Nicholas Vasilis Karayannis

@ohio.edu

Ohio University

https://researchid.co/nvkaray

Scopus Publications

407

Scholar Citations

Scholar h-index

Scholar i10-index

Scopus Publications

A Brief Hypnosis Intervention Improves Single-Limb Dynamic Balance in People with Chronic Ankle Instability: A Crossover Experimental Pilot Study
Lydia Caggiano, Nicholas V. Karayannis, Calvin Collins, Dustin Grooms, and Janet E. Simon
Informa UK Limited
Ankle sprains are one of the more common musculoskeletal injuries in active populations and can develop into chronic ankle instability (CAI), a condition with uncertain etiology and symptoms that include poor dynamic balance, the ability to maintain balance during movement. The components of CAI are psychophysiological and biomechanical, indicating mind-body connections that can influence the development and persistence of this condition. Preliminary evidence suggests that self-hypnosis, a mind-body therapy, can restore physical performance in conditions like CAI. Twenty-four participants with CAI participated in this experimental pilot study, with a crossover design, to investigate the relationship between self-reported measures of ankle instability and other psychological factors with performance-based measures of dynamic balance and heart rate variability (HRV). Participants also received an 8-minute, self-hypnosis session to determine its influence on balance performance. Perceived ankle instability and dynamic balance were not associated with enhancement-based (interoceptive awareness, self-efficacy) or limit-based (kinesiophobia, anxiety) psychological factors. Perceived anxiety was not associated with HRV. Hypnosis was modestly effective in improving direction-specific (lateral) dynamic balance.

Pain acceptance and psychological inflexibility predict pain interference outcomes for persons with chronic pain receiving pain psychology
Nicholas Vasilis. Karayannis, John A. Sturgeon, Mike K. Kemani, Sean C. Mackey, Carol M. Greco, Rikard K. Wicksell, and Lance M. McCracken
Walter de Gruyter GmbH
Abstract Objectives Awareness (being present), acceptance, and engagement (committed action) are three dimensions of psychological flexibility. Understanding these in the context of chronic pain may identify treatment targets to help refine individual treatment. Our objective was to test the predictive capacity of three dimensions within the psychological flexibility model on the longitudinal trajectory of pain interference. Methods Patients receiving pain psychology treatment at a pain management center participated in this pragmatic clinical longitudinal study (n=86 with at least three assessments; Mean age=51 years; Gender=60 females, 26 males). Measures included the Five Facet Mindfulness Questionnaire (FFMQ-SF); Chronic Pain Acceptance Questionnaire (CPAQ-8); Psychological Inflexibility in Pain Scale (PIPS-12); and Committed Action Questionnaire (CAQ-8). The dependent variable was the Patient Reported Outcomes Information System (PROMIS) Pain Interference (PI). We used latent growth modelling to analyze scores assessed within 180 days of patient care. Results Psychological inflexibility (PIPS-12) and pain acceptance (CPAQ-8) measured at baseline predicted PI outcomes (n=86). PIPS-12 showed a direct relationship with pain interference (PI), where higher PIPS-12 scores predicted significantly higher PI mean scores on average across the study period (ρ=0.422, r2=0.382) but also predicted significantly greater decreases in PI across time (ρ=−0.489, r2=0.123). Higher CPAQ-8 scores predicted significantly lower PI mean scores on average across the study period (ρ=−0.478, r2=0.453) but also significantly smaller decreases in PI across time (ρ=0.495, r2=0.076). Awareness (FFMQ-SF) and engagement (CAQ-8) were not predictive of PI outcomes. Conclusions Patients who entered pain psychology treatment with lower pain acceptance and higher psychological inflexibility showed the largest reductions in pain interference across time. These results contribute towards a novel prognostic understanding of the predictive roles of an enhancing dimension and limiting dimension of psychological flexibility.

