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Comparison of the Relationship Between Impairment, Disability and Psychological Factors According to the Difference of Duration of Low Back Pain  

Won, Jong-Im (Dept. of Physical Therapy, College of Alternative Medicine, Jeonju University)
Publication Information
Physical Therapy Korea / v.18, no.3, 2011 , pp. 76-84 More about this Journal
Abstract
The purpose of this study was to investigate the correlations between pain intensity, physical impairments, disability, and psychological factors according to the difference in duration of low back pain. This study was a cross-sectional survey of 102 participants with low back pain, divided into two groups equal in number: The first group consisted of patients with acute and subacute low back pain, while the second group consisted of patients suffering from chronic low back pain. The results showed that gender, age, pain intensity, physical impairment, disability and Fear-Avoidance Beliefs (FABs) for work activities were not significantly different between two groups. FABs for physical activities of the first group were significantly more prevalent than in the second group. More than moderate correlations were found between pain intensity, physical impairment, and disability in the first group. Less than moderate correlations were found between pain intensity, physical impairment, disability, FABs, and depression in the second group. These findings suggest that we must consider psychological factors in the treatment of patients with chronic low back pain. Regression analyses revealed that pain intensity and FABs for work activities significantly contributed to the prediction of disability in the first group. Also, pain intensity and FABs for physical activities significantly contributed to the prediction of disability in the second group. Pain intensity was most important predictor of disability in two groups.
Keywords
Disability; Impairment; Low back pain; Psychological factors;
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1 조맹제, 김계희. 주요 우울증 환자 예비평가에서 the Center for Epidemiologic Studies Depression Scale(CES-D)의 진단적 타당성 연구. 신경정신의학회지. 1993;32(3);381-399.
2 Alschuler KN, Theism-Goodvich ME, Haig AJ. et al. A comparison of the relationship between depression, perceived disability, and physical performance in persons with chronic pain. Eur J Pain. 2008;12(6);757-764.   DOI   ScienceOn
3 Brox JI, Storheim K, Holm I, et al. Disability, pain, psychological factors and physical performance in healthy controls, patients with sub-acute and chronic low back pain: A case-control study. J Rehabil Med. 2005;37(2):95-99.   DOI   ScienceOn
4 Chandola T. Brunner E. Marmot M. Chronic stress at work and the metabolic syndrome: Prospective study. BMJ 2006;332(7540);521-525.   DOI   ScienceOn
5 Cioffi D. Beyond attentional strategies: Cognitive-perceptual model of somatic interpretation. Psychol Bull. 1991;109(1):25-41.
6 Crombez G. Vlaeyen JW, Heuts PH, et al. Pain-related fear is more disabling than pain itself: Evidence on the role of pain-related fear in chronic back pain disability. Pain. 1999;80(1-2);329-339.   DOI   ScienceOn
7 Denison E, Asenlof P, Lindberg P. Self-efficacy. fear avoidance, and pain intensity as predictors of disability in subacute and chronic musculoskeletal pain patients in primary health care. Pain. 2004;111(3):245-252.   DOI   ScienceOn
8 Dickens C, Jayson M, Creed F. Psychological correlates of pain behavior in patients with chronic low back pain. Psychosomatics. 2002;43(1):42-48.   DOI   ScienceOn
9 Fairbank JC, Couper J, Davies JB, et al. The Oswestry low back pain disability questionnaire. Physiotherapy. 1980;66(8):271-273.
10 Feuerstein M, Beattie P. Biobehavioral factors affecting pain and disability in low back pain: Mechanisms and assessment. Phys Ther. 1995;75(4):267-280.   DOI
11 Feuerstein M, Papciak AS, Hoon PE. Biobehavioral mechanisms of chronic back pain. Clin Psycho Rev. 1987;7:243-273.   DOI   ScienceOn
12 Finch E, Gowland C, Mayo NE, Physical Rehabilitation Outcome Measures. Philadelphia, Lippincott Williams & Wilkins, 1995.
13 Fritz JM, George SZ. Identifying psychosocial variables in patients with acute work-related low back pain: The importance of fear-avoidance beliefs. Phys Ther. 2002;82(10):973-983.
14 Friz JM, George SZ, Delitto A. The role of fear-avoidance beliefs in acute low back pain: Relationships with current and future disability and work status. Pain. 2001;94(1);7-15.   DOI   ScienceOn
15 Fritz JM, Piva SR. Physical impairment index: Reliability, validity, and responsiveness in patients with acute low back pain. Spine (Phila Pa 1976). 2003;28(11):1189-1194.
