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Fear-avoidance beliefs as measured by the Fear-Avoidance Beliefs Questionnaire: Change in Fear-Avoidance Beliefs Questionnaire is predictive of change in self-report of disability and pain intensity for patients with acute low back pain

This study investigated the association among fear-avoidance beliefs, pain intensity, and lumbar flexion and if changes were predictive of treatment outcome following physical therapy for acute low back pain. Sixty-three patients with acute low back pain underwent a standard examination that included measures of fear-avoidance beliefs, pain intensity, lumbar flexion, and disability from low back pain. They were then re-examined after 4 weeks of physical therapy. The investigators found that items on the Fear-Avoidance Beliefs Questionnaire consistently correlated with lumbar flexion but not with pain intensity. Changes in disability were significantly associated with changes in fear-avoidance beliefs and pain intensity, but not changes in lumbar flexion. Study results suggest that fear-avoidance beliefs have a similar association with pain intensity, physical impairment, and disability for patients with acute and chronic low back pain. This study provides preliminary support for the use of the Fear-Avoidance Beliefs Questionnaire as an outcome measure for patients with acute low back pain. George SZ, Fritz JM, McNeil DW. Adapted from Clin J Pain. 2006 Feb;22(2):197-203.

PMID 16428956
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed

Credit: PubMed, developed by the National Center for Biotechnology Information (NCBI) at the National Library of Medicine (NLM).



Department of Pain Medicine and Palliative Care
Beth Israel Medical Center, New York City
©2005 Continuum Health Partners, Inc.
www.stoppain.org/pain_medicine