Self-reported physical function is strongly related to pain behavior and pain interference and weakly related to physical capacity in people with chronic low back pain
Nicholas V. Karayannis, Matthew Smuck, Christine Law, Sean C. Mackey, James J. Gross, Beth D. Darnall, and Julia Hush
Elsevier BV

Mindfulness-Based Stress Reduction, Cognitive Behavioral Therapy, and Acupuncture in Chronic Low Back Pain: Protocol for Two Linked Randomized Controlled Trials
Sean Mackey, Gadi Gilam, Beth Darnall, Philippe Goldin, Jiang-Ti Kong, Christine Law, Marissa Heirich, Nicholas Karayannis, Ming-Chih Kao, Lu Tian,et al.
JMIR Publications Inc.
Background Nonpharmacologic mind-body therapies have demonstrated efficacy in low back pain. However, the mechanisms underlying these therapies remain to be fully elucidated. Objective In response to these knowledge gaps, the Stanford Center for Low Back Pain—a collaborative, National Institutes of Health P01–funded, multidisciplinary research center—was established to investigate the common and distinct biobehavioral mechanisms of three mind-body therapies for chronic low back pain: cognitive behavioral therapy (CBT) that is used to treat pain, mindfulness-based stress reduction (MBSR), and electroacupuncture. Here, we describe the design and implementation of the center structure and the associated randomized controlled trials for characterizing the mechanisms of chronic low back pain treatments. Methods The multidisciplinary center is running two randomized controlled trials that share common resources for recruitment, enrollment, study execution, and data acquisition. We expect to recruit over 300 chronic low back pain participants across two projects and across different treatment arms within each project. The first project will examine pain-CBT compared with MBSR and a wait-list control group. The second project will examine real versus sham electroacupuncture. We will use behavioral, psychophysical, physical measure, and neuroimaging techniques to characterize the central pain modulatory and emotion regulatory systems in chronic low back pain at baseline and longitudinally. We will characterize how these interventions impact these systems, characterize the longitudinal treatment effects, and identify predictors of treatment efficacy. Results Participant recruitment began on March 17, 2015, and will end in March 2023. Recruitment was halted in March 2020 due to COVID-19 and resumed in December 2021. Conclusions This center uses a comprehensive approach to study chronic low back pain. Findings are expected to significantly advance our understanding in (1) the baseline and longitudinal mechanisms of chronic low back pain, (2) the common and distinctive mechanisms of three mind-body therapies, and (3) predictors of treatment response, thereby informing future delivery of nonpharmacologic chronic low back pain treatments. Trial Registration ClinicalTrials.gov NCT02503475; https://clinicaltrials.gov/ct2/show/NCT02503475 International Registered Report Identifier (IRRID) PRR1-10.2196/37823

A focus on the science of behavior change would provide a deeper understanding of pain-related activity interference and ability to sustain engagement in valued physical activities
Nicholas V Karayannis
Oxford University Press (OUP)

The Impact of Social Isolation on Pain Interference: A Longitudinal Study
Nicholas V Karayannis, Isabel Baumann, John A Sturgeon, Markus Melloh, and Sean C Mackey
Oxford University Press (OUP)
Social isolation is an important factor in pain-related appraisal and coping. The impact of pain is reduced in individuals who perceive a greater sense of inclusion from, and engagement with others.

