Fear-avoidance beliefs and distress in relation to disability in acute and chronic low back pain

Grotle, Margreth; Vøllestad, Nina Køpke; Veierød, Marit B.; Brox, Jens Ivar

doi:10.1016/j.pain.2004.09.020

Cited by 195 publications

(125 citation statements)

References 39 publications

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“…Correlations between the ODI and pain have been reported with widely ranging coefficients (r 0.37-0.78) in previously published validation studies that underlined the multi-factorial nature of spine-related disability [44,45]. We found a very good correlation between the Hungarian ODI and pain (r 0.68) which is similar to that published for the Italian [24], Danish [18], Chinese [19,20] and German [21] versions.…”

Section: Discussionsupporting

confidence: 86%

Reliability and validity study on the Hungarian versions of the Oswestry Disability Index and the Quebec Back Pain Disability Scale

et al. 2013

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Purpose Patient-reported outcome measurements (PROMs) are widely used in spine care. The development of reliable and valid National versions of spine-related disability questionnaires is strongly recommended from both the clinical and scientific points-of-view. The aims of this study were to adapt and validate the Oswestry Disability Index (ODI) and the Quebec Back Pain Disability Scale (QDS) for use with the Hungarian language. Methods After translating and culturally adapting the ODI and QDS, 133 patients with lumbar degenerative spinal disorder filled in the questionnaire booklet twice within 2 weeks. Subjects completed the Hungarian versions of the two PROMs as well as the WHOQoL-BREF validated as a general life quality questionnaire and Visual Analogue Scale of pain. Internal consistency, reliability and construct validity of the questionnaires were determined, as were the standard error of measurement (SEM) and minimal detectable change (MDC) scores. Results The Hungarian ODI consisted of one factor that showed good internal consistency (Cronbach-a 0.890). The QDS showed a four-factor structure with Cronbach-a values between 0.788 and 0.917. No significant floor or ceiling effects were observed. The test-retest analysis showed excellent reliability of the Hungarian ODI and QDS. The intraclass correlation coefficients (ICC) were 0.927 and 0.923, respectively. SEM values of 4.8 and 5.2 resulted in a MDC of 13 and 14 points in the Hungarian ODI and QDS, respectively. The correlation coefficient (r) between pain and ODI was 0.680 (p \ 0.001) and the correlation between the ODI and the physical subscale of WHOQoL was also very good (r = -0.705, p \ 0.001). The QDS total score and its four subscales correlated significantly with pain and with the physical subscale of WHOQoL (r [ 0.4, p \ 0.001). The level of disability measured by the Hungarian ODI and QDS was significantly higher in the surgical subgroup than in non-surgically treated patients (p \ 0.001). Conclusions Translation and cultural adaptation of the ODI and QDS were successful. Hungarian versions of the ODI and QDS proved to be reliable, valid PROMs confirming that they can be used in future clinical and scientific work with Hungarian-speaking spine patients.

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Section: Discussionsupporting

confidence: 86%

Reliability and validity study on the Hungarian versions of the Oswestry Disability Index and the Quebec Back Pain Disability Scale

et al. 2013

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“…Some authors stated that distress contributed about the same as fear-avoidance beliefs to the variance in disability scores (assessed by the Oswestry Disability Index) in both acute and chronic LBP [16]. Hence, in a prospective follow-up study of the cohort of acute LBP, distress was a significant prognostic factor of non-recovery at 3 months, whereas fear-avoidance beliefs were not [14].…”

Section: Discussionmentioning

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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“…Det er dokumentert at psykososiale faktorer er generelt viktigere for prognosen i forhold til å komme tilbake på jobb enn biomedisinske faktorer (som for eksempel vekt, muskelstyrke, bevegelighet) (33)(34)(35)(36)(37)(38). Slike psykososiale faktorer er pessimistisk smerteadferd, der pasienten opplever at smerten varsler noe farlig, videre er arbeidsrelaterte problemer som mistrivsel og lav autonomi viktig, samt emosjonelle problemer som depresjon, angst og stress (39).…”

