ALTERED MOTOR COORDINATION IN RECURRENT LOW BACK PAIN

复发性腰痛导致运动协调改变

• 批准号: 6821835
• 负责人: James S Thomas
• 金额: $ 40.56万
• 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/6821835
• 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）：本提案的主要目的是确定生理和心理因素如何在腰痛初始发作后的恢复过程中相互作用，并确定这些因素如何导致复发风险。具体来说，我们建议评估腰痛首次发作后运动协调策略（腰部和骨盆运动模式的变化）与运动恐惧症（害怕身体运动时疼痛的再次受伤）水平之间的关系。提出了两项研究。 研究1将检查运动恐惧症水平高低的腰痛患者在执行标准化伸手任务时的运动模式。参与者将在症状发作后3、6和12周进行评估，以跟踪运动协调的变化。通过检查腰椎和骨盆运动的相对幅度的腰痛患者谁是高和低运动恐惧症，这种设计将使我们能够跟踪运动协调和运动恐惧症之间的动态关系的变化，从急性腰痛的恢复过程中。我们假设，腰椎活动将显着减少腰痛患者谁是高与低运动恐惧症。 研究2将检查最近从腰痛中恢复的个体在标准化达到任务期间的运动模式。采用纵向设计，我们将开发一个生存模型，以评估复发的风险，在一年后的第一次发作的腰痛的基础上，脊柱运动和运动恐惧症的措施。我们假设，在那些运动恐惧症和脊柱运动减少的人中，复发性背痛的风险最高。 目前的建议汇集了运动协调和健康心理学文献的有前途的想法，提供了一个创新的整合复发性腰痛的最佳预测因子。本研究的短期目标是描述脊柱运动参数和运动恐惧症如何相互作用以促进或延迟急性腰痛的恢复。我们的长期目标是利用这些信息来制定一个评估方案，可以很容易地应用于临床实践。