The relationship between psychological distress and free-living physical activity in individuals with chronic low back pain

Manual Therapy
Cormac G RyanMalcolm H Granat

Abstract

The aim of this cross-sectional pilot-study was to investigate the relationship between psychological distress and free-living physical activity (PA) in individuals with chronic low back pain (CLBP). Thirty-eight participants with non-specific CLBP (29=distressed; 9=non-distressed) were recruited. PA levels were measured using an accelerometer (activPAL activity monitor) over a one week period. The following parameters of physical activity were recorded: time upright (standing or walking), time standing, time walking, and step count. Psychological distress was assessed using a modified version of the distress risk assessment method (DRAM) which is a combination of somatic anxiety and depressive symptoms. The Distressed group spent significantly less time upright over a mean 24h day (-1.47h, 95% CI -2.70 to -0.23h, p<0.05), attributable to 1.01h less standing and 0.46h less walking. Depressive symptoms were a statistically significant independent predictor of time upright (beta=-0.49, p<0.05). This pilot-study found that individuals with CLBP and elevated levels of distress spend less time upright than their non-distressed counterparts. Clinically, when treating individuals with CLBP and elevated distress levels, free-living PA ...Continue Reading

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Citations

Mar 2, 2011·Journal of Sports Sciences·Deirdre M HarringtonAlan E Donnelly
Jun 25, 2014·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·Benedicte Van DammeLieven Danneels
Oct 29, 2013·International Archives of Occupational and Environmental Health·David M HallmanEugene Lyskov
Jan 15, 2016·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Prashanth J RaoRalph J Mobbs
Jul 1, 2014·Neuromodulation : Journal of the International Neuromodulation Society·Christophe PerruchoudRod S Taylor
Jul 8, 2011·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Richard J E SkipworthUNKNOWN European Palliative Care Research Collaborative (EPCRC)
Oct 5, 2016·Environmental Health and Preventive Medicine·Shuhei HishiiKiichi Koumoto
Jun 2, 2017·Regional Anesthesia and Pain Medicine·Lalitha V SundararamanRobert N Jamison
Jun 29, 2021·Journal of Back and Musculoskeletal Rehabilitation·Johann BeaudreuilBernard Fouquet

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