A Fear-Avoidance Beliefs Questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability

Waddell, Gordon; Newton, Mary; Henderson, I.A.; Somerville, Douglas; Main, Chris J.

doi:10.1016/0304-3959(93)90127-b

Cited by 2,688 publications

(2,079 citation statements)

References 59 publications

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“…191, 296, 302 Prospective studies suggest fear-avoidance beliefs are predictive of the development of chronic low back pain. 108, 109, 177, 268 As a result, identification of elevated fear-avoidance beliefs has been suggested to as an important component in the assessment of low back pain.…”

Section: Clinical Guidelines: Examinationmentioning

confidence: 99%

“…302 Patients rate their agreement with statements related to either physical activity or work on a 7-point Likert scale (0 = “completely disagree,” 6 = “completely agree”). 302 Measurement methodSelf-reportNature of variableContinuousUnits of measurementIndividual items: 7-point Likert scale (0 = “completely disagree,” 6 = “completely agree”)Measurement propertiesThe FABQ scales have been found to have acceptable reliability. 161, 230, 274, 302 Test-retest reliability has been reported for the FABQ-PA (Pearson r = 0.84 to 0.88) and FABQ-W (Pearson r = 0.91 to 0.88).…”

Section: Clinical Guidelines: Examinationmentioning

confidence: 99%

See 1 more Smart Citation

Low Back Pain

Delitto¹,

George²,

Dillen³

et al. 2012

Journal of Orthopaedic & Sports Physical Therapy

780

352

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Section: Clinical Guidelines: Examinationmentioning

confidence: 99%

Section: Clinical Guidelines: Examinationmentioning

confidence: 99%

Low Back Pain

Delitto¹,

George²,

Dillen³

et al. 2012

Journal of Orthopaedic & Sports Physical Therapy

780

352

View full text Add to dashboard Cite

“…Each participant completed the fear-avoidance beliefs questionnaire (FABQ) [37] before intervention to assess the beliefs about the influence of activity on LBP [37]. The FABQ contains two subscales, one is related to general physical activity (FABQPA) and the other to work (FAB-QW) [37].…”

Section: Methodsmentioning

confidence: 99%

“…The FABQ contains two subscales, one is related to general physical activity (FABQPA) and the other to work (FAB-QW) [37].…”

Section: Methodsmentioning

confidence: 99%

A clinical prediction rule for classifying patients with low back pain who demonstrate short-term improvement with mechanical lumbar traction

2009

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The objective of the study was to develop a clinical prediction rule for identifying patients with low back pain, who improved with mechanical lumbar traction. A prospective, cohort study was conducted in a physiotherapy clinic at a local hospital. Patients with low back pain, referred to physiotherapy were included in the study. The intervention was a standardized mechanical lumbar traction program, which comprised three sessions provided within 9 days. Patient demographic information, standard physical examination, numeric pain scale, fear-avoidance beliefs questionnaire and Oswestry low back pain disability index (pre-and post-intervention) were recorded. A total of 129 patients participated in the study and 25 had positive response to the mechanical lumbar traction. A clinical prediction rule with four variables (non-involvement of manual work, low level fear-avoidance beliefs, no neurological deficit and age above 30 years) was identified. The presence of all four variables (positive likelihood ratio = 9.36) increased the probability of response rate with mechanical lumbar traction from 19.4 to 69.2%. It appears that patients with low back pain who were likely to respond to mechanical lumbar traction may be identified.

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“…Severity of pain was scored by the Numerical Rating Scale (NRS) (Jensen et al, 1986). The FearAvoidance Beliefs Questionnaire (FABQ) was completed to identify to which extent fear of LBP affects their work and physical activity (Waddell et al, 1993). The Hospital Anxiety and Depression Scale (HADS) was completed to assess anxiety and depression (Zigmond and Snaith, 1983).…”

Section: Participantsmentioning

confidence: 99%

Proprioceptive use and sit-to-stand-to-sit after lumbar microdiscectomy: The effect of surgical approach and early physiotherapy

Janssens

Brumagne

Claeys

et al. 2016

Clinical Biomechanics

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Background: Individuals with non-specific low back pain show decreased reliance on lumbosacral proprioceptive signals and slower sit-to-stand-to-sit performance. However, little is known in patients after lumbar microdiscectomy. Methods: Patients were randomly assigned into transmuscular (n = 12) or paramedian lumbar surgery (n = 13). After surgery, the same patients were randomly assigned into individualized active physiotherapy starting 2 weeks after surgery (n = 12) or usual care (n = 13). Primary outcomes were center of pressure displacement during ankle and back muscles vibration (to evaluate proprioceptive use), and the duration of five sit-to-stand-to-sit movements, evaluated at 2 (baseline), 8 and 24 weeks after surgery. Findings: Two weeks after surgery, all patients showed smaller responses to back compared to ankle muscles vibration (P b 0.05). Patients that underwent a transmuscular surgical procedure and patients that received physiotherapy switched to larger responses to back muscles vibration at 24 weeks, compared to 2 weeks after surgery (P b 0.005), although not seen in the paramedian group and usual care group (P N 0.05). Already 8 weeks after surgery, the physiotherapy group needed significantly less time to perform five sit-to-stand-to-sit movements compared to the usual care group (P b 0.05). Interpretation: Shortly after lumbar microdiscectomy, patients favor reliance on ankle proprioceptive signals over lumbosacral proprioceptive reliance to maintain posture, which resembles the behavior of patients with non-specific low back pain. However, early active physiotherapy after lumbar microdiscectomy facilitated higher reliance on lumbosacral proprioceptive signals and early improvement of sit-to-stand-to-sit performance. Transmuscular lumbar surgery favoured recovery of lumbosacral proprioception 6 months after surgery. Clinical Trial Number: NCT01505595

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A Fear-Avoidance Beliefs Questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability

Cited by 2,688 publications

References 59 publications

Low Back Pain

Low Back Pain

A clinical prediction rule for classifying patients with low back pain who demonstrate short-term improvement with mechanical lumbar traction

Proprioceptive use and sit-to-stand-to-sit after lumbar microdiscectomy: The effect of surgical approach and early physiotherapy

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