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Athanasakis P, Nikodelis T, Panoutsakopoulos V, Mylonas V, Loizidis T, Koutlianos NA, Kollias IA. Acute effect of dry needling on trunk kinematics and balance of patients with non-specific low back pain. J Bodyw Mov Ther 2024; 39:24-31. [PMID: 38876633 DOI: 10.1016/j.jbmt.2024.02.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Revised: 01/18/2024] [Accepted: 02/25/2024] [Indexed: 06/16/2024]
Abstract
BACKGROUND Limited knowledge exists about the effectiveness of dry needling (DN) concerning the torso kinematics in patients with non-specific low back pain (NS-LBP). Acute effects of DN in NS-LBP patients from a functional perspective were investigated. METHODS Sixteen NS-LBP patients and 11 healthy individuals (HG) were examined. NS-LBP patients received a single session of DN at the lumbar region. Baseline and immediate post-treatment measurements during flexion-extension and lateral bending of the trunk were conducted for the NS-LBP patients. HG were measured only at baseline to be used as a reference of NS-LBP patients' initial condition. Algometry was applied in NS-LBP patients. Centre of pressure, range of motion of the trunk and its' derivatives were obtained. FINDINGS HG performed significantly faster, smoother and with greater mobility in the performed tasks compared to the pre intervention measurements of the NS-LBP patients. For the NS-LBP patients, significant greater angular velocity in frontal plane and significant lower jerk in the sagittal plane were demonstrated post intervention. DN alleviated pain tolerance significantly at the L5 level. Regarding the effectiveness of the DN upon spine kinematics, their derivatives were more sensitive. INTERPRETATION It appeared that the pathological type of torso movement was acutely affected by DN. NS-LBP patients showcased smoother movement immediately after the intervention and better control as imprinted in the higher derivative of motion although range of motion did not improve. This quantitative variable may not be subjected to acute effects of DN but rather need additional time and training to be improved.
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Affiliation(s)
- Petros Athanasakis
- Biomechanics Laboratory, School of Physical Education and Sport Science at Thessaloniki, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece.
| | - Thomas Nikodelis
- Biomechanics Laboratory, School of Physical Education and Sport Science at Thessaloniki, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece.
| | - Vassilios Panoutsakopoulos
- Biomechanics Laboratory, School of Physical Education and Sport Science at Thessaloniki, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece.
| | - Vasileios Mylonas
- Biomechanics Laboratory, School of Physical Education and Sport Science at Thessaloniki, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece.
| | - Theodoros Loizidis
- Department of Physical and Rehabilitation Medicine, Saint Loukes Hospital, 55236, Panorama, Thessaloniki, Greece.
| | - Nikolaos A Koutlianos
- Sports Medicine Laboratory, School of Physical Education and Sport Science at Thessaloniki, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece.
| | - Iraklis A Kollias
- Biomechanics Laboratory, School of Physical Education and Sport Science at Thessaloniki, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece.
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Paul KD, Hargreaves M, Manfredi JN, Cooke B, Crawford A, Evely T, Brabston E, Casp A, Momaya A, Marshall T. Patients with operative gluteus medius tears often present with a concomitant history of lumbar pathology. J Orthop 2024; 47:18-22. [PMID: 38046456 PMCID: PMC10689234 DOI: 10.1016/j.jor.2023.11.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/07/2023] [Accepted: 11/10/2023] [Indexed: 12/05/2023] Open
Abstract
Background Studies have indicated a correlation between patients presenting with decreased gluteus medius function and a history of lumbar pathology (LP). However, literature investigating the relationship between the prevalence of lumbar pathology in patients with gluteus medius tears is lacking. The purpose of this study is to determine if patients undergoing repair for gluteus medius tears have concomitant lumbar pathology. Materials and methods Patients aged 18-80 who underwent endoscopic gluteus medius repair by one fellowship-trained surgeon between May 2016 and May 2020 for peritrochanteric pain/tenderness, abductor weakness, and MRI findings consistent with a gluteus medius tear were identified. Pre-operative and post-operative data were gathered using the Visual Acuity Scale (VAS), and post-operative data was gathered using the Abbreviated International Hip Outcome Tool (iHOT-12) and Hip Outcome Score - Activities of Daily Living (HOS-ADL). Outcomes were compared between patients with and without a history of lumbar pathology. Results Of 23 hips, 19 (82.6%) presented with a prior history of lumbar pathology. Twenty (87.0%) patients identified were female. A total of 19 hips were included with completed PROM scores. Patients with lumbar pathology had similar pre and post-operative patient reported outcomes. Conclusions This study demonstrates a high incidence of lumbar pathology in patients presenting for operative gluteus medius tears, which may suggest an association between lumbar disease and the development of gluteus medius weakness and tears.
