Investigation of Elevated Fear-Avoidance Beliefs for Patients With Low Back Pain: A Secondary Analysis Involving Patients Enrolled in Physical Therapy Clinical Trials

George, Steven Z.; Fritz, Julie M.; Childs, John D.

doi:10.2519/jospt.2008.2647

Cited by 148Musculoskeletal pain and rehabilitationMedical Practices and RehabilitationSpine and Intervertebral Disc Pathology

Investigation of Elevated Fear-Avoidance Beliefs for Patients With Low Back Pain: A Secondary Analysis Involving Patients Enrolled in Physical Therapy Clinical Trials

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George, Steven Z., Fritz, Julie M., Childs, John D.·2008·Journal of Orthopaedic & Sports Physical Therapy

DOI 10.2519/jospt.2008.2647PMC PMC2881572

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Abstract

STUDY DESIGN: Secondary analysis. OBJECTIVE: To investigate the Fear-Avoidance Beliefs Questionnaire (FABQ) for its ability to predict 6-month outcomes for patients with low back pain (LBP) participating in physical therapy clinical trials. BACKGROUND: Consistent evidence suggests that fear-avoidance beliefs are predictive of short-term outcomes for patients with LBP. However, proposed cut-off scores have not been widely investigated for longer-term outcomes in samples of patients receiving physical therapy. METHODS AND MEASURES: Subjects (n = 160) were participants in 2 separate randomized trials that used standard methodology and investigated the efficacy of physical therapy interventions for LBP. Subjects completed baseline measures of pain, disability, fear-avoidance beliefs, and physical impairment. They completed 4 weeks of randomly assigned physical therapy and were reassessed at 6 months with standard examination techniques. The accuracy of previously proposed cut-offs for elevated FABQ scores were determined by independent t tests and chi-square analysis on raw 6-month Oswestry Disability Questionnaire (ODQ) scores, 6-month ODQ change scores, and minimally clinical important difference (MCID) in ODQ scores (6 points). Next, a hierarchical regression model determined which FABQ scale better predicted 6-month ODQ scores after controlling for previously reported prognostic factors and relevant treatment parameters. Last, receiver operating characteristic curve analyses were planned to generate a range of FABQ cut-off scores that predicted 6-month MCID in the ODQ. RESULTS: The previously reported cut-off score for the FABQ physical activity scale (>14) resulted in 111 (69.4%) of 160 patients being classified as having elevated baseline scores, while the previously reported cut-off score for the FABQ work scale (>29) resulted in 19 (11.9%) of 160 patients being classified as having elevated baseline scores. Patients with elevated FABQ physical activity scale scores (>14) had no significant differences in 6-month ODQ outcomes. Patients with elevated FABQ work scale (>29) scores reported higher 6-month ODQ scores and were more likely to have reported no improvement in ODQ score. The final regression model explained 24.4% of the variance in 6-month ODQ scores, with only manipulation and exercise and the FABQ work scale as unique predictors. Fifteen of the subjects (12.7%) had a 6-month change in ODQ that indicated no improvement. The area under the receiver operating characteristic curve for the FABQ physical activity scale predicting this outcome was 0.562 (95% CI: 0.415-0.710) and for the FABQ work scale was 0.694 (95% CI: 0.542-0.846). Cut-off scores were explored for the FABQ work scale only, with positive likelihood ratios that ranged from 1.19 to 5.15 and negative likelihood ratios that ranged from 0.30 to 0.83. CONCLUSIONS: The FABQ work scale was the better predictor of self-report of disability in this sample of patients participating in physical therapy clinical trials. Future studies are necessary to further test and refine the FABQ work scale as a screening tool alone, and in combination with other examination findings.

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Avoidance may lead to an increase in disability, reduced activity levels and adverse physical and psychological effects.
“Avoidance may lead to an increase in disability, reduced activity levels and adverse physical and psychological effects.36”
From Protocol for a feasibility and acceptability study using a brief ACT-based intervention for people from Southwest Wales who live with persistent pain (2018) · cites this paper as [36]
There is a strong relationship between elevated fear avoidance beliefs and chronic disability.
“There is a strong relationship between elevated fear avoidance beliefs and chronic disability.”
From Protocol for a feasibility and acceptability study using a brief ACT-based intervention for people from Southwest Wales who live with persistent pain (2018) · cites this paper as [36]