16 Hermann KM, Reese CS. Relationships among selected measures of impairment, functional limitation, and disability in patients with cervical spine disorders. Phys Ther. 2001;81(3):903-914.
17 Grotle M, Vollestad NK, Veierod MB, et al. Fear-avoidance beliefs and distress in relation to disability in acute and chronic low back pain. Pain. 2004;112(3);343-352.   DOI   ScienceOn
18 Haldeman S. North American Spine Society: Failure of the pathology model to predict back pain. Spine (Phila Pa 1976). 1990;15(7):718-724.   DOI   ScienceOn
19 Hazard RG, Haugh LD, Green PA, et al. Chronic low back pain: The relationship between patient satisfaction and pain, impairment and disability outcomes. Spine (Phila Pa 1976). 1994;19(8):881-887.   DOI   ScienceOn
20 Holzberg AD, Robinson ME, Geisser ME, et al. The effects of depression and chronic pain on psychosocial and physical functioning. Clin J Pain. 1996;12(2):118-125.   DOI   ScienceOn
21 Jette AM. Using health-related quality of life measures in physical therapy outcomes research. Phys Ther. 1993;73(8):528-537.   DOI
22 Jette AM. Physical disablement concepts for physical therapy research and practice. Phys Ther. 1994:74(5):380-386.   DOI
23 Lyle MA, Manes S, McGlunness M, et al. Relationship of physical examination findings and self-reported symptom severity and physical function in patients with degenerative lumbar conditions. Phys Ther. 2005;85(2):120-133.
24 Magee DJ, Orthopedic Physical Assessment. 3rd ed. Philadelphia, PA, WB Saunders Co., 1997.
25 Michel A, Kohlmann T, Raspe H. The association between clinical findings on physical examination and self-reported severity in back pain. Results of a population-based study. Spine (Phila Pa 1076). 1997;22(3):296-303.   DOI   ScienceOn
26 Nattrass CL, Nitschke JE, Disler PB, et al. Lumbar spine range of mot ion as a measure of physical and functional impairment: An investigation of validity. Clin Rehabil. 1999;13(3):211-218.   DOI   ScienceOn
27 Pengel LH, Refshaugc KM, Maher CG. Responsiveness of pain, disability, and physical impairment outcomes in patients with Iow back pain. Spine (Phila Pa 1976). 2004;29(8):879-883.   DOI   ScienceOn
28 Rothstein JM, Echtemach JL. Hypothesis-oriented algorithm for clinicians. A method for evaluation and treatment planning. Phys Ther. 1986;66(9):1388-1394.
29 Poiraudeau S, Rannou F, Baron G, et al. Fear-avoidance beliefs about back pain in patients with subacute low back pain. Pain. 2006;124(3):305-311.   DOI   ScienceOn
30 Roach KE, Brown MD, Dunigan KM, et al. Test-retest reliability of patient reports of low back pain. J Orthop Sports Phys Ther. 1997:26(5):253-259.   DOI
31 Thomas JS, France CR. Pain-related fear is associated with avoidance of spinal motion during recovery from low back pain. Spine (Phila Pa 1976). 2007:32(16):E460-E466.   DOI
32 Turk DC, Okifuji A. Psychosocial factors in chronic pain: Evolution and revolution. J Consult Clin Psych. 2002;70(3):678-690.
33 Turk DC, Okifuji A, Scharff L. Chronic pain and depression: Role of perceived impact and perceived control in different age cohorts. Pain. 1995;61(1):93-101.   DOI   ScienceOn
34 Waddell G. Biopsychosocial analysis of low back pain. Baillieres Clin Rhematol. 1992;6(3):523-557.   DOI   ScienceOn
35 Waddell G, ain CJ, Morris EW, et al. Normality and reliability in the clinical assessment of backache. Br Med J (Clin Res Ed). 1982;284(6328):1519-1523.   DOI
36 Waddell G, Newton M, Henderson I, et al. A fear-avoidance beliefs questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability. Pain. 1993;52(2):157-168.   DOI   ScienceOn
37 Waddell G, Somerville D, Henderson I, et al. Objective clinical evaluation of physical impairment in chronic low back pain. Spine (Phila Pa 1976). 1992;17(6):617-628.   DOI   ScienceOn
38 Williamson A, Hoggart B. Pain: A review of three commonly used pain rating scales. J Clin Nurs. 2005;14(7):798-804.   DOI   ScienceOn