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Affiliation(s)
| | - Mathew Hargreaves
- University of Alabama at Birmingham, Department of Orthopaedic Surgery, Birmingham, AL, USA
| | - John N. Manfredi
- University of Alabama at Birmingham, Department of Orthopaedic Surgery, Birmingham, AL, USA
| | - Brett Cooke
- University of Alabama at Birmingham, Department of Orthopaedic Surgery, Birmingham, AL, USA
| | - Anna Crawford
- University of Alabama at Birmingham, Department of Orthopaedic Surgery, Birmingham, AL, USA
| | - Thomas Evely
- University of Alabama at Birmingham, Department of Orthopaedic Surgery, Birmingham, AL, USA
| | - Eugene Brabston
- University of Alabama at Birmingham, Department of Orthopaedic Surgery, Birmingham, AL, USA
| | - Aaron Casp
- University of Alabama at Birmingham, Department of Orthopaedic Surgery, Birmingham, AL, USA
| | - Amit Momaya
- University of Alabama at Birmingham, Department of Orthopaedic Surgery, Birmingham, AL, USA
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Jahandideh L, Letafatkar A, Khanzadeh R, Omidi Kashani F. Comparing the Effect of Exercises With Different Gluteal-to-Tensor Fasciae Latae Activation Index in Patients With Chronic Low Back Pain. J Sport Rehabil 2023; 32:810-817. [PMID: 37507116 DOI: 10.1123/jsr.2022-0344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Revised: 05/06/2023] [Accepted: 05/17/2023] [Indexed: 07/30/2023]
Abstract
CONTEXT Hip muscle imbalance, especially between gluteal muscles and tensor fasciae latae (TFL), is one of the risk factors for developing low back pain which should be considered in rehabilitation programs. This study compared the effect of exercises with gluteal-to-TFL muscle activation index above and below 50 on pain intensity, disability, and lower limbs' range of motion (ROM) in patients with nonspecific chronic low back pain. DESIGN A semiexperimental intervention study with a pretest and posttest. METHODS A total of 45 patients with nonspecific chronic low back pain were randomly divided into 2 experimental groups of gluteal-to-TFL muscle activation index above 50 (n = 15), below 50 (n = 15), and a control group (n = 15). Pain intensity (visual analog scale), disability (Roland-Morris Disability Questionnaire), and lower limbs' ROM including hip extension, hip abduction, hip external rotation, and knee extension (goniometer) were assessed at pretest and after 8 weeks of intervention. RESULTS Within-group comparison showed significant improvement of pain, disability, and ROMs in both experimental groups. No significant changes were observed in the control group. In between-group analysis, significant differences were observed in group of gluteal-to-TFL muscle activation index above 50 for only pain (P = .03) and disability (P = .01). For ROMs, although clinical improvement of lower limbs' ROMs was higher in group of gluteal-to-TFL muscle activation index above 50, no statistically significant differences were found between 2 experimental groups. Both experimental groups were superior to the control group for all outcomes. CONCLUSIONS Findings indicate the statistically and clinically superior effectiveness of exercises with a gluteal-to-TFL muscle activation index above 50 in the reduction of pain and disability. Based on the clinical significance of exercises with a gluteal-to-TFL muscle activation index above 50 for improving ROMs, utilizing specific exercises that more activated gluteal muscle compared to TFL is recommended for patient with restricted lower limbs' ROMs.
