Fear-avoidance beliefs and clinical outcomes for patients seeking outpatient physical therapy for musculoskeletal pain conditions
Abstract
STUDY DESIGN: Prospective cohort. OBJECTIVE: To investigate fear-avoidance beliefs across different anatomical regions for patients with musculoskeletal pain. BACKGROUND: Fear-avoidance beliefs were first widely studied in patients with low back pain. The early results of studies involving patients with cervical spine, knee, and shoulder disorders suggest that fear-avoidance beliefs have the potential to influence pain and function in different anatomical regions. However, very few prospective studies of fear-avoidance beliefs involve multiple anatomical regions. METHODS: The sample of this study consisted of 313 patients (mean age, 45.5 years; 115 males, 198 females) seeking outpatient physical therapy for cervical spine (n = 63), upper extremity (n = 58), lumbar spine (n = 79), or lower extremity (n = 113) complaints. During the intake session, patients completed the Fear-Avoidance Beliefs Questionnaire physical activity scale (FABQ-PA), modified for the appropriate anatomical location. Patients also rated pain intensity and function on the Therapeutic Associates Outcomes System (TAOS) Functional Index at intake and discharge. The collection of treatment-related parameters included the number of visits, calendar days of physical therapy, and treatment received. FABQ-PA scores were compared across anatomical regions. Elevated FABQ-PA scores and anatomical regions were also investigated for association with intake pain and function, clinical outcomes, and treatment utility parameters. RESULTS: Similar FABQ-PA levels were observed across the 4 anatomical regions (P>.05). Number of visits, calendar days of physical therapy, and treatment received did not differ between elevated and lower fear-avoidance belief levels (P>.05). Findings for pain intensity and function were similar for each anatomical region. Patients with elevated fear-avoidance beliefs had higher intake scores (P<.05), larger improvements (P<.05), but similar discharge scores (P>.05), compared to those with lower fear-avoidance beliefs. CONCLUSION: These data suggest that, in patients with cervical, upper extremity, lumbar, or lower extremity complaints, fear-avoidance beliefs may have a similar influence on intake and change scores for pain intensity and function. General assessment of fear-avoidance beliefs using the FABQ-PA, especially to predict change scores, may be appropriate for use in patients with various musculoskeletal pain conditions.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Fear-avoidance beliefs are consistently associated with a poor prognosis.
“which is consistently associated with a poor prognosis [60,94,95,96].”
From Digital Rehabilitation for Elbow Pain Musculoskeletal Conditions: A Prospective Longitudinal Cohort Study (2022) · cites this paper as [60]
Cites
The validation of visual analogue scales as ratio scale measures for chronic and experimental pain
Price, D. D., McGrath, P. A., Rafii, A., & Buckingham, B. (1983) · Pain · doi:10.1016/0304-3959(83)90126-4 · Cited by 3,921 · see citing works
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
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
Ostelo, R. W. J. G., Deyo, R. A., Stratford, P., Waddell, G., Croft, P., Von Korff, M., Bouter, L. M., & de Vet, H. C. (2008) · Spine · doi:10.1097/brs.0b013e31815e3a10 · Cited by 2,009 · see citing works
1987 Volvo Award in Clinical Sciences: A New Clinical Model for the Treatment of Low-Back Pain
Waddell, G. (1987) · Spine · doi:10.1097/00007632-198709000-00002 · Cited by 1,244 · see citing works
A Randomized Controlled Trial of Intensive Neurophysiology Education in Chronic Low Back Pain
Moseley, G. L., Nicholas, M. K., & Hodges, P. W. (2004) · The Clinical Journal of Pain · doi:10.1097/00002508-200409000-00007 · Cited by 537 · see citing works
Combined physiotherapy and education is efficacious for chronic low back pain
Moseley, L. (2002) · Australian Journal of Physiotherapy · doi:10.1016/s0004-9514(14)60169-0 · Cited by 472 · see citing works
Good Prognosis for Low Back Pain When Left Untampered
