51758
2018
2018
deu
359
373
15
5
56
review
Springer
Heidelberg
1
2018-09-03
2018-09-03
--
Psychosoziale Risikofaktoren für chronischen Rückenschmerz in der Allgemeingesellschaft und im Leistungssport
Psychosocial Risk Factors for chronic Back Pain in the General Population and in Competitive Sports
Hintergrund
Lumbale Ruckenschmerzen und ihre Neigung zur Chronifizierung stellen nicht nur in der Allgemeinbevolkerung, sondern auch im Leistungssport ein bedeutendes Gesundheitsproblem dar. Im Gegensatz zu Nichtathleten ist die Erforschung psychosozialer Risikofaktoren sowie von Screeningfragebogen, die moglichst fruhzeitig die Entwicklung chronischer Schmerzen erkennen und vorhersagen konnen, im Leistungssport noch in den Anfangen. Das vorliegende systematische Review gibt einen uberblick uber den Stand der Risikofaktorenforschung in beiden Feldern und untersucht die pradiktive Qualitat verschiedener Screeningfragebogen bei Nichtathleten.
Methodik
Die Literatursuche erfolgte zwischen Marz und Juni 2016 in den Datenbanken MEDLINE, PubMed und PsycINFO mit den Suchbegriffen psychosocial screening, low back pain, sciatica und prognosis, athletes. Eingeschlossen wurden prospektive Studien an Patienten mit lumbalen Ruckenschmerzen mit und ohne Ausstrahlung in das Bein, 18Jahre und mit einem Follow-up von mindestens 3-monatiger Dauer.
Ergebnisse
In das Review zu Screeninginstrumenten wurden 16Studien einbezogen. Alle waren an klinischen Stichproben der Allgemeingesellschaft durchgefuhrt worden. Zu den am haufigsten publizierten Screeningfragebogen gehoren der orebro Musculoskeletal Pain Screening Questionnaire (oMPSQ) mit einer zufriedenstellenden Fruherkennung der Wiederherstellung der Arbeitsfahigkeit sowie das STarT Back Screening Tool (SBT) mit guter Vorhersage schmerzbedingter Beeintrachtigung. Fur die Vorhersage kunftiger Schmerzen eignen sich die Risikoanalyse der Schmerzchronifizierung (RISC-R) und der Heidelberger Kurzfragebogen (HKF).
Schlussfolgerungen
Psychosoziale Risikofaktoren fur chronische Ruckenschmerzen, wie z.B. chronischer Stress, ungunstige Schmerzverarbeitung und depressive Stimmungslagen, werden zunehmend auch im Leistungssport erkannt. Screeninginstrumente, die sich in der Allgemeingesellschaft als hinreichend vorhersagestark erwiesen haben, werden aktuell im MiSpEx-Forschungsverbund auf ihre Eignung uberpruft.
Background
Lumbar back pain and the high risk of chronic complaints is not only an important health concern in the general population but also in high performance athletes. In contrast to non-athletes, there is a lack of research into psychosocial risk factors in athletes. Moreover, the development of psychosocial screening questionnaires that would be qualified to detect athletes with a high risk of chronicity is in the early stages. The purpose of this review is to give an overview of research into psychosocial risk factors in both populations and to evaluate the performance of screening instruments in non-athletes.
Methods
The databases MEDLINE, PubMed, and PsycINFO were searched from March to June 2016 using the keywords “psychosocial screening”, “low back pain”, “sciatica” and “prognosis”, “athletes”. We included prospective studies conducted in patients with low back pain with and without radiation to the legs, aged ≥18 years and a follow-up of at least 3 months.
Results
We identified 16 eligible studies, all of them conducted in samples of non-athletes. Among the most frequently published screening questionnaires, the Örebro Musculoskeletal Pain Screening Questionnaire (ÖMPSQ) demonstrated a sufficient early prediction of return to work and the STarT Back Screening Tool (SBT) revealed acceptable performance predicting pain-related impairment. The prediction of future pain was sufficient with the Risk Analysis of Back Pain Chronification (RISC-BP) and the Heidelberg Short Questionnaire (HKF).
