{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T10:12:35Z","timestamp":1760609555699,"version":"3.40.5"},"reference-count":82,"publisher":"Public Library of Science (PLoS)","issue":"10","license":[{"start":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T00:00:00Z","timestamp":1696464000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Introduction<\/jats:title>\n<jats:p>Certain cardiovascular health benefits of stair climbing are now widely accepted, but no prior studies have as yet been found linking the quantity of stairs climbed to low back pain (LBP) morbidity. Low back pain is a common musculoskeletal impairment, and research has begun to show an association between LBP and gluteus maximus (GM) weakness. With stair climbing being the activity which most activates GM, the aim of the present research was to assess the relationship between stair ambulation and LBP prevalence. The hypothesis of this cross-sectional study was that individuals with LBP would report a significantly lower numbers of stair flights climbed compared with individuals without LBP.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>A survey tool was developed and distributed via email to a convenience sample of orthopedic physical therapists. Survey items included information regarding medical history, physical activity, workplace, and LBP factors, using a one-year prevalence period.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>A total of 363 respondents took the survey and, after application of exclusion criteria, 248 records remained in our final sample. When analyzing all genders together, non LBP (NLBP) respondents reported a mean of 51.62 flights climbed per week; and LBP respondents reported 37.82 flights climbed per week, with <jats:italic>P<\/jats:italic> = 0.077. When males and females were analyzed separately, a statistically significant difference in mean number of flights of stairs climbed was found among female respondents (61.51 flights climbed for NLBP and 35.61 flights climbed for LBP females; <jats:italic>P<\/jats:italic> = 0.031). When analyzed based on chronicity of LBP, an even stronger association between stairs climbed and LBP prevalence was found for female respondents with acute LBP (<jats:italic>P<\/jats:italic> = 0.009).<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusions<\/jats:title>\n<jats:p>More weekly stairs climbed was associated with a lower LBP prevalence among females, especially with respect to acute LBP. Randomized, longitudinal research is, however, required to confirm a relationship between stair climbing and LBP.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0292489","type":"journal-article","created":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T17:52:26Z","timestamp":1696528346000},"page":"e0292489","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":1,"title":["Greater number of weekly stairs climbed is associated with lower low back pain prevalence among female but not male physical therapists"],"prefix":"10.1371","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9453-2790","authenticated-orcid":true,"given":"Amy H.","family":"Amabile","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon 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Harvard Alumni Health Study","volume":"15","author":"JP Rey-Lopez","year":"2019","journal-title":"Prev Med Rep"},{"issue":"2","key":"pone.0292489.ref004","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1002\/jcsm.12679","article-title":"Stair climbing and mortality: a prospective cohort study from the UK Biobank.","volume":"12","author":"MA Sanchez-Lastra","year":"2021","journal-title":"J Cachexia Sarcopenia Muscle"},{"issue":"10","key":"pone.0292489.ref005","doi-asserted-by":"crossref","first-page":"1274","DOI":"10.1038\/s41440-021-00697-z","article-title":"Stair climbing activity and vascular function in patients with hypertension","volume":"44","author":"T Yamaji","year":"2021","journal-title":"Hypertens Res"},{"issue":"6","key":"pone.0292489.ref006","doi-asserted-by":"crossref","first-page":"299","DOI":"10.21037\/atm.2020.02.175","article-title":"Global