TY - JOUR
T1 - Association of pain-related threat beliefs and disability with postural control and trunk motion in individuals with low back pain
T2 - a systematic review and meta-analysis
AU - Shanbehzadeh, Sanaz
AU - ShahAli, Shabnam
AU - Ebrahimi Takamjani, Isamael
AU - Vlaeyen, Johan W.S.
AU - Salehi, Reza
AU - Jafari, Hassan
N1 - Funding Information:
This work was supported by Iran University of Medical Sciences (984-99-16690), Iran, and JWSV is supported by the Asthenes research program “From Acute Aversive Sensations to Chronic Bodily Symptoms,” a long-term structural Methusalem funding (METH/15/011) by the Flemish government, Belgium.
Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
PY - 2022/7
Y1 - 2022/7
N2 - Purpose: Low back pain (LBP) individuals with high levels of fear of pain might display changes in motor behavior, which leads to disability. This study aimed to systematically review the influence of pain-related threat beliefs or disability on trunk kinematic or postural control in LBP. Method: Eight electronic databases were searched from January 1990 to July 1, 2020. Meta-analysis using random-effect model was performed for 18 studies on the association between pain-related threat beliefs or disability and lumbar range of motion. Pearson r correlations were used as the effect size. Result: Negative correlations were observed between lumbar range of motion (ROM) and pain-related threat beliefs (r = − 0.31, p < 0.01, 95% CI: − 0.39, − 0.24) and disability (r = − 0.24, p < 0.01, 95% CI: − 0.40, − 0.21). Nonsignificant correlations were reported between pain-related threat beliefs and center of pressure parameters during static standing in 75% of the studies. In 33% of the studies, moderate negative correlations between disability and postural control were observed. Conclusion: Motor behaviors are influenced by several factors, and therefore, the relatively weak associations observed between reduced lumbar ROM with higher pain-related threat beliefs and perceived disability, and postural control with disability are to be expected. This could aid clinicians in the assessment and planning rehabilitation interventions. Level of Evidence I: Diagnostic: individual cross-sectional studies with the consistently applied reference standard and blinding.
AB - Purpose: Low back pain (LBP) individuals with high levels of fear of pain might display changes in motor behavior, which leads to disability. This study aimed to systematically review the influence of pain-related threat beliefs or disability on trunk kinematic or postural control in LBP. Method: Eight electronic databases were searched from January 1990 to July 1, 2020. Meta-analysis using random-effect model was performed for 18 studies on the association between pain-related threat beliefs or disability and lumbar range of motion. Pearson r correlations were used as the effect size. Result: Negative correlations were observed between lumbar range of motion (ROM) and pain-related threat beliefs (r = − 0.31, p < 0.01, 95% CI: − 0.39, − 0.24) and disability (r = − 0.24, p < 0.01, 95% CI: − 0.40, − 0.21). Nonsignificant correlations were reported between pain-related threat beliefs and center of pressure parameters during static standing in 75% of the studies. In 33% of the studies, moderate negative correlations between disability and postural control were observed. Conclusion: Motor behaviors are influenced by several factors, and therefore, the relatively weak associations observed between reduced lumbar ROM with higher pain-related threat beliefs and perceived disability, and postural control with disability are to be expected. This could aid clinicians in the assessment and planning rehabilitation interventions. Level of Evidence I: Diagnostic: individual cross-sectional studies with the consistently applied reference standard and blinding.
KW - Catastrophizing
KW - Disability
KW - Fear of pain
KW - Low back pain
KW - Motor behavior
UR - http://www.scopus.com/inward/record.url?scp=85130291708&partnerID=8YFLogxK
U2 - 10.1007/s00586-022-07261-4
DO - 10.1007/s00586-022-07261-4
M3 - Review article
AN - SCOPUS:85130291708
SN - 0940-6719
VL - 31
SP - 1802
EP - 1820
JO - European Spine Journal
JF - European Spine Journal
IS - 7
ER -