Conclusion
Psychosocial risk factors of chronic back pain, such as chronic stress, depressive mood, and maladaptive pain processing are becoming increasingly more recognized in competitive sports. Screening instruments that have been shown to be predictive in the general population are currently being tested for suitability in the German MiSpEx research consortium.
Manuelle Medizin
Von der Modellbildung zum klinischen Screening – ein Review aus dem MiSpEx-Netzwerk
From theory to clinical screening—a review from the MiSpEx network A Review from the MiSpEx Network
10.1007/s00337-018-0450-1
0025-2514
1433-0466
wos:2018
WOS:000447011000004
Hasenbring, MI (reprint author), Ruhr Univ Bochum, Fak Med, Abt Med Psychol & Soziol, Univ Str 150, Bochum, Germany., Monika.Hasenbring@rub.de
2021-09-14T12:20:55+00:00
sword
importub
filename=package.tar
f3d8fe40ff3e4f408cd7146c73e36153
Hasenbring, M. I.
Monika Ilona Hasenbring
Claudia Levenig
D. Hallner
Anne-Katrin Puschmann
A. Weiffen
Jens Kleinert
J. Belz
Marcus Schiltenwolf
A. -C. Pfeifer
Jahan . Heidari
M. Kellmann
Pia-Maria Wippert
deu
uncontrolled
Chronischer Rückenschmerz
deu
uncontrolled
Psychosoziale Risikofaktoren
deu
uncontrolled
Screening
deu
uncontrolled
Prognose
eng
uncontrolled
Chronic back pain
eng
uncontrolled
Psychosocial risk factors
eng
uncontrolled
Screening
eng
uncontrolled
Prognosis
Medizin und Gesundheit
Referiert
Department Sport- und Gesundheitswissenschaften
Import
52332
2018
2018
eng
259
273
15
4
32
review
Springer
Heidelberg
1
--
2018-06-26
--
Psychosocial risk factors for chronic back pain in the general population and in competitive sports
Lumbar back pain and the high risk of chronic complaints is not only an important health concern in the general population but also in high performance athletes. In contrast to non-athletes, there is a lack of research into psychosocial risk factors in athletes. Moreover, the development of psychosocial screening questionnaires that would be qualified to detect athletes with a high risk of chronicity is in the early stages. The purpose of this review is to give an overview of research into psychosocial risk factors in both populations and to evaluate the performance of screening instruments in non-athletes. The databases MEDLINE, PubMed, and PsycINFO were searched from March to June 2016 using the keywords "psychosocial screening", "low back pain", "sciatica" and "prognosis", "athletes". We included prospective studies conducted in patients with low back pain with and without radiation to the legs, aged ae<yen>18 years and a follow-up of at least 3 months. We identified 16 eligible studies, all of them conducted in samples of non-athletes. Among the most frequently published screening questionnaires, the A-rebro Musculoskeletal Pain Screening Questionnaire (A-MPSQ) demonstrated a sufficient early prediction of return to work and the STarT Back Screening Tool (SBT) revealed acceptable performance predicting pain-related impairment. The prediction of future pain was sufficient with the Risk Analysis of Back Pain Chronification (RISC-BP) and the Heidelberg Short Questionnaire (HKF). Psychosocial risk factors of chronic back pain, such as chronic stress, depressive mood, and maladaptive pain processing are becoming increasingly more recognized in competitive sports. Screening instruments that have been shown to be predictive in the general population are currently being tested for suitability in the German MiSpEx research consortium.
