TY - JOUR
T1 - The relationship between self-report measures, flexibility, and functional performance in women with chronic low back pain
AU - Daskalaki, Katerina
AU - Sakellari, Paraskevi
AU - Stefanakis, Manos
AU - Hadjisavvas, Stelios
AU - Konstantinidis, Theodoros
AU - Malliou, Paraskevi
N1 - Publisher Copyright:
© JPES.
PY - 2024/11
Y1 - 2024/11
N2 - Background: Evaluating disability in individuals with chronic low back pain (CLBP) involves various approaches, including self-reported measures, flexibility assessments, and functional performance tests that mimic activities of daily living (ADLs). However, the relationships among these outcomes remain unclear, raising concerns about the reliability of conclusions based on a single assessment. This study aims to examine the correlation between self-reported disability, flexibility, and functional performance in ADLs among women with CLBP. The findings will provide valuable insights for exercise specialists in assessing disability and designing targeted interventions for CLBP patients. Materials and Methods: Twenty-four women with CLBP of a mean intensity of 5.33 ± 1.40 over the past three months participated in the study. The outcome measures included the Rolland Morris disability questionnaire (RMDQ), flexibility tests [modified fingertip-to-floor distance (MFFD) and straight leg raise test (SLRT)], and functional performance in activities of daily living (ADL) tests [standing-to-prone (StP), prone-to-standing, supine-standing-supine (SSS), 5 times sit-to-stand, and timed up and go]. Correlations were assessed using Pearson's correlation coefficients (r). Results: The RMDQ was only correlated with one ADL test, the StP. There were no significant correlations between flexibility and ADL tests. Only the SLRT on the left leg showed a moderate correlation with the SSS test, an unexplained finding owing to the absence of observational data. Conclusions: The RMDQ, flexibility, and ADL tests rarely correlated with each other, suggesting they represent distinct constructs that measure different outcomes. Therefore, exercise trainers are recommended to incorporate both self-reported and performance-based assessments when evaluating disability in CLBP patients. Additionally, alongside quantitative measures, qualitative assessments should be used to evaluate movement quality during ADLs.
AB - Background: Evaluating disability in individuals with chronic low back pain (CLBP) involves various approaches, including self-reported measures, flexibility assessments, and functional performance tests that mimic activities of daily living (ADLs). However, the relationships among these outcomes remain unclear, raising concerns about the reliability of conclusions based on a single assessment. This study aims to examine the correlation between self-reported disability, flexibility, and functional performance in ADLs among women with CLBP. The findings will provide valuable insights for exercise specialists in assessing disability and designing targeted interventions for CLBP patients. Materials and Methods: Twenty-four women with CLBP of a mean intensity of 5.33 ± 1.40 over the past three months participated in the study. The outcome measures included the Rolland Morris disability questionnaire (RMDQ), flexibility tests [modified fingertip-to-floor distance (MFFD) and straight leg raise test (SLRT)], and functional performance in activities of daily living (ADL) tests [standing-to-prone (StP), prone-to-standing, supine-standing-supine (SSS), 5 times sit-to-stand, and timed up and go]. Correlations were assessed using Pearson's correlation coefficients (r). Results: The RMDQ was only correlated with one ADL test, the StP. There were no significant correlations between flexibility and ADL tests. Only the SLRT on the left leg showed a moderate correlation with the SSS test, an unexplained finding owing to the absence of observational data. Conclusions: The RMDQ, flexibility, and ADL tests rarely correlated with each other, suggesting they represent distinct constructs that measure different outcomes. Therefore, exercise trainers are recommended to incorporate both self-reported and performance-based assessments when evaluating disability in CLBP patients. Additionally, alongside quantitative measures, qualitative assessments should be used to evaluate movement quality during ADLs.
KW - disability
KW - fingertip-to-floor
KW - lumbar flexion
KW - range of motion (ROM) measurements
KW - spinal pain
KW - stand-to-floor
UR - http://www.scopus.com/inward/record.url?scp=85211365306&partnerID=8YFLogxK
U2 - 10.7752/jpes.2024.11283
DO - 10.7752/jpes.2024.11283
M3 - Article
AN - SCOPUS:85211365306
SN - 2247-8051
VL - 24
SP - 1576
EP - 1583
JO - Journal of Physical Education and Sport
JF - Journal of Physical Education and Sport
IS - 11
ER -