Brain Sciences (2021-05-01)

Does Kinesiophobia Mediate the Relationship between Pain Intensity and Disability in Individuals with Chronic Low-Back Pain and Obesity?

  • Giorgia Varallo,
  • Federica Scarpina,
  • Emanuele Maria Giusti,
  • Roberto Cattivelli,
  • Anna Guerrini Usubini,
  • Paolo Capodaglio,
  • Gianluca Castelnuovo

DOI
https://doi.org/10.3390/brainsci11060684
Journal volume & issue
Vol. 11, no. 684
p. 684

Abstract

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Individuals suffering from chronic low-back pain and obesity face severe physical and functional limitations. According to the fear-avoidance model, kinesiophobia might play a crucial role in the relationship between pain intensity and disability. Thus, the purpose of this study was to verify the role of kinesiophobia as a mediator in the association between pain intensity and disability in individuals with both chronic low-back pain and obesity. A total of 213 individuals with chronic low-back pain and obesity were included in the study. The level of kinesiophobia, pain intensity and disability were all assessed using self-reported questionnaires. We verified through a simple mediation analysis that kinesiophobia partially mediated the association between pain intensity and disability in our sample. According to our findings, we emphasize the crucial role of kinesiophobia as a psychological factor that should be addressed in chronic low-back pain rehabilitative protocols to reduce disability in individuals with obesity.

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