Fear of movement/(re)injury predicting chronic disabling low back pain: a prospective inception cohort study.

Abstract:

STUDY DESIGN:Prospective inception cohort study. OBJECTIVE:To investigate prospectively whether pain-related fear predicts future perceived disability and participation in patients with acute low back pain (LBP). SUMMARY OF BACKGROUND DATA:There are indications that fear of movement/(re)injury, as measured by the Tampa Scale for Kinesiophobia, is present early in an episode of LBP, and that it might be a predictor of future perceived disability and participation. METHODS:A cohort of 555 patients with acute LBP included by general practitioners and physical therapists in primary care settings was followed for 6 months. RESULTS:Results indicate that baseline fear of movement/(re)injury was predictive of future perceived disability and, to a lesser extent (and together with duration and radiation), of participation. CONCLUSIONS:The results suggest that interventions aimed at reducing pain-related fear in the acute stage of LBP might prevent restrictions of activity and participation because of pain, and might be a way of preventing the transition from acute to chronic LBP.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Swinkels-Meewisse IE,Roelofs J,Schouten EG,Verbeek AL,Oostendorp RA,Vlaeyen JW

doi

10.1097/01.brs.0000203709.65384.9d

keywords:

subject

Has Abstract

pub_date

2006-03-15 00:00:00

pages

658-64

issue

6

eissn

0362-2436

issn

1528-1159

pii

00007632-200603150-00010

journal_volume

31

pub_type

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