The meaning and use of the area under a receiver operating characteristic (ROC) curve.
Hanley, J. A., & McNeil, B. J. (1982) · Radiology · doi:10.1148/radiology.143.1.7063747 · Cited by 21,856 · see citing works
A method of comparing the areas under receiver operating characteristic curves derived from the same cases
Hanley, J. A., & McNeil, B. J. (1983) · Radiology · doi:10.1148/radiology.148.3.6878708 · Cited by 7,016 · see citing works
The Oswestry Disability Index
Fairbank, J. C. T., & Pynsent, P. B. (2000) · Spine · doi:10.1097/00007632-200011150-00017 · Cited by 5,851 · see citing works
A Fear-Avoidance Beliefs Questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability.
Waddell, G., Newton, M., Henderson, I., Somerville, D., & Main, C. J. (1993) · Pain · doi:10.1016/0304-3959(93)90127-b · Cited by 3,167 · see citing works
Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance
Vlaeyen, J. W. S., Kole-Snijders, A. M. J., Boeren, R. G. B., & van Eek, H. (1995) · Pain · doi:10.1016/0304-3959(94)00279-n · Cited by 2,446 · see citing works
The fear-avoidance model of musculoskeletal pain: Current state of scientific evidence
Leeuw, M., Goossens, M. E. J. B., Linton, S. J., Crombez, G., Boersma, K., & Vlaeyen, J. W. S. (2007) · Journal of Behavioral Medicine · doi:10.1007/s10865-006-9085-0 · Cited by 2,261 · see citing works
The Roland–Morris Disability Questionnaire and the Oswestry Disability Questionnaire
Roland, M. O., & Fairbank, J. C. T. (2000) · Spine · doi:10.1097/00007632-200012150-00006 · Cited by 1,913 · see citing works
A review of psychological risk factors in back and neck pain
Linton, S. J. (2000) · Spine · doi:10.1097/00007632-200005010-00017 · Cited by 1,776 · see citing works
Pain-related fear is more disabling than pain itself: evidence on the role of pain-related fear in chronic back pain disability
Crombez, G., Vlaeyen, J. W. S., Heuts, P. H. T. G., & Lysens, R. (1999) · Pain · doi:10.1016/s0304-3959(98)00229-2 · Cited by 1,662 · see citing works
A systematic review of psychological factors as predictors of chronicity/disability in prospective cohorts of low back pain
Pincus, T., Burton, A. K., Vogel, S., & Field, A. P. (2002) · Spine · doi:10.1097/00007632-200203010-00017 · Cited by 1,633 · see citing works
Reproducibility and responsiveness of health status measures statistics and strategies for evaluation
Deyo, R. A., Diehr, P. H., & Patrick, D. L. (1991) · Controlled Clinical Trials · doi:10.1016/s0197-2456(05)80019-4 · Cited by 1,369 · see citing works
Outline of a fear-avoidance model of exaggerated pain perception--I.
Lethem, J., Slade, P. D., Troup, J. D. G., & Bentley, G. (1983) · Behaviour Research and Therapy · doi:10.1016/0005-7967(83)90009-8 · Cited by 1,327 · see citing works
Outcome Measures for Low Back Pain Research: A Proposal for Standardized Use
Deyo, R. A., Battie, M., Beurskens, A. J. H. M., Bombardier, C., Croft, P., Koes, B., Malmivaara, A., Roland, M., Von Korff, M., & Waddell, G. (1998) · Spine · doi:10.1097/00007632-199809150-00018 · Cited by 1,229 · see citing works
A Comparison of a Modified Oswestry Low Back Pain Disability Questionnaire and the Quebec Back Pain Disability Scale
Fritz, J. M., & Irrgang, J. J. (2001) · Physical Therapy · doi:10.1093/ptj/81.2.776 · Cited by 1,048 · see citing works
Self-citation
Applied regression analysis and other multivariable methods, 3rd ed.
Kleinbaum, D. G., Kupper, L. L., Muller, K. E., & Nizam, A. (1998) · Cited by 871 · see citing works
Assessing the responsiveness of functional scales to clinical change: An analogy to diagnostic test performance
Deyo, R. A., & Centor, R. M. (1986) · Journal of Chronic Diseases · doi:10.1016/0021-9681(86)90038-x · Cited by 800 · see citing works
A Clinical Prediction Rule To Identify Patients with Low Back Pain Most Likely To Benefit from Spinal Manipulation: A Validation Study
Childs, J. D., Fritz, J. M., Flynn, T. W., Irrgang, J. J., Johnson, K. K., Majkowski, G. R., & Delitto, A. (2004) · Annals of Internal Medicine · doi:10.7326/0003-4819-141-12-200412210-00008 · Cited by 792 · see citing works
Self-citation
The role of fear of movement/(re)injury in pain disability
Vlaeyen, J. W. S., Kole-Snijders, A. M. J., Rotteveel, A. M., Ruesink, R., & Heuts, P. H. T. G. (1995) · Journal of Occupational Rehabilitation · doi:10.1007/bf02109988 · Cited by 730 · see citing works
A Clinical Prediction Rule for Classifying Patients with Low Back Pain Who Demonstrate Short-Term Improvement With Spinal Manipulation
Flynn, T. W., Fritz, J. M., Whitman, J. M., Wainner, R. S., Magel, J. S., Rendeiro, D. G., Butler, B., Garber, M. B., & Allison, S. C. (2002) · Spine · doi:10.1097/00007632-200212150-00021 · Cited by 643 · see citing works
Self-citation
Can We Screen for Problematic Back Pain? A Screening Questionnaire for Predicting Outcome in Acute and Subacute Back Pain
Linton, S. J., & HALLDÉN, K. (1998) · Clinical Journal of Pain · doi:10.1097/00002508-199809000-00007 · Cited by 627 · see citing works
Information and advice to patients with back pain can have a positive effect. A randomized controlled trial of a novel educational booklet in primary care.
Burton, A., Waddell, G., Tillotson, K., & Summerton, N. (1999) · Spine · doi:10.1097/00007632-199912010-00010 · Cited by 622 · see citing works
Preliminary development of a clinical prediction rule for determining which patients with low back pain will respond to a stabilization exercise program
Hicks, G. E., Fritz, J. M., Delitto, A., & McGill, S. M. (2005) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2005.03.033 · Cited by 621 · see citing works
Self-citation
What is the maximum number of levels needed in pain intensity measurement?
Jensen, M. P., Turner, J. A., & Romano, J. M. (1994) · Pain · doi:10.1016/0304-3959(94)90133-3 · Cited by 600 · see citing works
Disability Resulting From Occupational Low Back Pain
Frank, J. W., Brooker, A., DeMaio, S. E., Kerr, M. S., Maetzel, A., Shannon, H. S., Sullivan, T. J., Norman, R. W., & Wells, R. P. (1996) · Spine · doi:10.1097/00007632-199612150-00025 · Cited by 582 · see citing works
Responsiveness of functional status in low back pain: a comparison of different instruments
Beurskens, A. J. H. M., de Vet, H. C. W., & Köke, A. J. A. (1996) · Pain · doi:10.1016/0304-3959(95)00149-2 · Cited by 567 · see citing works
The role of fear-avoidance beliefs in acute low back pain: relationships with current and future disability and work status
Fritz, J. M., George, S. Z., & Delitto, A. (2001) · Pain · doi:10.1016/s0304-3959(01)00333-5 · Cited by 513 · see citing works
Self-citation
Objective Clinical Evaluation of Physical Impairment in Chronic Low Back Pain
Waddell, G., Somerville, D., Henderson, I., & Newton, M. (1992) · Spine · doi:10.1097/00007632-199206000-00001 · Cited by 414 · see citing works
The Effect of a Fear-Avoidance–Based Physical Therapy Intervention for Patients With Acute Low Back Pain: Results of a Randomized Clinical Trial
George, S., Fritz, J., Bialosky, J., & Donald, D. A. (2003) · Spine · doi:10.1097/01.brs.0000096677.84605.a2 · Cited by 299 · see citing works
Self-citation
Identifying Psychosocial Variables in Patients With Acute Work-Related Low Back Pain: The Importance of Fear-Avoidance Beliefs
Fritz, J. M., & George, S. Z. (2002) · Physical Therapy · doi:10.1093/ptj/82.10.973 · Cited by 299 · see citing works
Self-citation
Validation of the German version of the Fear‐Avoidance Beliefs Questionnaire (FABQ)
Pfingsten, M., Kröner‐Herwig, B., Leibing, E., Kronshage, U., & Hildebrandt, J. (2000) · European Journal of Pain · doi:10.1053/eujp.2000.0178 · Cited by 238 · see citing works
Fear of movement/(re)injury, disability and participation in acute low back pain
Swinkels-Meewisse, I. E. J., Roelofs, J., Verbeek, A. L. M., Oostendorp, R. A. B., & Vlaeyen, J. W. S. (2003) · Pain · doi:10.1016/s0304-3959(03)00255-0 · Cited by 202 · see citing works
Early Prediction of Chronic Disability After Occupational Low Back Injury
Hazard, R. G., Haugh, L. D., Reid, S., Preble, J. B., & MacDonald, L. (1996) · Spine · doi:10.1097/00007632-199604150-00008 · Cited by 194 · see citing works
Low back pain: reliability of a set of pain measurement tools.
Jacob, T., Baras, M., Zeev, A., & Epstein, L. (2001) · Archives of Physical Medicine and Rehabilitation · doi:10.1053/apmr.2001.22623 · Cited by 184 · see citing works
Worker Recovery Expectations and Fear-Avoidance Predict Work Disability in a Population-Based Workers’ Compensation Back Pain Sample
Turner, J. A., Franklin, G. M., Fulton‐Kehoe, D., Sheppard, L. A., Wickizer, T. M., Wu, R., Gluck, J. V., & Egan, K. (2006) · Spine · doi:10.1097/01.brs.0000202762.88787.af · Cited by 171 · see citing works
Fear-Avoidance Beliefs as Measured by the Fear-Avoidance Beliefs Questionnaire: Change in Fear-Avoidance Beliefs Questionnaire Is Predictive of Change in Self-Report of Disability and Pain Intensity for Patients With Acute Low Back Pain
George, S., Fritz, J., & McNeil, D. (2006) · The Clinical Journal of Pain · doi:10.1097/01.ajp.0000148627.92498.54 · Cited by 165 · see citing works
Self-citation
Cognitive-Behavioral Therapy and Psychosocial Factors in Low Back Pain
Pincus, T., Vlaeyen, J. W. S., Kendall, N. A. S., Korff, M. R. V., Kalauokalani, D. A., & Reis, S. P. (2002) · Spine · doi:10.1097/00007632-200203010-00020 · Cited by 155 · see citing works
Longitudinal validation of the Fear-Avoidance Beliefs Questionnaire (FABQ) in a Swiss-German sample of low back pain patients
Staerkle, R. F., Mannion, A. F., Elfering, A., Junge, A., Semmer, N. K., Jacobshagen, N., Grob, D., Dvořák, J., & Boos, N. (2004) · European Spine Journal · doi:10.1007/s00586-003-0663-3 · Cited by 153 · see citing works
Psychometric Characteristics of the Spanish Version of the FAB Questionnaire
Kovacs, F. M., Muriel, A., Medina, J. M., Abraira, V., Sánchez, M. D. C., & Olabe, J. (2005) · Spine · doi:10.1097/01.brs.0000193912.36742.4f · Cited by 134 · see citing works
A Comparison of Fear-Avoidance Beliefs in Patients With Lumbar Spine Pain and Cervical Spine Pain
George, S. Z., Fritz, J. M., & Erhard, R. E. (2001) · Spine · doi:10.1097/00007632-200110010-00019 · Cited by 119 · see citing works
Self-citation
Test-retest reliability of patient reports of low back pain.
Roach, K. E., Brown, M. D., Dunigan, K. M., Kusek, C. L., & Walas, M. (1997) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.1997.26.5.253 · Cited by 114 · see citing works
Categorizing Patients With Occupational Low Back Pain by Use of the Quebec Task Force Classification System Versus Pain Pattern Classification Procedures: Discriminant and Predictive Validity
Werneke, M. W., & Hart, D. L. (2004) · Physical Therapy · doi:10.1093/ptj/84.3.243 · Cited by 86 · see citing works
The Relationship of Anticipated Pain and Fear Avoidance Beliefs to Outcome in Patients With Chronic Low Back Pain Who Are Not Receiving Workers’ Compensation
Al‐Obaidi, S., Beattie, P., Al-Zoabi, B., & Al-Wekeel, S. (2005) · Spine · doi:10.1097/01.brs.0000160848.94706.83 · Cited by 79 · see citing works
The Centralization Phenomenon and Fear-Avoidance Beliefs as Prognostic Factors for Acute Low Back Pain: A Preliminary Investigation Involving Patients Classified for Specific Exercise
George, S. Z., Bialosky, J. E., & Donald, D. A. (2005) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2005.35.9.580 · Cited by 68 · see citing works
Self-citation
Fear-Avoidance Beliefs, Disability, and Participation in Workers and Nonworkers With Acute Low Back Pain
Swinkels-Meewisse, I., Roelofs, J., Verbeek, A. L. M., Oostendorp, R. A. B., & Vlaeyen, J. W. S. (2005) · Clinical Journal of Pain · doi:10.1097/01.ajp.0000148626.84874.93 · Cited by 60 · see citing works

