Subgrouping patients with chronic low back pain: What are the differences in actual daily life behavior between patients classified as avoider or persister?

Ivan P J Huijnen*, Fabienne C Schasfoort, Rob J E M Smeets, Emiel Sneekes, Jeanine A Verbunt, Johannes B J Bussmann

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

BACKGROUND AND OBJECTIVE: The purpose of this study is to determine whether patients, classified by their treating consultant in rehabilitation medicine as avoider or persister, show differences in a large set of detailed outcomes of actual, objectively measured daily physical behaviour.

METHODS: In this explorative cross-sectional study, 16 patients were included; 9 patients were categorized as avoider and 7 patients as persister. Subjects wore the VitaMove activity monitor, a high-end accelerometry-based device that allowed automatic detection of a large set of body postures and motions. Physical behaviour was assessed in detail by total duration of body postures and motions as percentages of 24 hours, as well as by the number of sit-to-stand transfers, overall activity level, walking speed, and the distribution of bouts of physical activity and sedentary behaviour. Differences between groups were tested with the Mann Whitney U test.

RESULTS: There were no significant differences between groups in any of the physical behaviour outcomes.

CONCLUSIONS: Our study showed that activity-related behavioural style categorization by consultants in rehabilitation medicine is not expressed in objectively measured detailed outcomes of daily physical behaviour.

Original languageEnglish
Pages (from-to)303-311
Number of pages9
JournalJournal of Back and Musculoskeletal Rehabilitation
Volume33
Issue number2
DOIs
Publication statusPublished - 2020

Keywords

  • Activity monitoring
  • activity-related behaviour
  • chronic low back pain
  • excessive persistence
  • avoidance
  • AMBULATORY ACCELEROMETRY
  • PHYSICAL-ACTIVITY
  • ACTIVITY PATTERNS
  • SEDENTARY BEHAVIOR
  • OBJECTIVE MEASURES
  • 1ST YEAR
  • DISABILITY
  • VALIDITY
  • RELIABILITY
  • VALIDATION

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