Fear-avoidance beliefs are associated with a high fat content in the erector spinae: a 1.5 tesla magnetic resonance imaging study.
Adipose Tissue
/ metabolism
Adult
Avoidance Learning
Cross-Sectional Studies
Disability Evaluation
Fear
Female
Health Knowledge, Attitudes, Practice
Humans
Intervertebral Disc
Low Back Pain
/ metabolism
Lumbar Vertebrae
Magnetic Resonance Imaging
/ methods
Male
Middle Aged
Muscular Atrophy
/ metabolism
Paraspinal Muscles
/ metabolism
Surveys and Questionnaires
Adipose tissue
Avoidance behavior
Chronic low back pain
MRI
Journal
Chiropractic & manual therapies
ISSN: 2045-709X
Titre abrégé: Chiropr Man Therap
Pays: England
ID NLM: 101551481
Informations de publication
Date de publication:
2019
2019
Historique:
received:
09
06
2018
accepted:
16
01
2019
entrez:
29
3
2019
pubmed:
29
3
2019
medline:
30
7
2019
Statut:
epublish
Résumé
Intramuscular adipose tissue (IMAT) is a feature of degenerative muscle composition and is a common feature in populations with chronic low back pain (CLBP). Avoidance behavior is a possible cause of morphological muscle composition due to disuse of the paraspinal muscles. Therefore it is of clinical interest to determine the association between fear-avoidance beliefs and IMAT of the paraspinal muscles in populations with CLBP. In this cross-sectional study, we examined twenty-four adults, featuring a mean age of 48.63 years (SD ± 14.73), with CLBP. Axial T2-weighted Magnetic Resonance Imaging (MRI) images were selected on the same level as the intervertebral disc of segments L4-L5 and L5-S1. After determine the region of interest, the amount of IMAT was measured by an automatic-threshold method to distinguish fat from muscle tissue. Fear-avoidance beliefs were measured with the Fear-Avoidance Beliefs Questionnaire, with regard to Physical Activity (FABQ-PA). Bivariate correlation and multiple regression analysis were used to determine the association between IMAT of the paraspinal muscles and fear-avoidance beliefs. There is a significant bivariate association between the FABQ-PA and ES IMAT ( Fear-avoidance beliefs are moderately associated with ES IMAT and poorly associated with LMM IMAT in a population with CLBP. Results should be interpreted with caution due to a small and selected study population.
Sections du résumé
Background
Intramuscular adipose tissue (IMAT) is a feature of degenerative muscle composition and is a common feature in populations with chronic low back pain (CLBP). Avoidance behavior is a possible cause of morphological muscle composition due to disuse of the paraspinal muscles. Therefore it is of clinical interest to determine the association between fear-avoidance beliefs and IMAT of the paraspinal muscles in populations with CLBP.
Methods
In this cross-sectional study, we examined twenty-four adults, featuring a mean age of 48.63 years (SD ± 14.73), with CLBP. Axial T2-weighted Magnetic Resonance Imaging (MRI) images were selected on the same level as the intervertebral disc of segments L4-L5 and L5-S1. After determine the region of interest, the amount of IMAT was measured by an automatic-threshold method to distinguish fat from muscle tissue. Fear-avoidance beliefs were measured with the Fear-Avoidance Beliefs Questionnaire, with regard to Physical Activity (FABQ-PA). Bivariate correlation and multiple regression analysis were used to determine the association between IMAT of the paraspinal muscles and fear-avoidance beliefs.
Results
There is a significant bivariate association between the FABQ-PA and ES IMAT (
Conclusion
Fear-avoidance beliefs are moderately associated with ES IMAT and poorly associated with LMM IMAT in a population with CLBP. Results should be interpreted with caution due to a small and selected study population.
Identifiants
pubmed: 30918625
doi: 10.1186/s12998-019-0234-2
pii: 234
pmc: PMC6419476
doi:
Types de publication
Journal Article
Langues
eng
Pagination
14Déclaration de conflit d'intérêts
The participants did not perform any additional actions for this study and consented to the use of anonymized personal information through informed consent. The Institutional Review Board (department of health studies) of HU University of Applied Sciences Utrecht approved the study protocol, reference number: 35_010_2016.Written informed consent was obtained from the participants for publication of their individual details and accompanying images in this manuscript. The consent form is held by the authors and is available for review by the Editor-in-Chief.The authors declare that they have no competing interests.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
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