Lumbar range of motion in chronic low back pain is predicted by task-specific, but not by general measures of pain-related fear

European Journal of Pain : EJP
Thomas MatheveAnnick Timmermans

Abstract

Most studies fail to show an association between higher levels of pain-related fear and protective movement behaviour in patients with chronic low back pain (CLBP). This may be explained by the fact that only general measures of pain-related fear have been used to examine the association with movement patterns. This study explored whether task-specific, instead of general measures of pain-related fear can predict movement behaviour. Fifty-five patients with CLBP and 54 healthy persons performed a lifting task while kinematic measurements were obtained to assess lumbar range of motion (ROM). Scores on the Photograph Daily Activities Series-Short Electronic Version (PHODA-SeV), Tampa Scale for Kinesiophobia and its Activity Avoidance and Somatic Focus subscales were used as general measures of pain-related fear. The score on a picture of the PHODA-SeV, showing a person lifting a heavy object with a bent back, was used as task-specific measure of pain-related fear. Lumbar ROM was predicted by task-specific, but not by general measures of pain-related fear. Only the scores on one other picture of the PHODA-SeV, similar to the task-specific picture regarding threat value and movement characteristics, predicted the lumbar ROM. Compar...Continue Reading

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Citations

Oct 30, 2020·The Journal of Orthopaedic and Sports Physical Therapy·Kevin WernliPeter Kent
Nov 26, 2021·Scandinavian Journal of Pain·Roberto Costa KrugJ P Caneiro

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