Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
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The Relationship Between Fear-Avoidance Beliefs and Functional Status in Patients With Low Back Pain: A Cross-Sectional Study

요통 환자에서 나타나는 공포-회피 반응과 기능 수행 수준의 관계: 단면 연구

  • Kim, Jin-Teak (Dept. of Physical Therapy, College of Health and Sport Science, Daejeon University) ;
  • Kim, Suhn-Yeop (Dept. of Physical Therapy, College of Health and Sport Science, Daejeon University) ;
  • Oh, Duck-Won (Dept. of Physical Therapy, College of Health and Sport Science, Daejeon University)
  • 김진택 (대전대학교 보건스포츠과학대학 물리치료학과) ;
  • 김선엽 (대전대학교 보건스포츠과학대학 물리치료학과) ;
  • 오덕원 (대전대학교 보건스포츠과학대학 물리치료학과)
  • Received : 2008.11.19
  • Accepted : 2009.01.22
  • Published : 2009.02.19
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Abstract

The objectives of this study were to investigate the relationship between fear-avoidance beliefs and functional status in individuals suffering from low back pain, and to identify factors that influence on fear-avoidance beliefs, functional status and pain. A cross-sectional study included 214 individuals with low back pain. Each of subjects completed a fear-avoidance beliefs questionnaire (FABQ) which divided into two subscales, FABQ for physical activity (FABQ-PA) and FABQ for work(FABQ-W), Oswestry disability index (ODI) and numeric pain rating scale (NPRS). Individuals with radiating pain were significantly higher in FABQ-PA, FABQ-total, and ODI scores than with no radiation pain (p<.05). Individuals who had received surgery were significantly higher in FABQ-PA, FABQ-total, ODI and NPRS scores when compared with individuals who had not received it (p<.05). And individuals with taking medication were significantly higher in all variables (FABQ-PA, FABQ-W, FABQ-total ODI and NPRS) than individuals not taking medication (p<.05). In correlation analysis. age appeared to be significantly correlated with FABQ-PA, FABQ-total and ODI scores (p<.05), and all variables was significantly correlated with each other (p<.01). These findings indicate that individuals suffering from low back pain have psychosocial problems such as fear-avoidance beliefs as well as functional status and pain. Fear-avoidance beliefs may contribute to aggravate physical symptoms, and therefore it should be carefully considered for the management of individuals with low back pain.

Keywords

References

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