low back pain prevalence and years lived with disability from 1990 to 2017: estimates from the Global Burden of Disease Study 2017.","volume":"8","author":"A Wu","year":"2020","journal-title":"Ann Transl Med"},{"year":"2017","author":"Centers for Disease Control.","key":"pone.0292489.ref007"},{"issue":"5","key":"pone.0292489.ref008","doi-asserted-by":"crossref","first-page":"986","DOI":"10.1016\/j.apmr.2013.10.032","article-title":"Incidence, prevalence, costs, and impact on disability of common conditions requiring rehabilitation in the United States: stroke, spinal cord injury, traumatic brain injury, multiple sclerosis, osteoarthritis, rheumatoid arthritis, limb loss, and back pain","volume":"95","author":"VY Ma","year":"2014","journal-title":"Arch Phys Med Rehabil"},{"issue":"1","key":"pone.0292489.ref009","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.spinee.2007.10.005","article-title":"A systematic review of low back pain cost of illness studies in the United States and internationally","volume":"8","author":"S Dagenais","year":"2008","journal-title":"Spine J"},{"issue":"10137","key":"pone.0292489.ref010","doi-asserted-by":"crossref","first-page":"2356","DOI":"10.1016\/S0140-6736(18)30480-X","article-title":"What low back pain is and why we need to pay attention","volume":"391","author":"J Hartvigsen","year":"2018","journal-title":"Lancet"},{"issue":"7","key":"pone.0292489.ref011","doi-asserted-by":"crossref","first-page":"514","DOI":"10.7326\/M16-2367","article-title":"Noninvasive treatments for acute, subacute, and chronic low back pain: A clinical practice guideline from the American College of Physicians","volume":"166","author":"A Qaseem","year":"2017","journal-title":"Ann Intern Med"},{"issue":"2","key":"pone.0292489.ref012","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1007\/s40258-016-0268-8","article-title":"Cost-effectiveness of non-invasive and non-pharmacological interventions for low back pain: a systematic literature review","volume":"15","author":"L Andronis","year":"2017","journal-title":"Appl Health Econ Health Policy"},{"issue":"8","key":"pone.0292489.ref013","doi-asserted-by":"crossref","first-page":"505","DOI":"10.2519\/jospt.2022.10671","article-title":"Best exercise options for reducing pain and disability in adults with chronic low back pain: pilates, strength, core-cased, and mind-Body. A network meta-analysis","volume":"52","author":"R Fern\u00e1ndez-Rodr\u00edguez","year":"2022","journal-title":"J Orthop Sports Phys Ther"},{"issue":"6","key":"pone.0292489.ref014","doi-asserted-by":"crossref","first-page":"437","DOI":"10.2519\/jospt.2019.8451","article-title":"Convergence and divergence of exercise-based approaches that incorporate motor control for the management of low back pain","volume":"49","author":"JA Hides","year":"2019","journal-title":"J Orthop Sports Phys Ther"},{"issue":"6","key":"pone.0292489.ref015","doi-asserted-by":"crossref","first-page":"476","DOI":"10.2519\/jospt.2018.7562","article-title":"Effectiveness of the McKenzie method of Mechanical Diagnosis and Therapy for treating low back pain: literature review with meta-analysis","volume":"48","author":"OT Lam","year":"2018","journal-title":"J Orthop Sports Phys Ther"},{"issue":"3","key":"pone.0292489.ref016","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1589\/jpts.27.725","article-title":"The effects of T\u2019ai chi on muscle activity, pain, and balance in females in their 20s with acute low back pain","volume":"27","author":"J-H Jang","year":"2015","journal-title":"J Phys Ther Sci."