Brazilian Journal of Pain
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

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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.


Low back pain, Movement, Physical therapy specialty


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.


Dor lombar, Fisioterapia, Movimento


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