The role of fear avoidance beliefs as a prognostic factor for outcome in patients with nonspecific low back pain: a systematic review

Wertli, Maria M.; Rasmussen-Barr, Eva; Weiser, Sherri; Bachmann, Lucas M.; Brunner, Florian

doi:10.1016/j.spinee.2013.09.036

Cited by 394 publications

(301 citation statements)

References 63 publications

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“…The health beliefs model is a psychological model focused on the intrapersonal beliefs, in this instance the beliefs within each participant about their crepitus and how it impacts on their behaviour. Health beliefs are well documented with respect to low back pain [10], but not at all with respect to crepitus in patients with PFP. Therefore it is important to explore where patients derive their health belief about crepitus, and understand if negative, erroneous messages are reinforced by clinicians.…”

Section: Introductionmentioning

confidence: 99%

People's beliefs about the meaning of crepitus in patellofemoral pain and the impact of these beliefs on their behaviour: A qualitative study

Robertson

Hurley

Jones

2017

Musculoskeletal Science and Practice

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Section: Introductionmentioning

confidence: 99%

People's beliefs about the meaning of crepitus in patellofemoral pain and the impact of these beliefs on their behaviour: A qualitative study

Robertson

Hurley

Jones

2017

Musculoskeletal Science and Practice

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“…FABQs have a list of questions that help medical professionals understand patients' feelings about physical activity and which activities are associated with pain (Wertli et al, 2014). The FABQ is split into two categories: the physical activity section (FABQ-PA) and the section associated with work (FABQ-W).…”

Section: Introductionmentioning

confidence: 99%

Extended Use of Fear Avoidance Belief Questionnaires in Physical Therapy to Improve Patient Recovery Time from Spinal Surgery

Walker

2015

symp

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Project SummaryThis experiment aims to use multiple Fear Avoidance Belief Questionnaires (FABQs) for post-surgical female spinal patients for a more comprehensive therapy experience. FABQs are given to quantify and assess the fears and avoidant behavior that a patient may have due to his or her beliefs about movement that may cause pain. The avoidant behaviors could range from the patient unnecessarily limiting daily activities to refusing the physical therapist's recommendations for exercise during the session. It is standard practice in clinics to use a singular FABQ during the initial evaluation for physical therapy. High levels of fear can cause chronic pain and a less successful treatment in therapy. The FABQs are a useful tool, but are usually overlooked. FABQs are often briefly considered, filed in the patient's medical chart, and never looked at again. This is common practice despite research that validates the accuracy of FABQs. This experiment aims to use FABQs four times, instead of just once, through the post-operation (PO) and physical therapy processes to assemble a more thorough program.The questionnaires will be administered immediately before discharge from the surgical center, at the initial evaluation of physical therapy, during week 2 of physical therapy (PT), and during week 6 of PT. These four scores will differ from the usual protocol of administering only one questionnaire during the initial PT evaluation. The scores, ranging from high to low quantitatively, indicate how much the patients avoid behaviors that they believe could increase their pain. The scores will be categorized for each patient's measurements as high, medium, or low. Each patient's progress will be tracked, and a series of standard discharge tests will be performed at the end of a 12 week PT program. The landmark discharge tests ensure that patients are equipped with the strength and proper technique to go about their daily lives with minimal risk of re-injury. The results of this experiment will be used to determine if high fear avoidance beliefs during a certain point in PT-such as week 2 or week 6-would indicate a significantly decreased ability to pass the standard landmark discharge tests performed at the end of a 12 week program. These landmark tests are used in physical therapy to determine if patients have progressed enough to handle everyday tasks alone without the risk of reinjuring themselves.From there, further research into preventative measures could be explored to best equip the patients with the therapy-both physical and psychological-they need for a comprehensive and prompt recovery. These measures could include additional counseling for patients with high avoidance beliefs, scheduling a longer session that includes more one-on-one time with the therapist and aides, and adjusting the length of the program to address patients' fears before they reenter their usual routines.

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“…3,10 The data and guidelines are not yet clear on which patients improve with which treatments or exercises. There is no data to definitively support the superiority of one exercise program or movement system over other options, to support specific exercises over a general fitness program, to favor one-on-one over group setting, or to suggest appropriate dosing of exercise.…”

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confidence: 99%

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2017

IPMRJ

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This article presents a focused review on the role of rehabilitation in lumbar spine pain. Rehabilitation treatments are commonly used in the treatment of spine pain, before and after surgical operations. There is broad variation in rehabilitation treatments which makes assessment of effect very difficult. Rehabilitation is effective in the treatment of lumbar spine pain, and in some cases is as effective as surgery. Surgical outcomes can be superior for nerve compression and instability. Physical activity immediately after common spine operations improves outcomes but the incremental benefit appears small for most patients. When compared to surgical treatment, rehabilitation is remarkably safe. For patients with complex pathology, complicating medical conditions, difficult psychological or social situations, or those who do not improve after surgical intervention, intensive rehabilitation can often improve pain and function over many years.

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The role of fear avoidance beliefs as a prognostic factor for outcome in patients with nonspecific low back pain: a systematic review

Cited by 394 publications

References 63 publications

People's beliefs about the meaning of crepitus in patellofemoral pain and the impact of these beliefs on their behaviour: A qualitative study

People's beliefs about the meaning of crepitus in patellofemoral pain and the impact of these beliefs on their behaviour: A qualitative study

Extended Use of Fear Avoidance Belief Questionnaires in Physical Therapy to Improve Patient Recovery Time from Spinal Surgery

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