Central mechanisms of real and sham electroacupuncture in the treatment of chronic low back pain: Study protocol for a randomized, placebo-controlled clinical trial
Jiang-Ti Kong, Brandon MacIsaac, Ruti Cogan, Amanda Ng, Christine Sze Wan Law, Joseph Helms, Rosa Schnyer, Nicholas Vasilis Karayannis, Ming-Chih Kao, Lu Tian,et al.
Springer Science and Business Media LLC
BackgroundChronic low back pain (CLBP) is the most common chronic pain condition and is often resistant to conventional treatments. Acupuncture is a popular alternative for treating CLBP but its mechanisms of action remain poorly understood. Evidence suggests that pain regulatory mechanisms (particularly the ascending and secondarily the descending pain modulatory pathways) and psychological mechanisms (e.g., expectations, pain catastrophizing and self-efficacy) may be involved in the pathogenesis of CLBP and its response to treatments. We will examine these mechanisms in the treatment of CLBP by electroacupuncture (EA).MethodsWe present the aims and methods of a placebo-controlled, participant-blinded and assessor-blinded mechanistic study. Adult patients with CLBP will be randomized to receiving 16 sessions of real (active) or sham (placebo) EA over the course of 8 weeks. The primary pain regulatory measure for which the study was powered is temporal summation (TS), which approximates ascending pain facilitation. Conditioned pain modulation (CPM), representing a descending pain modulatory pathway, will be our secondary pain regulatory measure. The primary psychological measure is expectations of benefit, and the secondary psychological measures are pain catastrophizing and self-efficacy in managing pain. Main clinical outcomes are back pain bothersomeness on a 0–100 visual analog scale (primary), Roland Morris Disability Questionnaire (secondary), and relevant items from the National Institutes of Health (NIH) Patient-Reported Outcome Measures Information System (secondary). We hypothesize that compared to sham, real EA will lead to greater reduction in TS after 8 treatment sessions (4 weeks); and that reduction in TS (and secondarily, increase in CPM) after 8 treatment sessions will mediate reduction in back pain bothersomeness from baseline to week 10 (clinical response) to EA. We also hypothesize that the three psychological factors are moderators of clinical response. With 100 treatment completers, the study is designed to have 80% power to detect a medium-sized between-group effect (d = 0.5) on temporal summation.DiscussionTo the best of our knowledge, this is the first appropriately powered, placebo-controlled clinical trial evaluating mechanisms of EA in the treatment of CLBP.Trial registrationClinicalTrials.gov, NCT02503475. Registered on 15 July 15 2015. Retrospectively registered.

Psychological Features and Their Relationship to Movement-Based Subgroups in People Living With Low Back Pain
Nicholas V. Karayannis, Gwendolen A. Jull, Michael K. Nicholas, and Paul W. Hodges
Elsevier BV
OBJECTIVE To determine the distribution of higher psychological risk features within movement-based subgroups for people with low back pain (LBP). DESIGN Cross-sectional observational study. SETTING Participants were recruited from physiotherapy clinics and community advertisements. Measures were collected at a university outpatient-based physiotherapy clinic. PARTICIPANTS People (N=102) seeking treatment for LBP. INTERVENTIONS Participants were subgrouped according to 3 classification schemes: Mechanical Diagnosis and Treatment (MDT), Treatment-Based Classification (TBC), and O'Sullivan Classification (OSC). MAIN OUTCOME MEASURES Questionnaires were used to categorize low-, medium-, and high-risk features based on depression, anxiety, and stress (Depression, Anxiety, and Stress Scale-21 Items); fear avoidance (Fear-Avoidance Beliefs Questionnaire); catastrophizing and coping (Pain-Related Self-Symptoms Scale); and self-efficacy (Pain Self-Efficacy Questionnaire). Psychological risk profiles were compared between movement-based subgroups within each scheme. RESULTS Scores across all questionnaires revealed that most patients had low psychological risk profiles, but there were instances of higher (range, 1%-25%) risk profiles within questionnaire components. The small proportion of individuals with higher psychological risk scores were distributed between subgroups across TBC, MDT, and OSC schemes. CONCLUSIONS Movement-based subgrouping alone cannot inform on individuals with higher psychological risk features.

