Influence of Fear-Avoidance Beliefs on Functional Status Outcomes for People With Musculoskeletal Conditions of the Shoulder

Sindhu, Bhagwant S.; Lehman, Leigh; Tarima, Sergey; Bishop, Mark D.; Hart, Dennis L.; Klein, Matthew R.; Shivakoti, Mikesh; Wang, Ying Chih

doi:10.2522/ptj.20110309

Cited by 28 publications

(28 citation statements)

References 48 publications

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“…Five studies only included participants with adhesive capsulitis [18,19,24-26], four studies only included participants with subacromial impingement syndrome [20,22,23,27], one study only included participants with posterior inferior instability of the shoulder [17] and one study only included participants with a positive posterior impingement sign and the presence of a posterosuperior glenoid labral lesion on MRI [28]. One study [29] used the International Classification of Diseases (ICD-9) codes [30] to divide “musculoskeletal shoulder pain” into 8 disease categories. The authors themselves report ICD-9 codes as lacking specificity and reliability, yet rather than report comprehensive results for their full cohort, only report results for these disease specific categories.…”

Section: Resultsmentioning

confidence: 99%

“…Within each sub-group of shoulder classification, no two studies used the same eligibility criteria. Five studies, [16,21,29,31,32] did not sub-categorize shoulder pain using a clinical diagnosis; all providing minimal details of eligibility criteria. However these results are transferable to the wider range of patients.…”

Section: Resultsmentioning

confidence: 99%

“…Only two studies [28,29] included a power analysis, one of which was retrospective [29]. Some studies included within the review may have suffered from a type I or type II error.…”

Section: Resultsmentioning

confidence: 99%

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Predicting response to physiotherapy treatment for musculoskeletal shoulder pain: a systematic review

Chester

Shepstone

Daniell

et al. 2013

BMC Musculoskelet Disord

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BackgroundPeople suffering from musculoskeletal shoulder pain are frequently referred to physiotherapy. Physiotherapy generally involves a multimodal approach to management that may include; exercise, manual therapy and techniques to reduce pain. At present it is not possible to predict which patients will respond positively to physiotherapy treatment. The purpose of this systematic review was to identify which prognostic factors are associated with the outcome of physiotherapy in the management of musculoskeletal shoulder pain.MethodsA comprehensive search was undertaken of Ovid Medline, EMBASE, CINAHL and AMED (from inception to January 2013). Prospective studies of participants with shoulder pain receiving physiotherapy which investigated the association between baseline prognostic factors and change in pain and function over time were included. Study selection, data extraction and appraisal of study quality were undertaken by two independent assessors. Quality criteria were selected from previously published guidelines to form a checklist of 24 items. The study protocol was prospectively registered onto the International Prospective Register of Systematic Reviews.ResultsA total of 5023 titles were retrieved and screened for eligibility, 154 articles were assessed as full text and 16 met the inclusion criteria: 11 cohort studies, 3 randomised controlled trials and 2 controlled trials. Results were presented for the 9 studies meeting 13 or more of the 24 quality criteria. Clinical and statistical heterogeneity resulted in qualitative synthesis rather than meta-analysis. Three studies demonstrated that high functional disability at baseline was associated with poor functional outcome (p ≤ 0.05). Four studies demonstrated a significant association (p ≤ 0.05) between longer duration of shoulder pain and poorer outcome. Three studies, demonstrated a significant association (p ≤ 0.05) between increasing age and poorer function; three studies demonstrated no association (p > 0.05).ConclusionAssociations between prognostic factors and outcome were often inconsistent between studies. This may be due to clinical heterogeneity or type II errors. Only two baseline prognostic factors demonstrated a consistent association with outcome in two or more studies; duration of shoulder pain and baseline function. Prior to developing a predictive model for the outcome of physiotherapy treatment for shoulder pain, a large adequately powered prospective cohort study is required in which a broad range of prognostic factors are incorporated.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Predicting response to physiotherapy treatment for musculoskeletal shoulder pain: a systematic review

Chester

Shepstone

Daniell

et al. 2013

BMC Musculoskelet Disord

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“…Finally, mFABQ total score was sum of these two scores. All scores dichotomized as low (mFABQ physical activity score [0-6], mFABQ work score [0][1][2][3][4][5][6][7][8][9][10][11][12] and mFABQ total score [0-18]) or high (mFABQ physical activity score [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24], mFABQ work score and mFABQ total score ) according to medians of a previous study. 19 All patients were literate and none of the patients had pathological finding in the examinations that may influence the questionnaire.…”

Section: Methodsmentioning

confidence: 99%

“…10,11 In this study, we aimed to compare FA beliefs of RA patients with OA of hand patients and FM patients and evaluate its relationship with RA activity and duration.…”

mentioning

confidence: 99%

High Disease Activity May Increase Fear-Avoidance Beliefs in Rheumatoid Arthritis

et al. 2017

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Objectives:This study aims to compare fear-avoidance (FA) beliefs of rheumatoid arthritis (RA) patients with osteoarthritis (OA) of hand patients and fibromyalgia (FM) patients and evaluate its relationship with RA activity and duration. Patients and methods:The study included 206 patients with RA (34 males, 172 females; mean age 49 years; range 20 to 72 years), 57 patients with FM (57 females; mean age 48 years; range 20 to 71 years), and 50 patients with OA of hand (4 males, 46 females; mean age 43 years; range 43 to 77 years). FA beliefs were assessed with modified Fear-Avoidance Belief Questionnaire (mFABQ). RA patients were dichotomized according to disease activity and disease duration separately; cutoff values were disease activity score 28 of 3.2 and six months of disease activity, respectively. Results: Modified Fear-Avoidance Belief Questionnaire scores were similar in patients with RA, OA of hand, and FM. RA patients in non-remission group had higher mFABQ scores. Moreover, mFABQ scores were similar in RA patients with early and established disease groups. Conclusion: Fear-avoidance beliefs of patients with RA were similar with OA of hand patients and FM patients. However, higher disease activity in RA was related with escalated FA beliefs. Further studies focusing on pathophysiology of FA beliefs in patients with RA are warranted for effective pain management of RA.

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Association Between Objectively Measured Shoulder Kinematics and Fear Avoidance Beliefs in Women with Latissimus Dorsi Flap Breast Reconstruction

Blackburn

Cleland

Nugent

et al. 2022

Proceedings of the International Conference on Ubiquitous Computing &Amp; Ambient Intelligence (UCAmI 2022)

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Influence of Fear-Avoidance Beliefs on Functional Status Outcomes for People With Musculoskeletal Conditions of the Shoulder

Abstract: The influence of fear-avoidance beliefs on change in functional status varies among specific shoulder impairments.

Cited by 28 publications

References 48 publications

Predicting response to physiotherapy treatment for musculoskeletal shoulder pain: a systematic review

Predicting response to physiotherapy treatment for musculoskeletal shoulder pain: a systematic review

High Disease Activity May Increase Fear-Avoidance Beliefs in Rheumatoid Arthritis

Association Between Objectively Measured Shoulder Kinematics and Fear Avoidance Beliefs in Women with Latissimus Dorsi Flap Breast Reconstruction

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