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
Spineauthors
Swinkels-Meewisse IE,Roelofs J,Schouten EG,Verbeek AL,Oostendorp RA,Vlaeyen JWdoi
10.1097/01.brs.0000203709.65384.9dkeywords:
subject
Has Abstractpub_date
2006-03-15 00:00:00pages
658-64issue
6eissn
0362-2436issn
1528-1159pii
00007632-200603150-00010journal_volume
31pub_type
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