Nicholas Vasilis Karayannis

@ohio.edu

Ohio University

Nicholas Vasilis Karayannis


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https://researchid.co/nvkaray
14

Scopus Publications

977

Scholar Citations

11

Scholar h-index

11

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, Janet E. Simon
    International Journal of Clinical and Experimental Hypnosis, 2025
    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, Lance M. McCracken
    Scandinavian Journal of Pain, 2023
    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, Julia Hush
    Musculoskeletal Science and Practice, 2023
  • 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, Rachel Manber, James Gross
    Jmir Research Protocols, 2022
    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
    Pain Medicine United States, 2019
  • The Impact of Social Isolation on Pain Interference: A Longitudinal Study
    Nicholas V Karayannis, Isabel Baumann, John A Sturgeon, Markus Melloh, Sean C Mackey
    Annals of Behavioral Medicine, 2019
    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, Beth D. Darnall, James J. Gross, Sean Mackey, Rachel Manber
    Trials, 2018
    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, Paul W. Hodges
    Archives of Physical Medicine and Rehabilitation, 2018
    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, Sean C. Mackey
    Pain, 2017
    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, Matthew Smuck
    Spine, 2017
    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, P.W. Hodges
    Physiotherapy United Kingdom, 2016
  • Movement-based subgrouping in low back pain: Synergy and divergence in approaches
    N.V. Karayannis, G.A. Jull, P.W. Hodges
    Physiotherapy United Kingdom, 2016
  • Fear of Movement Is Related to Trunk Stiffness in Low Back Pain
    Nicholas V. Karayannis, Rob J. E. M. Smeets, Wolbert van den Hoorn, Paul W. Hodges
    Plos One, 2013
  • Physiotherapy movement based classification approaches to low back pain: Comparison of subgroups through review and developer/expert survey
    Nicholas V Karayannis, Gwendolen A Jull, Paul W Hodges
    BMC Musculoskeletal Disorders, 2012

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 73 (2), 181-197 , 2025
    2025
    Citations: 1
  • 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
    2024 Combined Sections Meeting (CSM) , 2024
    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
    2023
    Citations: 23
  • 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
    2023
    Citations: 12
  • 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
    2022
    Citations: 11
  • 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
    2020
  • BODY FUNCTION AND ACTIVITY LIMITATIONS IN CHRONIC LOW BACK PAIN ARE MORE STRONGLY ASSOCIATED WITH PAIN BEHAVIOR THAN PHYSICAL PERFORMANCE: OPO124
    NV Karayannis
    Journal of Orthopaedic & Sports Physical Therapy 50 (1), CSM130 , 2020
    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
    2019
    Citations: 1
  • 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
    2018
    Citations: 225
  • 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
    2018
    Citations: 22
  • 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
    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
    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
    2017
    Citations: 15
  • 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
    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
    2017
  • Physical rehabilitation for people with chronic pain
    NV Karayannis, TH Wideman
    Longnecker's Anesthesiology, 3rd edition , 2017
    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
    2017
    Citations: 124
  • 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
    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
    2016
    Citations: 78
  • Movement-based subgrouping in low back pain: synergy and divergence in approaches
    NV Karayannis, GA Jull, PW Hodges
    Physiotherapy 102 (2), 159-169 , 2016
    2016
    Citations: 73

MOST CITED SCHOLAR PUBLICATIONS

  • 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
    2018
    Citations: 225
  • 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
    2012
    Citations: 203
  • 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
    2013
    Citations: 187
  • 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
    2017
    Citations: 124
  • 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
    2016
    Citations: 78
  • Movement-based subgrouping in low back pain: synergy and divergence in approaches
    NV Karayannis, GA Jull, PW Hodges
    Physiotherapy 102 (2), 159-169 , 2016
    2016
    Citations: 73
  • 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
    2023
    Citations: 23
  • 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
    2018
    Citations: 22
  • 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
    2017
    Citations: 15
  • 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
    2023
    Citations: 12
  • 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
    2022
    Citations: 11
  • 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
    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
    2000
    Citations: 2
  • 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 73 (2), 181-197 , 2025
    2025
    Citations: 1
  • 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
    2019
    Citations: 1
  • 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
    2024 Combined Sections Meeting (CSM) , 2024
    2024
  • 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
    2020
  • BODY FUNCTION AND ACTIVITY LIMITATIONS IN CHRONIC LOW BACK PAIN ARE MORE STRONGLY ASSOCIATED WITH PAIN BEHAVIOR THAN PHYSICAL PERFORMANCE: OPO124
    NV Karayannis
    Journal of Orthopaedic & Sports Physical Therapy 50 (1), CSM130 , 2020
    2020
  • 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
    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
    2018