Psychological and physical factors related to disability in chronic low back pain

Roy La Touche, Marcos Pérez-Fernández, Ignacio Barrera-Marchessi, Ibai López-de-Uralde-Villanueva, Jorge Hugo Villafañe, María Prieto-Aldana, Luis Suso-Martí, Alba Paris-Alemany

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Chronic low back pain (CLBP) is a public health problem that causes high levels of disability. Psychological and physical factors could play a critical role in the disability perception of patients.

OBJECTIVE: The objective was to identify the psychological and physical factors associated with CLBP disability in patients and assess differences between asymptomatic subjects and CLBP patients through physical tests and psychological self-reports.

METHODS: A cross-sectional study was performed. Total sample of 80 participants were classified into two groups: patients with CLBP (n= 49) and asymptomatic subjects (i.e. the control group) (n= 31). The physical tests included lower back range of motion (LBROM), postural stability, lower back strength (LBS), and lumbopelvic motor control tests. The psychological self-reports included low back disability (Roland Morris Disability Questionnaire), self-efficacy, pain catastrophizing, and pain-related fear.

RESULTS: Self-efficacy and LBS displayed moderate negative correlations with disability in patients with CLBP (R=-0.47 and -0.40, respectively). Disability was predicted by self-efficacy and LBROM (β=-0.45 and -033 respectively, p< 0.01), explaining 30% of the variance in these patients. The comparative analysis showed statistically significant differences between groups in the physical/psychological variables (p< 0.01); however, the effect-sizes were small for all these variables.

CONCLUSIONS: The results of this study highlight the relevance of psychological and physical factors in CLBP patient disability. Evaluation and treatment in CLBP patients should take these factors into account.

Original languageEnglish
JournalJournal of Back and Musculoskeletal Rehabilitation
DOIs
Publication statusE-pub ahead of print - Dec 11 2018

Fingerprint

Low Back Pain
Psychology
Self Efficacy
Articular Range of Motion
Self Report
Catastrophization
Psychological Tests
Fear
Public Health
Cross-Sectional Studies
Pain
Control Groups

Cite this

La Touche, R., Pérez-Fernández, M., Barrera-Marchessi, I., López-de-Uralde-Villanueva, I., Villafañe, J. H., Prieto-Aldana, M., ... Paris-Alemany, A. (2018). Psychological and physical factors related to disability in chronic low back pain. Journal of Back and Musculoskeletal Rehabilitation. https://doi.org/10.3233/BMR-181269

Psychological and physical factors related to disability in chronic low back pain. / La Touche, Roy; Pérez-Fernández, Marcos; Barrera-Marchessi, Ignacio; López-de-Uralde-Villanueva, Ibai; Villafañe, Jorge Hugo; Prieto-Aldana, María; Suso-Martí, Luis; Paris-Alemany, Alba.

In: Journal of Back and Musculoskeletal Rehabilitation, 11.12.2018.

Research output: Contribution to journalArticle

La Touche, R, Pérez-Fernández, M, Barrera-Marchessi, I, López-de-Uralde-Villanueva, I, Villafañe, JH, Prieto-Aldana, M, Suso-Martí, L & Paris-Alemany, A 2018, 'Psychological and physical factors related to disability in chronic low back pain', Journal of Back and Musculoskeletal Rehabilitation. https://doi.org/10.3233/BMR-181269
La Touche R, Pérez-Fernández M, Barrera-Marchessi I, López-de-Uralde-Villanueva I, Villafañe JH, Prieto-Aldana M et al. Psychological and physical factors related to disability in chronic low back pain. Journal of Back and Musculoskeletal Rehabilitation. 2018 Dec 11. https://doi.org/10.3233/BMR-181269
La Touche, Roy ; Pérez-Fernández, Marcos ; Barrera-Marchessi, Ignacio ; López-de-Uralde-Villanueva, Ibai ; Villafañe, Jorge Hugo ; Prieto-Aldana, María ; Suso-Martí, Luis ; Paris-Alemany, Alba. / Psychological and physical factors related to disability in chronic low back pain. In: Journal of Back and Musculoskeletal Rehabilitation. 2018.
@article{e16d02cbd42c4cfa9926580827a4d9c7,
title = "Psychological and physical factors related to disability in chronic low back pain",
abstract = "BACKGROUND: Chronic low back pain (CLBP) is a public health problem that causes high levels of disability. Psychological and physical factors could play a critical role in the disability perception of patients.OBJECTIVE: The objective was to identify the psychological and physical factors associated with CLBP disability in patients and assess differences between asymptomatic subjects and CLBP patients through physical tests and psychological self-reports.METHODS: A cross-sectional study was performed. Total sample of 80 participants were classified into two groups: patients with CLBP (n= 49) and asymptomatic subjects (i.e. the control group) (n= 31). The physical tests included lower back range of motion (LBROM), postural stability, lower back strength (LBS), and lumbopelvic motor control tests. The psychological self-reports included low back disability (Roland Morris Disability Questionnaire), self-efficacy, pain catastrophizing, and pain-related fear.RESULTS: Self-efficacy and LBS displayed moderate negative correlations with disability in patients with CLBP (R=-0.47 and -0.40, respectively). Disability was predicted by self-efficacy and LBROM (β=-0.45 and -033 respectively, p< 0.01), explaining 30{\%} of the variance in these patients. The comparative analysis showed statistically significant differences between groups in the physical/psychological variables (p< 0.01); however, the effect-sizes were small for all these variables.CONCLUSIONS: The results of this study highlight the relevance of psychological and physical factors in CLBP patient disability. Evaluation and treatment in CLBP patients should take these factors into account.",
author = "{La Touche}, Roy and Marcos P{\'e}rez-Fern{\'a}ndez and Ignacio Barrera-Marchessi and Ibai L{\'o}pez-de-Uralde-Villanueva and Villafa{\~n}e, {Jorge Hugo} and Mar{\'i}a Prieto-Aldana and Luis Suso-Mart{\'i} and Alba Paris-Alemany",
year = "2018",
month = "12",
day = "11",
doi = "10.3233/BMR-181269",
language = "English",
journal = "Journal of Back and Musculoskeletal Rehabilitation",
issn = "1053-8127",
publisher = "IOS Press",