},{"issue":"6","key":"pone.0292489.ref017","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1016\/j.berh.2010.10.002","article-title":"The Epidemiology of low back pain","volume":"24","author":"D Hoy","year":"2010","journal-title":"Best Pract Res Clin Rheumatol"},{"issue":"7","key":"pone.0292489.ref018","doi-asserted-by":"crossref","first-page":"e0177008","DOI":"10.1371\/journal.pone.0177008","article-title":"Atrophy of gluteus maximus among women with a history of chronic low back pain","volume":"12","author":"AH Amabile","year":"2017","journal-title":"PLoS ONE"},{"issue":"7","key":"pone.0292489.ref019","doi-asserted-by":"crossref","first-page":"e0159587","DOI":"10.1371\/journal.pone.0159587","article-title":"Reliability of MR-based volumetric 3-D analysis of pelvic muscles among subjects with low back with leg pain and healthy volunteers","volume":"11","author":"E Skorupska","year":"2016","journal-title":"PLoS ONE"},{"issue":"1","key":"pone.0292489.ref020","first-page":"69","article-title":"Lower limb muscle strength in patients with low back pain: a systematic review and meta-analysis","volume":"19","author":"CS de Sousa","year":"2019","journal-title":"J Musculoskelet Neuronal Interact"},{"key":"pone.0292489.ref021","first-page":"2020","article-title":"Theories of gluteus maximus involvement in low back pain causation","volume":"13","author":"AH Amabile","journal-title":"Clin Anat. Published online October"},{"issue":"1","key":"pone.0292489.ref022","doi-asserted-by":"crossref","DOI":"10.1115\/1.4037791","article-title":"Muscle function and coordination of stair ascent","volume":"140","author":"NG Harper","year":"2018","journal-title":"J Biomech Eng"},{"issue":"10","key":"pone.0292489.ref023","doi-asserted-by":"crossref","first-page":"1597","DOI":"10.1093\/ptj\/63.10.1597","article-title":"Timing and relative intensity of hip extensor and abductor muscle action during level and stair ambulation. An EMG study","volume":"63","author":"K Lyons","year":"1983","journal-title":"Phys Ther"},{"issue":"7","key":"pone.0292489.ref024","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1136\/jech.55.7.455","article-title":"Formal education and back pain: a review","volume":"55","author":"CE Dionne","year":"2001","journal-title":"J Epidemiol Community Health"},{"issue":"3","key":"pone.0292489.ref025","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1891\/JNM-D-20-00126","article-title":"The area deprivation index corresponds effectively with other measures of objective socioeconomic status in adults with chronic low back pain","volume":"30","author":"P Jackson","year":"2022","journal-title":"J Nurs Meas"},{"journal-title":"Accreditation Handbook | Commission on Accreditation in Physical Therapy Education.","author":"Comission on Accreditation in Physical Therapy Education.","key":"pone.0292489.ref026"},{"issue":"8","key":"pone.0292489.ref027","doi-asserted-by":"crossref","first-page":"1381","DOI":"10.1249\/01.MSS.0000078924.61453.FB","article-title":"International physical activity questionnaire: 12-country reliability and validity.","volume":"35","author":"CL Craig","year":"2003","journal-title":"Med Sci Sports Exerc"},{"issue":"4","key":"pone.0292489.ref028","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1177\/8756479319843883","article-title":"Physical activity, exercise, and musculoskeletal disorders in sonographers.","volume":"35","author":"M McDonald","year":"2019","journal-title":"J Diagn Med Sonogr"},{"issue":"2","key":"pone.0292489.ref029","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/0304-3959(83)90143-4","article-title":"Development of the Wisconsin Brief Pain Questionnaire to assess pain in cancer and other diseases","volume":"17","author":"RL Daut","year":"1983","journal-title":"Pain"},{"issue":"6","key":"pone.0292489.ref030","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1093\/occmed\/kqw041","article-title":"Brief Pain Inventory review","volume":"66","author":"J. Stanhope","year":"2016","journal-title":"Occup Med (Lond)."