Associations between the severity of disability level and fear of movement and pain beliefs in patients with chronic low back pain
Autor: | Ayçe Atalay, Nuray Alaca, Hande Kaba |
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Rok vydání: | 2019 |
Předmět: |
Adult
Male medicine.medical_specialty Health Knowledge Attitudes Practice Visual analogue scale medicine.medical_treatment Movement Fear of movement Physical Therapy Sports Therapy and Rehabilitation Severity of Illness Index 03 medical and health sciences Disability Evaluation 0302 clinical medicine Quality of life Surveys and Questionnaires Avoidance Learning Medicine Humans Orthopedics and Sports Medicine In patient Disabled Persons Pain Measurement Rehabilitation business.industry Chronic pain Fear Middle Aged medicine.disease Low back pain Oswestry Disability Index 030220 oncology & carcinogenesis Physical therapy Quality of Life Female medicine.symptom Chronic Pain business Low Back Pain 030217 neurology & neurosurgery |
Zdroj: | Journal of back and musculoskeletal rehabilitation. 33(5) |
ISSN: | 1878-6324 |
Popis: | BACKGROUND AND OBJECTIVES: Low back pain (LBP) is one of the leading forms of chronic pain and is among the leading causes of pain and disability. In this study, we investigated the associations between the severity of disability and fear of movement and pain beliefs as well as the impact of the fear of movement and pain beliefs on the quality of life in patients with chronic LBP. METHODS: A total of 89 patients (42.29 ± 16.05 years) with chronic low back pain were included in the study. The instruments used in the assessments include the Visual Analogue Scale (VAS), the Oswestry Disability Index (ODI), the Tampa Kinesiophobia Scale (TKS), the Pain Belief Questionnaire (PBQ), and the SF 36-Short Form. Patients were assigned into three groups by disability severity based on ODI scores. Statistical analysis was performed using SPSS 15. RESULTS: No statistically significant intergroup differences were found in TKS and PBQ scores (p> 0.05). A positive correlation was found between TKS scores, age (r: 0.227/p< 0.05), PBQ organic (r: -0.250/p< 0.05) scores. CONCLUSIONS: Our study revealed high levels of kinesiophobia and similar pain beliefs, independent of the severity level of disability. We believe that cognitive-behavioral therapy that may reduce fear-avoidance behaviors and convert negative pain beliefs into positive ones should be added to rehabilitation procedures for LBP. |
Databáze: | OpenAIRE |
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