Der Schmerz : Organ der Deutschen Gesellschaft zum Studium des Schmerzes, der Österreichischen Schmerzgesellschaft und der Deutschen Interdisziplinären Vereinigung für Schmerztherapie
from theory to clinical screening- a review fromthe MiSpEx network
Von der Modellbildung zum klinischen Screening – ein Review aus dem MiSpEx-Netzwerk
Psychosoziale Risikofaktoren für chronischen Rückenschmerz in der Allgemeingesellschaft und im Leistungssport
10.1007/s00482-018-0307-5
29946960
0932-433X
1432-2129
wos:2018
WOS:000440408100006
Hasenbring, MI (reprint author), Ruhr Univ Bochum, Fak Med, Abt Med Psychol & Soziol, Univ Str 150, Bochum, Germany., Monika.Hasenbring@rub.de
2021-10-20T13:05:07+00:00
sword
importub
filename=package.tar
a73b93feeb059af615a50b13d44175c1
Hasenbring, Monika Ilona
false
true
Monika Ilona Hasenbring
Claudia Levenig
D. Hallner
Anne-Katrin Puschmann
A. Weiffen
Jens Kleinert
J. Belz
Marcus Schiltenwolf
A. -C. Pfeifer
Jahan Heidari
M. Kellmann
Pia-Maria Wippert
deu
uncontrolled
Chronic back pain
deu
uncontrolled
Psychosocial risk factors
deu
uncontrolled
Screening
deu
uncontrolled
Prognosis
Medizin und Gesundheit
Department Sport- und Gesundheitswissenschaften
Import
51112
2018
2018
deu
479
481
3
6
32
other
Springer Medizin Verlag GmbH
Heidelberg
1
2018-11-07
2018-11-07
--
Screeninginstrumente
Der Schmerz : Organ der Deutschen Gesellschaft zum Studium des Schmerzes, der Österreichischen Schmerzgesellschaft und der Deutschen Interdisziplinären Vereinigung für Schmerztherapie
mehr Licht als Schatten
10.1007/s00482-018-0340-4
30406294
0932-433X
1432-2129
wos:2018
WOS:000451030900013
Hasenbring, MI (reprint author), Ruhr Univ Bochum, Fak Med, Abt Med Psychol & Soziol, Univ Str 150, Bochum, Germany., Monika.Hasenbring@rub.de
2021-06-24T08:38:46+00:00
sword
importub
filename=package.tar
3c5e6195ef6315a396ef317eaf6d1d5d
Hasenbring, Monika
false
true
Monika Ilona Hasenbring
Claudia Levenig
D. Hallner
Anne-Katrin Puschmann
A. Weiffen
Jens Kleinert
Johanna Belz
Marcus Schiltenwolf
Ann-Christin Pfeifer
Jahan Heidari
Michael Kellmann
Pia-Maria Wippert
Psychologie
Medizin und Gesundheit
Referiert
Department Sport- und Gesundheitswissenschaften
Import
40730
2016
2018
eng
9
444
postprint
1
2018-06-19
2018-06-19
--
Medicine in spine exercise (MiSpEx) for nonspecific low back pain patients
Background:
Arising from the relevance of sensorimotor training in the therapy of nonspecific low back pain patients and from the value of individualized therapy, the present trial aims to test the feasibility and efficacy of individualized sensorimotor training interventions in patients suffering from nonspecific low back pain.
Methods and study design:
A multicentre, single-blind two-armed randomized controlled trial to evaluate the
effects of a 12-week (3 weeks supervised centre-based and 9 weeks home-based) individualized sensorimotor exercise program is performed. The control group stays inactive during this period. Outcomes are pain, and pain-associated function as well as motor function in adults with nonspecific low back pain. Each participant is scheduled to five measurement dates: baseline (M1), following centre-based training (M2), following home-based training (M3) and at two follow-up time points 6 months (M4) and 12 months (M5) after M1. All investigations and the assessment of the primary and secondary outcomes are performed in a standardized order: questionnaires – clinical examination – biomechanics (motor function). Subsequent statistical procedures are executed after the examination of underlying assumptions for parametric or rather non-parametric testing.
Discussion:
The results and practical relevance of the study will be of clinical and practical relevance not only for researchers and policy makers but also for the general population suffering from nonspecific low back pain.
Trial registration:
Identification number DRKS00010129. German Clinical Trial registered on 3 March 2016.
