Cross-cultural adaptation and validation of the Dutch language version of the Pictorial Fear of Activity Scale – Cervical

Kragting, Maaike; Voogt, Lennard; Neijenhuijs, Koen Ilja; Pool-Goudzwaard, Annelies; Coppieters, Michel W.

doi:10.1186/s12891-020-03724-1

Cited by 5 publications

(4 citation statements)

References 47 publications

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“…Mean TSK and FABQ pa scores in the ‘fear group’ were close to the cut-off points to be considered fearful. People in the ‘fear group’ experienced mild/moderate fear, which is typical for people with neck pain in a primary care setting [ 59 ]. The results of our exploratory analysis, in which we increased the contrast between the groups by comparing participants who scored positive on both scales (N = 10: TSK≤37 & FABQ pa ≤14) with people with ‘no fear’ (N = 46), confirmed the impact of fear as the effect size was twice as large.…”

Section: Discussionmentioning

confidence: 99%

Visual feedback manipulation in virtual reality to influence pain-free range of motion. Are people with non-specific neck pain who are fearful of movement more susceptible?

et al. 2023

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Background Movement-evoked pain may have a protective or learned component, influenced by visual cues which suggest that the person is moving towards a position that may be perceived as threatening. We investigated whether visual feedback manipulation in virtual reality (VR) had a different effect on cervical pain-free range of motion (ROM) in people with fear of movement. Method In this cross-sectional study, seventy-five people with non-specific neck pain (i.e., neck pain without a specific underlying pathology) rotated their head until the onset of pain, while wearing a VR-headset. Visual feedback about the amount of movement was equal, 30% smaller or 30% larger than their actual rotation. ROM was measured using the VR-headset sensors. The effect of VR manipulation in fearful (N = 19 using the Tampa Scale for Kinesiophobia (TSK) and N = 18 using the Fear Avoidance Beliefs Questionnaire-physical activity (FABQpa)) and non-fearful (N = 46; non-fearful on both scales) people was compared using mixed-design ANOVAs. Results Fear of movement, influenced the effect of visual feedback manipulation on cervical pain-free ROM (TSK: p = 0.036, ղp2 = 0.060; FABQpa: p = 0.020, ղp2 = 0.077); a greater amplitude of pain-free movement was found when visual feedback reduced the perceived rotation angle compared to the control condition (TSK: p = 0.090, ղp2 = 0.104; FABQpa: p = 0.030, ղp2 = 0.073). Independent of the presence of fear, visual feedback manipulation reduced the cervical pain-free ROM in the overstated condition (TSK: p< 0.001, ղp2 = 0.195; FABQpa: p<0.001, ղp2 = 0.329). Discussion Cervical pain-free ROM can be influenced by visual perception of the amount of rotation and people with fear of movement seem to be more susceptible to this effect. Further research in people with moderate/severe fear is needed to determine whether manipulating visual feedback may have clinical applicability to make patients aware that ROM may be influenced more by fear than tissue pathology.

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Section: Discussionmentioning

confidence: 99%

Visual feedback manipulation in virtual reality to influence pain-free range of motion. Are people with non-specific neck pain who are fearful of movement more susceptible?

et al. 2023

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“…The Neckpix is a reliable pictorial scale to measure fear of movement in people with chronic neck pain consisting of a specific set of 10 daily activities on a 11-point NRS scale, with higher scores representing higher fear. This scale has a strong correlation with the Tampa Scale for Kinesiophobia [ 45 ], is region-specific and easy to understand due to the use of pictures [ 51 , 52 ]. The PSFS is the recommended tool in neck pain guidelines that tries to quantify a patient’s disabilities in daily functioning on an 11-point NRS scale [ 53 – 55 ].…”

Section: Methodsmentioning

confidence: 99%

Illness perceptions in people with chronic and disabling non-specific neck pain seeking primary healthcare: a qualitative study

