Fear-avoidance Beliefs About Back Pain in Patients With Acute LBP

Coudeyre, Emmanuel; Tubach, Florence; Rannou, François; Baron, Gabriel; Coriat, F.; Brin, Sylvie; Revel, Michel; Poiraudeau, Serge

doi:10.1097/ajp.0b013e31814da407

Cited by 44 publications

(31 citation statements)

References 33 publications

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“…Furthermore, preliminary evidence suggests that the attitudes and beliefs of patients about low back pain are associated with therapeutic outcomes 10,11 , levels of disability and quality of life 12 . For example, patients who believe that movement will lead to worsening pain have a higher risk for the persistence of symptoms and higher levels of disability [13][14][15] . The beliefs of health care professionals who work with patients with chronic low back pain may also interfere with the therapeutic process 16 .…”

Section: Introductionmentioning

confidence: 99%

Attitudes and beliefs of Brazilian physical therapists about chronic low back pain: a cross-sectional study

Magalhães¹,

Costa²,

Cabral³

et al. 2012

Rev. bras. fisioter.

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Objectives: To measure the attitudes and beliefs of Brazilian physical therapists about chronic low back pain and to identify the sociodemographic characteristics that are more likely to influence these attitudes and beliefs. Methods: We conducted a cross-sectional study with 100 Brazilian physical therapists who routinely work with chronic low back pain patients. The attitudes and beliefs were measured by the Pain Attitudes and Beliefs Scale for Physiotherapists (PABS.PT) and the Health Care Providers' Pain and Impairment Relationship Scale (HC-PAIRS). Multivariate linear regression models were built to identify sociodemographic characteristics that could be associated with physical therapists' attitudes and beliefs. Results: Mean scores on the biomedical and biopsychosocial factors of PABS.PT were 27.06 (SD 7.19) and 24.34 (SD 6.31), respectively, and the mean score on HC-PAIRS was 45.45 (SD 10.45). The score on PABS.PT biomedical was associated with gender and years of professional experience. No variable was associated with the score on PABS.PT biopsychosocial . The score on HC-PAIRS was significantly associated with the number of back pain patients seen by the physical therapist each month. These results indicate that male and less experienced physical therapists tend to follow a biomedical approach to the treatment of chronic low back pain patients, and that the lower the professional experience the stronger the belief in the relationship between pain and disability. Conclusions: Brazilian physical therapists are uncertain of the factors involved in the development and maintenance of chronic low back pain and about the relationship between pain and disability in these patients.Keywords: chronic low back pain; physical therapy; health knowledge; attitudes; practice. ResumoObjetivos: Avaliar as atitudes e crenças de fisioterapeutas brasileiros sobre a dor lombar crônica e identificar características sociodemográficas que as influenciam. Métodos: Este estudo transversal incluiu 100 fisioterapeutas brasileiros que atendem pacientes com dor lombar crônica em sua rotina clínica. As atitudes e crenças foram avaliadas pela Pain Attitudes and Beliefs Scale for Physiotherapists (PABS.PT) e Health Care Providers' Pain and Impairment Relationship Scale (HC-PAIRS). Foram construídos modelos de regressão linear multivariada para verificar as possíveis características sociodemográficas que poderiam estar associadas com as atitudes e crenças dos fisioterapeutas. Resultados: Os escores médios dos fatores biomédico e comportamental da PABS.PT foram 27,06 (DP 7,19) e 24,34 (DP 6,31), respectivamente, e o escore médio da HC-PAIRS foi 45,45 (DP 10,45). O escore do PABS.PT Fator biomédico foi associado com gênero e anos de experiência profissional. Já o escore do PABS.PT Fator comportamental não foi associado com nenhuma variável. O escore do HC-PAIRS foi significativamente associado com o número de pacientes com dor lombar atendido por mês. Esses resultados indicam que fisioterapeutas experientes tendem a seguir uma ab...

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Section: Introductionmentioning

confidence: 99%

Attitudes and beliefs of Brazilian physical therapists about chronic low back pain: a cross-sectional study

Magalhães¹,

Costa²,

Cabral³

et al. 2012

Rev. bras. fisioter.