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Sander, A. P., Wilson, J. M., Izzo, N., Mountford, S. A., & Hayes, K. W. (2011) · Physical Therapy · doi:10.2522/ptj.20110115 · Cited by 137 · see citing works
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Lentz, T. A., Beneciuk, J. M., Bialosky, J. E., Zeppieri, G., Dai, Y., Wu, S. S., & George, S. Z. (2016) · Journal of Orthopaedic & Sports Physical Therapy · doi:10.2519/jospt.2016.6487 · Cited by 137 · see citing works
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Bullock, G. S., Sell, T. C., Zarega, R., Reiter, C. R., King, V., Wrona, H., Mills, N., Ganderton, C. L., Duhig, S. J., Räisäsen, A., et al. (2022) · Sports Medicine · doi:10.1007/s40279-022-01739-3 · Cited by 90 · see citing works
Fear avoidance beliefs as a predictor for long-term sick leave, disability and pain in patients with chronic low back pain
Sora, T. J., Fisker, A., Juhl, C. B., & Petersen, T. (2018) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-018-2351-9 · Cited by 90 · see citing works
Spinal segmental stabilisation exercises for chronic low back pain: programme adherence and its influence on clinical outcome
Mannion, A. F., Helbling, D., Pulkovski, N., & Sprott, H. (2009) · European Spine Journal · doi:10.1007/s00586-009-1093-7 · Cited by 88 · see citing works
Outcomes are not different for patient-matched versus nonmatched treatment in subjects with chronic recurrent low back pain: a randomized clinical trial
Henry, S. M., Dillen, L. R. V., Ouellette-Morton, R. H., Hitt, J. R., Lomond, K. V., DeSarno, M., & Bunn, J. Y. (2014) · The Spine Journal · doi:10.1016/j.spinee.2014.03.024 · Cited by 69 · see citing works
Clinical Outcomes for Patients Classified by Fear-Avoidance Beliefs and Centralization Phenomenon
Werneke, M. W., Hart, D. L., George, S. Z., Stratford, P. W., Matheson, J. W., & Reyes, A. (2009) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2008.11.008 · Cited by 68 · see citing works
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The Concurrent Validity of Brief Screening Questions for Anxiety, Depression, Social Isolation, Catastrophization, and Fear of Movement in People With Low Back Pain
Kent, P. M., Mirkhil, S., Keating, J. L., Buchbinder, R., Manniche, C., & Albert, H. (2013) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000010 · Cited by 68 · see citing works
Fusion Versus Nonoperative Care for Chronic Low Back Pain
Daubs, M. D., Norvell, D. C., McGuire, R., Molinari, R. W., Hermsmeyer, J. T., Fourney, D. R., V, Wolinsky, J., & Brodke, D. S. (2011) · Spine · doi:10.1097/brs.0b013e31822ef6b9 · Cited by 65 · see citing works
Investigation of Central Pain Processing in Postoperative Shoulder Pain and Disability
Valencia, C., Fillingim, R. B., Bishop, M. D., Wu, S. S., Wright, T. W., Moser, M., Farmer, K. W., & George, S. Z. (2013) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000029 · Cited by 64 · see citing works
Self-citation
Fear-Avoidance Beliefs Are Associated With Disability in Older American Adults With Low Back Pain
Sions, J. M., & Hicks, G. E. (2011) · Physical Therapy · doi:10.2522/ptj.20100131 · Cited by 62 · see citing works
Osteopathic Manipulative Treatment Including Specific Diaphragm Techniques Improves Pain and Disability in Chronic Nonspecific Low Back Pain: A Randomized Trial
Martí-Salvador, M., Hidalgo-Moreno, L., Doménech, J., Lisón, J. F., & Arguisuelas, M. D. (2018) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2018.04.022 · Cited by 61 · see citing works
Young individuals with a more ankle-steered proprioceptive control strategy may develop mild non-specific low back pain
Claeys, K., Dankaerts, W., Janssens, L., Pijnenburg, M., Goossens, N., & Brumagne, S. (2014) · Journal of Electromyography and Kinesiology · doi:10.1016/j.jelekin.2014.10.013 · Cited by 58 · see citing works
Clinical Investigation of Pain-related Fear and Pain Catastrophizing for Patients With Low Back Pain
George, S. Z., Calley, D. Q., Valencia, C., & Beneciuk, J. M. (2010) · Clinical Journal of Pain · doi:10.1097/ajp.0b013e3181f21414 · Cited by 59 · see citing works
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The relationship between psychosocial factors and reported disability: the role of pain self-efficacy
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Implicit evaluations and physiological threat responses in people with persistent low back pain and fear of bending
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Screening for Elevated Levels of Fear-Avoidance Beliefs Regarding Work or Physical Activities in People Receiving Outpatient Therapy
Hart, D. L., Werneke, M. W., George, S. Z., Matheson, J. W., Wang, Y.-C., Cook, K. F., Mioduski, J. E., & Choi, S. (2009) · Physical Therapy · doi:10.2522/ptj.20080227 · Cited by 53 · see citing works
Self-citation
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Taulaniemi, A., Kankaanpaa, M. J., Rinne, M. B., Tokola, K., Parkkari, J. P., & Suni, J. H. (2020) · BMC Sports Science Medicine and Rehabilitation · doi:10.1186/s13102-020-00177-w · Cited by 50 · see citing works
Development of a Cumulative Psychosocial Factor Index for Problematic Recovery Following Work-Related Musculoskeletal Injuries
Wideman, T. H., & Sullivan, M. J. L. (2011) · Physical Therapy · doi:10.2522/ptj.20110071 · Cited by 49 · see citing works
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Self-citation
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Dubois, J.-D., Abboud, J., St-Pierre, C., Piché, M., & Descarreaux, M. (2014) · Journal of Electromyography and Kinesiology · doi:10.1016/j.jelekin.2014.04.012 · Cited by 43 · see citing works
Efficacy of acupuncture and electroacupuncture in patients with nonspecific low back pain: study protocol for a randomized controlled trial
Comachio, J., Magalhães, M. O., Burke, T. N., Ramos, L. A. V., Almeida, G. P. L., Carvalho‐e‐Silva, A. P., de Meneses, S. R. F., Costa-Frutuoso, J. R., Amorim, C. S. M., & Marques, A. P. (2015) · Trials · doi:10.1186/s13063-015-0850-7 · Cited by 41 · see citing works
Lombalgie chronique : facteurs de passage à la chronicité
Nguyen, C., Poiraudeau, S., Revel, M., & Papelard, A. (2009) · Revue du Rhumatisme · doi:10.1016/j.rhum.2009.03.003 · Cited by 40 · see citing works
Do expectancies of return to work and Job satisfaction predict actual return to work in workers with long lasting LBP?
Opsahl, J., Eriksen, H. R., & Tveito, T. H. (2016) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-016-1314-2 · Cited by 38 · see citing works
The strength of association between psychological factors and clinical outcome in tendinopathy: A systematic review
Stubbs, C., Auliffe, S. M., Mallows, A. J., O’Sullivan, K., Haines, T. P., & Malliaras, P. (2020) · PLoS ONE · doi:10.1371/journal.pone.0242568 · Cited by 40 · see citing works