Kragting,

Pool-Goudzwaard,

Coppieters

et al. 2024

BMC Musculoskelet Disord

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Background Illness perceptions can affect the way people with musculoskeletal pain emotionally and behaviorally cope with their health condition. Understanding patients illness perceptions may help facilitate patient-centered care. The purpose of this study was to explore illness perceptions and the origin of those perceptions in people with chronic disabling non-specific neck pain seeking primary care. Methods A qualitative study using a deductive and inductive analytical approach was conducted in 20 people with persistent (> 3 months) and disabling (i.e., Neck Disability Index ≥ 15) neck pain. Using a semi-structured format, participants were interviewed about their illness perceptions according to Leventhal’s Common Sense Model. Purposive sampling and member checking were used to secure validity of study results. Results Participants reported multiple symptoms, thoughts and emotions related to their neck pain, which continuously required attention and action. They felt trapped within a complex multifactorial problem. Although some participants had a broader biopsychosocial perspective to understand their symptoms, a biomedical perspective was dominant in the labelling of their condition and their way of coping (e.g., limiting load, building strength and resilience, regaining mobility, keep moving and being meaningful). Their perceptions were strongly influenced by information from clinicians. Several participants indicated that they felt uncertain, because the information they received was contradictory or did not match their own experiences. Conclusion Most participants reported that understanding their pain was important to them and influenced how they coped with pain. Addressing this ‘sense making process’ is a prerequisite for providing patient-centered care.

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“…51,74 The PFActS-C is a valid 77-item questionnaire and has shown to be moderately to largely correlated with measures of pain-related fear and anxiety (PASS-20), catastrophizing cognitions (PCS), and disability (NDI). 34,74 For the current fMRI paradigm, 15 PFActS-C pictures were selected across 3 categories (ie, 5 pictures per category) to elicit different degrees of pain-related fear among participants with CWAD (ie, high-fear, moderate-fear, and neutral pictures; see Fig. 1), based on the validation results for the PFActS-C in individuals with WAD (see Turk et al 74 for further details).…”

Section: Stimulus Materials and Experimental Protocolmentioning

confidence: 99%

Neural processing of pain-related distress to neck-specific movements in people with chronic whiplash-associated disorders

Murillo

Coppieters

Cagnie

et al. 2023

Pain

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Pain-related distress contributes to long-term disability in chronic whiplash-associated disorders. Recently, neuroimaging studies have revealed altered neural responses to viewing pictures of movements associated with back pain in key regions for threat and affective processing. In this study, we examined neural correlates of imagining neck-specific movements designed to elicit pain-related distress in individuals with whiplash-associated disorders (n = 63) when compared with that in sex-matched pain-free controls (n = 32). In the scanner, participants were presented with neck-specific movement-related pictures divided into 3 categories (high fear, moderate-fear, and neutral control pictures) and asked to imagine how they would feel if they were performing the movement. Whole-brain analyses revealed greater differential activation (high-fear vs neutral) in individuals with whiplash-associated disorders when compared with that in pain-free controls in 6 clusters including right and left postcentral gyri, left parietal operculum, dorsal precuneus, left superior frontal gyrus/anterior cingulate cortex, and posterior cingulate cortex/ventral precuneus. For the contrast moderate-fear vs neutral, patients showed greater differential activation than controls in the right and left posterolateral cerebellum. Activation patterns in the precuneus and posterior cingulate cortex were negatively associated with pain-related fear, but no other correlations were observed. Together, the findings suggest that when conceptualizing neck-specific movements associated with pain, people with chronic whiplash-associated disorders may predict—and potentially amplify—their sensory and affective consequences and therewith trigger dysfunctional affective and/or behavioral responses. Herewith, we provide new insights into the neural mechanisms underlying chronic pain in people with whiplash-associated disorders, pointing towards a complex interplay between cognitive/affective and sensorimotor circuitry.

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Cross-cultural adaptation and validation of the Dutch language version of the Pictorial Fear of Activity Scale – Cervical

Cited by 5 publications

References 47 publications

Visual feedback manipulation in virtual reality to influence pain-free range of motion. Are people with non-specific neck pain who are fearful of movement more susceptible?

Visual feedback manipulation in virtual reality to influence pain-free range of motion. Are people with non-specific neck pain who are fearful of movement more susceptible?

Illness perceptions in people with chronic and disabling non-specific neck pain seeking primary healthcare: a qualitative study

Neural processing of pain-related distress to neck-specific movements in people with chronic whiplash-associated disorders

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