Evidence map›Paper›PMID 41194251›Full record

ArticleAdvances in rheumatology (London, England)2025

Associations between kinesiophobia, pain, functional disability, balance confidence and transverse abdomen muscle activation in elderly individuals with chronic nonspecific low back pain: a cross-sectional study.

Ariela Torres Cruz, Priscila de Oliveira Januário, Mateus Dias Antunes, Ingred Merllin Batista de Souza, Mara Maria Lisboa Santana Pinheiro, Anice de Campos Pássaro, Elisa Frutos Bernal, Ana María Martín-Nogueras, Amelia Pasqual Marques

Abstract read
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Article in Advances in rheumatology (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Observational
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ariela Torres CruzDepartment of Physiotherapy, Speech-Language Pathology, and Audiology and Occupational Therapy, Faculty of Medicine, University of São Paulo, São Paulo, Brazil. ariela.tcruz@gmail.com.
Priscila de Oliveira JanuárioDepartment of Physiotherapy, Speech-Language Pathology, and Audiology and Occupational Therapy, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
Mateus Dias AntunesDepartment of Physiotherapy, Speech-Language Pathology, and Audiology and Occupational Therapy, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
Ingred Merllin Batista de SouzaDepartment of Physiotherapy, Speech-Language Pathology, and Audiology and Occupational Therapy, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
Mara Maria Lisboa Santana PinheiroDepartment of Physiotherapy, Speech-Language Pathology, and Audiology and Occupational Therapy, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
Anice de Campos PássaroDepartment of Physiotherapy, Speech-Language Pathology, and Audiology and Occupational Therapy, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
Elisa Frutos BernalDepartment of Statistics, Faculty of Medicine, University of Salamanca, Salamanca, Spain.
Ana María Martín-NoguerasFaculty of Nursing and Physiotherapy, University of Salamanca, Salamanca, Spain.
Amelia Pasqual MarquesDepartment of Physiotherapy, Speech-Language Pathology, and Audiology and Occupational Therapy, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic low back pain has a high prevalence in the elderly population. Psychosocial dimensions are possible causes of pain affecting the patient’s development and prognosis. Kinesiophobia is associated with a natural response to chronic low back pain and should be considered a key treatment target for physical therapists. The aim of this study was to investigate the association between kinesiophobia and pain intensity, functional disability, balance confidence and transversus abdominis muscle activation in elderly individuals with chronic nonspecific low back pain.

methodsEighty elderly people with chronic nonspecific low back pain participated in this study. Kinesiophobia was assessed using the Tampa Kinesiophobia Scale, pain intensity was measured using the Numerical Pain Rating Scale, functional disability was measured using the Oswestry Disability Index, balance confidence was measured using the Activities-Specific Balance Confidence Scale, and transversus abdominis muscle activation was measured using the pressure biofeedback unit. The data were analyzed in the SPSS Statistics program using Pearson’s and Spearman’s correlation coefficients.

resultsThe results show a correlation between kinesiophobia, pain intensity and functional disability, being negative for confidence in balance. The correlation between kinesiophobia and activation of the transversus abdominis muscle was not significant.

conclusionThe results suggest a positive correlation between kinesiophobia, pain intensity and functional disability and a negative correlation with balance confidence.

Indexed as

Abdominal MusclesChronic PainKinesiophobiaLow Back PainPostural BalanceAgedAged, 80 and overCross-Sectional StudiesDisability EvaluationFemaleHumansMaleMiddle AgedPain MeasurementKinesiophobiaLow back pain and elderly

Identifiers

PMID41194251
PMCPMC13488750

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.