Fear-Avoidance Behavior and Anticipation of Pain in Patients With Chronic Low Back Pain: A Randomized Controlled Study

Pfingsten, M.; Leibing, Eric; Harter, W.H.; Kröner‐Herwig, Birgit; Hempel, Doreen; Kronshage, Uta; Hildebrandt, J.

doi:10.1046/j.1526-4637.2001.01044.x

Cited by 118 publications

(69 citation statements)

References 17 publications

(22 reference statements)

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“…It has inspired a number of ingeniously designed experiments (e.g. 21,22 ), prospective studies that enable scrutiny of sequential relationships between variables over time (e.g. 23,24 ), and clinical studies of therapeutic interventions aimed at populations deemed to be highly fear-avoidant (e.g.…”

Section: Current State Of Evidencementioning

confidence: 99%

Fear-Avoidance Model of Chronic Pain

Crombez

Eccleston²,

Damme

et al. 2012

The Clinical Journal of Pain

785

690

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Objective: The fear-avoidance (FA) model of chronic pain describes how individuals experiencing acute pain may become trapped into a vicious circle of chronic disability and suffering. We propose to extend the FA model by adopting a motivational perspective on chronic pain and disability. Methods: A narrative reviewResults: There is ample evidence to support the validity of the FA model as originally formulated. There are, however, some key challenges that call for a next generation of the FA model. First, the FA model has its roots in psychopathology, and investigators will have to find a way to account for findings that do not easily fit within such framework. Second, the FA model needs to address the dynamics and complexities of disability and functional recovery. Third, the FA model should incorporate the idea that pain-related fear and avoidance occurs in a context of multiple and often competing personal goals. Discussion:To address these three key challenges, we argue that the next generation of the FA model needs to more explicitly adopt a motivational perspective, one that is built around the organizing powers of goals and self-regulatory processes.Using this framework, the FA model is recast as capturing the persistent but futile attempts to solve pain-related problems in order to protect and restore life goals.

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Section: Current State Of Evidencementioning

confidence: 99%

Fear-Avoidance Model of Chronic Pain

Crombez

Eccleston²,

Damme

et al. 2012

The Clinical Journal of Pain

785

690

View full text Add to dashboard Cite

show abstract

“…In an experimental study designed in part to measure fear-avoidance behavior, 50 patients with chronic back pain were randomly divided into 2 groups prior to performing a leg flexion test. 11 One group was informed that the test could lead to a slight increase in pain, whereas the other group was told that the test was painless. The patients who were told that there would be an increase in pain reported stronger pain and performed fewer leg flexion repetitions than those who received neutral instruction.…”

mentioning

confidence: 99%

Placebo, Nocebo, and Expectations: Leveraging Positive Outcomes

Benz¹,

Flynn²

2013

J Orthop Sports Phys Ther

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“…Differences between evaluators may also contribute to the differences between the test results. Interaction variability such as the physical distance between the evaluator and the patient, the way of communication and fear-avoidance level of the evaluator may have been of influence on the behavior of patients with CLBP [14,29]. It is yet unknown and beyond the subject of this study how these differences could explain and contribute to outcome differences.…”

Section: Discussionmentioning

confidence: 93%

“…If there are differences in the outcome between the two tests, it is of concern to know why these differences exist. In CLBP, psychological factors are assumed to play an important role in the sustenance of disability [10][11][12][13][14]. The role of pain related fear, coping, self reported disability and symptoms of distress on test performance were explored in this study.…”

mentioning

confidence: 99%

A comparison of two lifting assessment approaches in patients with chronic low back pain

et al. 2006

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A comparison of two lifting assessment approaches in patients with chronic low back pain Soer, Remko; Poels, Bas J. J.; Geertzen, Jan H. B.; Reneman, Michiel F. Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. Abstract The Progressive Isoinertial Lifting Evaluation (PILE) and the lifting test of the WorkWell Systems Functional Capacity Evaluation (WWS) are well known as lifting performance tests. The objective of this study was to study whether the PILE and the WWS can be used interchangeably in patients with Chronic Low Back Pain (CLBP) and to explore whether psychosocial variables can explain possible differences. Methods: 53 Patients (32 men and 21 women) with CLBP were tested twice in a counter balanced design. Pearson Correlation Coefficient of r > 0.75 and non-significant differences on two-tailed t tests were considered as good comparability. Results: Pearson Correlation Coefficient was 0.75 (p < 0.01). Lifting performance on the WWS was a mean of 6.0 kg higher compared to the PILE (p < 0.01). The difference between the PILE and the WWS was unrelated to psychological variables. Conclusion: It can be concluded that the PILE and the WWS cannot be used interchangeably. Psychosocial variables cannot explain the differences between both tests.

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Fear-Avoidance Behavior and Anticipation of Pain in Patients With Chronic Low Back Pain: A Randomized Controlled Study

Cited by 118 publications

References 17 publications

Fear-Avoidance Model of Chronic Pain

Fear-Avoidance Model of Chronic Pain

Placebo, Nocebo, and Expectations: Leveraging Positive Outcomes

A comparison of two lifting assessment approaches in patients with chronic low back pain

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