Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20210055
Brazilian Journal of Pain
Original Article

Influence of the type of locus of health control on the levels of disability and kinesiophobia in chronic low back pain

Influência do tipo de lócus de controle da saúde nos níveis de incapacidade e cinesiofobia na dor lombar crônica

Luciana Crepaldi Lunkes; Flavio Henrique Furtado Vieira; Carlos Eduardo Viana Santos; Ângela Sousa Garcia; Renato Carvalho Vilella

http://dx.doi.org/10.5935/2595-0118.20210055 BrJP, vol.4, n4, p.306-309, 2021
PDF English
PDF Português
SciELO
Downloads: 0
Views: 449

Abstract

BACKGROUND AND OBJECTIVES: The aim of this study was to identify the existence of a relationship between the type of locus of health control and the variables associated with the occurrence of non-specific chronic low back pain (NCLBP), in addition to assessing the relationship between the level of disability in the development of functional activities and the level of kinesiophobia with the type of locus found in patients.

METHODS: 40 individuals with a mean age of 54.1±7.1 years were evaluated. On a single occasion, the questionnaires Multidimensional Scale of Locus of Health Control (MSLHC), Tampa (kinesiophobia), and Roland-Morris (disability) were applied for the acquisition of qualitative variables, analyzed to identify possible relationships between these and the type of locus of health control.

RESULTS: The present results showed no correlation between the type of locus and the specific individual variables genders (p<0.722), health insurance (p<0.449), education (p<0.968), monthly income (p<0.655), smoking (p<0.877), physical activity (p<0.077), and marital status (p<0.346), demonstrating homogeneity of the sample. There was no relationship between the type of locus and the degree of kinesiophobia (p<0.745). A significant relationship has been demonstrated between the locus of internal control and the level of disability (p<0.031).

CONCLUSION: The type of locus of health control presented by most patients with NCLBP was the internal, related to higher levels of disability, and not associated with levels of kinesiophobia or individual variables.

Keywords

Low back pain, Movement, Physical therapy specialty

Resumo

JUSTIFICATIVA E OBJETIVOS: O objetivo deste estudo foi identificar a existência de relação entre o tipo de lócus de controle da saúde com as variáveis associadas à ocorrência de dor lombar crônica inespecífica (DLCI), além de avaliar a relação do nível de incapacidade no desenvolvimento de atividades funcionais e o nível de cinesiofobia com o tipo de lócus encontrado nos pacientes.

MÉTODOS: Foram avaliados 40 indivíduos com idade média de 54,1±7,1 anos. Em uma única ocasião foram aplicados os questionários Multidimensional Scale of Locus of Health Control (MHLC), Tampa (cinesiofobia), e Roland-Morris (incapacidade) para a aquisição de variáveis qualitativas, analisadas para identificação de possíveis relações entre essas e o tipo de lócus de controle da saúde.

RESULTADOS: Não houve correlação entre o tipo de lócus e as variáveis individuais específicas, tais como sexo (p<0,722), convênio de saúde (p<0,449), escolaridade (p<0,968), renda mensal (p<0,655), tabagismo (p<0,877), prática de atividade física (p<0,077) e estado civil (p<0,346), demonstrando homogeneidade da amostra. Não houve relação do tipo de lócus com o grau de cinesiofobia (p<0,745). Foi demonstrada relação significativa entre o lócus de controle interno e o nível de incapacidade (p<0,031).

CONCLUSÃO: O tipo de lócus de controle da saúde apresentado pela maioria dos pacientes com DLCI foi o interno, relacionado a maiores níveis de incapacidade, e não associado aos níveis de cinesiofobia ou variáveis individuais.

Palavras-chave

Dor lombar, Fisioterapia, Movimento

References

Buchbinder R, van Tulder M, Öberg B, Costa LM, Woolf A, Schoene M. Low back pain: a call for action. Lancet. 2018;391(10137):2384-8.

Maher C, Underwood M, Buchbinder R. Non-specific low back pain. Lancet. 2017;389(10070):736-47.

Hoy D, Bain C, Williams G, March L, Brooks P, Blyth F. A systematic review of the global prevalence of low back pain. Arthritis Rheum. 2012;64(6):2028-37.

Boersma K, Linton SJ. Psychological processes underlying the development of a chronic pain problem: a prospective study of the relationship between profiles of psychological variables in the fear-avoidance model and disability. Clin J Pain. 2006;22(2):160-6.

