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Spine (Phila Pa 1976). 2006 Mar 15;31(6):658-64.

Fear of movement/(re)injury predicting chronic disabling low back pain: a prospective inception cohort study.

Author information

1
University of Maastricht, The Netherlands. swinky@xs4all.nl

Abstract

STUDY DESIGN:

Prospective inception cohort study.

OBJECTIVE:

To investigate prospectively whether pain-related fear predicts future perceived disability and participation in patients with acute low back pain (LBP).

SUMMARY OF BACKGROUND DATA:

There are indications that fear of movement/(re)injury, as measured by the Tampa Scale for Kinesiophobia, is present early in an episode of LBP, and that it might be a predictor of future perceived disability and participation.

METHODS:

A cohort of 555 patients with acute LBP included by general practitioners and physical therapists in primary care settings was followed for 6 months.

RESULTS:

Results indicate that baseline fear of movement/(re)injury was predictive of future perceived disability and, to a lesser extent (and together with duration and radiation), of participation.

CONCLUSIONS:

The results suggest that interventions aimed at reducing pain-related fear in the acute stage of LBP might prevent restrictions of activity and participation because of pain, and might be a way of preventing the transition from acute to chronic LBP.

[Indexed for MEDLINE]

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