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Article: The role of fear-avoidance beliefs in patients with neck pain: Relationships with current and future disability and work capacity

TitleThe role of fear-avoidance beliefs in patients with neck pain: Relationships with current and future disability and work capacity
Authors
Issue Date2007
PublisherSage Publications Ltd. The Journal's web site is located at http://cre.sagepub.com
Citation
Clinical Rehabilitation, 2007, v. 21 n. 9, p. 812-821 How to Cite?
AbstractObjectives: To investigate the relationship between fear-avoidance beliefs and future disability and work capacity in patients with neck pain. Design: A prospective observational study. Setting: Physiotherapy outpatient departments. Patients: One hundred and twenty patients with neck pain intensity sufficient to affect their work capacity. Interventions: Patients participated in either six-week conventional physiotherapy or an exercise training programme to test whether the type of treatment received by the patients together with other outcome measures affected the predictive power of fear-avoidance beliefs. Main outcome measures: Patients underwent examination of the active neck range of movements and neck muscle strength and completed the Fear-Avoidance Beliefs Questionnaire, the Northwick Park Neck Pain Questionnaire, the Medical Outcomes 36-Item Short-Form Health Survey and the 11-point pain numerical rating scale. These were assessed at the beginning and at week 6 of the rehabilitation programme. Patients' work capacity was assessed at week 6 and three months after the six-week rehabilitation programme. Results: Spearman's correlation coefficients between fear-avoidance beliefs and initial and week 6 disability levels were 0.47 and 0.48, respectively. Regression analysis showed that the fear-avoidance beliefs significantly improved the goodness of fit of the model for predicting week 6 disability levels and return to complete work capacity at week 6 and three months after the rehabilitation programme, even after controlling for the physical impairments, the health status, the pain intensity and the type of treatment received. Conclusions: The fear-avoidance beliefs factor is an important biopsychosocial variable in predicting future disability level and return to complete work capacity in patients with neck pain. © SAGE Publications 2007.
Persistent Identifierhttp://hdl.handle.net/10722/86738
ISSN
2015 Impact Factor: 2.403
2015 SCImago Journal Rankings: 1.149
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLee, KCen_HK
dc.contributor.authorChiu, TTWen_HK
dc.contributor.authorLam, THen_HK
dc.date.accessioned2010-09-06T09:20:43Z-
dc.date.available2010-09-06T09:20:43Z-
dc.date.issued2007en_HK
dc.identifier.citationClinical Rehabilitation, 2007, v. 21 n. 9, p. 812-821en_HK
dc.identifier.issn0269-2155en_HK
dc.identifier.urihttp://hdl.handle.net/10722/86738-
dc.description.abstractObjectives: To investigate the relationship between fear-avoidance beliefs and future disability and work capacity in patients with neck pain. Design: A prospective observational study. Setting: Physiotherapy outpatient departments. Patients: One hundred and twenty patients with neck pain intensity sufficient to affect their work capacity. Interventions: Patients participated in either six-week conventional physiotherapy or an exercise training programme to test whether the type of treatment received by the patients together with other outcome measures affected the predictive power of fear-avoidance beliefs. Main outcome measures: Patients underwent examination of the active neck range of movements and neck muscle strength and completed the Fear-Avoidance Beliefs Questionnaire, the Northwick Park Neck Pain Questionnaire, the Medical Outcomes 36-Item Short-Form Health Survey and the 11-point pain numerical rating scale. These were assessed at the beginning and at week 6 of the rehabilitation programme. Patients' work capacity was assessed at week 6 and three months after the six-week rehabilitation programme. Results: Spearman's correlation coefficients between fear-avoidance beliefs and initial and week 6 disability levels were 0.47 and 0.48, respectively. Regression analysis showed that the fear-avoidance beliefs significantly improved the goodness of fit of the model for predicting week 6 disability levels and return to complete work capacity at week 6 and three months after the rehabilitation programme, even after controlling for the physical impairments, the health status, the pain intensity and the type of treatment received. Conclusions: The fear-avoidance beliefs factor is an important biopsychosocial variable in predicting future disability level and return to complete work capacity in patients with neck pain. © SAGE Publications 2007.en_HK
dc.languageengen_HK
dc.publisherSage Publications Ltd. The Journal's web site is located at http://cre.sagepub.comen_HK
dc.relation.ispartofClinical Rehabilitationen_HK
dc.rightsClinical Rehabilitation. Copyright © Sage Publications Ltd.en_HK
dc.subject.meshAdulten_HK
dc.subject.meshAttitude to Healthen_HK
dc.subject.meshDisabled Persons - classification - psychologyen_HK
dc.subject.meshEmployment - psychologyen_HK
dc.subject.meshFearen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHong Kongen_HK
dc.subject.meshHumansen_HK
dc.subject.meshMaleen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshNeck Pain - psychology - rehabilitationen_HK
dc.subject.meshPain - classification - psychologyen_HK
dc.subject.meshPhysical Therapy Modalitiesen_HK
dc.subject.meshQuestionnairesen_HK
dc.titleThe role of fear-avoidance beliefs in patients with neck pain: Relationships with current and future disability and work capacityen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0269-2155&volume=21&spage=812&epage=821&date=2007&atitle=The+role+of+fear-avoidance+beliefs+in+patients+with+neck+pain:+Relationships+with+current+and+future+disability+and+work+capacityen_HK
dc.identifier.emailLam, TH:hrmrlth@hkucc.hku.hken_HK
dc.identifier.authorityLam, TH=rp00326en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1177/0269215507077800en_HK
dc.identifier.pmid17875561-
dc.identifier.scopuseid_2-s2.0-35148829176en_HK
dc.identifier.hkuros137633en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-35148829176&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume21en_HK
dc.identifier.issue9en_HK
dc.identifier.spage812en_HK
dc.identifier.epage821en_HK
dc.identifier.isiWOS:000250195000005-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridLee, KC=14063537000en_HK
dc.identifier.scopusauthoridChiu, TTW=7202210395en_HK
dc.identifier.scopusauthoridLam, TH=7202522876en_HK

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