“Do Physical Activities Trigger Flare-ups During an Acute Low Back Pain Episode?: A Longitudinal Case-Crossover Feasibility Study”. Is a useful report as we continue to make the connection between, excessive sitting and back pain.
The big question was this: whether physical activities trigger flare-ups of pain during the course of acute low back pain (LBP).
Among participants with acute LBP, prolonged sitting (>6 hours) and stress or depression triggered LBP flare-ups. PT was a deterrent of flare-ups.
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Too many of us are obsessed with flexion driven back disorders. Which is fair because most cases of back pain are flexion based. However, not all of them are. Some are because you are over extended, and frankly, you need some careful flexion in your life, and back.
Until I produce a good guide, here are some useful thoughts from
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Thanks to Gregg et al for
The relationship between the tampa scale of kinesiophobia and low back pain rehabilitation outcomes.
For those of you who are terribly ignorant about such things, “The Tampa Scale for Kinesiophobia (TSK) is commonly used in clinical practice to quantify levels of pain related fear of activity or re-injury in patients presenting with back pain. Patients with high levels of kinesiophobia are often considered at greater risk of developing long term activity limitation and chronicity. There is, however, little evidence to support this assumption”
Gregg et al used a questionnaire on 313 patients of a back clinic.
The study concluded that “The Tampa Scale for Kinesiophobia (TSK) provides no benefit as a screening tool to predict pain, functional and work outcomes following rehabilitation. Measured changes in TSK scores following rehabilitation do not correlate strongly with similar, concordant changes in pain scores, functional levels or return to work outcomes”.
Well, who knew