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Affiliation(s)
- Leila Jahandideh
- Master of the Science of Sports Injury and Corrective Exercises, Faculty of Physical Education and Sports Science, Imam Reza International University, Mashhad,Iran
| | - Amir Letafatkar
- Associate Professor of Sports Injury and Corrective Exercises, Faculty of Physical Education and Sports Sciences, Kharazmi University, Tehran,Iran
| | - Reza Khanzadeh
- Faculty of Physical Education and Sports Sciences, Asrar Institute of Higher Education, Mashhad,Iran
| | - Farzad Omidi Kashani
- Department of Orthopedics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad,Iran
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The effect of fatigue on electromechanical response times in basketball players with and without persistent low back pain. Sci Rep 2022; 12:17849. [PMID: 36284126 PMCID: PMC9596473 DOI: 10.1038/s41598-022-21940-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2022] [Accepted: 10/06/2022] [Indexed: 01/20/2023] Open
Abstract
Typically, athletes alter movement mechanics in the presence of back pain, but the effect of these changes on lower extremity injury risk is not well understood. This study aimed to compare the effect of fatigue on electromechanical response times during a choice reaction task in basketball players with and without persistent low back pain. Twenty-four male basketball players participated. Total reaction time (TRT), premotor time (PMT), and electromechanical delay (EMD data were recorded before and after fatigue. The chronic low back pain (CLBP) group had significantly longer EMD in Med gastrocnemius (p = 0.001) and Tibialis anterior (p = 0.001), and shorter EMD in Vastus Lateralis (p = 0.001), Vastus Medialis Oblique (p = 0.003), and Semitendinosus (p = 0.025) muscles after fatigue. PMT in the CLBP group had longer than the Non-CLBP in Vastus Lateralis (p = 0.010), Vastus Medialis Oblique (p = 0.017), Semitendinosus (p = 0.002). Also, TRT was longer in knee flexion (p = 0.001) and ankle plantarflexion (p = 0.001) muscle groups. The different effects of fatigue on electromechanical response times of the knee and ankle in people with CLBP may represent the effect of an axial injury on lower extremity injury risk factors in situations of higher cognitive load, similar to competitive play.
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Neves RP, Oliveira D, Fanasca MA, Vechin FC. Shortening of hip flexor muscles and chronic low-back pain among resistance training practitioners: applications of the modified Thomas test. SPORT SCIENCES FOR HEALTH 2022. [DOI: 10.1007/s11332-022-00969-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Patterson CS, Lohman E, Asavasopon S, Dudley R, Gharibvand L, Powers CM. The influence of hip flexion mobility and lumbar spine extensor strength on lumbar spine flexion during a squat lift. Musculoskelet Sci Pract 2022; 58:102501. [PMID: 35026497 DOI: 10.1016/j.msksp.2021.102501] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/05/2021] [Revised: 12/02/2021] [Accepted: 12/30/2021] [Indexed: 10/19/2022]
Abstract
STUDY DESIGN Cross-sectional; Controlled laboratory study. OBJECTIVE To examine the associations among available hip flexion motion, lumbar extensor strength and peak lumbar flexion during a squat lift task. SUMMARY OF BACKGROUND DATA Lumbar spine flexion during lifting can result in increased strain on spinal structures. Although decreased available hip flexion motion and reduced strength of the lumbar extensor muscles has been proposed to contribute to greater lumbar flexion during lifting, direct relationships have not been explored. METHODS Fifty healthy young adults participated (23 males and 27 females). Strength of the lumbar extensors was measured using a motor-driven dynamometer. Available hip flexion was assessed using 3D motion capture. Peak lumbar spine flexion and hip flexion were quantified during the descent phase of the squat lifting task. RESULTS There was a significant negative association between available hip flexion and peak lumbar spine flexion during squat lifting in females (r = -0.407, p = 0.035) but not males (r = -0.341, p = 0.120). Similarly, peak lumbar spine flexion was negatively associated with lumbar extensor strength in females (r = -0.398, p = 0.040) but not males (r = -0.310, p = 0.161). During the squat lift, peak hip motion was positively associated with available hip flexion for both males and females combined (r = 0.774, p < 0.001). CONCLUSION Females with less available hip flexion and lower lumbar extensor strength exhibit greater lumbar flexion when performing a lifting task. Clinicians should be aware of the potential contributions of such impairments when instructing patients into various lifting strategies.
