Cargando…

The Relationship Between Fear-Avoidance Beliefs, Disability, and Physical Capacity in Patients with Chronic Low Back Pain

OBJECTIVE: The objective of this study was to document the multi-dimensional profile of patients referring with chronic low back pain (CLBP) and determine the relationship among fear-avoidance belief and disability and physical capacity in the Pakistani population. METHODS: A cross-sectional survey...

Descripción completa

Detalles Bibliográficos
Autores principales: Nazir, Shaikh Nabi Bukhsh, Pereira, Feliciancus Anthony, Muhammad, Atta, Shamsi, Iram Iqbal, Khan, Muhammad Uzair
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Mediterranean Journal of Rheumatology (MJR) 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9727475/
https://www.ncbi.nlm.nih.gov/pubmed/36531432
http://dx.doi.org/10.31138/mjr.33.3.305
_version_ 1784845030416973824
author Nazir, Shaikh Nabi Bukhsh
Pereira, Feliciancus Anthony
Muhammad, Atta
Shamsi, Iram Iqbal
Khan, Muhammad Uzair
author_facet Nazir, Shaikh Nabi Bukhsh
Pereira, Feliciancus Anthony
Muhammad, Atta
Shamsi, Iram Iqbal
Khan, Muhammad Uzair
author_sort Nazir, Shaikh Nabi Bukhsh
collection PubMed
description OBJECTIVE: The objective of this study was to document the multi-dimensional profile of patients referring with chronic low back pain (CLBP) and determine the relationship among fear-avoidance belief and disability and physical capacity in the Pakistani population. METHODS: A cross-sectional survey was conducted at the Physiotherapy Department of the Institute of Physical Medicine and Rehabilitation, Dow University of Health Sciences. Consecutive sampling was used among the population of CLBP, and objective measures were fear-avoidance beliefs (FABQ-total) and Roland Morris questionnaire (RMDQ) and pain. Each participant performed a physical capacity test, which included a 6-minute walk test (6MWT), abdominal muscular endurance (AME), hand grip strength (HGS), and Functional reach test (FRT). RESULT: Of the 136 participants, 70(51.5%) were males. The mean and SD of the tests performed were: 6MWT (487.97±51.46), AME (9.31±4.68), FRT (35.14±2.79), HGS (33.31±14.55), VAS (5.51±1.27), RMDQ (18.25±2.17), FABQ-total (48.18±5.31). Multivariate regression revealed that symptom duration, FRT, AME, HGS, VAS, RMDQ were all found to be associated with fear-avoidance belief, accounting for 60% (adjusted R(2) = 0.60) of variability. Likewise, only 6-MWT, FRT, FABQ-total were the significant predictors of disability (adjusted R(2)=0.282). CONCLUSION: It has been demonstrated that sub-maximal exercise capacity, strength, endurance, pain and flexibility are the contributing factors for the change in disability and fear-avoidance beliefs among the individuals with CLBP. The findings of this study could have inference for increasing productivity both at individual and organizational levels by formulating effective strategies to manage CLBP.
format Online
Article
Text
id pubmed-9727475
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher The Mediterranean Journal of Rheumatology (MJR)
record_format MEDLINE/PubMed
spelling pubmed-97274752022-12-15 The Relationship Between Fear-Avoidance Beliefs, Disability, and Physical Capacity in Patients with Chronic Low Back Pain Nazir, Shaikh Nabi Bukhsh Pereira, Feliciancus Anthony Muhammad, Atta Shamsi, Iram Iqbal Khan, Muhammad Uzair Mediterr J Rheumatol Original Paper OBJECTIVE: The objective of this study was to document the multi-dimensional profile of patients referring with chronic low back pain (CLBP) and determine the relationship among fear-avoidance belief and disability and physical capacity in the Pakistani population. METHODS: A cross-sectional survey was conducted at the Physiotherapy Department of the Institute of Physical Medicine and Rehabilitation, Dow University of Health Sciences. Consecutive sampling was used among the population of CLBP, and objective measures were fear-avoidance beliefs (FABQ-total) and Roland