Pooled data revealed no significant difference in the overall activity level of adults or adolescents with CLBP , however there is evidence that older adults with chronic low back pain are less active than controls .
The results suggest that patients exhibit an altered pattern of physical activity over the course of a day compared to controls .
There is no conclusive evidence that patients with chronic low back pain are less active than healthy individuals .
Based on a limited number of studies , there is some evidence that the distribution of activities over the course of a day is different between patients with chronic low back pain and controls
BACKGROUND It is commonly assumed that patients with chronic low back pain are less active than healthy individuals .
There has been a recent increase in the number of studies published comparing the physical activity levels of patients with chronic low back pain and healthy individuals .
OBJECTIVES The aim of this systematic review was to determine , based on the current body of evidence , if patients with chronic low back pain have a lower level and /or altered pattern of physical activity compared with asymptomatic , healthy individuals .
Fear-avoidance Beliefs, Physical Activity, and Disability in Elderly Individuals With Chronic Low Back Pain and Healthy Controls
Objective Research studies focussing on the fear-avoidance beliefs model ( FABM ) have exp and ed considerably during the last years , however , there has been very little research directed at the elderly . The objective of the present study was to investigate the validity of the FABM in older patients with chronic low back pain ( CLBP ) . Method In a cross-sectional study , a group of elderly patients with CLBP ( N=103 ) was compared with an age-matched group of pain-free individuals ( N=59 ) to test the constructs inherent in the FABM . Constructs include  fear avoidance beliefs ( FABs ) , disability , disuse , and physical activity . In addition , the relationship of these constructs was also investigated in the patient group . CLBP- patients had an average age of 71.41 years ( SD=5.2 ) and pain-free individuals of 71.19 years ( SD=4.73 ) . Individuals participated in a photographed series of physical activities adapted to the age group ( Photograph Series of Daily Activities-German version for the elderly ) for the assessment of FAB , in the Hannover Disability Question naire , in the Freiburg Physical Activity Question naire , and in an ultrasound measurement to evaluate lumbar flexion . In addition , they completed an activity diary for 1 week . Before computation , the physical activity measurements were converted into metabolic units that characterize energy expenditure . Results In the patient group , FAB , pain intensity , and age predicted functional capacity , but not physical activity . Lumbar flexion was predicted by FAB and age . Patients were more fear-avoidant , reported more disability , and displayed less lumbar flexion than the pain-free individuals . No differences between the groups could be detected in regard to energy expenditure measured either by the question naire or by diary data . Conclusions The findings are consistent with results reported in the literature for younger age groups and confirm the assumption that the FABM is also valid for the elderly
Pooled data revealed no significant difference in the overall activity level of adults or adolescents with CLBP , however there is evidence that older adults with chronic low back pain are less active than controls .
The results suggest that patients exhibit an altered pattern of physical activity over the course of a day compared to controls .
There is no conclusive evidence that patients with chronic low back pain are less active than healthy individuals .
Based on a limited number of studies , there is some evidence that the distribution of activities over the course of a day is different between patients with chronic low back pain and controls
BACKGROUND It is commonly assumed that patients with chronic low back pain are less active than healthy individuals .
There has been a recent increase in the number of studies published comparing the physical activity levels of patients with chronic low back pain and healthy individuals .
OBJECTIVES The aim of this systematic review was to determine , based on the current body of evidence , if patients with chronic low back pain have a lower level and /or altered pattern of physical activity compared with asymptomatic , healthy individuals .