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Cited by 2,446Musculoskeletal pain and rehabilitationPain Management and TreatmentPain Management and Placebo Effect

Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance

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Vlaeyen, Johan W.S., Kole-Snijders, Ank M.J., Boeren, Ruben G.B., van Eek, H.·1995·Pain
DOI 10.1016/0304-3959(94)00279-n
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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.

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Crossref · 10.1016/0304-3959(94)00279-n

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47 of 47 references verified0 citation errors · 0 not checkable

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  • When faced with performing physical tasks such as lifting an arm weight or engaging in trunk extension and flexion exercises, patients scoring high on pain-related anxiety and fear do so much more slowly.

    “When faced with performing physical tasks such as lifting an arm weight or engaging in trunk extension and flexion exercises, patients scoring high on pain-related anxiety and fear do so much more slowly.144”

    From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [144]

    In Study 2’s Motoric behavior results (page unavailable), patients with higher fear-of-movement scores held a 5.5 kg bag for less time, supporting an association between fear and altered task performance. The Measures section says the test recorded how long they held the bag, not how slowly they lifted it; the paper does not report trunk extension or flexion exercise speed. (LLM, conf=0.86)

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  • The fear avoidance model posits that pain perceived as threatening and associated with catastrophic thinking is likely to lead to fear and subsequent avoidance behaviors, resulting in functional disability.

    “The FA model posits that pain that is perceived as threatening and is associated with catastrophic thinking is likely to lead to fear and subsequent avoidance behaviors, resulting in functional disability [8][9][10].”

    From "Why Isn't It Going Away?": A Qualitative Exploration of Worry and Pain Experiences in Adolescents with Chronic Pain. (2021) · cites this paper as [10]

  • Studies show changes in functional connectivity in chronic pain patients.

    “Further, studies show changes in functional connectivity in chronic pain patients.”

    From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [379]

  • Studies of the brain's default mode network and other resting-state networks suggest long-lasting functional brain changes related to chronic pain.

    “studies of the brain’s default mode network and other resting state networks suggest long-lasting functional brain changes related to the presence of chronic pain 379, 384–387.”

    From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [379]

  • There is evidence for chronic pain-related alterations in several cortical regions important for pain perception, including primary and secondary somatosensory cortices, insular and anterior cingulate cortices, prefrontal cortices, and many subcortical areas.

    “Currently, there is evidence for chronic pain-related alterations a number of cortical regions that are considered to be important for the perception of pain including the primary and secondary somatosensory cortices, insular and anterior cingulate cortices, the prefrontal cortices, and many subcortical areas.”

    From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [379]

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Cites

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Research works printed but not linked: 3

  1. [3]3. Beck, A.T., Rush, A.J., Shaw, B.F. and Emmery, G., Cognitive Therapy of Depression. John Wiley, New York, 1979.
  2. [9]9. Crombez, G., Pijnmodulatie door Anticipatie (pain modulation through anticipation) Doctoral dissertation, University of Leuven, Belgium, 1994.
  3. [15]15. Kanfer, F.H. and Phillips, J.S., Learning Foundations of Behavior Therapy. John Wiley, New York, 1970.

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Authors
Vlaeyen, J. W. S., Kole-Snijders, A. M. J., Boeren, R. G. B., & van Eek, H.
Affiliations
Maastricht University (NL)
Corresponding author
Vlaeyen, Johan W.S.
ORCID
Vlaeyen, Johan W.S.
Venue
Pain
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
1995-09
Volume
62
Issue
3
Pages
363-372
ISSN
0304-3959 (ISSN-L)
DOI
10.1016/0304-3959(94)00279-n
OpenAlex
W2110112325
Cited by
2,446
References
47
Citations by year
2026: 95 · 2025: 118 · 2024: 105 · 2023: 108 · 2022: 105 · 2021: 102 · 2020: 106 · 2019: 109 · 2018: 91 · 2017: 103 · 2016: 91 · 2015: 89 · 2014: 104 · 2013: 100 · 2012: 105
FWCI
8.94
Type
journal article
Language
en
Open access
Licence
other-oa
Locations
  • Pain (publishedVersion)
  • PubMed (publishedVersion)
  • Lirias (KU Leuven) (submittedVersion, other-oa)
Funders
Lucas Foundation
Topics
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
Keywords
chronic low back pain, kinesiophobia, Tampa Scale for Kinesiophobia, pain catastrophizing, depression, pain coping, pain intensity, pain-related cognitions, gender differences, musculoskeletal pain
MeSH terms
Adaptation, Psychological, Adult, Back Pain, Behavior, Chronic Disease, Economics, Fear, Female, Humans, Lumbosacral Region, Male, Movement, Musculoskeletal System, Recurrence, Sex Factors, Stress, Psychological, Insurance, Disability

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