The DOI matches its Crossref record; 41 of the 43 references it cites were found in a registry or an index.
Fear of movement/(re)injury, disability and participation in acute low back pain
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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“patients with acute low back pain who reported a high fear of pain were significantly more likely to experience high levels of disability and to avoid participation in a range of home, work, social, and leisure activities.”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [120]
In the citing paper
“patients with acute low back pain who reported a high fear of pain were significantly more likely to experience high levels of disability and to avoid participation in a range of home, work, social, and leisure activities.”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [120]
In the citing paper
“Evidence that pain might lead to patterns of behavioral and cognitive avoidance”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [120]
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Metadata
- 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
- Venue
- Pain
- Published
- 2003-09
- Volume
- 105
- Issue
- 1
- Pages
- 371-379
- ISSN
- 0304-3959 (ISSN-L)
- 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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