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The Association of Kinesiophobia and Pain Catastrophizing with Pain-Related Disability and Pain Intensity in Obesity and Chronic Lower-Back Pain

机译:运动学恐惧症和疼痛灾害与疼痛相关的残疾和疼痛强度在肥胖症和慢性腰痛中的关联

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摘要

Individuals affected by chronic lower-back pain and obesity have an increased risk of long-lasting disability. In this study, we aimed to explore the contribution of kinesiophobia and pain catastrophizing in explaining pain intensity and pain-related disability in chronic lower-back pain associated to obesity. A cross-sectional study on 106 participants with obesity and chronic lower-back pain was performed. We assessed pain intensity, pain disability, pain catastrophizing, and kinesiophobia levels through self-reporting questionnaire. Hierarchical regressions were performed to assess the role of pain catastrophizing and kinesiophobia on pain intensity and pain disability. According to the results, kinesiophobia, but not pain catastrophing, significantly explained both pain intensity and pain-related disability. Kinesiophobia might play a significant role in enhancing pain-related disability and the pain intensity in individuals with chronic lower-back pain and obesity. We encourage future studies in which beliefs and cognition towards pain might be a therapeutic target in interdisciplinary pain management interventions.
机译:受慢性腰痛和肥胖影响的个体具有持久的残疾风险增加。在这项研究中,我们旨在探讨动力学恐惧症和疼痛灾难化在富含肥胖症相关的慢性腰痛中解释疼痛强度和疼痛相关的残疾。进行了对106名患有肥胖和慢性腰痛的参与者的横截面研究。通过自我报告问卷,我们评估了疼痛强度,疼痛残疾,疼痛灾害和运动恐惧症水平。进行分层回归,以评估疼痛灾害和运动恐惧症对疼痛强度和疼痛残疾的作用。根据结果​​,运动学恐惧症,但不痛苦的灾难性,显着解释了疼痛强度和疼痛相关的残疾。运动恐惧症可能在增强与慢性腰痛和肥胖症中患有痛苦相关的残疾和疼痛强度方面发挥重大作用。我们鼓励未来的研究,其中信仰和认知痛苦可能是跨学科疼痛管理干预的治疗目标。

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