Physical activity and psychosocial characteristics of asymptomatic subjects and low back pain patients in real life

现实生活中无症状受试者和腰痛患者的体力活动和心理社会特征

• 批准号: 464457710
• 负责人: Professorin Dr. Lena Fleig, since 4/2023
• 金额: --
• 依托单位: Julius Wolff Institut für Biomechanik und Muskuloskeletale Regeneration (CVK)
• 依托单位国家: 德国
• 项目类别: Research Units
• 财政年份: 2021
• 资助国家: 德国
• 起止时间: 2020-12-31 至 2022-12-31
• 项目状态: 已结题
• 来源: https://gepris.dfg.de/gepris/projekt/464457710?language=en
• 关键词: Physical; activity; psychosocial; characteristics; asymptomatic

Low back pain (LBP) is the most prevalent disabling health complaint worldwide. The understanding of this disorder and its prevention and treatment success remain limited because a basic mechanistic understanding of the inter-relationship between spinal structure/motion and their association with pain and health behavior (i.e., physical activity, PA) is rare, and because previous LBP research has usually applied single occasion designs lacking relevance in determining risk factors in real life. To better understand chronic LBP, this project (in close collaboration with SP1 and SP4) will combine, for the first time, modifiable, psychosocial and behavioral data with parameters on morphology and motion measured repeatedly in the individuals’ natural environment. The present subproject will complement the overall aim of the research group by extending the diagnostic workup of LBP patients towards an analysis of health behavior and psychosocial functioning in longitudinal study designs, providing high temporal resolution of data at the intra-individiual level in real life (i.e., ambulatory asessments). We will measure daily activities using traditional tools combined with accelerometry and ecological momentary assessments (i.e., self-reports of pain and psychosocial variables) in everyday life via smartphone.We put forth the following hypotheses:(1) Real-life assessments of psychological functioning are associated with PA and spinal motion/morphology.(2) Compared to asymptomatic individuals, we expect LBP patients to show lower levels of PA and psychosocial functioning. (3) Individuals who undergo a non-surgical, exercise-based intervention (see SP4) will show positive changes in psychosocial functioning and PA compared to a standard rehabilitation program.

腰痛（LBP）是世界范围内最普遍的致残健康投诉。对这种疾病及其预防和治疗成功的理解仍然有限，因为对脊柱结构/运动及其与疼痛和健康行为（即体力活动，PA）之间相互关系的基本机制理解很少，而且以前的腰痛研究通常采用单一场合设计，缺乏相关性，无法确定现实生活中的危险因素。为了更好地了解慢性腰痛，该项目（与SP1和SP4密切合作）将首次将可修改的社会心理和行为数据与个体在自然环境中反复测量的形态和运动参数结合起来。目前的子项目将补充研究小组的总体目标，将LBP患者的诊断工作扩展到纵向研究设计中的健康行为和社会心理功能分析，在现实生活中提供个人内部水平的高时间分辨率数据（即流动评估）。我们将通过智能手机使用传统工具结合加速度计和生态瞬间评估（即疼痛和心理社会变量的自我报告）来测量日常活动。我们提出以下假设：(1)现实生活中心理功能的评估与PA和脊柱运动/形态有关。(2)与无症状个体相比，我们预计LBP患者的PA和社会心理功能水平较低。(3)与标准康复计划相比，接受非手术、运动干预（见SP4）的个体在心理社会功能和PA方面表现出积极的变化。