Can Kinesiophobia, Disability and Pain Intensity Discriminate Between Different Patterns of Control Impairment in Patients With Persistent Low Back Pain?
Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
Inconsistent results regarding the efficacy of different treatment modalities for non-specific low back pain (NSLBP) indicate a need for a deeper understanding of what characterise different sub-groups of LBP patients.
To investigate whether kinesiophobia, disability and pain intensity can discriminate between different movement control impairment patterns in patients with NSLBP, and further, to investigate if there are any existing differences between men and women in these variables.
A total of 71 patients (33 men, 38 women, mean age of 42.2±10.1) with movement control impairment were classified into five sub-groups based on their direction of control impairment, i.e. flexion-, flexion/lateral shifting-, active extension-, passive extension- or multidirectional pattern, in the low back and analysed for in between group differences in kinesiophobia (Tampa Scale of Kinesiophobia), disability (Roland and Morris Disability Questionnaire) and pain intensity (Visual Analogue Scale). Further, a multiple discriminant analysis (MDA) was executed in order to investigate whether these variables discriminate between these patterns of impairment.
The MDA produced no significant functions that could discriminate between different control impairment patterns and therefore no in between group differences were found. A wide distribution within the different patterns exist. Men had a significantly higher level of kinesiophobia compared to women.
Kinesiophobia, disability and pain intensity do not discriminate between movement control impairment patterns in NSLBP. Further research is needed to find whether there are other anticipatoryfactors than the direction of the patients control impairment that characterise these sub-groups. Finally, the wide distribution in kinesiophobia, disability and pain intensity within the different patterns of impairment indicate the importance of an individual focus in examining these factors in every patient.
Place, publisher, year, edition, pages
Classification system, chronic low back pain, discriminant analysis, fear of movement, activity limitation
IdentifiersURN: urn:nbn:se:umu:diva-119340OAI: oai:DiVA.org:umu-119340DiVA: diva2:920225
Aasa, Ulrika, Universitetslektor