Kinesiophobia, Pain, Muscle Functions, and Functional Performances among Older Persons with Low Back Pain.

Q2 Medicine
Pain Research and Treatment Pub Date : 2017-01-01 Epub Date: 2017-05-29 DOI:10.1155/2017/3489617
Nor Azizah Ishak, Zarina Zahari, Maria Justine
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引用次数: 45

Abstract

Objectives: This study aims (1) to determine the association between kinesiophobia and pain, muscle functions, and functional performances and (2) to determine whether kinesiophobia predicts pain, muscle functions, and functional performance among older persons with low back pain (LBP).

Methods: This is a correlational study, involving 63 institutionalized older persons (age = 70.98 ± 7.90 years) diagnosed with LBP. Anthropometric characteristics (BMI) and functional performances (lower limb function, balance and mobility, and hand grip strength) were measured. Muscle strength (abdominal and back muscle strength) was assessed using the Baseline® Mechanical Push/Pull Dynamometer, while muscle control (transverse abdominus and multifidus) was measured by using the Pressure Biofeedback Unit. The pain intensity and the level of kinesiophobia were measured using Numerical Rating Scale and Tampa Scale of Kinesiophobia, respectively. Data were analyzed using Pearson's correlation coefficients and multivariate linear regressions.

Results: No significant correlations were found between kinesiophobia and pain and muscle functions (all p > 0.05). Kinesiophobia was significantly correlated with mobility and balance (p = 0.038, r = 0.263). Regressions analysis showed that kinesiophobia was a significant predictor of mobility and balance (p = 0.038).

Conclusion: We can conclude that kinesiophobia predicted mobility and balance in older persons with LBP. Kinesiophobia should be continuously assessed in clinical settings to recognize the obstacles that may affect patient's compliance towards a rehabilitation program in older persons with LBP.

Abstract Image

老年腰痛患者的运动恐惧症、疼痛、肌肉功能和功能表现。
目的:本研究旨在(1)确定运动恐惧症与疼痛、肌肉功能和功能表现之间的关系;(2)确定运动恐惧症是否能预测老年腰痛(LBP)患者的疼痛、肌肉功能和功能表现。方法:本研究是一项相关研究,纳入63例确诊为腰痛的住院老年人(年龄= 70.98±7.90岁)。测量人体测量特征(BMI)和功能表现(下肢功能、平衡和活动能力以及手部握力)。肌肉力量(腹部和背部肌肉力量)使用Baseline®机械推/拉测功仪进行评估,而肌肉控制(横腹和多裂肌)使用压力生物反馈装置进行测量。疼痛强度和运动恐惧症水平分别采用数值评定量表和坦帕运动恐惧症量表进行测量。数据分析采用Pearson相关系数和多元线性回归。结果:运动恐惧症与疼痛、肌肉功能无显著相关性(p > 0.05)。运动恐惧症与活动能力和平衡能力显著相关(p = 0.038, r = 0.263)。回归分析显示,运动恐惧症是活动能力和平衡能力的显著预测因子(p = 0.038)。结论:运动恐惧症预示着老年腰痛患者的活动能力和平衡能力。应在临床环境中持续评估运动恐惧症,以识别可能影响老年腰痛患者对康复计划的依从性的障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Pain Research and Treatment
Pain Research and Treatment Medicine-Anesthesiology and Pain Medicine
CiteScore
3.60
自引率
0.00%
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