Pain interference and physical function demonstrate poor longitudinal association in people living with pain: A PROMIS investigation
Nicholas V. Karayannis, John A. Sturgeon, Ming Chih-Kao, Corinne Cooley, and Sean C. Mackey
Ovid Technologies (Wolters Kluwer Health)
Abstract A primary goal in managing pain is to reduce pain and increase physical function (PF). This goal is also tied to continuing payment for treatment services in many practice guidelines. Pain interference (PI) is often used as a proxy for measurement and reporting of PF in these guidelines. A common assumption is that reductions in PI will translate into improvement in PF over time. This assumption needs to be tested in a clinical environment. Consequently, we used the patient-reported outcomes measurement information system (PROMIS) to describe the topology of the longitudinal relationship between PI in relation to PF. Longitudinal data of 389 people with chronic pain seeking health care demonstrated that PI partially explained the variance in PF at baseline (r = −0.50) and over 90 days of care (r = −0.65). The relationship between pain intensity and PF was not significant when PI was included as a mediator. A parallel process latent growth curve model analysis showed a weak, unidirectional relationship (&bgr; = 0.18) between average PF scores and changes in PI over the course of 90 days of care, and no relationship between average PI scores and changes in PF across time. Although PI and PF seem moderately related when measured concurrently, they do not cluster closely together across time. The differential pathways between these 2 domains suggest that therapies that target both the consequences of pain on relevant aspects of persons' lives, and capability to perform physical activities are likely required for restoration of a vital life.

Stagnant Physical Therapy Referral Rates Alongside Rising Opioid Prescription Rates in Patients with Low Back Pain in the United States 1997-2010
Patricia Zheng, Ming-Chih Kao, Nicholas V. Karayannis, and Matthew Smuck
Ovid Technologies (Wolters Kluwer Health)
Study Design. A cross-sectional observational study utilizing the National Ambulatory and National Hospital Ambulatory Medical Care Surveys between 1997 and 2010. Objective. The aim of this study was to characterize national physical therapy (PT) referral trends during primary care provider (PCP) visits in the United States. Summary of Background Data. Despite guidelines recommending PT for the initial management of low back pain (LBP), national PT referral rates remain low. Methods. Race, ethnicity, age, payer type, and PT referral rates were collected for patients aged 16 to 90 years who were visiting their PCPs. Associations among demographic variables and PT referral were determined using logistic regression. Results. Between 1997 and 2010, we estimated 170 million visits for LBP leading to 17.1 million PT referrals. Average proportion of PCP visits associated with PT referrals remained stable at about 10.1% [odds ratio (OR) 1.00, 95% confidence interval (95% CI) 0.96–1.04)], despite our prior finding of increasing number of visits associated with opioid prescriptions in the same timeframe. Lower PT referral rates were observed among visits by patients who were insured by Medicaid (OR 0.48, 95% CI 0.33–0.69) and Medicare (OR 0.50, 95% CI 0.35–0.72). Furthermore, visits not associated with PT referrals were more likely to be associated with opioid prescriptions (OR 1.69, 95% CI 1.22–2.35). Conclusion. Although therapies delivered by PTs are promoted as a first-line treatment for LBP, PT referral rates remain low. There also exist disparately lower referral rates in populations with more restrictive health plans and simultaneous opioid prescription. Our findings provide a broad overview to PT prescription trend and isolate concerning associations requiring further explorations. Level of Evidence: 3

Response to Letter to the Editor re: ‘Movement-based subgrouping in low back pain: synergy and divergence in approaches’
N.V. Karayannis, G.A. Jull, and P.W. Hodges
Elsevier BV

