Does Kinesiophobia Mediate the Relationship between Pain Intensity and Disability in Individuals with Chronic Low-Back Pain and Obesity?

被引：40

作者：

Varallo, Giorgia ^{[1
,2
]}

Scarpina, Federica ^{[3
,4
]}

Giusti, Emanuele Maria ^{[1
,2
]}

Cattivelli, Roberto ^{[1
,2
]}

Guerrini Usubini, Anna ^{[1
,2
]}

Capodaglio, Paolo ^{[5
,6
,7
]}

Castelnuovo, Gianluca ^{[1
,2
]}

机构：

[1] San Giuseppe Hosp, Ist Auxol Italiano IRCCS, Psychol Res Lab, I-28824 Verbania, Italy

[2] Catholic Univ Milan, Dept Psychol, I-20123 Milan, Italy

[3] Univ Turin, Rita Levi Montalcini Dept Neurosci, I-10124 Turin, Italy

[4] San Giuseppe Hosp, Ist Auxol Italiano IRCCS, Unit Neurol & Neurorehabil, I-28824 Verbania, Italy

[5] San Giuseppe Hosp, Ist Auxol Italiano IRCCS, Orthopaed Rehabil Unit, I-28824 Verbania, Italy

[6] San Giuseppe Hosp, Clin Lab Gait Anal & Posture, I-28824 Verbania, Italy

[7] Univ Turin, Dept Surg Sci Phys & Rehabil Med, I-10121 Turin, Italy

来源：

BRAIN SCIENCES | 2021年 / 11卷 / 06期

关键词：

chronic low-back pain; disability; kinesiophobia; fear of movement; fear-avoidance model; obesity; rehabilitation; clinical psychology; FEAR-AVOIDANCE MODEL; BODY-MASS INDEX; MUSCULOSKELETAL PAIN; MOVEMENT; EXERCISE; MECHANISMS; OVERWEIGHT; EFFICACY; WEIGHT; STATE;

D O I：

10.3390/brainsci11060684

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

Individuals suffering from chronic low-back pain and obesity face severe physical and functional limitations. According to the fear-avoidance model, kinesiophobia might play a crucial role in the relationship between pain intensity and disability. Thus, the purpose of this study was to verify the role of kinesiophobia as a mediator in the association between pain intensity and disability in individuals with both chronic low-back pain and obesity. A total of 213 individuals with chronic low-back pain and obesity were included in the study. The level of kinesiophobia, pain intensity and disability were all assessed using self-reported questionnaires. We verified through a simple mediation analysis that kinesiophobia partially mediated the association between pain intensity and disability in our sample. According to our findings, we emphasize the crucial role of kinesiophobia as a psychological factor that should be addressed in chronic low-back pain rehabilitative protocols to reduce disability in individuals with obesity.

引用

页数：9

共 58 条

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