}

TY - JOUR

T1 - Psychological and physical factors related to disability in chronic low back pain

AU - La Touche, Roy

AU - Pérez-Fernández, Marcos

AU - Barrera-Marchessi, Ignacio

AU - López-de-Uralde-Villanueva, Ibai

AU - Villafañe, Jorge Hugo

AU - Prieto-Aldana, María

AU - Suso-Martí, Luis

AU - Paris-Alemany, Alba

PY - 2018/12/11

Y1 - 2018/12/11

N2 - BACKGROUND: Chronic low back pain (CLBP) is a public health problem that causes high levels of disability. Psychological and physical factors could play a critical role in the disability perception of patients.OBJECTIVE: The objective was to identify the psychological and physical factors associated with CLBP disability in patients and assess differences between asymptomatic subjects and CLBP patients through physical tests and psychological self-reports.METHODS: A cross-sectional study was performed. Total sample of 80 participants were classified into two groups: patients with CLBP (n= 49) and asymptomatic subjects (i.e. the control group) (n= 31). The physical tests included lower back range of motion (LBROM), postural stability, lower back strength (LBS), and lumbopelvic motor control tests. The psychological self-reports included low back disability (Roland Morris Disability Questionnaire), self-efficacy, pain catastrophizing, and pain-related fear.RESULTS: Self-efficacy and LBS displayed moderate negative correlations with disability in patients with CLBP (R=-0.47 and -0.40, respectively). Disability was predicted by self-efficacy and LBROM (β=-0.45 and -033 respectively, p< 0.01), explaining 30% of the variance in these patients. The comparative analysis showed statistically significant differences between groups in the physical/psychological variables (p< 0.01); however, the effect-sizes were small for all these variables.CONCLUSIONS: The results of this study highlight the relevance of psychological and physical factors in CLBP patient disability. Evaluation and treatment in CLBP patients should take these factors into account.

AB - BACKGROUND: Chronic low back pain (CLBP) is a public health problem that causes high levels of disability. Psychological and physical factors could play a critical role in the disability perception of patients.OBJECTIVE: The objective was to identify the psychological and physical factors associated with CLBP disability in patients and assess differences between asymptomatic subjects and CLBP patients through physical tests and psychological self-reports.METHODS: A cross-sectional study was performed. Total sample of 80 participants were classified into two groups: patients with CLBP (n= 49) and asymptomatic subjects (i.e. the control group) (n= 31). The physical tests included lower back range of motion (LBROM), postural stability, lower back strength (LBS), and lumbopelvic motor control tests. The psychological self-reports included low back disability (Roland Morris Disability Questionnaire), self-efficacy, pain catastrophizing, and pain-related fear.RESULTS: Self-efficacy and LBS displayed moderate negative correlations with disability in patients with CLBP (R=-0.47 and -0.40, respectively). Disability was predicted by self-efficacy and LBROM (β=-0.45 and -033 respectively, p< 0.01), explaining 30% of the variance in these patients. The comparative analysis showed statistically significant differences between groups in the physical/psychological variables (p< 0.01); however, the effect-sizes were small for all these variables.CONCLUSIONS: The results of this study highlight the relevance of psychological and physical factors in CLBP patient disability. Evaluation and treatment in CLBP patients should take these factors into account.

U2 - 10.3233/BMR-181269

DO - 10.3233/BMR-181269

M3 - Article

C2 - 30584119

JO - Journal of Back and Musculoskeletal Rehabilitation

JF - Journal of Back and Musculoskeletal Rehabilitation

SN - 1053-8127

ER -