},{"issue":"8","key":"pone.0292489.ref031","doi-asserted-by":"crossref","first-page":"1317","DOI":"10.1016\/j.joca.2016.03.010","article-title":"Knee Injury and Osteoarthritis Outcome Score (KOOS): systematic review and meta-analysis of measurement properties","volume":"24","author":"NJ Collins","year":"2016","journal-title":"Osteoarthr Cartil"},{"issue":"2","key":"pone.0292489.ref032","doi-asserted-by":"crossref","first-page":"88","DOI":"10.2519\/jospt.1998.28.2.88","article-title":"Knee Injury and Osteoarthritis Outcome Score (KOOS)\u2014development of a self-administered outcome measure","volume":"28","author":"EM Roos","year":"1998","journal-title":"J Orthop Sports Phys Ther"},{"issue":"9","key":"pone.0292489.ref033","doi-asserted-by":"crossref","first-page":"1905","DOI":"10.1093\/annonc\/mdq058","article-title":"A no means no\u201d\u2014measuring depression using a single-item question versus Hospital Anxiety and Depression Scale (HADS-D).","volume":"21","author":"J Skoogh","year":"2010","journal-title":"Ann Oncol"},{"issue":"11","key":"pone.0292489.ref034","doi-asserted-by":"crossref","first-page":"1849","DOI":"10.5664\/jcsm.7478","article-title":"A new Single-Item Sleep Quality Scale: results of psychometric evaluation in patients with chronic primary insomnia and depression","volume":"14","author":"E Snyder","year":"2018","journal-title":"J Clin Sleep Med"},{"issue":"4","key":"pone.0292489.ref035","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1016\/S0161-4754(03)00006-X","article-title":"The course of low back pain in a general population. results from a 5-year prospective study.","volume":"26","author":"L Hestbaek","year":"2003","journal-title":"J Manipulative Physiol Ther."},{"issue":"3","key":"pone.0292489.ref036","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1136\/jech.46.3.227","article-title":"Low back pain in eight areas of Britain","volume":"46","author":"K Walsh","year":"1992","journal-title":"J Epidemiol Community Health"},{"issue":"1","key":"pone.0292489.ref037","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1097\/BRS.0b013e31815e7f94","article-title":"A consensus approach toward the standardization of back pain definitions for use in prevalence studies","volume":"33","author":"CE Dionne","year":"2008","journal-title":"Spine"},{"issue":"1","key":"pone.0292489.ref038","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/j.berh.2006.08.004","article-title":"Strategies for prevention and management of musculoskeletal conditions. Low back pain (non-specific).","volume":"21","author":"M Krismer","year":"2007","journal-title":"Best Pract Res Clin Rheumatol"},{"issue":"3","key":"pone.0292489.ref039","first-page":"16","article-title":"Report of the NIH task force on research standards for chronic low back pain","volume":"8","author":"RA Deyo","year":"2015","journal-title":"Int J Ther Massage Bodywork"},{"issue":"4","key":"pone.0292489.ref040","doi-asserted-by":"crossref","first-page":"841","DOI":"10.1016\/S0030-5898(20)32128-3","article-title":"Rehabilitation of acute and subacute low back and neck pain in the work-injured patient","volume":"27","author":"C Hartigan","year":"1996","journal-title":"Orthop Clin North Am"},{"issue":"2","key":"pone.0292489.ref041","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1515\/sjpain-2021-0063","article-title":"Psychological interventions in preventing chronicity of sub-acute back pain: a systematic review","volume":"22","author":"T Orenius","year":"2022","journal-title":"Scand J Pain"},{"issue":"2","key":"pone.0292489.ref042","doi-asserted-by":"crossref","first-page":"117","DOI":"10.4085\/1062-6050-43.2.117","article-title":"More precise classification of orthopaedic injury types and treatment will improve patient care.","volume":"43","author":"KL Knight","year":"2008","journal-title":"J Athl Train"},{"issue":"15","key":"pone.0292489.ref043","doi-asserted-by":"crossref","first-page":"1786","DOI":"10.1097\/01.brs.0000172159.47152.dc","article-title":"The transition from acute to subacute and chronic low back pain: a study based on determinants of quality of life and prediction of chronic disability","volume":"30","author":"FM Kovacs","year":"2005","journal-title":"Spine"},{"author":"R. Brant","key":"pone.0292489.ref044"},{"key":"pone.0292489.ref045","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1186\/1471-2288-12-78","article-title":"T-tests, non-parametric tests, and large studies\u2014a paradox of statistical practice?","volume":"12","author":"MW Fagerland","year":"2012","journal-title":"BMC Med Res Methodol"},{"issue":"2","key":"pone.0292489.ref046","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1017\/S0033291703001041","article-title":"Depressive disorder as a long-term antecedent risk factor for incident back pain: a 13-year follow-up study from the Baltimore Epidemiological Catchment Area sample","volume":"34","author":"SL Larson","year":"2004","journal-title":"Psychol Med."