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Task-specific perceived harmfulness predicts protective movement behaviour in chronic low back pain

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Abstract
There is emerging evidence that task-specific pain-related psychological measures may better predict movement behaviour in chronic low back pain (CLBP) than general pain-related psychological measures. Currently, little is known regarding the prediction of movement duration and movement velocity. Methods: Baseline data from a previously published randomized controlled trial were used (clinicaltrials.gov NCT02773160). Fifty-five patients with CLBP and 54 pain-free persons performed a lifting task while kinematic measurements were obtained to calculate movement velocity of the L1 vertebra, S1 vertebra, and the lumbar spine, as well as the time to complete the lifting task. Scores on the Photograph Daily Activities Series-Short Electronic Version (PHODA-SeV), Tampa Scale for Kinesiophobia (TSK), and its Activity Avoidance and Somatic Focus subscales were used as general pain-related psychological measures. The score on a picture of the PHODA-SeV, showing a person lifting an object with a bent back (PHODA-Lift), was used as task-specific measure of perceived harmfulness. Results: The task-specific measure best predicted movement duration and movement velocity of L1 and the lumbar spine, and explained 35%, 19%, and 25% of the respective movement parameters. Although general perceived harmfulness predicted S1 velocity and movement duration, it only explained 6% and 8% of the respective movement parameters. General measures of pain-related fear were not predictive for any of the movement parameters. It took patients with CLBP significantly longer to complete the lifting task when compared to the pain-free participants (ES = 1.01, p < 0.0001), and patients with CLBP also moved significantly slower at L1 (ES = 0.85, p < 0.0001) and the lumbar spine (ES = 1.01, p < 0.0001). These between-groups differences were larger for CLBP subgroups with higher scores on the PHODA-Lift, and to some extent for subgroups with higher total scores on the PHODA-SeV. Conclusions: Task-specific perceived harmfulness best predicts movement velocity. General pain-related fear measures (i.e., TSK and its subscales) do not predict these movement parameters.
Keywords
low back pain, fear of movement, movement behaviour, movement velocity, kinematics, FEAR-AVOIDANCE MODEL, PEOPLE, BELIEFS

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MLA
Matheve, Thomas, et al. “Task-Specific Perceived Harmfulness Predicts Protective Movement Behaviour in Chronic Low Back Pain.” JOURNAL OF CLINICAL MEDICINE, vol. 13, no. 17, 2024, doi:10.3390/jcm13175025.
APA
Matheve, T., Timmermans, A., Danneels, L., & De Baets, L. (2024). Task-specific perceived harmfulness predicts protective movement behaviour in chronic low back pain. JOURNAL OF CLINICAL MEDICINE, 13(17). https://doi.org/10.3390/jcm13175025
Chicago author-date
Matheve, Thomas, Annick Timmermans, Lieven Danneels, and Liesbet De Baets. 2024. “Task-Specific Perceived Harmfulness Predicts Protective Movement Behaviour in Chronic Low Back Pain.” JOURNAL OF CLINICAL MEDICINE 13 (17). https://doi.org/10.3390/jcm13175025.
Chicago author-date (all authors)
Matheve, Thomas, Annick Timmermans, Lieven Danneels, and Liesbet De Baets. 2024. “Task-Specific Perceived Harmfulness Predicts Protective Movement Behaviour in Chronic Low Back Pain.” JOURNAL OF CLINICAL MEDICINE 13 (17). doi:10.3390/jcm13175025.
Vancouver
1.
Matheve T, Timmermans A, Danneels L, De Baets L. Task-specific perceived harmfulness predicts protective movement behaviour in chronic low back pain. JOURNAL OF CLINICAL MEDICINE. 2024;13(17).
IEEE
[1]
T. Matheve, A. Timmermans, L. Danneels, and L. De Baets, “Task-specific perceived harmfulness predicts protective movement behaviour in chronic low back pain,” JOURNAL OF CLINICAL MEDICINE, vol. 13, no. 17, 2024.
@article{01J67FY60SFCMYZJBNWFY4HYSQ,
  abstract     = {{There is emerging evidence that task-specific pain-related psychological measures may better predict movement behaviour in chronic low back pain (CLBP) than general pain-related psychological measures. Currently, little is known regarding the prediction of movement duration and movement velocity. Methods: Baseline data from a previously published randomized controlled trial were used (clinicaltrials.gov NCT02773160). Fifty-five patients with CLBP and 54 pain-free persons performed a lifting task while kinematic measurements were obtained to calculate movement velocity of the L1 vertebra, S1 vertebra, and the lumbar spine, as well as the time to complete the lifting task. Scores on the Photograph Daily Activities Series-Short Electronic Version (PHODA-SeV), Tampa Scale for Kinesiophobia (TSK), and its Activity Avoidance and Somatic Focus subscales were used as general pain-related psychological measures. The score on a picture of the PHODA-SeV, showing a person lifting an object with a bent back (PHODA-Lift), was used as task-specific measure of perceived harmfulness. Results: The task-specific measure best predicted movement duration and movement velocity of L1 and the lumbar spine, and explained 35%, 19%, and 25% of the respective movement parameters. Although general perceived harmfulness predicted S1 velocity and movement duration, it only explained 6% and 8% of the respective movement parameters. General measures of pain-related fear were not predictive for any of the movement parameters. It took patients with CLBP significantly longer to complete the lifting task when compared to the pain-free participants (ES = 1.01, p < 0.0001), and patients with CLBP also moved significantly slower at L1 (ES = 0.85, p < 0.0001) and the lumbar spine (ES = 1.01, p < 0.0001). These between-groups differences were larger for CLBP subgroups with higher scores on the PHODA-Lift, and to some extent for subgroups with higher total scores on the PHODA-SeV. Conclusions: Task-specific perceived harmfulness best predicts movement velocity. General pain-related fear measures (i.e., TSK and its subscales) do not predict these movement parameters.}},
  articleno    = {{5025}},
  author       = {{Matheve, Thomas and Timmermans, Annick and Danneels, Lieven and De Baets, Liesbet}},
  issn         = {{2077-0383}},
  journal      = {{JOURNAL OF CLINICAL MEDICINE}},
  keywords     = {{low back pain,fear of movement,movement behaviour,movement velocity,kinematics,FEAR-AVOIDANCE MODEL,PEOPLE,BELIEFS}},
  language     = {{eng}},
  number       = {{17}},
  pages        = {{15}},
  title        = {{Task-specific perceived harmfulness predicts protective movement behaviour in chronic low back pain}},
  url          = {{http://doi.org/10.3390/jcm13175025}},
  volume       = {{13}},
  year         = {{2024}},
}

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