Postprints der Universität Potsdam : Humanwissenschaftliche Reihe
study protocol for a multicentre, single-blind randomized controlled trial
urn:nbn:de:kobv:517-opus4-407308
online registration
Trials 17 (2016), DOI: 10.1186/s13063-016-1645-1
CC-BY - Namensnennung 4.0 International
Daniel Niederer
Lutz Vogt
Pia-Maria Wippert
Anne-Katrin Puschmann
Ann-Christin Pfeifer
Marcus Schiltenwolf
Winfried Banzer
Frank Mayer
Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe
444
eng
uncontrolled
sensorimotor training
eng
uncontrolled
motor control
eng
uncontrolled
exercise
eng
uncontrolled
low back painExercise
eng
uncontrolled
functional capacity
eng
uncontrolled
individualized intervention
Medizin und Gesundheit
open_access
Referiert
Open Access
Department Sport- und Gesundheitswissenschaften
BioMed Central
Institut für Sportmedizin und Prävention
Universität Potsdam
https://publishup.uni-potsdam.de/files/40730/phr_444.online.pdf
44835
2016
2016
eng
9
17
article
BioMed Central
London
1
--
--
--
Medicine in spine exercise (MiSpEx) for nonspecific low back pain patients: study protocol for a multicentre, single-blind randomized controlled trial
Background: Arising from the relevance of sensorimotor training in the therapy of nonspecific low back pain patients and from the value of individualized therapy, the present trial aims to test the feasibility and efficacy of individualized sensorimotor training interventions in patients suffering from nonspecific low back pain. Methods and study design: A multicentre, single-blind two-armed randomized controlled trial to evaluate the effects of a 12-week (3 weeks supervised centre-based and 9 weeks home-based) individualized sensorimotor exercise program is performed. The control group stays inactive during this period. Outcomes are pain, and pain-associated function as well as motor function in adults with nonspecific low back pain. Each participant is scheduled to five measurement dates: baseline (M1), following centre-based training (M2), following home-based training (M3) and at two follow-up time points 6 months (M4) and 12 months (M5) after M1. All investigations and the assessment of the primary and secondary outcomes are performed in a standardized order: questionnaires - clinical examination biomechanics (motor function). Subsequent statistical procedures are executed after the examination of underlying assumptions for parametric or rather non-parametric testing. Discussion: The results and practical relevance of the study will be of clinical and practical relevance not only for researchers and policy makers but also for the general population suffering from nonspecific low back pain.
Trials
10.1186/s13063-016-1645-1
27765058
1745-6215
wos2016:2019
507
WOS:000385891600001
Niederer, D (reprint author), Goethe Univ Frankfurt, Dept Sports Med, Ginnheimer Landstr 39, D-40487 Frankfurt, Germany., niederer@sport.uni-frankfurt.de
German Federal Institute of Sport Science of the Federal Ministry of the Interior of Germany; MiSpEx - the National Research Network for Medicine in Spine Exercise [080102A/11-14]
importub
2020-03-22T13:30:01+00:00
filename=package.tar
815354dcacda9fd7242358e48c856520
Daniel Niederer
Lutz Vogt
Pia-Maria Wippert
Anne-Katrin Puschmann
Ann-Christin Pfeifer
Marcus Schiltenwolf
Winfried Banzer
Frank Mayer
eng
uncontrolled
Sensorimotor training
eng
uncontrolled
Motor control
eng
uncontrolled
Low back pain
eng
uncontrolled
Exercise
eng
uncontrolled
Functional capacity
eng
uncontrolled
Individualized intervention
Referiert
Exzellenzbereich Kognitionswissenschaften
Import
46012
2020
2019
eng
613
621
9
13
article
Dove Medical Press
Albany, Auckland
1
2020-03-24
2019-07-19
--
Stress and Self-Efficacy as Long-Term Predictors for Chronic Low Back Pain
Purpose: Psychosocial variables are known risk factors for the development and chronification of low back pain (LBP). Psychosocial stress is one of these risk factors. Therefore, this study aims to identify the most important types of stress predicting LBP. Self-efficacy was included as a potential protective factor related to both, stress and pain.
Participants and Methods: This prospective observational study assessed n = 1071 subjects with low back pain over 2 years. Psychosocial stress was evaluated in a broad manner using instruments assessing perceived stress, stress experiences in work and social contexts, vital exhaustion and life-event stress. Further, self-efficacy and pain (characteristic pain intensity and disability) were assessed. Using least absolute shrinkage selection operator regression, important predictors of characteristic pain intensity and pain-related disability at 1-year and 2-years follow-up were analyzed.