},{"issue":"8","key":"pone.0292489.ref047","doi-asserted-by":"crossref","first-page":"1504","DOI":"10.1016\/j.apmr.2014.03.014","article-title":"Relationship between sleep, pain, and disability in patients with spinal pathology","volume":"95","author":"M-M Zarrabian","year":"2014","journal-title":"Arch Phys Med Rehabil"},{"issue":"7","key":"pone.0292489.ref048","doi-asserted-by":"crossref","first-page":"1008","DOI":"10.1111\/j.1526-4637.2011.01155.x","article-title":"Catastrophizing, state anxiety, anger, and depressive symptoms do not correlate with disability when variations of trait anxiety are taken into account. a study of chronic low back pain patients treated in Spanish pain units","volume":"12","author":"J Moix","year":"2011","journal-title":"Pain Med"},{"issue":"5111","key":"pone.0292489.ref049","doi-asserted-by":"crossref","first-page":"1485","DOI":"10.1136\/bmj.2.5111.1485","article-title":"Coronary heart disease and physical activity of work; evidence of a national necropsy survey","volume":"2","author":"JN Morris","year":"1958","journal-title":"Br Med J"},{"issue":"6","key":"pone.0292489.ref050","doi-asserted-by":"crossref","first-page":"1662","DOI":"10.1016\/j.jvs.2011.12.010","article-title":"The Walking Impairment Questionnaire stair-climbing score predicts mortality in men and women with peripheral arterial disease","volume":"55","author":"A Jain","year":"2012","journal-title":"J Vasc Surg"},{"issue":"12","key":"pone.0292489.ref051","doi-asserted-by":"crossref","DOI":"10.1093\/ptj\/pzab227","article-title":"Classification of geriatric low back pain based on hip characteristics with a 12-month longitudinal exploration of clinical outcomes: Findings from Delaware spine studies","volume":"101","author":"GE Hicks","year":"2021","journal-title":"Phys Ther"},{"issue":"23","key":"pone.0292489.ref052","doi-asserted-by":"crossref","first-page":"2763","DOI":"10.1097\/00007632-199612010-00011","article-title":"Multifidus muscle recovery is not automatic after resolution of acute, first-episode low back pain","volume":"21","author":"JA Hides","year":"1996","journal-title":"Spine"},{"issue":"22","key":"pone.0292489.ref053","doi-asserted-by":"crossref","first-page":"E515","DOI":"10.1097\/01.brs.0000144405.11661.eb","article-title":"Changes in the cross-sectional area of multifidus and psoas in patients with unilateral back pain: the relationship to pain and disability","volume":"29","author":"KL Barker","year":"2004","journal-title":"Spine"},{"issue":"11","key":"pone.0292489.ref054","first-page":"1729","article-title":"Are the size and composition of the paraspinal muscles associated with low back pain? A systematic review","volume":"17","author":"TA Ranger","year":"2017"},{"issue":"3","key":"pone.0292489.ref055","doi-asserted-by":"crossref","first-page":"101","DOI":"10.2519\/jospt.2008.2658","article-title":"Effect of stabilization training on multifidus muscle cross-sectional area among young elite cricketers with low back pain","volume":"38","author":"JA Hides","year":"2008","journal-title":"J Orthop Sports Phys Ther"},{"issue":"5","key":"pone.0292489.ref056","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1016\/j.spinee.2011.12.004","article-title":"Dynamic changes of elasticity, cross-sectional area, and fat infiltration of multifidus at different postures in men with chronic low back pain","volume":"12","author":"S-T Chan","year":"2012","journal-title":"Spine J"},{"issue":"2","key":"pone.0292489.ref057","doi-asserted-by":"crossref","first-page":"160","DOI":"10.26603\/ijspt20180160","article-title":"Do males with patellofemoral pain have posterolateral hip muscle weakness","volume":"13","author":"LT Hoglund","year":"2018","journal-title":"Int