Self-efficacy, fear avoidance, and pain intensity as predictors of disability in subacute and chronic musculoskeletal pain patients in primary health care

Denison, Eva; Åsenlöf, Pernilla; Lindberg, Per

doi:10.1016/j.pain.2004.07.001

Cited by 327 publications

(314 citation statements)

References 34 publications

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“…Prevalence of moderate to severe Research Syamala Buragadda disability increased with age and has been reported in previous studies [3]. In contrast, studies by Briggs et al (2010) and Denison, Asenlof, and Lindberg (2004) showed that there was no effect of age on the level of disability, and found no significant correlation (r = 0.01) between age and disability due to chronic musculoskeletal pain [15,22].…”

Section: Discussionsupporting

confidence: 54%

Fear Avoidance Beliefs and Disability among Women with Low Back Pain

Buragadda¹,

Al-Eisa²,

Melam³

2018

Neuropsychiatry

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Section: Discussionsupporting

confidence: 54%

Fear Avoidance Beliefs and Disability among Women with Low Back Pain

Buragadda¹,

Al-Eisa²,

Melam³

2018

Neuropsychiatry

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“…The participants' confidence in their ability to perform activities despite pain was evaluated with the Self-Efficacy Scale (SES) [26,27]. The SES is comprised of 20 different physical and psychosocial activity items.…”

Section: Self-efficacymentioning

confidence: 99%

Effects of Neck-Specific Exercises Compared to Waiting List for Individuals With Chronic Whiplash-Associated Disorders: A Prospective, Randomized Controlled Study

Peolsson

Ludvigsson

Tigerfors

et al. 2016

Archives of Physical Medicine and Rehabilitation

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Objective: To determine, whether 3-months of neck-specific exercises could benefit individuals with chronic whiplash-associated disorders (WAD) who were on a waiting list for treatment.Design: A prospective, randomized controlled study Setting: Primary health careParticipants: 41 individuals (31 women, 10 men; mean age=38 y, SD=11.2) with chronic (6 to 36 months) WAD, grades 2 and 3, were analyzed.Interventions: Patients were randomized to neck-specific exercises (NSE) or no treatment for 3 months.Main outcome measures: Neck-specific disability (Neck Disability Index; NDI), neck pain (Visual Analogue Scale), general pain-related disability (Pain Disability Index; PDI), selfperceived performance ability (the Self-Efficacy Scale; SES), and health-related quality of life (EuroQol five dimensions; EQ-5D) were measured.Results: NSE significantly improved the NDI, SES, and EQ5D compared to waiting list (<0.01). There was significant improvement (p<0.0001) over time in all outcomes for NSE, and, apart from the PDI, significant worsening (p=0.002 to 0.0002) over time for the untreated group.Conclusions: NSE were more beneficial than no intervention while on a waiting list for individuals with chronic WAD.

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“…The Self-Efficacy Scale (SES) 15,16 was used to measure the patients' perceived ability to carry out common daily activities despite pain. SES comprises of 20 items, each rated on an 11-grade scale (0=no confidence, 10=very confident).…”

Section: Self-efficacy and Copingmentioning

confidence: 99%

A Comparison Between the Carbon Fiber Cage and the Cloward Procedure in Cervical Spine Surgery

Hermansen

Hedlund

Vavruch

et al. 2011

Spine

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Study design. 10-13 year follow-up of a prospective randomized study. Objectives.To compare the 10-13 year outcomes of anterior cervical decompression and fusion (ACDF) with a cervical intervertebral fusion cage (CIFC), and the Cloward procedure (CP) using a broad clinical and patient-centered assessment.Summary of Background Data. There are few prospective studies and none with a followup of 10 years or more.Methods. Patient questionnaires completed 10 years or more following ACDF. Seventy-three patients (77%) responded. Radiographs were obtained at 2 years. Results.Apart from greater fulfillment of preoperative expectation (p=0.01) and less headache (p=0.005) in the CIFC group compared to the CP group, there were no significant differences in the outcomes of the two surgical methods. Pain intensity improved in comparison to preoperative levels in both the CIFC and CP groups (p<0.0001), but the Neck Disability Index (NDI) only improved in the CIFC group (p=0.04). Only those with a healed fusion benefited from an improved NDI (p=0.02). There was no deterioration in pain intensity or NDI after the 2-year follow-up.Conclusions. The outcomes of the two surgical methods, with a few exceptions, were equal at 10-13 year follow-up, and there was no deterioration in outcome after the 2-year follow-up.Pain intensity improved more than disability, which may indicate that further improvement of physical function requires early more extensive postoperative rehabilitation. Despite persisting disability, repeat surgery was relatively uncommon.Key words: cervical spine, disc, cage, Cloward, outcome.Comparison between CP and CIFC 3 Key points  Apart from greater fulfillment of preoperative expectation and less headache in the CIFC compared to the CP group, there were no significant differences in the outcomes of the two surgical methods ten or more years after surgery. Pain intensity improved in comparison to preoperative levels in both the CIFC and CP groups, but the NDI only improved in the CIFC group. There was no deterioration in outcome after the two-year follow-up. Only patients with a healed fusion benefited from an improved NDI, otherwise the relationship between radiological findings and clinical outcome was weak. Pain intensity improved more than disability, which may indicate that further improvement of physical function requires early postoperative rehabilitation. Despite persisting disability, repeat surgery was relatively uncommon.Comparison between CP and CIFC 4 Mini Abstract/PrécisThe outcomes of the two methods, anterior cervical decompression and fusion with a cervical intervertebral fusion cage and the Cloward procedure were, with a few exceptions, equal at 10-13 year follow-up of a prospective randomized study. There was no deterioration in outcome after the 2-year follow-up.Comparison between CP and CIFC 5

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Self-efficacy, fear avoidance, and pain intensity as predictors of disability in subacute and chronic musculoskeletal pain patients in primary health care

Cited by 327 publications

References 34 publications

Fear Avoidance Beliefs and Disability among Women with Low Back Pain

Fear Avoidance Beliefs and Disability among Women with Low Back Pain

Effects of Neck-Specific Exercises Compared to Waiting List for Individuals With Chronic Whiplash-Associated Disorders: A Prospective, Randomized Controlled Study

A Comparison Between the Carbon Fiber Cage and the Cloward Procedure in Cervical Spine Surgery

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