Movement-based subgrouping in low back pain: Synergy and divergence in approaches
N.V. Karayannis, G.A. Jull, and P.W. Hodges
Elsevier BV
BACKGROUND Classification systems for low back pain (LBP) aim to guide treatment decisions. In physiotherapy, there are five classification schemes for LBP which consider responses to clinical movement examination. Little is known of the relationship between the schemes. OBJECTIVES To investigate overlap between subgroups of patients with LBP when classified using different movement-based classification schemes, and to consider how participants classified according to one scheme would be classified by another. DESIGN Cross-sectional cohort study. SETTING University clinical laboratory. PARTICIPANTS One hundred and two participants with LBP were recruited from university, hospital outpatient and private physiotherapy clinics, and community advertisements. INTERVENTION Participants underwent a standardised examination including questions and movement tests to guide subgrouping. MAIN OUTCOME MEASURES Participants were allocated to a LBP subgroup using each of the five classification schemes: Mechanical Diagnosis and Treatment (MDT), Movement System Impairment (MSI), O'Sullivan Classification (OSC), Pathoanatomic Based Classification (PBC) and Treatment Based Classification (TBC). RESULTS There was concordance in allocation to subgroups that consider pain relief from direction-specific repeated spinal loading in the MDT, PBC and TBC schemes. There was consistency of subgrouping between the MSI and OSC schemes, which consider pain provocation to specific movement directions. Synergies between other subgroups were more variable. Participants from one subgroup could be subdivided using another scheme. CONCLUSIONS There is overlap and discordance between LBP subgrouping schemes that consider movement. Where overlap is present, schemes recommend different treatment options. Where subgroups from one scheme can be subdivided using another scheme, there is potential to further guide treatment. An integrated assessment model may refine treatment targeting.

Fear of Movement Is Related to Trunk Stiffness in Low Back Pain
Nicholas V. Karayannis, Rob J. E. M. Smeets, Wolbert van den Hoorn, and Paul W. Hodges
Public Library of Science (PLoS)
Background Psychological features have been related to trunk muscle activation patterns in low back pain (LBP). We hypothesised higher pain-related fear would relate to changes in trunk mechanical properties, such as higher trunk stiffness. Objectives To evaluate the relationship between trunk mechanical properties and psychological features in people with recurrent LBP. Methods The relationship between pain-related fear (Tampa Scale for Kinesiophobia, TSK; Photograph Series of Daily Activities, PHODA-SeV; Fear Avoidance Beliefs Questionnaire, FABQ; Pain Catastrophizing Scale, PCS) and trunk mechanical properties (estimated from the response of the trunk to a sudden sagittal plane forwards or backwards perturbation by unpredictable release of a load) was explored in a case-controlled study of 14 LBP participants. Regression analysis (r 2) tested the linear relationships between pain-related fear and trunk mechanical properties (trunk stiffness and damping). Mechanical properties were also compared with t-tests between groups based on stratification according to high/low scores based on median values for each psychological measure. Results Fear of movement (TSK) was positively associated with trunk stiffness (but not damping) in response to a forward perturbation (r2 = 0.33, P = 0.03), but not backward perturbation (r2 = 0.22, P = 0.09). Other pain-related fear constructs (PHODA-SeV, FABQ, PCS) were not associated with trunk stiffness or damping. Trunk stiffness was greater for individuals with high kinesiophobia (TSK) for forward (P = 0.03) perturbations, and greater with forward perturbation for those with high fear avoidance scores (FABQ-W, P = 0.01). Conclusions Fear of movement is positively (but weakly) associated with trunk stiffness. This provides preliminary support an interaction between biological and psychological features of LBP, suggesting this condition may be best understood if these domains are not considered in isolation.