J Sports Phys Ther"},{"key":"pone.0292489.ref058","first-page":"2019","article-title":"Changes in the macroscopic morphology of hip muscles in low back pain","volume":"1","author":"M Pourahmadi","journal-title":"J Anat. Published online September"},{"key":"pone.0292489.ref059","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1186\/s40814-018-0262-z","article-title":"A 6-week hip muscle strengthening and lumbopelvic-hip core stabilization program to improve pain, function, and quality of life in persons with patellofemoral osteoarthritis: a feasibility pilot study.","volume":"4","author":"LT Hoglund","year":"2018","journal-title":"Pilot Feasibility Stud"},{"issue":"4","key":"pone.0292489.ref060","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1136\/bjsports-2012-090953","article-title":"Gluteal muscle activity and patellofemoral pain syndrome: a systematic review","volume":"47","author":"CJ Barton","year":"2013","journal-title":"Br J Sports Med"},{"issue":"1","key":"pone.0292489.ref061","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1111\/joa.12451","article-title":"Morphological and postural sexual dimorphism of the lumbar spine facilitates greater lordosis in females","volume":"229","author":"JF Bailey","year":"2016","journal-title":"J Anat"},{"issue":"8","key":"pone.0292489.ref062","doi-asserted-by":"crossref","first-page":"e0133685","DOI":"10.1371\/journal.pone.0133685","article-title":"The lumbar lordosis in males and females, revisited","volume":"10","author":"O Hay","year":"2015","journal-title":"PLoS ONE"},{"key":"pone.0292489.ref063","doi-asserted-by":"crossref","first-page":"1330","DOI":"10.3389\/fpsyg.2018.01330","article-title":"Gender inequality in household chores and work-family conflict.","volume":"9","author":"J Cerrato","year":"2018","journal-title":"Front Psychol"},{"journal-title":"Inc.","article-title":"Women still handle main household tasks in U.S. Gallup","author":"M. Brenan","key":"pone.0292489.ref064"},{"issue":"12","key":"pone.0292489.ref065","doi-asserted-by":"crossref","first-page":"859","DOI":"10.1038\/nrn3360","article-title":"Sex differences in pain and pain inhibition: multiple explanations of a controversial phenomenon","volume":"13","author":"JS Mogil","year":"2012","journal-title":"Nat Rev Neurosci"},{"issue":"19","key":"pone.0292489.ref066","doi-asserted-by":"crossref","DOI":"10.3390\/jcm11195515","article-title":"Do men and women have a different association between fear-avoidance and pain intensity in chronic pain? An experience sampling method cohort-study","volume":"11","author":"S Waardenburg","year":"2022","journal-title":"J Clin Med"},{"issue":"7","key":"pone.0292489.ref067","doi-asserted-by":"crossref","first-page":"e1900238","DOI":"10.1002\/bies.201900238","article-title":"Eustress and distress: neither good nor bad, but rather the same","volume":"42","author":"J Bienertova-Vasku","year":"2020","journal-title":"Bioessays"},{"issue":"11","key":"pone.0292489.ref068","first-page":"32","article-title":"Working efficiency of contrasting genders under eustress, distress, hyper-stress, and hypo-stress. Prabandhan","volume":"12","author":"R Faizan","year":"2019","journal-title":"Indian Journal of Management"},{"issue":"3","key":"pone.0292489.ref069","doi-asserted-by":"crossref","first-page":"e0248875","DOI":"10.1371\/journal.pone.0248875","article-title":"Endurance and avoidance response patterns in pain patients: Application of action control theory in pain research","volume":"16","author":"J Buchmann","year":"2021","journal-title":"PLoS ONE"},{"issue":"6","key":"pone.0292489.ref070","doi-asserted-by":"crossref","first-page":"1684","DOI":"10.1519\/JSC.0b013e318291b8da","article-title":"Systematic review of core muscle activity during physical fitness exercises.","volume":"27","author":"JM Martuscello","year":"2013","journal-title":"J Strength Cond Res"},{"issue":"6","key":"pone.0292489.ref071","doi-asserted-by":"crossref","first-page":"370","DOI":"10.2519\/jospt.2019.7917","article-title":"Motor control changes in low back pain: divergence in