Indahl, A., Velund, L., & Reikeraas, O. (1995) · Spine · doi:10.1097/00007632-199502001-00011 · Cited by 433 · see citing works
Moseley, G. L. (2003) · European Journal of Pain · doi:10.1016/s1090-3801(03)00063-6 · Cited by 402 · see citing works
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
Fritz, J. M., & George, S. Z. (2002) · Physical Therapy · doi:10.1093/ptj/82.10.973 · Cited by 299 · see citing works
Chmielewski, T. L., Jones, D., Day, T., Tillman, S. M., Lentz, T. A., & George, S. Z. (2008) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2008.2887 · Cited by 290 · see citing works
Fritz, J. M., Cleland, J. A., & Brennan, G. P. (2007) · Medical Care · doi:10.1097/mlr.0b013e318070c6cd · Cited by 239 · see citing works
Hagen, E. M., Eriksen, H. R., & Ursin, H. (2000) · Spine · doi:10.1097/00007632-200008010-00017 · Cited by 208 · see citing works
Scopaz, K. A., Piva, S. R., Wisniewski, S. R., & Fitzgerald, G. K. (2009) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2009.06.012 · Cited by 206 · see citing works
A Psychometric Investigation of Fear-Avoidance Model Measures in Patients With Chronic Low Back Pain
George, S. Z., Valencia, C., & Beneciuk, J. M. (2010) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2010.3298 · Cited by 199 · see citing works
Indahl, A., Haldorsen, E. M. H., Holm, S. H., Reikerås, O., & Ursin, H. (1998) · Spine · doi:10.1097/00007632-199812010-00018 · Cited by 195 · see citing works
Cleland, J. A., Fritz, J. M., & Childs, J. D. (2008) · American Journal of Physical Medicine & Rehabilitation · doi:10.1097/phm.0b013e31815b61f1 · Cited by 189 · see citing works
Moseley, G. L. (2003) · Journal of Manual & Manipulative Therapy · doi:10.1179/106698103790826383 · Cited by 178 · see citing works
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
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
George, S. Z., Fritz, J. M., & Childs, J. D. (2008) · Journal of Orthopaedic & Sports Physical Therapy · doi:10.2519/jospt.2008.2647 · Cited by 148 · see citing works
Self-citationPiva, Sr., Fitzgerald, G., Wisniewski, S., & Delitto, A. (2009) · Journal of Rehabilitation Medicine · doi:10.2340/16501977-0372 · Cited by 133 · see citing works
Clinical Reasoning for Manual Therapists
MAppSc, M. A. J. B. P. G., & Rivett, D. A. (2004) · Elsevier eBooks · doi:10.1016/b978-0-7506-3906-4.x5001-1 · Cited by 123 · 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
Landers, M. R., Creger, R. V., Baker, C., & Stutelberg, K. S. (2007) · Manual Therapy · doi:10.1016/j.math.2007.01.010 · Cited by 115 · see citing works
Lentz, T. A., Barabas, J. A., Day, T., Bishop, M. D., & George, S. Z. (2009) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2009.2879 · Cited by 109 · see citing works
George, S. Z., Dover, G. C., & Fillingim, R. B. (2006) · Clinical Journal of Pain · doi:10.1097/01.ajp.0000210949.19429.34 · Cited by 104 · see citing works
Pain-Related Fear Contributes to Self-Reported Disability in Patients With Foot and Ankle Pathology
Lentz, T. A., Sutton, Z., Greenberg, S., & Bishop, M. D. (2010) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2009.12.010 · Cited by 66 · see citing works
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
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
Patient educational material in the management of low back pain in primary care.
Burton, K. A., Waddell, G. F., Burtt, R., & Blair, S. (1996) · PubMed · Cited by 38 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Hannibal, K. E., & Bishop, M. D. (2014) · Physical Therapy · doi:10.2522/ptj.20130597 · Cited by 729 · see citing works
A Psychometric Investigation of Fear-Avoidance Model Measures in Patients With Chronic Low Back Pain
George, S. Z., Valencia, C., & Beneciuk, J. M. (2010) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2010.3298 · Cited by 199 · see citing works
Scapular Muscle Rehabilitation Exercises in Overhead Athletes With Impingement Symptoms
Mey, K. D., Danneels, L. A., Cagnie, B. J., & Cools, A. M. J. (2012) · The American Journal of Sports Medicine · doi:10.1177/0363546512453297 · Cited by 151 · see citing works
Beyond the tendon: Experiences and perceptions of people with persistent Achilles tendinopathy.