Results: The final sample for the statistic procedure consisted of 588 subjects (age: 39.2 (± 13.4) years; baseline pain intensity: 27.8 (± 18.4); disability: 14.3 (± 17.9)). In the 1-year follow-up, the stress types “tendency to worry”, “social isolation”, “work discontent” as well as vital exhaustion and negative life events were identified as risk factors for both pain intensity and pain-related disability. Within the 2-years follow-up, Lasso models identified the stress types “tendency to worry”, “social isolation”, “social conflicts”, and “perceived long-term stress” as potential risk factors for both pain intensity and disability. Furthermore, “self-efficacy” (“internality”, “self-concept”) and “social externality” play a role in reducing pain-related disability.
Conclusion: Stress experiences in social and work-related contexts were identified as important risk factors for LBP 1 or 2 years in the future, even in subjects with low initial pain levels. Self-efficacy turned out to be a protective factor for pain development, especially in the long-term follow-up. Results suggest a differentiation of stress types in addressing psychosocial factors in research, prevention and therapy approaches.
Journal of Pain Research
A Prospective Longitudinal Study
10.2147/JPR.S223893
1178-7090
Universität Potsdam
PA 2020_013
1999.20
<a href="https://doi.org/10.25932/publishup-46013">Zweitveröffentlichung in der Schriftenreihe Postprints der Universität Potsdam : Humanwissenschaftliche Reihe ; 617</a>
false
false
Anne-Katrin Puschmann
David Drießlein
Heidrun Beck
Adamantios Arampatzis
Maria Moreno Catalá
Marcus Schiltenwolf
Frank Mayer
Pia-Maria Wippert
eng
uncontrolled
low back pain
eng
uncontrolled
psychosocial risk factors
eng
uncontrolled
stress
eng
uncontrolled
self-efficacy
eng
uncontrolled
MiSpEx
Medizin und Gesundheit
Humanwissenschaftliche Fakultät
Referiert
Publikationsfonds der Universität Potsdam
Open Access
46013
2020
2020
eng
613
621
11
postprint
1
2020-04-14
2020-04-14
--
Stress and Self-Efficacy as Long-Term Predictors for Chronic Low Back Pain
Purpose: Psychosocial variables are known risk factors for the development and chronification of low back pain (LBP). Psychosocial stress is one of these risk factors. Therefore, this study aims to identify the most important types of stress predicting LBP. Self-efficacy was included as a potential protective factor related to both, stress and pain.
Participants and Methods: This prospective observational study assessed n = 1071 subjects with low back pain over 2 years. Psychosocial stress was evaluated in a broad manner using instruments assessing perceived stress, stress experiences in work and social contexts, vital exhaustion and life-event stress. Further, self-efficacy and pain (characteristic pain intensity and disability) were assessed. Using least absolute shrinkage selection operator regression, important predictors of characteristic pain intensity and pain-related disability at 1-year and 2-years follow-up were analyzed.
Results: The final sample for the statistic procedure consisted of 588 subjects (age: 39.2 (± 13.4) years; baseline pain intensity: 27.8 (± 18.4); disability: 14.3 (± 17.9)). In the 1-year follow-up, the stress types “tendency to worry”, “social isolation”, “work discontent” as well as vital exhaustion and negative life events were identified as risk factors for both pain intensity and pain-related disability. Within the 2-years follow-up, Lasso models identified the stress types “tendency to worry”, “social isolation”, “social conflicts”, and “perceived long-term stress” as potential risk factors for both pain intensity and disability. Furthermore, “self-efficacy” (“internality”, “self-concept”) and “social externality” play a role in reducing pain-related disability.
Conclusion: Stress experiences in social and work-related contexts were identified as important risk factors for LBP 1 or 2 years in the future, even in subjects with low initial pain levels. Self-efficacy turned out to be a protective factor for pain development, especially in the long-term follow-up. Results suggest a differentiation of stress types in addressing psychosocial factors in research, prevention and therapy approaches.