Physiotherapy movement based classification approaches to low back pain: Comparison of subgroups through review and developer/expert survey
Nicholas V Karayannis, Gwendolen A Jull, and Paul W Hodges
Springer Science and Business Media LLC
BackgroundSeveral classification schemes, each with its own philosophy and categorizing method, subgroup low back pain (LBP) patients with the intent to guide treatment. Physiotherapy derived schemes usually have a movement impairment focus, but the extent to which other biological, psychological, and social factors of pain are encompassed requires exploration. Furthermore, within the prevailing 'biological' domain, the overlap of subgrouping strategies within the orthopaedic examination remains unexplored. The aim of this study was "to review and clarify through developer/expert survey, the theoretical basis and content of physical movement classification schemes, determine their relative reliability and similarities/differences, and to consider the extent of incorporation of the bio-psycho-social framework within the schemes".MethodsA database search for relevant articles related to LBP and subgrouping or classification was conducted. Five dominant movement-based schemes were identified: Mechanical Diagnosis and Treatment (MDT), Treatment Based Classification (TBC), Pathoanatomic Based Classification (PBC), Movement System Impairment Classification (MSI), and O'Sullivan Classification System (OCS) schemes. Data were extracted and a survey sent to the classification scheme developers/experts to clarify operational criteria, reliability, decision-making, and converging/diverging elements between schemes. Survey results were integrated into the review and approval obtained for accuracy.ResultsConsiderable diversity exists between schemes in how movement informs subgrouping and in the consideration of broader neurosensory, cognitive, emotional, and behavioural dimensions of LBP. Despite differences in assessment philosophy, a common element lies in their objective to identify a movement pattern related to a pain reduction strategy. Two dominant movement paradigms emerge: (i) loading strategies (MDT, TBC, PBC) aimed at eliciting a phenomenon of centralisation of symptoms; and (ii) modified movement strategies (MSI, OCS) targeted towards documenting the movement impairments associated with the pain state.ConclusionsSchemes vary on: the extent to which loading strategies are pursued; the assessment of movement dysfunction; and advocated treatment approaches. A biomechanical assessment predominates in the majority of schemes (MDT, PBC, MSI), certain psychosocial aspects (fear-avoidance) are considered in the TBC scheme, certain neurophysiologic (central versus peripherally mediated pain states) and psychosocial (cognitive and behavioural) aspects are considered in the OCS scheme.

RECENT SCHOLAR PUBLICATIONS

A Brief Hypnosis Intervention Improves Single-Limb Dynamic Balance in People with Chronic Ankle Instability: A Crossover Experimental Pilot Study
L Caggiano, NV Karayannis, C Collins, D Grooms, JE Simon
International Journal of Clinical and Experimental Hypnosis, 1-17 2025

Reduced Back Disability and Pain Interference in an Adaptive Physiotherapy and Healthy Minds Innovation Program
A Yamnitsky, NV Karayannis, EC Hinkle, JE Simon, J Allen, D DABA
2024 Combined Sections Meeting (CSM) 2024

Pain acceptance and psychological inflexibility predict pain interference outcomes for persons with chronic pain receiving pain psychology
NV Karayannis, JA Sturgeon, MK Kemani, SC Mackey, CM Greco, ...
Scandinavian journal of pain 23 (3), 464-475 2023

Self-reported physical function is strongly related to pain behavior and pain interference and weakly related to physical capacity in people with chronic low back pain
NV Karayannis, M Smuck, C Law, SC Mackey, JJ Gross, BD Darnall, ...
Musculoskeletal Science and Practice 63, 102721 2023

Mindfulness-based stress reduction, cognitive behavioral therapy, and acupuncture in chronic low back pain: protocol for two linked randomized controlled trials
S Mackey, G Gilam, B Darnall, P Goldin, JT Kong, C Law, M Heirich, ...
JMIR Research Protocols 11 (9), e37823 2022

DISABILITY IN PEOPLE WITH CHRONIC SPINAL PAIN IS MORE STRONGLY ASSOCIATED WITH PAIN BEHAVIOR THAN PHYSICAL PERFORMANCE
N Karayannis
ANNALS OF BEHAVIORAL MEDICINE 54, S514-S514 2020

Body Function and Activity Limitations in Chronic Low Back Pain Are More Strongly Associated with Pain Behavior Than Physical Performance
NV Karayannis
2020 Combined Sections Meeting (CSM) 2020

A Focus on the Science of Behavior Change Would Provide a Deeper Understanding of Pain-Related Activity Interference and Ability to Sustain Engagement in Valued Physical Activities
NV Karayannis
Pain Medicine 20 (2), 210-211 2019

The impact of social isolation on pain interference: A longitudinal study
NV Karayannis, I Baumann, JA Sturgeon, M Melloh, SC Mackey
Annals of Behavioral Medicine 2018