McAuliffe, S., Synott, A., Casey, H., McCreesh, K., Purtill, H., & O'Sullivan, K. (2017) · Musculoskeletal Science and Practice · doi:10.1016/j.msksp.2017.03.009 · Cited by 71 · see citing works
George, S. Z., Beneciuk, J. M., Lentz, T. A., Wu, S. S., Dai, Y., Bialosky, J. E., & Zeppieri, G. (2018) · Journal of Orthopaedic & Sports Physical Therapy · doi:10.2519/jospt.2018.7811 · Cited by 79 · see citing works
Baets, L. D., Matheve, T., Meeus, M., Struyf, F., & Timmermans, A. A. A. (2019) · Clinical Rehabilitation · doi:10.1177/0269215519831056 · Cited by 82 · see citing works
Kromer, T., Sieben, J., de Bie, R. D., & Bastiaenen, C. (2014) · Physical Therapy · doi:10.2522/ptj.20130587 · Cited by 68 · see citing works
Andersen, N.-B. D. V., Kent, P. M., Hjort, J., & Christiansen, D. H. (2017) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-017-1487-3 · Cited by 62 · see citing works
Turner, J. A., Malliaras, P., Goulis, J., & Auliffe, S. M. (2020) · PLoS ONE · doi:10.1371/journal.pone.0233459 · Cited by 58 · see citing works
Walking the Tightrope: A Proposed Model of Chronic Pain and Stress
Lunde, C. E., & Sieberg, C. B. (2020) · Frontiers in Neuroscience · doi:10.3389/fnins.2020.00270 · Cited by 47 · see citing works
Malfliet, A., Leysen, L., Pas, R., Kuppens, K., Nijs, J., van Wilgen, P., Huysmans, E., Goudman, L., & Ickmans, K. (2017) · Brazilian Journal of Physical Therapy · doi:10.1016/j.bjpt.2017.05.009 · Cited by 47 · see citing works
Butera, K. A., George, S. Z., & Lentz, T. A. (2019) · Journal of Pain · doi:10.1016/j.jpain.2019.09.003 · Cited by 45 · see citing works
Beneciuk, J. M., Lentz, T. A., He, Y., Wu, S. S., & George, S. Z. (2018) · Physical Therapy · doi:10.1093/ptj/pzy021 · Cited by 44 · see citing works
Towards an integrated clinical framework for patient with shoulder pain
Ristori, D., Miele, S., Rossettini, G., Monaldi, E., Arceri, D., & Testa, M. (2018) · Archives of Physiotherapy · doi:10.1186/s40945-018-0050-3 · Cited by 43 · see citing works
Vægter, H. B., Fehrmann, E., Gajsar, H., & Kreddig, N. (2019) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000788 · Cited by 40 · see citing works
Lowry, V., Ouellet, P., Vendittoli, P., Carlesso, L. C., Wideman, T. H., & Desmeules, F. (2017) · Disability and Rehabilitation · doi:10.1080/09638288.2017.1355412 · Cited by 37 · see citing works
The Importance of Optimizing Acute Pain in the Orthopedic Trauma Patient
Jones, J., Southerland, W. A., & Catalani, B. (2017) · Orthopedic Clinics of North America · doi:10.1016/j.ocl.2017.06.003 · Cited by 37 · see citing works
Simon, C. B., Lentz, T. A., Bishop, M. D., Riley, J. L., Fillingim, R. B., & George, S. Z. (2016) · Physical Therapy · doi:10.2522/ptj.20150335 · Cited by 35 · see citing works
Coronado, R. A., Simon, C. B., Lentz, T. A., Gay, C. W., Mackie, L. N., & George, S. Z. (2016) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2017.7068 · Cited by 35 · see citing works
Sindhu, B. S., Lehman, L. A., Tarima, S. S., Bishop, M. D., Hart, D. L., Klein, M. R., Shivakoti, M., & Wang, Y.-C. (2012) · Physical Therapy · doi:10.2522/ptj.20110309 · Cited by 32 · see citing works
