Fear of movement/(re)injury and muscular reactivity in chronic low back pain patients: an experimental investigation
| Autor: | Eveline Aretz, Peter J. de Jong, Johan W.S. Vlaeyen, Henk A.M. Seelen, Madelon L. Peters, Elles Beisiegel, Wilhelm E.J. Weber |
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| Přispěvatelé: | Clinical Psychological Science, Revalidatiegeneeskunde, Klinische Neurowetenschappen, RS: FPN CPS, Clinical Psychology and Experimental Psychopathology |
| Rok vydání: | 1999 |
| Předmět: |
MOVEMENT (RE)INJURY
Adult Male medicine.medical_specialty STRESS Movement muscular reactivity Fear of movement Video Recording AVOIDANCE Electromyography Negative affectivity Physical medicine and rehabilitation Recurrence Surveys and Questionnaires COMPLAINTS medicine Humans Reactivity (psychology) NEGATIVE AFFECTIVITY Aged Analysis of Variance medicine.diagnostic_test DISABILITY Body movement Fear Middle Aged Low back pain Chronic low back pain Anesthesiology and Pain Medicine Neurology fear of movement/(re)injury Chronic Disease Female Neurology (clinical) Analysis of variance medicine.symptom Psychology Low Back Pain RESPONSES |
| Zdroj: | Pain, 82(3), 297-304. LIPPINCOTT WILLIAMS & WILKINS |
| ISSN: | 0304-3959 |
| Popis: | This experiment was set up to test the hypothesis that confrontation with feared movements would lead to symptom-specific muscular reactivity in chronic low back pain patients who report high fear of movement/(re)injury. Thirty-one chronic low back pain patients were asked to watch a neutral nature documentary, followed by a fear-eliciting video-presentation, while surface electromyography (EMC) recordings were made from the lower paraspinal and the tibialis anterior muscles. It was further hypothesized that negative affectivity (NA) would moderate the effects of fear on symptom-specific muscular reactivity, as well as the effects of muscular reactivity on pain report. The results were partly as predicted. Unexpectedly, paraspinal EMG-readings decreased during video-exposure but this decrement tended to be less in fearful patients than in the non-fearful patients. Negative affectivity did not moderate this effect, but: moderated the effect of pain-related fear on muscular reactivity of lower leg muscles. In addition, NA directly predicted muscular reactivity in the right tibialis anterior muscle. As predicted, there was a significant covariation between left paralumbar muscular activity and pain report. This association was moderated by NA, but in the opposite direction. The findings extend the symptom-specificity model of psychophysiological reactivity, and support the idea that pain-related fear perpetuates pain and pain disability through muscular reactivity. (C) 1999 International Association for the Study of Pain. Published by Elsevier Science B.V. |
| Databáze: | OpenAIRE |
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