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Affiliation(s)
- Christopher S Patterson
- Loma Linda University Department of Physical Therapy, 24951, N. Circle Dr., A-620, Loma Linda, CA, 92350, USA; Azusa Pacific University, 901 E Alosta Ave. Azusa, CA, 91702, USA.
| | - Everett Lohman
- Loma Linda University Department of Physical Therapy, 24951, N. Circle Dr., A-620, Loma Linda, CA, 92350, USA.
| | - Skulpan Asavasopon
- University of Southern California Division of Biokinesiology and Physical Therapy, 1540 E. Alcazar St. CHP - 155, Los Angeles, CA, 90089, USA
| | - Robert Dudley
- Loma Linda University Department of Physical Therapy, 24951, N. Circle Dr., A-620, Loma Linda, CA, 92350, USA; Azusa Pacific University, 901 E Alosta Ave. Azusa, CA, 91702, USA.
| | - Lida Gharibvand
- Loma Linda University School of Allied Health Professions, 24951 N. Circle Dr., A-620, Loma Linda, CA, 92350, USA.
| | - Christopher M Powers
- University of Southern California Division of Biokinesiology and Physical Therapy, 1540 E. Alcazar St. CHP - 155, Los Angeles, CA, 90089, USA.
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Gómez-Hoyos J. Editorial Commentary: Hip-Spine Syndrome: When the Hip Does Not Move, the Spine Labors Double. Arthroscopy 2021; 37:1510-1511. [PMID: 33896504 DOI: 10.1016/j.arthro.2021.02.038] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/21/2021] [Accepted: 02/22/2021] [Indexed: 02/02/2023]
Abstract
When the hip does not move, the spine labors double. For example, limited hip extension results in lumbar spine hyperextension and an increase in spinal facet joint loading due to premature coupling. Patients who undergo hip surgery show significant improvement in concomitant lower back problems, and symptomatic low back pain resolves in approximately 80% of patients after total hip arthroplasty. When an impairment in hip range of motion (limitation or asymmetry) is identified, a logical relationship to lumbar pathology should be explored, and treatment options may include interventions that improve hip joint range of motion.
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Affiliation(s)
- Juan Gómez-Hoyos
- Clínica del Campestre/Clínica Las Américas, University of Antioquia, and Procadera
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8
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Shin D. Correlation between non-specific chronic low back pain and physical factors of lumbar and hip joint in office workers. Med Hypotheses 2020; 144:110304. [PMID: 33254493 DOI: 10.1016/j.mehy.2020.110304] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Revised: 08/25/2020] [Accepted: 09/23/2020] [Indexed: 11/20/2022]
Abstract
OBJECTIVE The purpose of this study was to investigate the correlation between pain intensity, degree of disability, and various physical variables of the lumbar and hip joints in office workers with non-specific chronic low back pain. STUDY DESIGN/SETTING A cross-sectional correlational study/in-house physical therapy clinic. SUBJECTS Sixty-one office workers diagnosed with non-specific chronic low back pain. METHODS Pain intensity and Oswestry disability index were surveyed, and lumbar flexor and extensor strength ratio, lumbar flexor and extensor endurance, the maximum value and left/right asymmetry of eccentric muscle activity of the lumbar extensor, the maximum value and left/right asymmetry of concentric muscle activity of the lumbar extensor, the ROM of lumbar flexion and extension, left/right asymmetry of hip joint extensor strength, the internal rotation and external rotation of the hip joint, and the ROM and left/right asymmetry of flexion and extension were measured. RESULTS The ratio of the muscle strength of lumbar flexor and extensor was in a weak correlation with disability index. In addition, hip joint ROM and left/right asymmetry of hip joint ROM correlate with pain intensity and disability index. CONCLUSION To improve office workers' pain intensity and disability due to this non-specific chronic low back pain, it may be important to improve the ratio of the lumbar extensor and flexor strength and the left/right asymmetry of the hip joint ROM as well as the ROM of the hip joint should be considered.
