的恐惧和腰椎运动变异性之间的关联。

Associations between pain-related fear and lumbar movement variability during activities of daily living in patients with chronic low back pain and healthy controls.

作者信息

Kehl Corinne, Suter Magdalena, Johannesdottir Embla, Dörig Monika, Bangerter Christian, Meier Michael L, Schmid Stefan

机构信息

Spinal Movement Biomechanics Group, Division of Physiotherapy, Department of Health Professions, Bern University of Applied Sciences, Bern, Switzerland.

Integrative Spinal Research, Department of Chiropractic Medicine, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.

出版信息

Sci Rep. 2024 Oct 2;14(1):22889. doi: 10.1038/s41598-024-73430-8.


DOI:10.1038/s41598-024-73430-8
PMID:39358482
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11447241/
Abstract

Low back pain (LBP) is a global issue involving biological, psychological, and social factors. Pain-related fear has been shown to influence movement behavior, however, its association with some measures of movement behavior, such as spinal movement variability, remains inconclusive. To further investigate this, spinal kinematics during various activities of daily living (i.e., walking, running, lifting, and stair climbing) of 49 patients with chronic LBP and a group of 51 sex-, age-, and BMI-matched healthy controls were used to calculate lumbar spine movement variability which was quantified using different indices (i.e., coefficient of variation, coupling angle variability in vector coding, deviation phase of the continuous relative phase and an angle-angular velocity variability). General and task-specific pain-related fear was assessed using the Tampa Scale of Kinesiophobia and the Photograph Series of Daily Activities-Short Electronic Version, respectively. Linear regression analyses showed no significant association between movement variability and pain-related fear, however, the sample consisted of younger individuals with moderate disability and with low levels of pain and pain-related fear. In addition, the different variability indices were weakly correlated and varied greatly depending on the method used and the task performed. Therefore, comparisons between studies with different movement variability calculation methods or different activities should be treated with caution.

摘要

腰痛(LBP)是一个涉及生物、心理和社会因素的全球性问题。与疼痛相关的恐惧已被证明会影响运动行为,然而,其与一些运动行为指标(如脊柱运动变异性)之间的关联仍无定论。为了进一步研究这一点,对49例慢性腰痛患者和51名性别、年龄和体重指数匹配的健康对照者在各种日常生活活动(即行走、跑步、提举和爬楼梯)期间的脊柱运动学进行分析,以计算腰椎运动变异性,该变异性使用不同指标(即变异系数、矢量编码中的耦合角变异性、连续相对相位的偏差相位和角-角速度变异性)进行量化。分别使用坦帕运动恐惧量表和日常活动照片系列-简短电子版评估一般和特定任务的与疼痛相关的恐惧。线性回归分析显示运动变异性与与疼痛相关的恐惧之间无显著关联,然而,样本由残疾程度中等、疼痛及与疼痛相关的恐惧水平较低的年轻个体组成。此外,不同的变异性指标之间相关性较弱,并且根据所使用的方法和执行的任务而有很大差异。因此,对采用不同运动变异性计算方法或不同活动的研究进行比较时应谨慎对待。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7917/11447241/557377f251e7/41598_2024_73430_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7917/11447241/3885b9beb911/41598_2024_73430_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7917/11447241/64a3b96b30bd/41598_2024_73430_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7917/11447241/41a7864ff4c6/41598_2024_73430_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7917/11447241/16a205faeb69/41598_2024_73430_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7917/11447241/557377f251e7/41598_2024_73430_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7917/11447241/3885b9beb911/41598_2024_73430_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7917/11447241/64a3b96b30bd/41598_2024_73430_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7917/11447241/41a7864ff4c6/41598_2024_73430_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7917/11447241/16a205faeb69/41598_2024_73430_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7917/11447241/557377f251e7/41598_2024_73430_Fig5_HTML.jpg

相似文献

[1]
Associations between pain-related fear and lumbar movement variability during activities of daily living in patients with chronic low back pain and healthy controls.

Sci Rep. 2024-10-2

[2]
Kinesiophobia modulates lumbar movements in people with chronic low back pain: a kinematic analysis of lumbar bending and returning movement.

Eur Spine J. 2019-5-21

[3]
Pain-related threat and coordination in adults with chronic low back pain during a lifting task: A cross-sectional study.

J Electromyogr Kinesiol. 2024-10

[4]
Kinematic analysis of movement impaired by generalization of fear of movement-related pain in workers with low back pain.

PLoS One. 2021

[5]
Differences in kinematics of the lumbar spine and lower extremities between people with and without low back pain during the down phase of a pick up task, an observational study.

Musculoskelet Sci Pract. 2017-1-5

[6]
Pain-related fear is associated with avoidance of spinal motion during recovery from low back pain.

Spine (Phila Pa 1976). 2007-7-15

[7]
Psychometric Properties of the Photograph Series of Daily Activities-Short Electronic Version (PHODA-SeV) in Patients With Chronic Low Back Pain.

J Orthop Sports Phys Ther. 2018-5-23

[8]
Using continuous relative phase and modified vector coding analyses to quantify spinal coordination and coordinative variability for healthy and chronic low back pain patients: An exploratory comparative analysis.

J Biomech. 2024-7

[9]
Measurement of Lumbar Spine Functional Movement in Low Back Pain.

Clin J Pain. 2015-10

[10]
Influence of chronic low back pain and fear of movement on the activation of the transversely oriented abdominal muscles during forward bending.

J Electromyogr Kinesiol. 2016-4

本文引用的文献

[1]
Spinal kinematic variability is increased in people with chronic low back pain during a repetitive lifting task.

J Electromyogr Kinesiol. 2023-12

[2]
The impact of the menstrual cycle on orthopaedic sports injuries in female athletes.

Bone Joint J. 2023-7-1

[3]
Is movement variability altered in people with chronic non-specific low back pain? A systematic review.

PLoS One. 2023

[4]
Reduction in pain-related fear is not associated with improvement in spinal biomechanics but with decrease in movement-evoked pain in patients with chronic low back pain.

Pain Pract. 2023-3

[5]
Task-specific fear rather than general kinesiophobia assessment is associated with kinematic differences in chronic low back pain during lumbar flexion: a preliminary investigation.

Pain Rep. 2022-8-5

[6]
Task-specific fear influences abnormal trunk motor coordination in workers with chronic low back pain: a relative phase angle analysis of object-lifting.

BMC Musculoskelet Disord. 2022-2-18

[7]
The Relationship Between Pain-Related Threat and Motor Behavior in Nonspecific Low Back Pain: A Systematic Review and Meta-Analysis.

Phys Ther. 2022-2-1

[8]
From Stoop to Squat: A Comprehensive Analysis of Lumbar Loading Among Different Lifting Styles.

Front Bioeng Biotechnol. 2021-11-4

[9]
Associations of low-back pain and pain-related cognitions with lumbar movement patterns during repetitive seated reaching.

Gait Posture. 2022-1

[10]
Sex differences in the impact of state and trait fatigue on gait variability.

Hum Mov Sci. 2021-12

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