The correlations among pain, disability, lumbar muscle endurance and fear-avoidance behaviour in patients with chronic low back pain

Pao Yue-kong Library Electronic Theses Database

The correlations among pain, disability, lumbar muscle endurance and fear-avoidance behaviour in patients with chronic low back pain

 

Author: Chan, Ho-lam Karen
Title: The correlations among pain, disability, lumbar muscle endurance and fear-avoidance behaviour in patients with chronic low back pain
Degree: M.Sc.
Year: 2007
Subject: Hong Kong Polytechnic University -- Dissertations.
Backache -- Treatment -- Evaluation.
Lumbar vertebrae -- Movements -- Evaluation.
Backache -- Psychosomatic aspects.
Department: Dept. of Rehabilitation Sciences
Pages: ix, 31 leaves : col. ill. ; 30 cm.
Language: English
InnoPac Record: http://library.polyu.edu.hk/record=b2174130
URI: http://theses.lib.polyu.edu.hk/handle/200/280
Abstract: Study design - A longitudinal retrospective correlation study Objectives - 1) To determine the correlations among pain, disability, lumbar muscle endurance and fear-avoidance behaviour in patients with chronic low back pain. 2) To determine the predictive power of fear-avoidance behaviour on improvement in treatment outcomes following treatment. Sample - Subjects (n=178) with chronic low back pain Intervention -Active back reconditioning exercises using standardized protocol Outcome measures - Pain, disability and lumbar muscle endurance were measured at week 0, 6 and 12. Fear-avoidance behaviour was measured at week 0. Changes in pain and disability were measured at week 6 and 12. Data Analysis - 1) Pearson Correlation coefficients were calculated to determine the correlations among the outcome measures. 2) Regression analysis was employed to examine the predictive power of fear-avoidance behaviour on improvement in treatment outcomes. Results - Fair to moderate correlation was found between pain and disability (r=0.35-0.62). FABQ was correlated with pain at a weak degree (r=0.23). FABQ was correlated with disability at a fair degree (r=0.30-0.42). Lumbar muscle endurance was not associated with all other outcome measures. FABQ was inversely correlated with long-term improvement in disability at a fair degree (r=-0.35). FABQ demonstrated a significant predictive power on long-term reduction in disability following treatment, accounting for 12% of the variance in outcome. Conclusion - No strong correlations were found among pain, disability, lumbar muscle endurance and fear-avoidance behaviour, except for that between pain and disability. Treatment, therefore, should aim to address as many related aspects in the condition as possible, including physical, psychosocial and behavioural aspects in order to enhance treatment success in the management of chronic low back pain. Fear avoidance behaviour significantly predicted long-term reduction in disability following treatment, accounting for 12% of the variance in outcome.

Files in this item

Files Size Format
b2174130x.pdf 4.463Mb PDF
Copyright Undertaking
As a bona fide Library user, I declare that:
  1. I will abide by the rules and legal ordinances governing copyright regarding the use of the Database.
  2. I will use the Database for the purpose of my research or private study only and not for circulation or further reproduction or any other purpose.
  3. I agree to indemnify and hold the University harmless from and against any loss, damage, cost, liability or expenses arising from copyright infringement or unauthorized usage.
By downloading any item(s) listed above, you acknowledge that you have read and understood the copyright undertaking as stated above, and agree to be bound by all of its terms.

     

Quick Search

Browse

More Information