Outcome prediction in chronic unilateral lumbar radiculopathy: prospective cohort study
Iversen, T., Solberg, T. K., Wilsgaard, T., Waterloo, K. K., Brox, J. I., & Ingebrigtsen, T. (2015) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-015-0474-9 · Cited by 34 · see citing works
Effect of segmental stabilizing exercises augmented by pelvic floor muscles training on women with postpartum pelvic girdle pain: A randomized controlled trial
ElDeeb, A. M., Abd-Ghafar, K. S., Ayad, W. A., & Sabbour, A. A. (2019) · Journal of Back and Musculoskeletal Rehabilitation · doi:10.3233/bmr-181258 · Cited by 35 · see citing works
Client Education: Communicative Interaction between Physiotherapists and Clients with Subacute Low Back Pain in Private Practice
Harman, K., Bassett, R., Fenety, A., & Hoens, A. M. (2010) · Physiotherapy Canada · doi:10.3138/ptc.2009-52p · Cited by 33 · see citing works
Collaborative Care for Older Adults with low back pain by family medicine physicians and doctors of chiropractic (COCOA): study protocol for a randomized controlled trial
Goertz, C., Salsbury, S. A., Vining, R. D., Long, C. R., Andresen, A. A., Jones, M. E., Lyons, K. J., Hondras, M., Killinger, L. Z., Wolinsky, F. D., et al. (2013) · Trials · doi:10.1186/1745-6215-14-18 · Cited by 32 · see citing works
Concerns About Exercise Are Related to Walk Test Results in Pulmonary Rehabilitation for Patients with COPD
Fischer, M. J., Scharloo, M., Abbink, J. J., Hul, A. J. V. ‘., van Ranst, D., Rudolphus, A., Weinman, J. A., Rabe, K. F., & Kaptein, A. A. (2010) · International Journal of Behavioral Medicine · doi:10.1007/s12529-010-9130-9 · Cited by 32 · see citing works
Protocol for a feasibility and acceptability study using a brief ACT-based intervention for people from Southwest Wales who live with persistent pain
Saracutu, M., Edwards, D. J., Davies, H., & Rance, J. (2018) · BMJ Open · doi:10.1136/bmjopen-2018-021866 · Cited by 29 · see citing works
Measuring Psychosocial Variables in Patients With (Sub) Acute Low Back Pain Complaints, at Risk for Chronicity
Heneweer, H., van Woudenberg, N. J., van Genderen, F. R., Vanhees, L., & Wittink, H. M. (2010) · Spine · doi:10.1097/brs.0b013e3181bd9e3b · Cited by 30 · see citing works
Analysis of factors related to arm weakness in patients with breast cancer-related lymphedema
Lee, D., Hwang, J. H., Chu, I. H., Chang, H. J., Shim, Y. H., & Kim, J. H. (2015) · Supportive Care in Cancer · doi:10.1007/s00520-014-2584-6 · Cited by 30 · see citing works
Somatization is associated with worse outcome in a chiropractic patient population with neck pain and low back pain
Ailliet, L., Rubinstein, S. M., Knol, D. L., van Tulder, M. W., & de Vet, H. C. W. (2015) · Manual Therapy · doi:10.1016/j.math.2015.07.007 · Cited by 30 · see citing works
Professional Status of Persistent Spinal Pain Syndrome Patients after Spinal Surgery (PSPS-T2): What Really Matters? A Prospective Study Introducing the Concept of “Adapted Professional Activity” Inferred from Clinical, Psychological and Social Influence
Naïditch, N., Billot, M., Goudman, L., Cornet, P., Manuel Roulaud, B., Ounajim, A., Page, P., Lorgeoux, B., Baron, S., Nivole, K., et al. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10215055 · Cited by 29 · see citing works
Clinical Assessment of Low-Back-Pain Treatment Outcomes in Athletes
Vela, L. I., Haladay, D. E., & Denegar, C. R. (2011) · Journal of Sport Rehabilitation · doi:10.1123/jsr.20.1.74 · Cited by 30 · see citing works
Association Between Centralization and Directional Preference and Functional and Pain Outcomes in Patients With Neck Pain
Edmond, S. L., Cutrone, G., Werneke, M. W., Ward, J., Grigsby, D., Weinberg, J. R., Oswald, W., Oliver, D., McGill, T., & Hart, D. L. (2013) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2014.4632 · Cited by 26 · see citing works
Effect of Fear-Avoidance Beliefs of Physical Activities on a Model That Predicts Risk-Adjusted Functional Status Outcomes in Patients Treated for a Lumbar Spine Dysfunction
Hart, D. L., Werneke, M. W., Deutscher, D., George, S. Z., & Stratford, P. W. (2011) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2011.3534 · Cited by 26 · see citing works
Self-citation
Engaging consumers living in remote areas of Western Australia in the self-management of back pain: a prospective cohort study
Slater, H., Briggs, A. M., Bunzli, S., Davies, S., Smith, A. J., & Quintner, J. L. (2012) · BMC Musculoskeletal Disorders · doi:10.1186/1471-2474-13-69 · Cited by 26 · see citing works
Association of STarT Back Tool and the short form of the Örebro Musculoskeletal Pain Screening Questionnaire with multidimensional risk factors
Simula, A. S., Ruokolainen, O., Oura, P., Lausmaa, M., Holopainen, R., Paukkunen, M., AUVINEN, J. P., Linton, S. J., Hill, J. C., & Karppinen, J. I. (2020) · Scientific Reports · doi:10.1038/s41598-019-57105-3 · Cited by 26 · see citing works
Pain-Related Fear—Dissociable Neural Sources of Different Fear Constructs
Meier, M. L., Vrana, A., Humphreys, B. K., Seifritz, E., Stämpfli, P., & Schweinhardt, P. (2018) · eNeuro · doi:10.1523/eneuro.0107-18.2018 · Cited by 25 · see citing works
Correlations Between Hip Extension Range of Motion, Hip Extension Asymmetry, and Compensatory Lumbar Movement in Patients with Nonspecific Chronic Low Back Pain
Kim, W.-D., & Shin, D. (2020) · Medical Science Monitor · doi:10.12659/msm.925080 · Cited by 24 · see citing works
Investigating dynamic pain sensitivity in the context of the fear‐avoidance model
Gay, C. W., Horn, M. E., Bishop, M. D., Robinson, M. E., & Bialosky, J. E. (2014) · European Journal of Pain · doi:10.1002/ejp.519 · Cited by 24 · see citing works
Psychometric Properties of the Photograph Series of Daily Activities-Short Electronic Version (PHODA-SeV) in Patients With Chronic Low Back Pain
Oliveira, C. B., Franco, M. R., Demarchi, S. J., Smeets, R., Huijnen, I. P. J., Morelhao, P. K., Hisamatsu, T. M., & Pinto, R. Z. (2018) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2018.7864 · Cited by 24 · see citing works
Predicting response to a cognitive-behavioral approach to treating low back pain: Secondary analysis of the BeST data set
Underwood, M., Mistry, D., Lall, R., & Lamb, S. (2011) · Arthritis Care & Research · doi:10.1002/acr.20518 · Cited by 23 · see citing works
Dry cupping in the treatment of individuals with non-specific chronic low back pain: a protocol for a placebo-controlled, randomised, double-blind study
Silva, H. J. D. A., Saragiotto, B. T., Silva, R. S., Lins, C. A. D. A., & de Souza, M. C. (2019) · BMJ Open · doi:10.1136/bmjopen-2019-032416 · Cited by 24 · see citing works
Impact of expectations on functional recovery in individuals with chronic shoulder pain
McDevitt, A. W., Mintken, P. E., Cleland, J. A., & Bishop, M. D. (2018) · Journal of Manual & Manipulative Therapy · doi:10.1080/10669817.2018.1432541 · Cited by 22 · see citing works