A focus on the science of behavior change to provide a deeper understanding of the challenge of sustaining engagement in valued physical activities.
NV Karayannis
Pain Medicine 2018

Central mechanisms of real and sham electroacupuncture in the treatment of chronic low back pain: study protocol for a randomized, placebo-controlled clinical trial
JT Kong, B MacIsaac, R Cogan, A Ng, CSW Law, J Helms, R Schnyer, ...
Trials 2018

People living with back pain receiving guideline-based physical therapy care integrated with the Stanford chronic pain self-management program: Effectiveness on disability and
NV Karayannis
Journal of Orthopaedic and Sports Physical Therapy 48 (1), A134-A135 2018

Effectiveness of an interdisciplinary outpatient program on disability for people with chronic low back pain
C Cooley, H King, NV Karayannis
Journal of Orthopaedic and Sports Physical Therapy 48 (1), A8 2018

Psychological features and their relationship to movement-based subgroups in people living with low back pain
NV Karayannis, J GA, N MK, PW Hodges
Archives of Physical Medicine and Rehabilitation 2017

Social connection reduces pain interference across time for people living with pain
NV Karayannis, I Baumann, JA Sturgeon, M Melloh, SC Mackey
Mind and Life Summer Research Institute 2017

Effectiveness of an interdisciplinary (ACT+PT) outpatient program on functional capacity for people with chronic low back pain
C Cooley, H Poupore-King, NV Karayannis
Association for Contextual Behavioral Science 15th World Conference 2017

Physical rehabilitation for people with chronic pain
NV Karayannis, TH Wideman
Longnecker's Anesthesiology, 3rd edition 2017

Physical function and pain interference demonstrate poor longitudinal association in people living with chronic pain: A PROMIS investigation
NV Karayannis, A John, M Chih-Kao, C Cooley, C Sean, ...
Pain 2017

Response to Letter to the Editor re:‘Movement-based subgrouping in low back pain: Synergy and divergence in approaches’
NV Karayannis, GA Jull, PW Hodges
Physiotherapy 102 (3), e3 2016

Stagnant physical therapy referral rates alongside rising opioid prescription rates in patients with low back pain in the United States 1997–2010
P Zheng, M Kao, N Karayannis, M Smuck
Spine 2016

MOST CITED SCHOLAR PUBLICATIONS

Physiotherapy movement based classification approaches to low back pain: Comparison of subgroups through review and developer/expert survey
NV Karayannis, GA Jull, PW Hodges
BMC Musculoskeletal Disorders 13 (1), 24 2012
Citations: 193

The impact of social isolation on pain interference: A longitudinal study
NV Karayannis, I Baumann, JA Sturgeon, M Melloh, SC Mackey
Annals of Behavioral Medicine 2018
Citations: 180

Fear of movement is related to trunk stiffness in low back pain
NV Karayannis, R Smeets, W van den Hoorn, PW Hodges
PLOS One 8 (6) 2013
Citations: 170

Movement-based subgrouping in low back pain: synergy and divergence in approaches
NV Karayannis, GA Jull, PW Hodges
Physiotherapy 102 (2), 159-169 2016
Citations: 69

Stagnant physical therapy referral rates alongside rising opioid prescription rates in patients with low back pain in the United States 1997–2010
P Zheng, M Kao, N Karayannis, M Smuck
Spine 2016
Citations: 68

Effectiveness of trunk stabilization and aerobic endurance exercises for the treatment of chronic low back pain
N Karayannis, K Anderson, S Carter
Phys Ther Case Reports 4, 77-89 2001
Citations: 2

Effectiveness of trunk stabilization and aerobic endurance exercises for the treatment of chronic low back pain
NV Karayannis, K Anderson, S Carter
American Physical Therapy Association Combined Sections Meeting 2000
Citations: stabilization and aerobic endurance exercises for the treatment of chronic low back pain