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Affiliation(s)
- DooChul Shin
- Department of Physical Therapy, College of Health Sciences, Kyungnam University, Republic of Korea.
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Prather H, van Dillen L. Links between the Hip and the Lumbar Spine (Hip Spine Syndrome) as they Relate to Clinical Decision Making for Patients with Lumbopelvic Pain. PM R 2019; 11 Suppl 1:S64-S72. [PMID: 31074168 DOI: 10.1002/pmrj.12187] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
This narrative review focuses on the links between the hip and lumbar spine in the context of lumbopelvic pain. The literature regarding this topic is variable, found in many disciplines of care using different terminology. Collectively these inconsistencies add to the complexity of understanding the current evidence as it pertains to clinical practice. We have chosen to review studies that describe and assess overlapping pain distributions between the lumbar spine and hip, hip osteoarthritis and lumbopelvic pain, improvements in low back pain following hip arthroplasty, association of hip range of motion and lumbopelvic pain, and lumbopelvic motion and hip motion as they relate to low back pain and gender. The links between the hip and lumbar spine may provide the clinician important information to make decisions and recommendations for people presenting with the clinical symptom complex including lumbopelvic pain.
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Affiliation(s)
- Heidi Prather
- Division of Physical Medicine and Rehabilitation, Department of Orthopaedic Surgery and Neurology, Washington University School of Medicine, St. Louis, MO
| | - Linda van Dillen
- Program in Physical Therapy, Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO
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Hip and Lumbar Spine Physical Examination Findings in People Presenting With Low Back Pain, With or Without Lower Extremity Pain. J Orthop Sports Phys Ther 2017; 47:163-172. [PMID: 28158964 PMCID: PMC8898168 DOI: 10.2519/jospt.2017.6567] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Study Design Prospective cohort study, cross-sectional design. Background The hip-spine syndrome is described in patients with known arthritis of the hip. This study describes the hip examination findings of people presenting with low back pain (LBP). Objectives To (1) report examination findings of the hip in patients with LBP and (2) compare pain and function in patients with positive hip examination findings to those in patients without positive hip examination findings. Methods An examination and validated questionnaires of spine and hip pain and function were completed. Pain and function scores were compared between patients with and without positive hip findings. Results Consecutive patients (68 women, 33 men) with a mean age of 47.6 years (range, 18.4-79.8 years) participated. On physical examination, 81 (80%) had reduced hip flexion; 76 (75%) had reduced hip internal rotation; and 25 (25%) had 1, 32 (32%) had 2, and 23 (23%) had 3 positive provocative hip tests. Patients with reduced hip flexion had worse LBP-related (mean modified Oswestry Disability Index, 35.3 versus 25.6; P = .04) and hip-related function (mean modified Harris Hip Score, 66.0 versus 82.0; P = .03). Patients with reduced hip internal rotation had worse LBP-related function (mean Roland-Morris questionnaire, 12.4 versus 8.2; P = .003). A positive provocative hip test was coupled with more intense pain (median, 9 versus 7; P = .05) and worse LBP-related (mean Roland-Morris questionnaire, 12.1 versus 8.5; P = .02) and hip-related function (mean modified Harris Hip Score, 65.8 versus 89.7; P = .005). Conclusion Physical examination findings indicating hip dysfunction are common in patients presenting with LBP. Patients with LBP and positive hip examination findings have more pain and worse function compared to patients with LBP but without positive hip examination findings. Level of Evidence Symptom prevalence, level 1b. J Orthop Sports Phys Ther 2017;47(3):163-172. Epub 3 Feb 2017. doi:10.2519/jospt.2017.6567.