Postprints der Universität Potsdam : Humanwissenschaftliche Reihe
A Prospective Longitudinal Study
10.25932/publishup-46013
urn:nbn:de:kobv:517-opus4-460134
1866-8364
Journal of Pain Research 13 (2020) 613–621 DOI:10.2147/JPR.S223893
<a href="http://publishup.uni-potsdam.de/46012">Bibliographieeintrag der Originalveröffentlichung/Quelle</a>
Anne-Katrin Puschmann
David Drießlein
Heidrun Beck
Adamantios Arampatzis
Maria Moreno Catalá
Marcus Schiltenwolf
Frank Mayer
Pia-Maria Wippert
Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe
617
eng
uncontrolled
low back pain
eng
uncontrolled
psychosocial risk factors
eng
uncontrolled
stress
eng
uncontrolled
self-efficacy
eng
uncontrolled
MiSpEx
Medizin und Gesundheit
open_access
Humanwissenschaftliche Fakultät
Referiert
Open Access
Universität Potsdam
https://publishup.uni-potsdam.de/files/46013/phr617.pdf
38496
2015
2015
eng
76
77
2
61
conferenceobject
Elsevier
Oxford
1
--
--
--
The influence of physical activity and gender on vital exhaustion in healthy subjects
Psychoneuroendocrinology
10.1016/j.psyneuen.2015.07.602
26383486
0306-4530
wos:2015
45th Annual Meeting of the International-Society-of-Psychoneuroendocrinology (ISPNE) on Stress and the Brain - From Fertility to Senility
SEP 08-11, 2015
WOS:000360250400218
Edinburgh, SCOTLAND
Anne-Katrin Puschmann
Kathrin Klipker
Anja Weiffen
Pia-Maria Wippert
Referiert
Department Sport- und Gesundheitswissenschaften
Institut für Sportwissenschaft
54409
2021
2021
eng
1
8
8
3
article
Frontiers Media
Lausanne, Schweiz
1
2021-07-20
2021-07-20
--
Sustainability of a motor control exercise intervention
Development of chronic pain after a low back pain episode is associated with increased pain sensitivity, altered pain processing mechanisms and the influence of psychosocial factors. Although there is some evidence that multimodal therapy (such as behavioral or motor control therapy) may be an important therapeutic strategy, its long-term effect on pain reduction and psychosocial load is still unclear. Prospective longitudinal designs providing information about the extent of such possible long-term effects are missing. This study aims to investigate the long-term effects of a homebased uni- and multidisciplinary motor control exercise program on low back pain intensity, disability and psychosocial variables. 14 months after completion of a multicenter study comparing uni- and multidisciplinary exercise interventions, a sample of one study center (n = 154) was assessed once more. Participants filled in questionnaires regarding their low back pain symptoms (characteristic pain intensity and related disability), stress and vital exhaustion (short version of the Maastricht Vital Exhaustion Questionnaire), anxiety and depression experiences (the Hospital and Anxiety Depression Scale), and pain-related cognitions (the Fear Avoidance Beliefs Questionnaire). Repeated measures mixed ANCOVAs were calculated to determine the long-term effects of the interventions on characteristic pain intensity and disability as well as on the psychosocial variables. Fifty four percent of the sub-sample responded to the questionnaires (n = 84). Longitudinal analyses revealed a significant long-term effect of the exercise intervention on pain disability. The multidisciplinary group missed statistical significance yet showed a medium sized long-term effect. The groups did not differ in their changes of the psychosocial variables of interest. There was evidence of long-term effects of the interventions on pain-related disability, but there was no effect on the other variables of interest. This may be partially explained by participant's low comorbidities at baseline. Results are important regarding costless homebased alternatives for back pain patients and prevention tasks. Furthermore, this study closes the gap of missing long-term effect analysis in this field.