Anxiety and Fear Avoidance Beliefs and Behavior May Be Significant Risk Factors for Chronic Opioid Analgesic Therapy Reliance for Patients with Chronic Pain—Results from a Preliminary Study
Silva, M. J., Coffee, Z. H., Yu, C. H., & Martel, M. O. (2021) · Pain Medicine · doi:10.1093/pm/pnab069 · Cited by 22 · see citing works
Socioeconomic Status Influences the Relationship between Fear-Avoidance Beliefs Work and Disability
Valencia, C., Robinson, M. E., & George, S. Z. (2010) · Pain Medicine · doi:10.1111/j.1526-4637.2010.01024.x · Cited by 21 · see citing works
Self-citation
Pain Intensity and Fear Avoidance Explain Disability Related to Chronic Low Back Pain in a Saudi Arabian Population
Alamam, D., Moloney, N. A., Leaver, A. M., Alsobayel, H., & Mackey, M. (2019) · Spine · doi:10.1097/brs.0000000000003002 · Cited by 23 · see citing works
Effect of information and exercise programmes after lumbar disc surgery: A randomized controlled trial
Jentoft, E. S., Kvåle, A., Aßmus, J., & Moen, V. P. (2020) · Physiotherapy Research International · doi:10.1002/pri.1864 · Cited by 21 · see citing works
Using Intake and Change in Multiple Psychosocial Measures to Predict Functional Status Outcomes in People With Lumbar Spine Syndromes: A Preliminary Analysis
Hart, D. L., Werneke, M. W., Deutscher, D., George, S. Z., Stratford, P. W., & Mioduski, J. E. (2011) · Physical Therapy · doi:10.2522/ptj.20100377 · Cited by 21 · see citing works
Self-citation
Preliminary study into the components of the fear-avoidance model of LBP: change after an initial chiropractic visit and influence on outcome
Field, J. R., Newell, D., & McCarthy, P. W. (2010) · Chiropractic & Manual Therapies · doi:10.1186/1746-1340-18-21 · Cited by 21 · see citing works
Biopsychosocial Profiles and Functional Correlates in Older Adults with Chronic Low Back Pain: A Preliminary Study
Weiner, D. K., Gentili, A., Coffey-Vega, K. L., Morone, N. E., Rossi, M. I., & Perera, S. (2018) · Pain Medicine · doi:10.1093/pm/pny065 · Cited by 21 · see citing works
Physical demand at work and sick leave due to low back pain: a cross-sectional study
Petersen, J. A., Kirkeskov, L., Hansen, B. B., Begtrup, L. M., Flachs, E. M., Boesen, M., Hansen, P., Bliddal, H., & Kryger, A. I. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-026917 · Cited by 20 · see citing works
Prevalence and Correlates of Low Pain Interference Among Patients With High Pain Intensity Who Are Prescribed Long-Term Opioid Therapy
Adams, M. H., Dobscha, S. K., Smith, N. X., Yarborough, B. J. H., Deyo, R. A., & Morasco, B. J. (2018) · Journal of Pain · doi:10.1016/j.jpain.2018.04.005 · Cited by 19 · see citing works
Effect of Adding McKenzie Syndrome, Centralization, Directional Preference, and Psychosocial Classification Variables to a Risk-Adjusted Model Predicting Functional Status Outcomes for Patients With Lumbar Impairments
Werneke, M. W., Edmond, S. L., Deutscher, D., Ward, J., Grigsby, D., Young, M., McGill, T., McClenahan, B. J., Weinberg, J. R., & Davidow, A. L. (2016) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2016.6266 · Cited by 18 · see citing works
Fear-Avoidance Beliefs for Physical Activity Among Chronic Low Back Pain: A Multicenter Cross-Sectional Study
Yihunie, M., Abich, Y., Demissie, S. F., Kassa, T., Parthasarathy, R., & Janakiraman, B. (2023) · Journal of Pain Research · doi:10.2147/jpr.s388002 · Cited by 17 · see citing works
A model for personalized diagnostics for non-specific low back pain: the role of the myofascial unit
Sikdar, S., Srbely, J. Z., Shah, J. P., Assefa, Y. M., Stecco, A., DeStefano, S., Imamura, M., & Gerber, L. H. (2023) · Frontiers in Pain Research · doi:10.3389/fpain.2023.1237802 · Cited by 16 · see citing works
Comparison of work-related fear-avoidance beliefs across different anatomical locations with musculoskeletal pain
Simon, C., Stryker, S., & George, S. (2011) · Journal of Pain Research · doi:10.2147/jpr.s22457 · Cited by 13 · see citing works
Self-citation
Short-term Effects of Thoracic Spine Thrust Manipulation, Exercise, and Education in Individuals With Low Back Pain: A Randomized Controlled Trial
Fisher, L., Alvar, B. A., Maher, S., & Cleland, J. A. (2019) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2020.8928 · Cited by 14 · see citing works
A further Rasch analysis of the Fear-Avoidance Beliefs Questionnaire in adults with chronic low back pain suggests the revision of its rating scale
Franchignoni, F. P., Giordano, A., Rocca, B., Ferriero, G., & Monticone, M. (2021) · European Journal of Physical and Rehabilitation Medicine · doi:10.23736/s1973-9087.20.06328-5 · Cited by 14 · see citing works
Prevalence and Biopsychosocial Factors Associated With a Current Episode of Low Back Pain Among Adults With a Previous History of Low Back Pain: A Cross-sectional Study of Market Traders in an African Population
Igwesi-Chidobe, C. N., Ifeanyichukwu, C. N., Okorie, J. P., Faisal, M., & Ozumba, B. C. (2024) · Journal of Pain · doi:10.1016/j.jpain.2024.104526 · Cited by 15 · see citing works
Rasch analysis of the Italian version of fear avoidance beliefs questionnaire (FABQ-I)
Meroni, R., Piscitelli, D., Bonetti, F., Zambaldi, M., Guccione, A. A., & Pillastrini, P. (2014) · Disability and Rehabilitation · doi:10.3109/09638288.2014.909890 · Cited by 13 · see citing works
What is the best time point to identify patients at risk of developing persistent low back pain?
Melloh, M., Elfering, A., Käser, A., Salathé, C. R., Crawford, R. J., Barz, T., Zweig, T., Aghayev, E., Röder, C., & Theis, J. (2015) · Journal of Back and Musculoskeletal Rehabilitation · doi:10.3233/bmr-140514 · Cited by 13 · see citing works
Translation, cross-cultural adaptation and psychometric validation of the Thai version of the STarT Back Screening Tool in patients with non-specific low back pain
Wiangkham, T., Phungwattanakul, N., Thongbai, N., Situy, N., Polchaika, T., Kongmee, I., Thongnoi, D., Chaisang, R., & Suwanmongkhon, W. (2021) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-021-04347-w · Cited by 12 · see citing works
A Treatment-Based Classification Approach to Examination and Intervention of Lumbar Disorders
Burns, S. A., Foresman, E., Kraycsir, S. J., Egan, W. E., Glynn, P. E., Mintken, P. E., & Cleland, J. A. (2011) · Sports Health A Multidisciplinary Approach · doi:10.1177/1941738111410378 · Cited by 11 · see citing works
Trunk posture assessment during work tasks at a Canadian recycling center
Asante, B. O., Bath, B. L., & Trask, C. (2018) · International Journal of Industrial Ergonomics · doi:10.1016/j.ergon.2018.09.001 · Cited by 11 · see citing works
Disability is associated with catastrophizing and not with pain intensity in patients with low back pain: A retrospective study
Pierobon, A., Raguzzi, I. A., Soliño, S., Salzberg, S., Pierobon, G., Vuoto, T., Amor, J. S. V., Snaider, C., & Castro, L. (2020) · Physiotherapy Research International · doi:10.1002/pri.1867 · Cited by 11 · see citing works
