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Influence of Fear-Avoidance Beliefs on Disability in Patients With Subacromial Shoulder Pain in Primary Care: A Secondary Analysis
- Source :
- Physical Therapy, 94(12), 1775-1784. Oxford University Press
- Publication Year :
- 2014
- Publisher :
- Oxford University Press (OUP), 2014.
-
Abstract
- BackgroundLittle information exists about the role of fear-avoidance beliefs and catastrophizing in subacromial pain syndrome.ObjectiveThe purpose of this study was to investigate the associations among pain, catastrophizing, fear, and disability and the contribution of fear-avoidance beliefs to disability at baseline and at 3-month follow-up.DesignA cross-sectional and longitudinal analysis was conducted.MethodsBaseline demographic and clinical data, including fear-avoidance beliefs and catastrophizing, of 90 patients were assessed for this analysis. Disability was measured with the Shoulder Pain and Disability Index at baseline and at 3-month follow-up. First, bivariate and partial correlations were calculated among pain, fear-avoidance beliefs, catastrophizing, and disability, based on the fear-avoidance model. Second, the contribution of fear-avoidance beliefs to disability at baseline and at 3-month follow-up was examined with hierarchical regression analyses.ResultsCorrelations between clinical variables and disability were largely in line with the fear-avoidance model. Regression analyses identified a significant contribution of fear-avoidance beliefs to baseline disability but not to disability at 3 months.LimitationsPatients with subacromial pain syndrome were studied; therefore, the results should be transferred with caution to other diagnoses. A modified version of the Fear-Avoidance Beliefs Questionnaire was used, which was not validated for this patient group.ConclusionsFear-avoidance beliefs contribute significantly to baseline disability but not to disability change scores after 3-month follow-up. Duration of complaints and baseline disability were the main factors influencing disability change scores. Although the results help to improve understanding of the role of fear-avoidance beliefs, further studies are needed to fully understand the influence of psychological and clinical factors on the development of disability in patients with subacromial shoulder pain.
- Subjects :
- medicine.medical_specialty
Activities of daily living
Cross-sectional study
Catastrophization
MEDLINE
Physical Therapy, Sports Therapy and Rehabilitation
law.invention
Randomized controlled trial
law
Activities of Daily Living
Avoidance Learning
medicine
Humans
Disabled Persons
Pain Measurement
Primary Health Care
business.industry
Multilevel model
Regression analysis
Fear
Cross-Sectional Studies
Shoulder Impingement Syndrome
Physical therapy
Regression Analysis
Pain catastrophizing
business
Subjects
Details
- ISSN :
- 15386724 and 00319023
- Volume :
- 94
- Database :
- OpenAIRE
- Journal :
- Physical Therapy
- Accession number :
- edsair.doi.dedup.....3ed7291497af08dd95e710898a944cb6