Ageing and higher BMI explain movement control impairment distinctly better than chronic pain and its contributing factors: A cross-sectional study of 161 subjects with chronic low back pain and 42 pain-free controls.

Background: Assessment, diagnosis, and treatment of motor control impairments are among the most widely implemented management strategies for chronic low back pain (CLBP). Low back movement control tests described by Luomajoki et al. are reliable and valid for assessing the presence and severity of...

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Publicado en:Journal of Back & Musculoskeletal Rehabilitation Vol. 38; no. 3; pp. 605 - 616
Autores principales: Mikkonen, Jani, Reito, Aleksi, Luomajoki, Hannu, Airaksinen, Olavi, Takatalo, Jani, Pesonen, Janne, Leinonen, Ville
Formato: pictorial research tables/charts Journal Article
Publicado: Sage Publications Inc. May2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2025
      vid: 38
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.1177/10538127241308968
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        atl: Ageing and higher BMI explain movement control impairment distinctly better than chronic pain and its contributing factors: A cross-sectional study of 161 subjects with chronic low back pain and 42 pain-free controls.
      aug:
        au:
          Mikkonen, Jani
          Reito, Aleksi
          Luomajoki, Hannu
          Airaksinen, Olavi
          Takatalo, Jani
          Pesonen, Janne
          Leinonen, Ville
        affil: Private Practice, Helsinki, Finland
      sug:
        subj:
          Chronic Pain Complications
          Low Back Pain Complications
          Pain Measurement
          Body Mass Index
          Age Factors
          Sex Factors
          Severity of Illness
          Disease Duration
          Balance, Postural
          Movement Disorders Risk Factors
          Risk Assessment
          Kinesiophobia
          Aging
          Human
          Male
          Female
          Self Report
          Descriptive Statistics
          Cross Sectional Studies
          Severity of Disability
          Male
          Female
      ab: Background: Assessment, diagnosis, and treatment of motor control impairments are among the most widely implemented management strategies for chronic low back pain (CLBP). Low back movement control tests described by Luomajoki et al. are reliable and valid for assessing the presence and severity of motor control impairment. However, very little is known about the importance of demographic and well-established CLBP contributing factors in explaining the presence and severity of any type of motor control impairment. Objective: The study objectives were to evaluate the associations of the presence and the severity of movement control impairment with age, gender, BMI, CLBP and its intensity and duration, postural stability, self-reported central sensitization, kinesiophobia, and CLBP-related disability with logistic and ordinal regressions and Wald chi-squared tests. Methods: This cross-sectional study included 161 subjects with CLBP and 42 pain-free controls. The study was carried out in single private chiropractic clinic. Results: Higher age and BMI were distinctly greater associated with a higher presence and severity of movement control impairment compared to the pain-related factors, namely the CLBP or its intensity or duration, central sensitization, kinesiophobia, and CLBP-related disability. Conclusions: Results highlight the importance of considering demographic factors, such as age and BMI, when interpreting motor control impairment findings. Accordingly, the findings challenge the validity of testing motor control impairment in the management of CLBP.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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