A Systematic Review and Meta-analysis of Randomized Controlled Trials of Stabilizing Exercises for Lumbopelvic Region Impact in Postpartum Women With Low Back and Pelvic Pain
Moheboleslam, Z., Rahimi, N. M., & Aminzadeh, R. (2022) · Biological Research For Nursing · doi:10.1177/10998004221081083 · Cited by 11 · see citing works
Evaluation of a Functional Restoration Program at Fort Bliss Interdisciplinary Pain Management Clinic
Nguyen, K. T., Beauchamp, D. W., Lovett, U., Tillman, D., Janze, A., Ruiz, A., Romero, R., Ting, W. C., Wilson, E. B., Wright, D. J., et al. (2020) · Military Medicine · doi:10.1093/milmed/usaa200 · Cited by 10 · see citing works
Early Occupational Intervention for People with Low Back Pain in Physically Demanding Jobs: 1-year Follow-up Results of the Randomized Controlled GOBACK Trial
Rosenberg, N. R., Petersen, S. B., Begtrup, L. M., Flachs, E. M., Petersen, J. A., Hansen, B. B., Kirkeskov, L., Bliddal, H., Christensen, R., Kristensen, L. E., et al. (2020) · Spine · doi:10.1097/brs.0000000000003793 · Cited by 9 · see citing works
Examining Psychological Factors as Contributors to Pain, Disability, and Physical Function in Geriatric Chronic Low Back Pain: A Prospective Analysis of the Delaware Spine Studies Cohort
Knox, P. J., Simon, C. B., Pohlig, R. T., Pugliese, J. M., Coyle, P. C., Sions, J. M., & Hicks, G. E. (2023) · Journal of Pain · doi:10.1016/j.jpain.2023.12.005 · Cited by 9 · see citing works
The role of associative learning and fear in the development of chronic pain – a comparison of chronic pain and post-traumatic stress disorder
Sueki, D. G., Dunleavy, K., Puentedura, E. J., Spielholz, N. I., & Cheng, M. S. (2014) · Physical Therapy Reviews · doi:10.1179/1743288x14y.0000000154 · Cited by 9 · see citing works
Assessment of chiropractic care on strength, balance, and endurance in active-duty U.S. military personnel with low back pain: a protocol for a randomized controlled trial
Vining, R. D., Minkalis, A. L., Long, C. R., Corber, L. G., Franklin, C., Gudavalli, M. R., Xia, T., & Goertz, C. (2018) · Trials · doi:10.1186/s13063-018-3041-5 · Cited by 8 · see citing works
Kinesiophobia is not associated with disability in elderly women with acute low back pain: Back Complaints in the Elders (BACE) Brazil study results
Felício, D. C., Pereira, D. S., de Queiroz, B. Z., da Silva, J. P., Leopoldino, A. A. O., & Pereira, L. S. M. (2016) · The Spine Journal · doi:10.1016/j.spinee.2016.01.004 · Cited by 9 · see citing works
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Simon, C. B., Stryker, S. E., & George, S. Z. (2013) · Journal of Manual & Manipulative Therapy · doi:10.1179/2042618613y.0000000035 · Cited by 7 · see citing works
Self-citation
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Castrillon, T., Hanney, W. J., Rothschild, C. E., Kolber, M. J., Liu, X., & Masaracchio, M. F. (2016) · Journal of Back and Musculoskeletal Rehabilitation · doi:10.3233/bmr-150504 · Cited by 7 · see citing works
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Karimi, A. (2013) · Journal of Spine · doi:10.4172/2165-7939.1000139 · Cited by 7 · see citing works
RETURN TO ADVANCED STRENGTH TRAINING AND WEIGHTLIFTING IN AN ATHLETE POST-LUMBAR DISCECTOMY UTILIZING PAIN NEUROSCIENCE EDUCATION AND PROPER PROGRESSION: RESIDENT'S CASE REPORT
Afzal, Z., Mansfield, C. J., Bleacher, J., & Briggs, M. S. (2019) · International Journal of Sports Physical Therapy · doi:10.26603/ijspt20190804 · Cited by 7 · see citing works
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LeBlanc, L., Moldovan, I. D., Sabri, E., Phan, P., Agbi, C. B., Mohammed, S., & Alkherayf, F. A. (2021) · Spine · doi:10.1097/brs.0000000000004018 · Cited by 6 · see citing works
Associations Between Fear-Avoidance or Pain Catastrophizing and Gait Quality in Chronic Low Back Pain: A Cross-Sectional Study
Bailes, A. H., McKernan, G., Redfern, M. S., Cham, R., Greco, C. M., Brach, J. S., Piva, S. R., Vo, N. N., & Sowa, G. (2025) · Physical Therapy · doi:10.1093/ptj/pzaf089 · Cited by 6 · see citing works
Factores clínico-demográficos asociados al miedo-evitación en sujetos con lumbalgia crónica inespecífica en atención primaria: análisis secundario de estudio de intervención
Díaz-Cerrillo, J. L., Rondón-Ramos, A., Clavero-Cano, S., Pérez-González, R., Martínez-Calderón, J., & Luque-Suárez, A. (2018) · Atención Primaria · doi:10.1016/j.aprim.2017.07.003 · Cited by 5 · see citing works
Sustained versus repetitive standing trunk extension results in greater spinal growth and pain improvement in back pain:A randomized clinical trial
Harrison, J. J., Brismée, J., Sizer, P. S., Denny, B. K., & Sobczak, S. (2023) · Journal of Back and Musculoskeletal Rehabilitation · doi:10.3233/bmr-230118 · Cited by 5 · see citing works
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Iglar, L., Mansfield, C. J., Bleacher, J., & Briggs, M. S. (2021) · JOSPT Cases · doi:10.2519/josptcases.2021.9875 · Cited by 5 · see citing works
Reassurance regarding educational messages in people with non‐specific low back pain: A cross‐sectional study
Alamam, D., Alrushud, A. S., Alodaibi, F., Alhowimel, A., Almarzouq, R., Alangari, R., Khunain, S. B., Alosaimi, W., & Almoheidib, S. (2022) · Musculoskeletal Care · doi:10.1002/msc.1683 · Cited by 5 · see citing works
A cross-sectional study on fear-avoidance beliefs and chronic low back pain in fighter pilots
AlAbdulwahab, S. S., Kachanathu, S. J., & AlSunaidi, A. S. N. (2021) · International Journal of Critical Illness and Injury Science · doi:10.4103/ijciis.ijciis_95_19 · Cited by 5 · see citing works
The mediating role of posttraumatic stress disorder symptoms in pain cognitions among Veterans with chronic pain
Reed, D. E., Lehinger, E. A., Cobos, B. A., Williams, R. M., McGeary, C. A., & McGeary, D. D. (2024) · Military Psychology · doi:10.1080/08995605.2024.2309897 · Cited by 4 · see citing works
Nonspecific chronic low back pain conditions and therapeutic practices in Burkina Faso
Kaboré, P. A., Zanga, O. B., & Schepens, B. (2022) · South African Journal of Physiotherapy · doi:10.4102/sajp.v78i1.1787 · Cited by 4 · see citing works
Exercises and management of lower back pain
Field, J. R. (2008) · Clinical Chiropractic · doi:10.1016/j.clch.2009.02.001 · Cited by 4 · see citing works
Behavioral Health Disability
Warren, P. A. (2010) · Springer eBooks · doi:10.1007/978-0-387-09814-2 · Cited by 4 · see citing works
The psychological burden of disease among patients undergoing cervical spine surgery: Are we underestimating our patients’ inherent disability?
Passias, P. G., Naessig, S. A., Williamson, T. K., Tretiakov, P. S., Imbo, B., Joujon-Roche, R., Ahmad, S., Passfall, L., Owusu-Sarpong, S., Krol, O., et al. (2022) · Neurochirurgie · doi:10.1016/j.neuchi.2022.101395 · Cited by 3 · see citing works