Frontiers in sports and active living
Analysis of long-term effects in a low back pain study
10.3389/fspor.2021.659982
2624-9367
34355168
659982
Wippert, Pia-Maria
<a href="https://doi.org/10.25932/publishup-54408">Zweitveröffentlichung in der Schriftenreihe Postprints der Universität Potsdam : Humanwissenschaftliche Reihe ; 752</a>
WOS:000680563100001
Federal Institute for Sports Science and realized within the German MiSpEx research network-Medicine in Spine Exercise
ZMVI1-080102A/11-18
Deutsche Forschungsgemeinschaft German Research Foundation (DFG)
Open Access Publishing Fund of the University of Potsdam
Wippert, PM (corresponding author), Univ Potsdam, Dept Phys Act & Hlth, Sociol Med & Psychobiol, Potsdam, Germany.; Wippert, PM (corresponding author), Brandenburg Univ Potsdam, Fac Hlth Sci, Brandenburg Med Sch Theodor Fontane, Senftenberg, Germany.; Wippert, PM (corresponding author), Brandenburg Univ Technol Cottbus Senftenberg, Senftenberg, Germany.
2969725-6
CC-BY - Namensnennung 4.0 International
Anne-Katrin Puschmann
Chiao-I Lin
Pia-Maria Wippert
eng
uncontrolled
MiSpEx
eng
uncontrolled
low back pain
eng
uncontrolled
long-term effects
eng
uncontrolled
multidisciplinary intervention
eng
uncontrolled
sustainability
Sportarten, Sportspiele
Extern
Referiert
Publikationsfonds der Universität Potsdam
Department Sport- und Gesundheitswissenschaften
Gold Open-Access
Fakultät für Gesundheitswissenschaften
54408
2021
2022
eng
1
8
8
postprint
Universitätsverlag Potsdam
Potsdam
1
2022-03-21
2022-03-21
--
Sustainability of a motor control exercise intervention
Development of chronic pain after a low back pain episode is associated with increased pain sensitivity, altered pain processing mechanisms and the influence of psychosocial factors. Although there is some evidence that multimodal therapy (such as behavioral or motor control therapy) may be an important therapeutic strategy, its long-term effect on pain reduction and psychosocial load is still unclear. Prospective longitudinal designs providing information about the extent of such possible long-term effects are missing. This study aims to investigate the long-term effects of a homebased uni- and multidisciplinary motor control exercise program on low back pain intensity, disability and psychosocial variables. 14 months after completion of a multicenter study comparing uni- and multidisciplinary exercise interventions, a sample of one study center (n = 154) was assessed once more. Participants filled in questionnaires regarding their low back pain symptoms (characteristic pain intensity and related disability), stress and vital exhaustion (short version of the Maastricht Vital Exhaustion Questionnaire), anxiety and depression experiences (the Hospital and Anxiety Depression Scale), and pain-related cognitions (the Fear Avoidance Beliefs Questionnaire). Repeated measures mixed ANCOVAs were calculated to determine the long-term effects of the interventions on characteristic pain intensity and disability as well as on the psychosocial variables. Fifty four percent of the sub-sample responded to the questionnaires (n = 84). Longitudinal analyses revealed a significant long-term effect of the exercise intervention on pain disability. The multidisciplinary group missed statistical significance yet showed a medium sized long-term effect. The groups did not differ in their changes of the psychosocial variables of interest. There was evidence of long-term effects of the interventions on pain-related disability, but there was no effect on the other variables of interest. This may be partially explained by participant's low comorbidities at baseline. Results are important regarding costless homebased alternatives for back pain patients and prevention tasks. Furthermore, this study closes the gap of missing long-term effect analysis in this field.
Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe
Analysis of long-term effects in a low back pain study
10.25932/publishup-54408
urn:nbn:de:kobv:517-opus4-544083
1866-8364
659982
Wippert, Pia-Maria
Version of record
<a href="http://publishup.uni-potsdam.de/opus4-ubp/frontdoor/index/index/docId/54409">Bibliographieeintrag der Originalveröffentlichung/Quelle</a>
CC-BY - Namensnennung 4.0 International
Anne-Katrin Puschmann
I-Chiao Lin
Pia-Maria Wippert
Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe
752
eng
uncontrolled
MiSpEx
eng
uncontrolled
low back pain
eng
uncontrolled
long-term effects
eng
uncontrolled
multidisciplinary intervention
eng
uncontrolled
sustainability
Sportarten, Sportspiele
open_access
Extern
Referiert
Department Sport- und Gesundheitswissenschaften
Green Open-Access
Universität Potsdam
https://publishup.uni-potsdam.de/files/54408/phr752.pdf