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These Backs Are Made for Walking Pai...

Bailes, Anna Heller,

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These Backs Are Made for Walking Pain-Related Psychological Factors and Gait in People With Chronic Low Back Pain /

Record Type:	Electronic resources : Monograph/item
Title/Author:	These Backs Are Made for Walking Pain-Related Psychological Factors and Gait in People With Chronic Low Back Pain // Anna Heller Bailes.
Author:	Bailes, Anna Heller,
Description:	1 electronic resource (166 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 86-12, Section: B.
Contained By:	Dissertations Abstracts International86-12B.
Subject:	Biomechanics. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=31770595
ISBN:	9798280700413

These Backs Are Made for Walking Pain-Related Psychological Factors and Gait in People With Chronic Low Back Pain /
Bailes, Anna Heller,

These Backs Are Made for Walking Pain-Related Psychological Factors and Gait in People With Chronic Low Back Pain /Anna Heller Bailes. - 1 electronic resource (166 pages)

Source: Dissertations Abstracts International, Volume: 86-12, Section: B.

Chronic low back pain (cLBP) is the leading cause of disability globally. It is associated with gait impairments that increase risk for poor overall mobility and adverse health events, such as falls and hospitalizations. While physical therapy can effectively improve gait, pain-related psychological factors--such as fear-avoidance or pain catastrophizing--may act as barriers to successful physical therapy interventions. Fear-avoidance and pain catastrophizing are also known contributors to movement impairments, further complicating the effectiveness of standard physical therapy interventions. However, the impact of pain-related psychological factors on gait impairments in cLBP has not been fully explored. The objective of this dissertation is to 1) determine the associations between pain-related psychological factors and gait in individuals with cLBP, and 2) investigate attention-gait interference as a potential mechanism underlying these associations. This dissertation begins by outlining the motivation for its Specific Aims through observation of patterns in healthcare utilization for over 500,000 patients with low back pain. Next, Aim 1 explores associations between pain-related psychological factors and gait quality, and Aim 2 investigates the impact of these pain-related psychological factors on gait dual-task cost. Finally, this dissertation concludes with a description of an inertial system that may facilitate movement monitoring outside of a controlled laboratory setting, paving the way for future translation and implementation. Results from Aim 1 suggest that fear-avoidance may contribute to slow gait speed and should be considered as part of multi-modal gait interventions in cLBP. Results from Aim 2 suggest that pain catastrophizing may be associated with altered step length adaptations under dual-task conditions, but otherwise, this population experiences a relatively low gait dual-task cost. This dissertation builds upon existing evidence for psychologically-informed physical therapy, expanding its applications to gait rehabilitation. Results also support the continued exploration of attention-gait interactions as a potential treatment target for improving gait in this population.

English

ISBN: 9798280700413Subjects--Topical Terms:

548685
Biomechanics.
Subjects--Index Terms:

Attention

These Backs Are Made for Walking Pain-Related Psychological Factors and Gait in People With Chronic Low Back Pain /
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502 $b Ph.D. $c University of Pittsburgh $d 2025.
520 $a Chronic low back pain (cLBP) is the leading cause of disability globally. It is associated with gait impairments that increase risk for poor overall mobility and adverse health events, such as falls and hospitalizations. While physical therapy can effectively improve gait, pain-related psychological factors--such as fear-avoidance or pain catastrophizing--may act as barriers to successful physical therapy interventions. Fear-avoidance and pain catastrophizing are also known contributors to movement impairments, further complicating the effectiveness of standard physical therapy interventions. However, the impact of pain-related psychological factors on gait impairments in cLBP has not been fully explored. The objective of this dissertation is to 1) determine the associations between pain-related psychological factors and gait in individuals with cLBP, and 2) investigate attention-gait interference as a potential mechanism underlying these associations. This dissertation begins by outlining the motivation for its Specific Aims through observation of patterns in healthcare utilization for over 500,000 patients with low back pain. Next, Aim 1 explores associations between pain-related psychological factors and gait quality, and Aim 2 investigates the impact of these pain-related psychological factors on gait dual-task cost. Finally, this dissertation concludes with a description of an inertial system that may facilitate movement monitoring outside of a controlled laboratory setting, paving the way for future translation and implementation. Results from Aim 1 suggest that fear-avoidance may contribute to slow gait speed and should be considered as part of multi-modal gait interventions in cLBP. Results from Aim 2 suggest that pain catastrophizing may be associated with altered step length adaptations under dual-task conditions, but otherwise, this population experiences a relatively low gait dual-task cost. This dissertation builds upon existing evidence for psychologically-informed physical therapy, expanding its applications to gait rehabilitation. Results also support the continued exploration of attention-gait interactions as a potential treatment target for improving gait in this population.
546 $a English
590 $a School code: 0178
650 4 $a Biomechanics. $3 548685
650 4 $a Physical therapy. $3 588713
650 4 $a Psychology. $3 519075
650 4 $a Physiology. $3 518431
650 4 $a Biomedical engineering. $3 535387
653 $a Attention
653 $a Avoidance
653 $a Catastrophizing
653 $a Gait
653 $a Low back pain
653 $a Wearable sensors
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690 $a 0382
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690 $a 0541
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720 1 $a Sowa, Gwendolyn $e degree supervisor.
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791 $a Ph.D.
792 $a 2025
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