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Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance
Open accessAbstract
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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“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]
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In the citing paper
“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]
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In the citing paper
“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]
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“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]
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“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]
In the citing paper
“The TSK has proven to be a reliable assessment tool for chronic pain [60, 62, 63]”
From Chronic pain and sex-differences; women accept and move, while men feel blue (2017) · cites this paper as [60]
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Metadata
- 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
- Published
- 1995-09
- Volume
- 62
- Issue
- 3
- Pages
- 363-372
- ISSN
- 0304-3959 (ISSN-L)
- OpenAlex
- W2110112325
- Cited by
- 2,446
- References
- 46
- 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
- green
- lirias.kuleuven.be
- Licence
- other-oa
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Lirias (KU Leuven) (submittedVersion, other-oa)
- Funders
- Lucas Foundation
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › 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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