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Impact of specific training on fear avoidance beliefs and postural stability in nonspecific chronic low back pain
9th International Conference on SPINE AND SPINAL DISORDER
September 09, 2022 | Webinar
Marzieh Saeidi, Abdolkarim Karimi
Management Treatment of Isfahan social security organization, Iran
Isfahan University of Medical Sciences, Iran
Scientific Tracks Abstracts : J Ortho Sur Reh
Abstract:
Background: Fear-avoidance beliefs (FAB) are related to disability and chronicity of low back pain. The aim of this study is to investigate the association between FAB and postural stability and also the influence of specific training for FAB on postural stability and FAB in patients with non-specific chronic low back pain (NCLBP). Methods: In this queasy experimental study, 51 subjects (27 females and 24 males) with NCLBP were evaluated. Pain intensity, FAB, and disability were measured using questionnaires and Postural stability was measured using force plate. Abdominal and back muscle endurance was measured respectively by sit up and Sorensen tests. All the tests were repeated one week and one month after a short-term specific training for FAB. Mixed model repeated measure test was used to evaluate trend of changes in variables before and after the intervention and the association of the changes in FAB and pain intensity with the changes in parameters of postural control. Results: After the intervention, pain intensity, FAB and disability score decreased significantly (p<0.001). Postural stability and the time of sit up, Sorensen and single leg stance tests increased significantly (p<0.001). FAB (physical activity) was related to the center of pressure excursion and velocity in unilateral standing in sagittal and frontal plan. Trend of changes in pain intensity and FAB (physical activity) were related to trend of the changes in postural stability in unilateral standing significantly (p<0.05) . Conclusion: Pain intensity and FAB were related to postural stability in unilateral standing significantly. Specific training for FAB resulted in decreasing pain intensity, FAB and disability scores and improved postural stability as well as increasing the time of sit up, surensen and single leg stance tests in patients with CLBP. References 1. Unsar S, Sut N. Depression and health status in elderly hospitalized patients with chronic illness. Arch Gerontol Geriatr 2010; 50(1): 6-10. 2. Hevey D, McGee HM, Horgan J. Relationship of initial level of distress to changes in health-related quality of life during cardiac rehabilitation or usual care. Psychosom Med 2007; 69(8): 793-7. 3. Taylor RS, Dalal H, Jolly K, Moxham T, Zawada A. Home-based versus centre-based cardiac rehabilitation. Cochrane Database Syst Rev 2010; (1): CD007130
Biography:
Marzieh Saeidi is a MS Student in the Department of Physiotherapy, Isfahan University of Medical Sciences. She is a Physiotherapist at Shariati Hospital and Management Treatment of Isfahan Social Security Organization, Isfahan, Iran.
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