Fear of movement, quality of life, and self-reported disability in obese patients with chronic lumbar pain.
| Autor: | Vincent HK; Department of Orthopaedics and Rehabilitation, UF Orthopaedics and Sports Medicine Institute, University of Florida, 3450 Hull Road, Gainesville, FL 32611, USA. vincehk@ortho.ufl.edu, Omli MR, Day T, Hodges M, Vincent KR, George SZ |
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| Jazyk: | angličtina |
| Zdroj: | Pain medicine (Malden, Mass.) [Pain Med] 2011 Jan; Vol. 12 (1), pp. 154-64. Date of Electronic Publication: 2010 Nov 18. |
| DOI: | 10.1111/j.1526-4637.2010.01011.x |
| Abstrakt: | Objective: To compare fear of movement between obese and non-obese individuals seeking therapy for chronic low back pain and to examine whether fear of movement predicted disability due to back pain, self-reported walking disability, and flexibility. Design: This was a cross-sectional study. Setting: Outpatient physical therapy clinic associated with a tertiary care hospital. Patients: Patients with chronic low back pain (N=192; 48.2±18.8 years) were stratified into obese (average body mass index [BMI] 36.9±7.1 kg/m(2) ) or non-obese status (average BMI 24.5±3.4 kg/m(2) ). Outcome Measures: The Tampa Scale of Kinesiophobia (TSK), Short-Form 8 (SF-8), and Oswestry Disability Survey results were main outcome measures. Methods: Retrospective review of medical charts was performed. Hierarchical regression modeling determined the contribution of TSK scores to the variance of self-reported disability with walking, overall Oswestry score, and flexibility. Results: TSK scores were higher in obese than non-obese patients (26.2±7.5 vs 23.9±6.8 points; P=0.032). The SF-8 physical and mental subscores were 6-10% lower in the obese than non-obese patients. Oswestry survey scores were higher in the obese patients (40.6 vs 31.6 points; P<0.001). TSK scores contributed to self-reported disability with walking and Oswestry disability score (both P<0.001), but not flexibility. Conclusions: Among obese patients with chronic lumbar pain, pain-related fear of movement enhanced prediction of self-reported disability with walking and overall Oswestry scores. The TSK might be a useful clinical assessment to identify obese patients at higher risk for future low back disability. (Wiley Periodicals, Inc.) |
| Databáze: | MEDLINE |
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