Identifying Patient Fear-Avoidance Beliefs by Physical Therapists Managing Patients With Low Back Pain
Calley, D. Q., Jackson, S., Collins, H. R., & George, S. Z. (2010) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2010.3381 · Cited by 42 · see citing works
Self-citation
Predictive validity of initial fear avoidance beliefs in patients with low back pain receiving physical therapy: is the FABQ a useful screening tool for identifying patients at risk for a poor recovery?
Cleland, J. A., Fritz, J. M., & Brennan, G. P. (2007) · European Spine Journal · doi:10.1007/s00586-007-0511-y · Cited by 64 · see citing works
Self-citation
A study of the relationship among fear-avoidance beliefs, pain and disability index in patients with low back pain
Chung, E. J., Hur, Y.-G., & Lee, B. (2013) · Journal of Exercise Rehabilitation · doi:10.12965/jer.130079 · Cited by 49 · see citing works
Fear-avoidance beliefs—a moderator of treatment efficacy in patients with low back pain: a systematic review
Wertli, M. M., Rasmussen-Barr, E., Held, U., Weiser, S., Bachmann, L. M., & Brunner, F. (2014) · The Spine Journal · doi:10.1016/j.spinee.2014.02.033 · Cited by 343 · see citing works
Fear-Avoidance Beliefs as Measured by the Fear-Avoidance Beliefs Questionnaire: Change in Fear-Avoidance Beliefs Questionnaire Is Predictive of Change in Self-Report of Disability and Pain Intensity for Patients With Acute Low Back Pain
George, S., Fritz, J., & McNeil, D. (2006) · The Clinical Journal of Pain · doi:10.1097/01.ajp.0000148627.92498.54 · Cited by 165 · see citing works
Self-citation

