TY - JOUR
T1 - Body image in athletes and nonathletes with low back pain: Avoidance-endurance-related subgroups and sports status play a role
AU - Levenig, Claudia
AU - Kellmann, Michael
AU - Kleinert, Jens
AU - Belz, Johanna
AU - Hesselmann, Tobias
AU - Heidari, Jahan
AU - Hasenbring, Monika
PY - 2020/4/25
Y1 - 2020/4/25
N2 - Context : Low back pain (LBP) is a serious health problem, both in the general population as well as in athletes. Research has shown that psychosocial aspects, such as dysfunctional pain responses, play a significant role in the chronification of LBP. Recent research supports the relevance of the multidisciplinary concept of body image in the interpretation of LBP. Objective : To examine the differences in 2 psychosocial aspects, body image and pain responses, between athletes and nonathletes with LBP. Design : Cross-sectional design. Setting : The questionnaires were distributed in the course of LBP treatment. Participants : Data from 163 athletes (mean age = 28.69 [9.6] y) and 75 nonathletes (mean age = 39.34 [12.63] y) were collected. Interventions : Data were collected by questionnaires assessing body image, pain behavior, training activity, and LBP. Main Outcome Measures : To examine group differences between athletes and nonathletes regarding body image and pain behavior, the authors performed 2-way analyses of variance with Bonferroni post hoc tests. Results : The results showed (1) a significant main effect regarding pain responses and body image, showing that participants with eustress endurance or adaptive pain behavior revealed a more positive body image in both groups compared with participants with distress endurance or fear-avoidance behavior, and (2) a significant main effect for the factor group in the body image dimension of physical efficacy, indicating a more positive body image for athletes. Conclusion : These results suggest that considering multiple risk factors for LBP, such as body image and dysfunctional pain behavior, as well as subgrouping, might be valuable for research and for broadening therapy options.
AB - Context : Low back pain (LBP) is a serious health problem, both in the general population as well as in athletes. Research has shown that psychosocial aspects, such as dysfunctional pain responses, play a significant role in the chronification of LBP. Recent research supports the relevance of the multidisciplinary concept of body image in the interpretation of LBP. Objective : To examine the differences in 2 psychosocial aspects, body image and pain responses, between athletes and nonathletes with LBP. Design : Cross-sectional design. Setting : The questionnaires were distributed in the course of LBP treatment. Participants : Data from 163 athletes (mean age = 28.69 [9.6] y) and 75 nonathletes (mean age = 39.34 [12.63] y) were collected. Interventions : Data were collected by questionnaires assessing body image, pain behavior, training activity, and LBP. Main Outcome Measures : To examine group differences between athletes and nonathletes regarding body image and pain behavior, the authors performed 2-way analyses of variance with Bonferroni post hoc tests. Results : The results showed (1) a significant main effect regarding pain responses and body image, showing that participants with eustress endurance or adaptive pain behavior revealed a more positive body image in both groups compared with participants with distress endurance or fear-avoidance behavior, and (2) a significant main effect for the factor group in the body image dimension of physical efficacy, indicating a more positive body image for athletes. Conclusion : These results suggest that considering multiple risk factors for LBP, such as body image and dysfunctional pain behavior, as well as subgrouping, might be valuable for research and for broadening therapy options.
UR - https://www.mendeley.com/catalogue/25a8994b-d00f-3446-bab8-d7bb6e15ed94/
U2 - 10.1123/jsr.2019-0245
DO - 10.1123/jsr.2019-0245
M3 - Journal articles
SN - 1543-3072
SN - 1056-6716
VL - 30
SP - 182
EP - 189
JO - Journal of sport rehabilitation
JF - Journal of sport rehabilitation
IS - 2
ER -