Predicting Recurrence of Low Back Pain - Study #2

预测腰痛复发 - 研究

• 批准号: 6914195
• 负责人: James S Thomas
• 金额: $ 37.88万
• 依托单位: OHIO UNIVERSITY ATHENS
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-07-01 至 2008-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6914195
• 关键词: back injury; backache; behavior prediction; behavioral /social science research tag; clinical research; disease /disorder proneness /risk; fear; human middle age (35-64); human subject; mathematical model; model design /development; pelvis; psychological adaptation; psychomotor function; questionnaires; rehabilitation; relapse /recurrence; spine; young adult human (21-34)

DESCRIPTION (provided by applicant): The primary aims of this proposal are to determine how physical and psychological factors interact in the recovery process following an initial episode of low back pain and to determine how these factors contribute to risk for recurrence. Specifically, we propose to assess the relationship between motor coordination strategies (changes in lumbar and pelvic movement patterns) and levels of kinesiophobia (fear of painful re-injury upon physical movement) following an initial episode of low back pain. Two studies are proposed. Study 1 will examine movement patterns during performance of standardized reaching tasks in low back pain patients with high versus low levels of kinesiophobia. Participants will be assessed at 3, 6, and 12 weeks after onset of symptoms to track changes in motor coordination. By examining the relative magnitude of lumbar and pelvic motions used by low back pain patients who are high and low kinesiophobia, this design will allow us to track changes in the dynamic relationship between motor coordination and kinesiophobia during the process of recovery from acute low back pain. We hypothesize that lumbar motion will be significantly reduced in low back pain patients who are high versus low in kinesiophobia. Study 2 will examine movement patterns during standardized reaching tasks in individuals who have recently recovered from low back pain. Using a longitudinal design, we will develop a survival model to assess the risk for recurrence in the year following an initial episode of low back pain based on measures of spinal motion and kinesiophobia. We hypothesize that the highest risk of recurrent back pain will be observed in those who are high in kinesiophobia and who exhibit reduced spinal motion. The current proposal brings together promising ideas from motor coordination and health psychology literatures to provide an innovative integration of the best predictors of recurrent low back pain. The short-term goal of this research is characterize how spinal motion parameters and kinesiophobia interact to promote or delay recovery from acute low back pain. Our long-term goal is to use this information to develop an assessment protocol that can be easily adopted into clinical practice.

描述（由申请人提供）：该提案的主要目的是确定在腰痛初始发作之后，恢复过程中的身体和心理因素如何相互作用，并确定这些因素如何导致复发风险。具体而言，我们建议评估运动配位策略（腰部和骨盆运动模式的变化）与运动恐惧症的水平（害怕在身体运动后疼痛受伤的恐惧）之间的关系。提出了两项​​研究。 研究1将检查在高腰痛患者中的标准化到达任务时的运动模式。参与者将在症状发作后的3、6和12周进行评估，以跟踪运动协调的变化。通过检查高腰痛患者使用的腰痛和低腰痛患者使用的相对大小，这种设计将使我们能够在急性下背部疼痛恢复过程中跟踪运动协调与动力学恐惧症之间动态关系的变化。我们假设在高腰痛患者中，腰痛患者将显着降低腰椎运动。 研究2将检查最近从腰痛中恢复过的个体中的标准化到达任务的运动模式。使用纵向设计，我们将开发一个生存模型，以根据脊柱运动和动力学恐惧症的量度在初次发作后的初始发作后一年评估复发风险。我们假设在运动恐惧症高并且表现出脊柱运动降低的患者中会观察到反复背痛的最高风险。 当前的建议将运动协调和健康心理学文献中有希望的思想汇集在一起​​，提供了反复腰痛的最佳预测指标的创新整合。这项研究的短期目标是表征脊柱运动参数和运动恐惧症如何相互作用，以促进或延迟从急性下背部疼痛中恢复。我们的长期目标是使用这些信息来制定可以轻松地通过临床实践来采用的评估方案。