Morris questionnaire (RMDQ) and pain. Each participant performed a physical capacity test, which included a 6-minute walk test (6MWT), abdominal muscular endurance (AME), hand grip strength (HGS), and Functional reach test (FRT). RESULT: Of the 136 participants, 70(51.5%) were males. The mean and SD of the tests performed were: 6MWT (487.97±51.46), AME (9.31±4.68), FRT (35.14±2.79), HGS (33.31±14.55), VAS (5.51±1.27), RMDQ (18.25±2.17), FABQ-total (48.18±5.31). Multivariate regression revealed that symptom duration, FRT, AME, HGS, VAS, RMDQ were all found to be associated with fear-avoidance belief, accounting for 60% (adjusted R(2) = 0.60) of variability. Likewise, only 6-MWT, FRT, FABQ-total were the significant predictors of disability (adjusted R(2)=0.282). CONCLUSION: It has been demonstrated that sub-maximal exercise capacity, strength, endurance, pain and flexibility are the contributing factors for the change in disability and fear-avoidance beliefs among the individuals with CLBP. The findings of this study could have inference for increasing productivity both at individual and organizational levels by formulating effective strategies to manage CLBP. The Mediterranean Journal of Rheumatology (MJR) 2022-09-30 /pmc/articles/PMC9727475/ /pubmed/36531432 http://dx.doi.org/10.31138/mjr.33.3.305 Text en © 2022 The Mediterranean Journal of Rheumatology (MJR) https://creativecommons.org/licenses/by/4.0/This work is licensed under and Creative Commons Attribution-NonCommercial 4.0 International License.
spellingShingle Original Paper
Nazir, Shaikh Nabi Bukhsh
Pereira, Feliciancus Anthony
Muhammad, Atta
Shamsi, Iram Iqbal
Khan, Muhammad Uzair
The Relationship Between Fear-Avoidance Beliefs, Disability, and Physical Capacity in Patients with Chronic Low Back Pain
title The Relationship Between Fear-Avoidance Beliefs, Disability, and Physical Capacity in Patients with Chronic Low Back Pain
title_full The Relationship Between Fear-Avoidance Beliefs, Disability, and Physical Capacity in Patients with Chronic Low Back Pain
title_fullStr The Relationship Between Fear-Avoidance Beliefs, Disability, and Physical Capacity in Patients with Chronic Low Back Pain
title_full_unstemmed The Relationship Between Fear-Avoidance Beliefs, Disability, and Physical Capacity in Patients with Chronic Low Back Pain
title_short The Relationship Between Fear-Avoidance Beliefs, Disability, and Physical Capacity in Patients with Chronic Low Back Pain
title_sort relationship between fear-avoidance beliefs, disability, and physical capacity in patients with chronic low back pain
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9727475/
https://www.ncbi.nlm.nih.gov/pubmed/36531432
http://dx.doi.org/10.31138/mjr.33.3.305
work_keys_str_mv AT nazirshaikhnabibukhsh therelationshipbetweenfearavoidancebeliefsdisabilityandphysicalcapacityinpatientswithchroniclowbackpain
AT pereirafeliciancusanthony therelationshipbetweenfearavoidancebeliefsdisabilityandphysicalcapacityinpatientswithchroniclowbackpain
AT muhammadatta therelationshipbetweenfearavoidancebeliefsdisabilityandphysicalcapacityinpatientswithchroniclowbackpain
AT shamsiiramiqbal therelationshipbetweenfearavoidancebeliefsdisabilityandphysicalcapacityinpatientswithchroniclowbackpain
AT khanmuhammaduzair therelationshipbetweenfearavoidancebeliefsdisabilityandphysicalcapacityinpatientswithchroniclowbackpain
AT nazirshaikhnabibukhsh relationshipbetweenfearavoidancebeliefsdisabilityandphysicalcapacityinpatientswithchroniclowbackpain
AT pereirafeliciancusanthony relationshipbetweenfearavoidancebeliefsdisabilityandphysicalcapacityinpatientswithchroniclowbackpain
AT muhammadatta relationshipbetweenfearavoidancebeliefsdisabilityandphysicalcapacityinpatientswithchroniclowbackpain
AT shamsiiramiqbal relationshipbetweenfearavoidancebeliefsdisabilityandphysicalcapacityinpatientswithchroniclowbackpain
AT khanmuhammaduzair relationshipbetweenfearavoidancebeliefsdisabilityandphysicalcapacityinpatientswithchroniclowbackpain