Differences in dynamic balance control based on pain catastrophizing level in individuals with nonspecific chronic low back pain.

IF 1.6 4区医学 Q2 REHABILITATION Physiotherapy Theory and Practice Pub Date : 2024-09-01 Epub Date: 2023-06-28 DOI:10.1080/09593985.2023.2228896

Razieh Mofateh, Fatemeh Bakhshi Feleh, Neda Orakifar, Amin Behdarvandan

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Abstract

Background: Pain catastrophization (PC) is related to motor control changes in individuals with nonspecific chronic low back pain (NSCLBP). However, differences in dynamic balance control based on the level of PC still remain unclear in these individuals.

Objective: The aim of this study was to compare the dynamic balance control between healthy controls and individuals with NSCLBP with high and low PC.

Methods: Forty individuals with NSCLBP and 20 healthy participants were enrolled in this cross-sectional study. Individuals with NSCLBP were classified into two groups of high and low PC. Dynamic balance control was assessed using the Modified Star Excursion Balance Test (MSEBT), Five-Time Sit-to-Stand Test (FTSST), and Timed Up and Go Test (TUGT).

Results: Statistical analyses showed that mean values of reach distances in the anterior, posteromedial, and posterolateral directions of the MSEBT were significantly lower in individuals with NSCLBP with high PC compared to low PC (p = .04, p = .01, and p = .04, respectively) and healthy controls (p < .001, p = .001, and p = .006, respectively). In addition, for both the FTSS and TUG tests, the mean time was significantly greater in individuals with NSCLBP with high PC compared to low PC (p < .001 and p = .004, respectively) and healthy controls (p < .001).

Conclusions: Our results showed poor dynamic balance control in individuals with NSCLBP with high PC. This suggests that PC could contribute to the impaired dynamic balance control in individuals with NSCLBP. Combining balance exercises and cognitive-behavioral treatments targeting PC may be useful for the improvement of dynamic balance control in individuals with NSCLBP with high PC.

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非特异性慢性腰背痛患者根据疼痛灾难化程度在动态平衡控制方面的差异。

背景：疼痛灾难化（PC）与非特异性慢性腰背痛（NSCLBP）患者的运动控制变化有关。然而，这些患者的动态平衡控制能力因疼痛灾难化程度而存在的差异仍不清楚：本研究的目的是比较健康对照组和 NSCLBP 患者的动态平衡控制能力（PC 高和 PC 低）：这项横断面研究招募了 40 名 NSCLBP 患者和 20 名健康参与者。NSCLBP患者被分为高PC和低PC两组。动态平衡控制采用改良星形激越平衡测试（MSEBT）、五次坐立测试（FTSST）和定时起立行走测试（TUGT）进行评估：统计分析显示，与低PC（P = .04、P = .01 和 P = .04）和健康对照组（P = .001 和 P = .006）相比，高PC的NSCLBP患者在MSEBT的前方、后内侧和后外侧方向的伸展距离平均值明显较低。此外，在 FTSS 和 TUG 测试中，高 PC 的 NSCLBP 患者与低 PC 的 NSCLBP 患者（分别为 p = .004 和 p = .006）和健康对照组（分别为 p = .001 和 p = .006）相比，平均用时明显更长：我们的研究结果表明，PC 高的 NSCLBP 患者的动态平衡控制能力较差。这表明，PC 可能是导致 NSCLBP 患者动态平衡控制能力受损的原因之一。将平衡练习与针对 PC 的认知行为治疗相结合，可能有助于改善高 PC NSCLBP 患者的动态平衡控制能力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physiotherapy Theory and Practice REHABILITATION-

CiteScore

3.40

自引率

10.00%

发文量

300

期刊介绍： The aim of Physiotherapy Theory and Practice is to provide an international, peer-reviewed forum for the publication, dissemination, and discussion of recent developments and current research in physiotherapy/physical therapy. The journal accepts original quantitative and qualitative research reports, theoretical papers, systematic literature reviews, clinical case reports, and technical clinical notes. Physiotherapy Theory and Practice; promotes post-basic education through reports, reviews, and updates on all aspects of physiotherapy and specialties relating to clinical physiotherapy.