학술논문

Fear-Avoidance Beliefs Associated with Non-Specific Chronic Low Back Pain in College Athletes
Document Type
article
Source
Journal of Pain Research, Vol Volume 17, Pp 285-292 (2024)
Subject
questionnaire
psychosocial factors
multivariate logistic regression analyses
sports
Medicine (General)
R5-920
Language
English
ISSN
1178-7090
Abstract
Satoshi Osuka,1,2 Yuta Koshino,1 Kentaro Watanabe,1,2 Yoshiaki Kataoka,1 Harukazu Tohyama1 1Faculty of Health Sciences, Hokkaido University, Sapporo, Hokkaido, Japan; 2Department of Rehabilitation, Hokkaido University Hospital, Sapporo, Hokkaido, JapanCorrespondence: Yuta Koshino, Faculty of Health Sciences, Hokkaido University, West 5, North 12, Kita-Ku, Sapporo, Hokkaido, 060-0812, Japan, Tel/Fax +81-11-706-3531, Email y-t-1-6@hs.hokudai.ac.jpPurpose: This study aimed to determine the psychosocial factors associated with non-specific chronic low back pain (NS-CLBP) among college athletes.Material and Methods: A cross-sectional study was performed at one university. A non-anonymous, self-administered online questionnaire was collected from each athlete. Participants with a history of orthopaedic spine disease or surgery were excluded. Online responses from 368 college athletes belonging to 18 clubs were collected, among which 263 were included in the analysis. In the 263 responses, 41 individuals were identified as having NS-CLBP. Multivariate logistic regression analyses were performed to determine factors associated with presence of NS-CLBP. Independent variables included the Fear-Avoidance Beliefs Questionnaire physical activity subscale (FABQ-PA) score, Tampa Scale for Kinesiophobia-11 (TSK-11) score, Roland-Morris Disability Questionnaire (RDQ) score, and body mass index (BMI). Additionally, the Mann–Whitney U-test was utilized to compare FABQ-PA, TSK-11, RDQ scores, and BMI between the NS-CLBP and non-NS-CLBP groups.Results: The FABQ-PA (odd ratio = 1.096, P = 0.003) was significantly associated with NS-CLBP. No significant association was observed between NS-CLBP and TSK-11 (P = 0.776), RDQ (P = 0.074), and BMI (P = 0.296). The scores for FABQ-PA, TSK-11, RDQ, and BMI in the group with NS-CLBP were found to be significantly higher compared to the group without NS-CLBP (P < 0.001, P = 0.034, P < 0.001, and P = 0.022, respectively).Conclusion: The present study revealed a significant relationship between higher FABQ-PA scores and NS-CLBP among college athletes. Conversely, TSK-11 and BMI values showed no significant association with NS-CLBP presence. The findings suggest that addressing fear-avoidance beliefs may be crucial in managing NS-CLBP among college athletes.Keywords: questionnaire, psychosocial factors, multivariate logistic regression analyses, sports