Cataneo C, Carvalho AMP, Galindo EMC. Obesidade e aspectos psicológicos: maturidade emocional, auto-conceito, locus de controle e ansiedade. 2005;18(1):39-46.

Leeuw M, Houben RM, Severeijns R, Picavet HS, Schouten EG, Vlaeyen JW. Pain-related fear in low back pain: a prospective study in the general population. Eur J Pain. 2007;11(3):256-66.

Kesavayuth D, Poyago-Theotoky J, Tran DB, Zikos V. Locus of control, health and healthcare utilization. Economic Modelling. 2019;86(C):227-38.

Ribeiro JLP. Reconstruction of a health locus of control scale. Rev Psiquiatr Clín. 1994;15(4):207-14.

Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008;61(4):344-9.

Oliveira VC, Furiati T, Sakamoto A, Ferreira P, Ferreira M, Maher C. Health locus of control questionnaire for patients with chronic low back pain: psychometric properties of the Brazilian-Portuguese version. Physiother Res Int. 2008;13(1):42-52.

Siqueira FB, Teixeira-Salmela LF, Magalhães LC. Analysis of the psychometric properties of the Brazilian version of the TAMPA scale for kinesiophobia. Acta Ortop Bras. 2007;15(1):19-24.

Nusbaum L, Natour J, Ferraz MB, Goldenberg J. Translation, adaptation and validation of the Roland-Morris questionnaire - Brazil Roland-Morris. Braz J Med Biol Res. 2001;34(2):203-10.

Batista AAS, Diniz LSR, Oliveira VC, Venturini C. Locus of control in active physical therapy treatment for non-specific chronic low back pain. Fisioter Mov. 2009;28(3):495-500.

Oliveira VC, Ferreira PH, Ferreira ML, Tibúrcio L, Pinto RZ, Oliveira W. People with low back pain who have externalised beliefs need to see greater improvements in symptoms to consider exercises worthwhile: an observational study. Aust J Physiother. 2009;55(4):271-5.

Oliveira TH, Oliveira VC, Melo RC, Melo RM, Freitas A, Ferreira PH. Patients in treatment for chronic low back pain have higher externalised beliefs: a cross-sectional study. Rev Bras Fisioter. 2012;16(1):35-9.

Oliveira CB, Maher CG, Pinto RZ, Traeger AC, Lin CC, Chenot JF. Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview. Eur Spine J. 2018;27(11):2791-803.

Foster NE, Anema JR, Cherkin D, Chou R, Cohen SP, Gross DP. Prevention and treatment of low back pain: evidence, challenges, and promising directions. Lancet. 2018;391(10137):2368-83.

Hartvigsen J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S. What low back pain is and why we need to pay attention. Lancet. 2018;391(10137):2356-67.

O’Keeffe M, George SZ, O’Sullivan PB, O’Sullivan K. Psychosocial factors in low back pain: letting go of our misconceptions can help management. Br J Sports Med. 2019;53(13):793-4.

Sengul Y, Kara B, Arda MN. The relationship between health locus of control and quality of life in patients with chronic low back pain. Turk Neurosurg. 2010;20(2):180-5.

de Souza FS, Ladeira CE, Costa LOP. Adherence to back pain clinical practice guidelines by Brazilian Physical Therapists: a cross-sectional study. Spine. 2017;42(21):EI1251-8.

Desconsi MB, Bartz PT, Fiegenbaum TR, Candotti CT, Vieira A. Tratamento de pacientes com dor lombar crônica inespecífica por fisioterapeutas: um estudo transversal. Fisioter Pesqui. 2019;26(1):15-21.

Meulders A, Vlaeyen JW. Mere intention to perform painful movements elicits fear of movement-related pain: an experimental study on fear acquisition beyond actual movements. J Pain. 2013;14(4):412-23.

Meulders A, Meulders M, Stouten I, De Bie J, Vlaeyen JW. Extinction of fear generalization: a comparison between fibromyalgia patients and healthy control participants. J Pain. 2017;18(1):79-95.

Main CJ, Foster N, Buchbinder R. How important are back pain beliefs and expectations for satisfactory recovery from back pain?. Best Pract Res Clin Rheumatol. 2010;24(2):205-17.

Submitted date:
11/27/2020

Accepted date:
09/21/2021

61e6e46da9539546be72d672 brjp Articles
2595-3192 (Electronic) 2595-0118 (Printed)
BrJP ©2024 All rights reserved.

BrJP

Share this page
Page Sections