Comparison of work-related fear-avoidance beliefs across different anatomical locations with musculoskeletal pain
Corey B Simon¹, Sandra E Stryker², Steven Z George³
1Department of Physical Therapy, College of Public Health and Health Professions, University of Florida, Gainesville, Florida, USA; 2Life’s Work Physical Therapy, Portland, Oregon, USA; 3Department of Physical Therapy and Center for Pain Research and Behavioral Health, College of Public Health and Health Professions, University of Florida, Gainesville, Florida, USA
Background: The influence of work-related fear-avoidance on pain and function has been consistently reported for patients with musculoskeletal low back pain. Emerging evidence suggests similar influences exist for other anatomical locations of musculoskeletal pain, such as the cervical spine and extremities. However, research is limited in comparing work-related fear-avoidance and associations with clinical outcomes across different anatomical locations. The purpose of this study was to examine the associations between work-related fear-avoidance, gender, and clinical outcomes across four different musculoskeletal pain locations for patients being treated in an outpatient physical therapy setting.
Methods: This study was a secondary analysis of data obtained prospectively from a cohort of 313 participants receiving physical therapy from an outpatient clinic.
Results: No interaction was found between gender and anatomical location of musculoskeletal pain on work-related fear-avoidance scores. Work-related fear-avoidance scores were higher in the cervical group versus the lower extremity group; however, there were no other differences across anatomical locations. Work-related fear-avoidance influenced intake pain intensity in patients with spine pain but not extremity pain. Conversely, work-related fear-avoidance influenced intake function for participants with extremity pain but not spine pain. Similar results were observed for change scores, with higher work-related fear-avoidance being associated with more, not less, change in pain and function for certain anatomical locations.
Conclusion: These findings suggest that work-related fear-avoidance is similar for patients experiencing musculoskeletal pain. However, associations between work-related fear-avoidance and clinical outcomes may differ based on the anatomical location of that pain. Further, increased work-related fear-avoidance may not be indicative of poor clinical outcomes for this type of patient population.
Keywords: gender, fear, avoidance, spine pain, pain intensity, function, musculoskeletal
This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution - Non Commercial (unported, v3.0) License. The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Permissions beyond the scope of the License are administered by Dove Medical Press Limited. Information on how to request permission may be found at: http://www.dovepress.com/permissions.php
Readers of this article also read:
Hopp CD, Land MF
Published Date: 18 April 2013
Published Date: 7 February 2013
Lee RM, Lam FC, Georgiou T, Paul B, Then KY, Mavrikakis I, Avadhanam VS, Liu CS
Published Date: 15 August 2012
Biocompatibility, endocytosis, and intracellular trafficking of mesoporous silica and polystyrene nanoparticles in ovarian cancer cells: effects of size and surface charge groups
Ekkapongpisit M, Giovia A, Follo C, Caputo G, Isidoro C
Published Date: 31 July 2012
Rupani A, Balint R, Cartmell SH
Published Date: 8 May 2012
Evaluation of biochemical urinary stone composition and its relationship to tap water hardness in Qom province, central Iran
Moslemi MK, Saghafi H, Joorabchin SMA
Published Date: 18 November 2011
Cumulative clinical experience from over a decade of use of levofloxacin in community-acquired pneumonia: critical appraisal and role in therapy
Noreddin AM, Elkhatib WF, Cunnion KM, Zhanel GG
Published Date: 7 October 2011
Pastakia K, Kumar S
Published Date: 27 April 2011
Alan Wright, Kyle E Luedtke, Chad VanDenBerg
Published Date: 16 December 2010
Eduardo Pimenta, Suzanne Oparil
Published Date: 19 May 2009