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“…Aunque la actividad física ha sido considerada importante tanto en el origen como en el manejo del dolor lumbar crónico (DLC) (11), aún no es claro qué tan activos son estos pacientes. Frecuentemente, los pacientes con DLC reportan bajos niveles de actividad física y dificultad para realizar actividades cotidianas, datos que se correlacionan con los bajos niveles medidos de acondicionamiento físico (4,12).…”

Section: Introductionunclassified

“…Al igual que para la actividad física, el grado de discapacidad de un individuo ha sido medido utilizando cuestionarios auto-administrados (11,31). El cuestionario de discapacidad de dolor lumbar de Oswestry es en la actualidad la herramienta más recomendada y utilizada en el mundo para medir el estado de discapacidad en estos pacientes.…”

Section: Introductionunclassified

Nivel de actividad física y grado de discapacidad en pacientes con dolor lumbar crónico

Vera

Illera

2017

Hacia Promoc. Salud

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ResumenObjetivo: Determinar, en una población colombiana, el nivel de actividad física y el nivel de discapacidad en pacientes con dolor lumbar crónico y establecer la eventual existencia de asociación entre estas variables. Materiales y Métodos: En una unidad externa de rehabilitación en Manizales (Colombia), pacientes con dolor lumbar crónico completaron tanto el cuestionario de actividad física de Baecke como el de incapacidad de dolor lumbar de Oswestry. Resultados: Un total de 125 pacientes participaron en el estudio. El valor promedio del índice de Baecke fue de 7,9±0,9 con valores para hombres y mujeres de 7,8±0,1 y 8,0±0,7 respectivamente, sin que lograra demostrar una diferencia estadísticamente significativa entre los sexos. El valor promedio del índice de Oswestry fue de 40,7±18,3 con valores para hombres y mujeres de 38,4±18,8 y 42,4±17,7 respectivamente, sin que tampoco se lograra demostrar una diferencia estadísticamente significativa entre los sexos. Un valor del coeficiente de correlación de Pearson >0,05 demostró la inexistencia de relación entre el nivel de actividad física y el grado de discapacidad en los pacientes. Conclusiones: Los resultados describen una población de pacientes con dolor lumbar crónico que, comparada con lo reportado en otros estudios en estos pacientes, puede ser considerada como más activa y menos discapacitada, pero en la cual no existe correlación entre el nivel de actividad física y el grado de discapacidad. Así las cosas, los pacientes con dolor lumbar crónico parecen variar los niveles de actividad independientemente del grado de discapacidad. Palabras claveLumbalgia, discapacidad, actividad motora, actividades cotidianas, causalgia (fuente: DeCS, BIREME).

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“…Previous qualitative studies 2,5,13,18,21 have evaluated patients' views of potential triggers for an episode of LBP, but these had never been tested before as potential triggers. In these studies, the majority of the participants attributed pain to damage of the disc or wear and tear of the spine.…”

Section: Strengths and Weaknesses In Relation To Other Studies Discumentioning

confidence: 99%

“…This is in accordance with previous studies that have shown that most patients hold biomechanical views about causes of LBP. 2,13,18 Patients seem to have developed a set of narrative strategies that are intended to reduce the risk of being classed as "psychological" cases. Therefore, they begin by emphasising biomechanical causes for their LBP.…”

Section: Strengths and Weaknesses In Relation To Other Studies Discumentioning

confidence: 99%

Can patients identify what triggers their back pain? Secondary analysis of a case-crossover study

et al. 2015

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Fear-avoidance Beliefs About Back Pain in Patients With Acute LBP

Cited by 44 publications

References 33 publications

Attitudes and beliefs of Brazilian physical therapists about chronic low back pain: a cross-sectional study

Attitudes and beliefs of Brazilian physical therapists about chronic low back pain: a cross-sectional study

Nivel de actividad física y grado de discapacidad en pacientes con dolor lumbar crónico

Can patients identify what triggers their back pain? Secondary analysis of a case-crossover study

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