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Han H, Kubo A, Kurosawa K, Maruichi S, Ishizaka M, Sadakiyo K, Nomura T, Honzawa K. Ipsilateral patterns of the rotational range of motion of the hip in healthy Japanese adults. J Phys Ther Sci 2016; 28:2550-2555. [PMID: 27799692 PMCID: PMC5080174 DOI: 10.1589/jpts.28.2550] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2016] [Accepted: 05/23/2016] [Indexed: 11/24/2022] Open
Abstract
[Purpose] This study aimed to categorize the internal and external rotation range of
motion (ROM) of ipsilateral hip joints into specific patterns based on the differences
between them, and clarify the distribution of these patterns. [Subjects and Methods] A
total of 222 healthy Japanese medical students (162 males, 60 females) with a mean age of
21.2 ± 4.0 years were enrolled. The ROM of internal and external rotation at the hip were
randomly measured with the subjects in the prone position. Thereafter, the difference
between internal and external rotations was assessed. Hip ROM patterns were classified
into 3 types based on the differences in the rotation ROM on each side. A total of 9
overall patterns were then determined based on the combination of patterns on both sides.
[Results] Although all the subjects were healthy, an asymmetrical ROM between internal and
external rotation in ipsilateral hip joints could be detected via pattern classification.
Moreover, the distribution of each hip ROM pattern was clarified. [Conclusion] Pattern
classification based on differences in internal and external rotation ROM could serve as a
useful evaluation method for clinical manipulative therapy.
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Affiliation(s)
- Heonoo Han
- Department of Physical Therapy, School of Health Sciences, International University of Health and Welfare, Japan
| | - Akira Kubo
- Department of Physical Therapy, School of Health Sciences, International University of Health and Welfare, Japan
| | - Kazuo Kurosawa
- Department of Physical Therapy, School of Health Sciences at Odawara, International University of Health and Welfare, Japan
| | | | - Masahiro Ishizaka
- Department of Physical Therapy, School of Health Sciences, International University of Health and Welfare, Japan
| | - Kaori Sadakiyo
- Department of Physical Therapy, School of Health Sciences, International University of Health and Welfare, Japan
| | - Takahiro Nomura
- Department of Physical Therapy, School of Health Sciences, International University of Health and Welfare, Japan
| | - Kaoru Honzawa
- Department of Physical Therapy, School of Health Sciences, International University of Health and Welfare, Japan
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Uluğ N, Yakut Y, Alemdaroğlu İ, Yılmaz Ö. Comparison of pain, kinesiophobia and quality of life in patients with low back and neck pain. J Phys Ther Sci 2016; 28:665-70. [PMID: 27064399 PMCID: PMC4793030 DOI: 10.1589/jpts.28.665] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2015] [Accepted: 11/19/2015] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The purpose of this study was to compare patients with low back and neck pain
with respect to kinesiophobia, pain, and quality of life. [Subjects and Methods]
Three-hundred patients with low back (mean age 43.2±11 years) and 300 with neck pain (mean
age 42.8±10.2 years) were included in this study. Pain severity was evaluated by using the
Short-Form McGill Pain Questionnaire, which includes a Visual Analogue Scale, quality of
life by the Nottingham Health Profile, and kinesiophobia by the Tampa Scale for
Kinesiophobia. [Results] Pain severity was similar in both groups, with a Visual Analogue
Scale score of 6.7±2 in the low back pain and 6.8±2 in the neck pain group. Nottingham
Health Profile pain [z=−4.132] and physical activity scores [z=−5.640] in the low back
pain group were significantly higher. Kinesiophobia was also more severe in the low back
pain group, with a mean 42.05±5.91 versus 39.7±6.0 Tampa Scale for Kinesiophobia score
[z=−4.732]. [Conclusion] Patients with low back pain developed more severe kinesiophobia,
regardless of the pain severity, and had greater pain perception and lower physical
activity levels. Kinesiophobia adversely affects the quality of life and requires
effective management of low back pain.
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Affiliation(s)
- Naime Uluğ
- Department of Physical Medicine and Rehabilitation, Hacettepe University Hospital, Turkey
| | - Yavuz Yakut
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Turkey
| | - İpek Alemdaroğlu
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Turkey
| | - Öznur Yılmaz
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Turkey
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