presentations and mechanisms","volume":"49","author":"JH van Die\u00ebn","year":"2019","journal-title":"J Orthop Sports Phys Ther"},{"issue":"4","key":"pone.0292489.ref072","doi-asserted-by":"crossref","first-page":"242","DOI":"10.2519\/jospt.2013.4346","article-title":"Quality of systematic reviews on specific spinal stabilization exercise for chronic low back pain","volume":"43","author":"DE Haladay","year":"2013","journal-title":"J Orthop Sports Phys Ther"},{"issue":"1","key":"pone.0292489.ref073","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/S0030-5898(20)31205-0","article-title":"The sitting posture: an electromyographic and discometric study.","volume":"6","author":"BJ Andersson","year":"1975","journal-title":"Orthop Clin North Am"},{"key":"pone.0292489.ref074","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1097\/00003086-196600450-00014","article-title":"The load on lumbar disks in different positions of the body","volume":"45","author":"A. Nachemson","year":"1966","journal-title":"Clin Orthop Relat Res"},{"issue":"2","key":"pone.0292489.ref075","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1007\/s00586-006-0143-7","article-title":"Association between sitting and occupational LBP","volume":"16","author":"AM Lis","year":"2007","journal-title":"Eur Spine J"},{"key":"pone.0292489.ref076","volume-title":"The Lumbar Spine: Mechanical Diagnosis and Therapy.","author":"R McKenzie","year":"2003","edition":"2"},{"issue":"4","key":"pone.0292489.ref077","doi-asserted-by":"crossref","first-page":"1018","DOI":"10.1093\/ptj\/81.4.1018","article-title":"Physical therapy management of low back pain: an exploratory survey of therapist approaches","volume":"81","author":"LC Li","year":"2001","journal-title":"Phys Ther"},{"issue":"12","key":"pone.0292489.ref078","doi-asserted-by":"crossref","first-page":"1192","DOI":"10.1097\/BRS.0b013e3181bf1de9","article-title":"Role of physical exercise in low back pain rehabilitation: a randomized controlled trial of a three-month exercise program in patients who have completed multidisciplinary rehabilitation","volume":"35","author":"Y Henchoz","year":"2010","journal-title":"Spine"},{"issue":"7","key":"pone.0292489.ref079","doi-asserted-by":"crossref","first-page":"565","DOI":"10.2165\/11531930-000000000-00000","article-title":"Physical activity questionnaires for adults: a systematic review of measurement properties.","volume":"40","author":"MNM van Poppel","year":"2010","journal-title":"Sports Med"},{"issue":"3","key":"pone.0292489.ref080","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1136\/bjsm.37.3.197","article-title":"Limits to the measurement of habitual physical activity by questionnaires.","volume":"37","author":"RJ Shephard","year":"2003","journal-title":"Br J Sports Med"},{"issue":"12","key":"pone.0292489.ref081","doi-asserted-by":"crossref","first-page":"1403","DOI":"10.1016\/0895-4356(93)90140-V","article-title":"Accuracy of the college alumnus physical activity questionnaire.","volume":"46","author":"BE Ainsworth","year":"1993","journal-title":"J Clin Epidemiol"},{"issue":"7","key":"pone.0292489.ref082","doi-asserted-by":"crossref","first-page":"525","DOI":"10.2165\/11531370-000000000-00000","article-title":"Qualitative attributes and measurement properties of physical activity questionnaires: a checklist.","volume":"40","author":"CB Terwee","year":"2010","journal-title":"Sports Med"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0292489","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T17:53:05Z","timestamp":1696528385000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0292489"}},"subtitle":[],"editor":[{"given":"Mohamed El-Sayed","family":"Abdel-Wanis","sequence":"first","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2023,10,5]]},"references-count":82,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2023,10,5]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0292489","relation":{},"ISSN":["1932-6203"],"issn-type":[{"type":"electronic","value":"1932-6203"}],"subject":[],"published":{"date-parts":[[2023,10,5]]}}}