Authors: George, S. Z., Fritz, J. M., & Childs, J. D.
Affiliations: University of Florida Health (US)
Baylor University (US)
ORCID: George, Steven Z.
Fritz, Julie M.
Venue: Journal of Orthopaedic & Sports Physical Therapy
Publisher: Journal of Orthopaedic & Sports Physical Therapy (JOSPT)
Published: 2008-02
Volume: 38
Issue: 2
Pages: 50-58
ISSN: 0190-6011 (ISSN-L)
1938-1344
DOI: 10.2519/jospt.2008.2647
PMC: PMC2881572
OpenAlex: W2141507950
Cited by: 148
References: 44
Citations by year: 2026: 1 · 2025: 3 · 2024: 4 · 2023: 8 · 2022: 7 · 2021: 13 · 2020: 13 · 2019: 9 · 2018: 13 · 2017: 2 · 2016: 10 · 2015: 10 · 2014: 7 · 2013: 7 · 2012: 4
FWCI: 8.31
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Journal of Orthopaedic and Sports Physical Therapy (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Arthritis and Musculoskeletal and Skin Diseases (R03AR051128, R-03 AR051128-01)
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
Health Sciences › Medicine › Pathology and Forensic Medicine › Spine and Intervertebral Disc Pathology
Keywords: fear-avoidance beliefs, low back pain, Fear-Avoidance Beliefs Questionnaire, physiotherapy, prognostic factors, cut-off values, disability outcome, physical activity beliefs, treatment response prediction, minimal clinically important difference, exercise therapy, manipulative therapy, patient-reported outcomes, long-term outcomes
MeSH terms: Adult, Chronic Disease, Disability Evaluation, Exercise Therapy, Fear, Female, Health Status Indicators, Health Surveys, Humans, Male, Prospective Studies, Surveys and Questionnaires, Regression Analysis, Treatment Outcome, Low Back Pain, Musculoskeletal Manipulations, Physical Therapy Modalities

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Investigation of Elevated Fear-Avoidance Beliefs for Patients With Low Back Pain: A Secondary Analysis Involving Patients Enrolled in Physical Therapy Clinical Trials

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