title: Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance.
abstract: Two studies are presented that investigated 'fear of movement/(re)injury' in chronic musculoskeletal pain and its relation to behavioral performance. The 1st study examines the relation among fear of movement/(re)injury (as measured with the Dutch version of the Tampa Scale for Kinesiophobia (TSK-DV)) (Kori et al. 1990), biographical variables (age, pain duration, gender, use of supportive equipment, compensation status), pain-related variables (pain intensity, pain cognitions, pain coping) and affective distress (fear and depression) in a group of 103 chronic low back pain (CLBP) patients. In the 2nd study, motoric, psychophysiologic and self-report measures of fear are taken from 33 CLBP patients who are exposed to a single and relatively simple movement. Generally, findings demonstrated that the fear of movement/(re)injury is related to gender and compensation status, and more closely to measures of catastrophizing and depression, but in a much lesser degree to pain coping and pain intensity. Furthermore, subjects who report a high degree of fear of movement/(re)injury show more fear and escape/avoidance when exposed to a simple movement. The discussion focuses on the clinical relevance of the construct of fear of movement/(re)injury and research questions that remain to be answered.
authors.affiliation: Institute for Rehabilitation Research, 6432 CC Hoensbroek, The Netherlands Department of Medical Psychology, University of Limburg, 6200 MD Maastricht, The Netherlands Lucas Foundation For Rehabilitation, 6432 CC Hoensbroek, The Netherlands.
authors.forename: Johan W S
authors.initials: JWS
authors.lastname: Vlaeyen
authors.forename: Ank M J
authors.initials: AMJ
authors.lastname: Kole-Snijders
authors.forename: Ruben G B
authors.initials: RGB
authors.lastname: Boeren
authors.forename: H
authors.initials: H
authors.lastname: van Eek
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001416:Back Pain / Q000503:physiopathology / Q000523:psychology*; D001519:Behavior; D002908:Chronic Disease; D004467:Economics; D005239:Fear; D005260:Female; D006801:Humans; D018868:Insurance, Disability; D008161:Lumbosacral Region; D008297:Male; D009068:Movement; D009141:Musculoskeletal System / Q000293:injuries*; D012008:Recurrence; D012737:Sex Factors; D013315:Stress, Psychological