Ileana Monica Popovici

Background and Objectives: Chronic low back pain (CLBP) is a prevalent condition that impairs quality of life, functionality, and work productivity. While most acute episodes of back pain resolve, 4–25% become chronic due to factors such as high pain intensity, psychological distress, and maladaptive behaviors. Nonspecific CLBP is best understood through the biopsychosocial model, encompassing biological, psychological, and social influences, including kinesiophobia. Management relies on physical activity, pain education, and psychological interventions, with therapist knowledge and attitudes affecting outcomes. This study aimed to assess the prevalence of CLBP among healthcare workers, examine their knowledge of pain neurophysiology, evaluate kinesiophobia, and explore how personal experience with CLBP influences their beliefs, attitudes, and interactions with patients. Materials and Methods: A cross-sectional observational study was conducted from January to May 2025 among healthcare professionals. A total of 50 participants completed an online questionnaire, of which 42 were valid and included in the analysis. The questionnaire collected demographic and professional data, determined the presence of CLBP, and included three standardized instruments: the Revised Neurophysiology of Pain Questionnaire (rNPQ) to assess knowledge of pain mechanisms, the Health Care Providers’ Pain and Impairment Relationship Scale (HC-PAIRS) to evaluate beliefs about pain and disability, and the Tampa Scale of Kinesiophobia (TSK-11) to measure fear of movement. Data were analyzed using SPSS and Microsoft Excel. Results: Among the 42 participants, 11 demonstrated low, 28 moderate, and 3 high knowledge of pain neurophysiology (rNPQ), with a mean score of 5.66. On the HC-PAIRS, the majority (30 participants) scored above 60, indicating beliefs that pain leads to disability, while 12 scored below 60, reflecting a biopsychosocial perspective; gender did not significantly affect HC-PAIRS scores (p = 0.213). As for kinesiophobia (TSK-11), 24 participants had low, 17 moderate, and 1 clinically significant fear of movement. Correlation analysis revealed that younger participants had higher rNPQ scores (r = −0.358, p = 0.020) and lower TSK-11 scores (r = −0.389, p = 0.011). TSK-11 scores increased with age (r = 0.432, p = 0.004), while HC-PAIRS scores showed no significant correlations. Conclusions: Healthcare professionals, particularly physiotherapists, show gaps in knowledge of pain neurophysiology and a tendency toward biomedical beliefs regarding chronic low back pain. This cross-sectional study indicates that a greater understanding of pain mechanisms is associated with lower kinesiophobia, emphasizing the importance of education. Integrating the biopsychosocial model into undergraduate and continuing professional training, through interdisciplinary and practical modules, may improve knowledge, reduce maladaptive fear-avoidance behaviors, and enhance patient care. Future studies should include larger, more diverse samples and assess the long-term impact of educational interventions on clinical practice.

We investigated the anthropometric characteristics associated with specific handball skills in competition. The body anthropometric profiles differ significantly among the playing positions in handball due to the specific tasks. The aim of this study is to identify the anthropometric patterns for each playing position by collecting data from elite male handball players. To determine the anthropometric profile of the elite handball players for each playing position, we used descriptive statistics for every indicator in order to identify the optimal patterns for elite handball players from the top-four ranked teams at the most important competitions over a period of 18 years (2004–2021). Over time, the anthropometric indices evolved: the average height increased (from 190 to 192.6 cm) but less than weight increased (from 90.5 to 95.28 kg), and these affected the body mass index (increase from 25.2 to 25.67). The novelty of our study is that we identified an anthropometric pattern for each playing position and for all teams in elite male handball. Our study also covered a period of 18 years to give our results more accuracy and reliability.

Nowadays, a descending trend concerning physical activity levels among youth has been recorded, as well as differences between males and females; more than half recorded a low level of the physical activity. The aim of this study was to investigate the social and educational sustainability of physical education and to determine the level of physical activity by using the International Physical Activity Questionnaire (IPAQ) short form for Romanian undergraduate and graduate students. In our study, we included students and applied the IPAQ short form anonymously. They gave their consent to use these personal data only for scientific purposes. Overall, two thirds of the subjects (according to the IPAQ scoring protocol) and more than half (according to the World Health Organization recommendation for physical activity) consider themselves to be active. The present study showed that there is a prevalence of insufficient physical activity among Romanian University students (around 40%). The situation seems to be better than in other countries, but in self-evaluation, many people tend to overestimate their potential. To avoid this aspect and gain some objectivity, it is better to use a gadget in order to measure the level of their physical activity.