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Resistance exercise, disability, and pain catastrophizing in obese adults with back pain.

Publication ,  Journal Article
Vincent, HK; George, SZ; Seay, AN; Vincent, KR; Hurley, RW
Published in: Med Sci Sports Exerc
September 2014

PURPOSE: The purpose of this study was to compare the effects of two different resistance exercise protocols on self-reported disability, fear avoidance beliefs, pain catastrophizing, and back pain symptoms in obese, older adults with low back pain (LBP). METHODS: Obese adults (n = 49, 60-85 yr) with chronic LBP were randomized into a total body resistance exercise intervention (TOTRX), lumbar extensor exercise intervention (LEXT), or a control group (CON). Main outcomes included perceived disability (Oswestry Disability Index, Roland Morris Disability Questionnaire). Psychosocial measures included the Fear Avoidance Beliefs survey, Tampa Scale of Kinesiophobia, and Pain Catastrophizing Scale. LBP severity was measured during three functional tasks: walking, stair climbing, and chair rise using an 11-point numerical pain rating scale. RESULTS: The TOTRX group had greater reductions in self-reported disability scores due to back pain (Oswestry Disability Index, Roland Morris Disability Questionnaire) compared with those in the LEXT (P < 0.05). The Pain Catastrophizing Scale scores decreased in the TOTRX group compared with that in the CON group by month 4 (64.3% vs 4.8%, P < 0.05). Pain severity during chair rise activity and walking was decreased in both the LEXT and TOTRX groups relative to the CON group. CONCLUSIONS: Greater reductions in perceived disability due to LBP can be achieved with TOTRX compared with those achieved with LEXT. Pain catastrophizing and pain severity decreased most with TOTRX. The positive change in psychological outlook may assist obese, older adults with chronic back pain in reconsidering the harmfulness of the pain and facilitate regular participation in other exercise programs.

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Published In

Med Sci Sports Exerc

DOI

EISSN

1530-0315

Publication Date

September 2014

Volume

46

Issue

9

Start / End Page

1693 / 1701

Location

United States

Related Subject Headings

  • Walking
  • Sport Sciences
  • Self Report
  • Resistance Training
  • Pain Measurement
  • Obesity
  • Middle Aged
  • Male
  • Low Back Pain
  • Humans
 

Citation

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Vincent, H. K., George, S. Z., Seay, A. N., Vincent, K. R., & Hurley, R. W. (2014). Resistance exercise, disability, and pain catastrophizing in obese adults with back pain. Med Sci Sports Exerc, 46(9), 1693–1701. https://doi.org/10.1249/MSS.0000000000000294
Vincent, Heather K., Steven Z. George, Amanda N. Seay, Kevin R. Vincent, and Robert W. Hurley. “Resistance exercise, disability, and pain catastrophizing in obese adults with back pain.Med Sci Sports Exerc 46, no. 9 (September 2014): 1693–1701. https://doi.org/10.1249/MSS.0000000000000294.
Vincent HK, George SZ, Seay AN, Vincent KR, Hurley RW. Resistance exercise, disability, and pain catastrophizing in obese adults with back pain. Med Sci Sports Exerc. 2014 Sep;46(9):1693–701.
Vincent, Heather K., et al. “Resistance exercise, disability, and pain catastrophizing in obese adults with back pain.Med Sci Sports Exerc, vol. 46, no. 9, Sept. 2014, pp. 1693–701. Pubmed, doi:10.1249/MSS.0000000000000294.
Vincent HK, George SZ, Seay AN, Vincent KR, Hurley RW. Resistance exercise, disability, and pain catastrophizing in obese adults with back pain. Med Sci Sports Exerc. 2014 Sep;46(9):1693–1701.

Published In

Med Sci Sports Exerc

DOI

EISSN

1530-0315

Publication Date

September 2014

Volume

46

Issue

9

Start / End Page

1693 / 1701

Location

United States

Related Subject Headings

  • Walking
  • Sport Sciences
  • Self Report
  • Resistance Training
  • Pain Measurement
  • Obesity
  • Middle Aged
  • Male
  • Low Back Pain
  • Humans