Section: Konsekvenserunclassified

Epidemiologi ved korsryggsmerter

Soldal¹

2009

Nor J Epidemiol

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SAMMENDRAGArtikkelen belyser lave korsryggsmerter med eller uten utstråling. Livstidsprevalensen for lave ryggsmerter er høy, sannsynligvis opp mot 80%. På grunn av fravaer fra arbeid, bruk av helsetjenester og produksjonstap fører rygglidelser til store kostnader for den enkelte og samfunnet. I 2004 var over 44000 personer uføretrygdet i Norge på grunn av rygglidelser, og rygglidelser er en av de viktigste enkeltårsaker til uføretrygd. Rygglidelser finnes i alle aldersgrupper, og er like hyppig hos unge og eldre. Vi finner spesifikke årsaker til lave ryggsmerter i mindre enn 15% av tilfellene. Hos 1-5% finner en malign sykdom, betennelsesaktig revmatisk sykdom, frakturer eller skader. Hyppigste spesifikke årsak er skiveprolaps med nerverotsaffeksjon eller spinal stenose. Årsa-ken til uspesifikke rygglidelser mener vi i dag er multifaktorielle. Påvirkning av psykiske, sosiale og kulturelle faktorer kan føre til at tilstanden blir langvarig og tilbakevendende selv om mulige primaere biologiske årsaker etter hvert har mindre betydning. En del faktorer som røyking, betydelig overvekt, mye løfting, vridning, ensformig arbeid, helkroppsvibrasjon, samt mistrivsel i jobbsituasjonen er vist å henge sammen med økt rapportering av symptomer. For samtlige av disse faktorene er assosiasjonene varierende og ikke sterke. Prognosen ved akutte ryggsmerter er vanligvis god. Studier viser at etter en måned var reduksjon i smerte og arbeidsuførhet på 58%, og at hele 82% var kommet tilbake i jobb. Etter ett år er mindre enn 5% sykmeldte. Likevel opplever opptil 20% betydelig funksjonsbegrensning pga. ryggsmerter etter ett år. Prognosen er noe dårligere hos pasienter med utstråling av smerter til beina. En rekke andre og ikke-ryggrelaterte faktorer som lav utdanning og lav sosioøkonomisk status karakteriserer personer med rygglidelser som faller ut av arbeidslivet. ENGLISH SUMMARYLow back pain (LBP) is a major reason for disability in Norway, and LBP therefore has great impact on both the individual person suffering from LBP and for the society. The lifetime prevalence for LBP is high, about 80%, but the prognosis is good for individual episodes. After the first attack 50% is well in one week and 90% in 8 weeks. Only in about 15% we know the reason for LBP, with radicular pain from spinal disc herniation as the major cause. Unspecific LBP has multiple risk factors for disability such as psychological factors, low education and lifestyle factors.I denne artikkelen vil vi belyse epidemiologiske forhold ved smerter knyttet til korsrygg med eller uten utstrålende smerter. Vi vil ikke ta for oss nakkelidelser eller torakale ryggsmerter, som til sammen rammer betydelig faerre enn de personer som har smerter som utgår fra korsryggen. Korsryggsmerter er definert som smerter mellom 12. ribbein og glutealfoldene. I tillegg kan pasienten oppleve smerter som stråler ut i underekstremitetene (1).Fra 70-tallet til ca. 1995 søkte personer i økende grad helsevesenet for å få behandling for korsrygglidelser. Siden det ikke er holdepunkter for økend...

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Fear-avoidance beliefs and distress in relation to disability in acute and chronic low back pain

Cited by 195 publications

References 39 publications

Reliability and validity study on the Hungarian versions of the Oswestry Disability Index and the Quebec Back Pain Disability Scale

Reliability and validity study on the Hungarian versions of the Oswestry Disability Index and the Quebec Back Pain Disability Scale

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

Epidemiologi ved korsryggsmerter

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