Cited by 202Musculoskeletal pain and rehabilitationMedical Practices and RehabilitationSpine and Intervertebral Disc Pathology

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Fear of movement/(re)injury, disability and participation in acute low back pain

Swinkels-Meewisse, Ilse E.J, Roelofs, Jeffrey, Verbeek, André L.M, Oostendorp, Rob A.B, Vlaeyen, Johan W.S·2003·Pain

DOI 10.1016/s0304-3959(03)00255-0

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Abstract

Fear of movement/(re)injury and its associated avoidance behavior have shown to be strongly associated with functional disability in chronic low back pain. In acute low back pain disability, the role of pain-related fear has received little research attention so far. Measures of pain-related fear such as the Tampa Scale for Kinesiophobia (TSK) are increasingly being used in primary care. The aim of the present study was: (1). to further investigate the factor structure of the TSK in a population of acute low back pain (LBP) patients in primary care by means of a confirmatory factor analysis (CFA); (2). to examine the relationship between fear of movement/(re)injury and disability, as well as participation in daily and social life activities in 615 acute LBP patients seen by general practitioners and physical therapists in primary care settings; and (3). to examine whether disability mediates the association between pain-related fear and participation. CFA, and a subsequent explorative factor analysis on the TSK revealed a two-factor model. The factors consisted of items associated with 'harm', and items representing the 'avoidance of activity'. Both constructs were significantly associated with disability and participation. Additionally, and in contrast to what is often observed in chronic pain, disability, and to a lesser degree participation, were also associated with pain intensity. Finally, the association between pain-related fear, pain intensity and participation was in…

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Authors: Swinkels-Meewisse, I. E. J., Roelofs, J., Verbeek, A. L. M., Oostendorp, R. A. B., & Vlaeyen, J. W. S.
Affiliations: Vrije Universiteit Brussel (BE)
Maastricht University (NL)
Radboud University Medical Center (NL)
Corresponding author: Swinkels-Meewisse, Ilse E.J
ORCID: Roelofs, Jeffrey
Verbeek, André L.M
Oostendorp, Rob A.B
Vlaeyen, Johan W.S
Venue: Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2003-09
Volume: 105
Issue: 1
Pages: 371-379
ISSN: 0304-3959 (ISSN-L)
DOI: 10.1016/s0304-3959(03)00255-0
OpenAlex: W2026326151
Cited by: 202
References: 43
Citations by year: 2026: 2 · 2025: 5 · 2024: 4 · 2023: 4 · 2022: 3 · 2021: 5 · 2020: 5 · 2019: 2 · 2018: 7 · 2017: 9 · 2016: 11 · 2015: 7 · 2014: 7 · 2013: 7 · 2012: 6
FWCI: 7.72
Type: journal article
Language: en
Open access: closed
Locations: Pain (publishedVersion)
PubMed (publishedVersion)
Radboud Repository (Radboud University) (submittedVersion)
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
Health Sciences › Medicine › Orthopedics and Sports Medicine › Spine and Intervertebral Disc Pathology
Keywords: kinesiophobia, acute low back pain, Tampa Scale for Kinesiophobia, factor structure, functional disability, participation in daily activities, social participation (health and rehabilitation), pain intensity, mediation, avoidance behavior, primary care
MeSH terms: Activities of Daily Living, Acute Disease, Adult, Factor Analysis, Statistical, Fear, Female, Disabled Persons, Persons with Disabilities, Humans, Interpersonal Relations, Male, Middle Aged, Models, Theoretical, Movement, Recurrence, Wounds and Injuries, Low Back Pain

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Fear of movement/(re)injury, disability and participation in acute low back pain

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