{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,5]],"date-time":"2026-04-05T05:39:21Z","timestamp":1775367561227,"version":"3.50.1"},"reference-count":63,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T00:00:00Z","timestamp":1706745600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Pain"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The need to improve spinal motor behaviour in chronic low back pain (CLBP) rehabilitation remains unclear. The objective of this study was to test if changes in spinal motor behaviour were associated with changes in disability after an interdisciplinary rehabilitation program (IRP) in patients with CLBP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Seventy\u2010one patients with CLBP participating in an IRP were included. Spinal motor behaviour was assessed with biomechanical (lumbar angular amplitude and velocity, erector spinae muscle activity and duration of the task), cognitive\u2010emotional (task\u2010specific fear [PRF]) and pain\u2010related (movement\u2010evoked pain [MEP]) measures during a lifting task before and after the IRP. Disability was measured before and after the IRP, and at 3\u2010month and 1\u2010year follow\u2010ups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After adjusting for confounders, changes in disability were significantly associated with MEP changes (<jats:italic>\u03b2<\/jats:italic> adj.\u2009=\u20090.49, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and PRF changes (<jats:italic>\u03b2<\/jats:italic> adj.\u2009=\u20090.36, <jats:italic>p<\/jats:italic>\u2009=\u20090.008), but not with changes in any of the biomechanical measures. MEP at the end of IRP was also associated with disability at 3 months (<jats:italic>\u03b2<\/jats:italic> adj.\u2009=\u20090.37, <jats:italic>p<\/jats:italic>\u2009=\u20090.001) and 1 year (<jats:italic>\u03b2<\/jats:italic> adj.\u2009=\u20090.42, <jats:italic>p<\/jats:italic>\u2009=\u20090.01). Biomechanical measures at the end of the IRP were not associated with disability, except for the duration of the task that was significantly associated with reduction of disability at 3 months (<jats:italic>\u03b2<\/jats:italic> non\u2010adj\u2009=\u20090.5, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Pain\u2010related and cognitive\u2010emotional measures of spinal motor behaviour were associated with reduction in disability following an IRP. Future research is needed to further investigate causal relationships between spinal motor behaviour and disability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Significance statement<\/jats:title><jats:p>This study supports a multidimensional understanding and analysis of spinal motor behaviour, integrating the cognitive\u2010emotional, pain\u2010related and biomechanical domains. It also supports the consideration of spinal motor behaviour as a potentially important treatment target in chronic low back pain management. Moreover, it suggests that reducing movement\u2010evoked pain and task\u2010specific fear may have more influence on disability than changing lumbar amplitude, lumbar angular velocity or erector muscle activity, which may have important implications for rehabilitation.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ejp.2245","type":"journal-article","created":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T12:18:34Z","timestamp":1706789914000},"page":"1116-1126","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Changes in spinal motor behaviour are associated with reduction in disability in chronic low back pain: A longitudinal cohort study with 1\u2010year follow\u2010up"],"prefix":"10.1002","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4337-2245","authenticated-orcid":false,"given":"Guillaume","family":"Christe","sequence":"first","affiliation":[{"name":"Department of Physiotherapy, HESAV School of Health Sciences HES\u2010SO University of Applied Sciences and Arts Western Switzerland  Lausanne Switzerland"},{"name":"Swiss BioMotion Lab, Department of Musculoskeletal Medicine Lausanne University Hospital and University of Lausanne  Lausanne Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles","family":"Benaim","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Orthopedic Hospital Lausanne University Hospital  Lausanne Switzerland"},{"name":"Department of Musculoskeletal Rehabilitation Clinique Romande de R\u00e9adaptation  Sion Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brigitte M.","family":"Jolles","sequence":"additional","affiliation":[{"name":"Swiss BioMotion Lab, Department of Musculoskeletal Medicine Lausanne University Hospital and University of Lausanne  Lausanne Switzerland"},{"name":"Institute of Microengineering, Ecole Polytechnique F\u00e9d\u00e9rale de Lausanne  Lausanne Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julien","family":"Favre","sequence":"additional","affiliation":[{"name":"Swiss BioMotion Lab, Department of Musculoskeletal Medicine Lausanne University Hospital and University of Lausanne  Lausanne Switzerland"},{"name":"The Sense Innovation and Research Center  Lausanne, Sion Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,2]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20160211"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzab271"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0000000000000871"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000002978"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000001117"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.344"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fbioe.2021.767974"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/papr.13191"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000002065"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2022.04.008"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2017.06.042"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2016.05.015"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/jor.24575"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000001431"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0b013e3182385392"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jelekin.2003.07.001"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2013.02.037"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.37.4.378"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-14-277"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200011150-00017"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0087255"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0000000000000891"},{"key":"e_1_2_10_24_1","first-page":"1465","article-title":"Exercise therapy for chronic low back pain","volume":"9","author":"Hayden J. 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