Fear-avoidance beliefs are associated with a high fat content in the erector spinae: a 1.5 tesla magnetic resonance imaging study
Abstract 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. Theref...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-03-01
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| Series: | Chiropractic & Manual Therapies |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12998-019-0234-2 |
| _version_ | 1819045571171713024 |
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| author | Eddo Wesselink Edwin de Raaij Philip Pevenage Nick van der Kaay Jan Pool |
| author_facet | Eddo Wesselink Edwin de Raaij Philip Pevenage Nick van der Kaay Jan Pool |
| author_sort | Eddo Wesselink |
| collection | DOAJ |
| description | Abstract 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 (r = 0.484, P = 0.017), but not for LMM (r = 0.228, P = 0.284). The association between the FABQ-PA and ES IMAT remained moderate after adjusting for covariates (β = 0.381, P = 0.028). 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. |
| first_indexed | 2024-12-21T10:30:41Z |
| format | Article |
| id | doaj.art-9349763c3f4b4416b3d3fbde664ec33e |
| institution | Directory Open Access Journal |
| issn | 2045-709X |
| language | English |
| last_indexed | 2024-12-21T10:30:41Z |
| publishDate | 2019-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Chiropractic & Manual Therapies |
| spelling | doaj.art-9349763c3f4b4416b3d3fbde664ec33e2022-12-21T19:07:12ZengBMCChiropractic & Manual Therapies2045-709X2019-03-012711810.1186/s12998-019-0234-2Fear-avoidance beliefs are associated with a high fat content in the erector spinae: a 1.5 tesla magnetic resonance imaging studyEddo Wesselink0Edwin de Raaij1Philip Pevenage2Nick van der Kaay3Jan Pool4Research Group Lifestyle and Health, University of Applied Sciences UtrechtResearch Group Lifestyle and Health, University of Applied Sciences UtrechtMRI CentreResearch Group Lifestyle and Health, University of Applied Sciences UtrechtResearch Group Lifestyle and Health, University of Applied Sciences UtrechtAbstract 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 (r = 0.484, P = 0.017), but not for LMM (r = 0.228, P = 0.284). The association between the FABQ-PA and ES IMAT remained moderate after adjusting for covariates (β = 0.381, P = 0.028). 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.http://link.springer.com/article/10.1186/s12998-019-0234-2Adipose tissueChronic low back painAvoidance behaviorMRI |
| spellingShingle | Eddo Wesselink Edwin de Raaij Philip Pevenage Nick van der Kaay Jan Pool Fear-avoidance beliefs are associated with a high fat content in the erector spinae: a 1.5 tesla magnetic resonance imaging study Chiropractic & Manual Therapies Adipose tissue Chronic low back pain Avoidance behavior MRI |
| title | Fear-avoidance beliefs are associated with a high fat content in the erector spinae: a 1.5 tesla magnetic resonance imaging study |
| title_full | Fear-avoidance beliefs are associated with a high fat content in the erector spinae: a 1.5 tesla magnetic resonance imaging study |
| title_fullStr | Fear-avoidance beliefs are associated with a high fat content in the erector spinae: a 1.5 tesla magnetic resonance imaging study |
| title_full_unstemmed | Fear-avoidance beliefs are associated with a high fat content in the erector spinae: a 1.5 tesla magnetic resonance imaging study |
| title_short | Fear-avoidance beliefs are associated with a high fat content in the erector spinae: a 1.5 tesla magnetic resonance imaging study |
| title_sort | fear avoidance beliefs are associated with a high fat content in the erector spinae a 1 5 tesla magnetic resonance imaging study |
| topic | Adipose tissue Chronic low back pain Avoidance behavior MRI |
| url | http://link.springer.com/article/10.1186/s12998-019-0234-2 |
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