Butera, K. A., Lentz, T. A., Beneciuk, J. M., & George, S. Z. (2016) · Physical Therapy · doi:10.2522/ptj.20150377 · Cited by 31 · see citing works
Nava‐Bringas, T. I., Macías‐Hernández, S. I., Vásquez‐Ríos, J. R., Coronado‐Zarco, R., Miranda‐Duarte, A., Cruz‐Medina, E., & Arellano‐Hernández, A. (2016) · Revista Brasileira de Reumatologia (English Edition) · doi:10.1016/j.rbre.2016.11.003 · Cited by 28 · see citing works
Rhon, D. I., Teyhen, D. S., Shaffer, S. W., Goffar, S. L., Kiesel, K. B., & Plisky, P. J. (2016) · Injury Prevention · doi:10.1136/injuryprev-2016-042234 · Cited by 28 · see citing works
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
Prabu Raja, G., Bhat, S. N., Fernández‐de‐las‐Peñas, C., Gangavelli, R., Davis, F., Shankar, R., & Anupama Prabhu, B. (2021) · Trials · doi:10.1186/s13063-021-05533-w · Cited by 25 · see citing works
Dolot, J., Hyland, M., Shi, Q., Kim, H.-Y., Viola, D., & Hoekstra, C. (2020) · Physical Therapy · doi:10.1093/ptj/pzaa082 · Cited by 24 · see citing works
Shaw, J., Jacobs, J. V., Dillen, L. R. V., Beneck, G. J., & Smith, J. A. (2023) · Journal of Electromyography and Kinesiology · doi:10.1016/j.jelekin.2023.102854 · Cited by 24 · see citing works
The role of experimentally-induced subacromial pain on shoulder strength and throwing accuracy
Wassinger, C. A., Sole, G., & Osborne, H. (2012) · Manual Therapy · doi:10.1016/j.math.2012.03.008 · Cited by 23 · 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
Riley, S. P., Tafuto, V., Cote, M. P., Brismée, J., Wright, A. A., & Cook, C. E. (2018) · Physiotherapy Theory and Practice · doi:10.1080/09593985.2018.1453004 · Cited by 21 · see citing works
Auliffe, S. M., Bisset, L., Chester, R., Coombes, B. K., Fearon, A., Kirwan, P., McCreesh, K. M., Mitham, K., Morrissey, D., O’Neill, S., et al. (2022) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2022.11005 · Cited by 20 · see citing works
Injury-Related Fear in Acutely Injured Interscholastic and Intercollegiate Athletes
Houston, M. N., Cross, K., Saliba, S., & Hertel, J. (2013) · Athletic Training & Sports Health Care · doi:10.3928/19425864-20131120-01 · Cited by 20 · see citing works
Nishigami, T., Watanabe, A., Maitani, T., Shigetoh, H., Mibu, A., Wand, B. M., Catley, M. J., Stanton, T. R., & Moseley, G. L. (2021) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-021-03944-z · Cited by 17 · see citing works
Digital rehabilitation for hand and wrist pain: a single-arm prospective longitudinal cohort study
Costa, F., Janela, D., Molinos, M., Moulder, R., Laíns, J., Francisco, G., Bento, V., Yanamadala, V., Cohen, S. P., & Correia, F. (2022) · PAIN Reports · doi:10.1097/pr9.0000000000001026 · Cited by 15 · see citing works
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
Tito, N., Porter, E., Castonguay, T., & Dover, G. C. (2023) · Journal of Pain Research · doi:10.2147/jpr.s396054 · Cited by 19 · see citing works
Glaviano, N. R., Baellow, A. L., & SALIBA, S. A. (2018) · Athletic Training & Sports Health Care · doi:10.3928/19425864-20181029-01 · Cited by 18 · see citing works
Christiansen, D. H., Frost, P., Falla, D., Haahr, J. P., Frich, L. H., Andrea, L. C., & Svendsen, S. W. (2016) · Physical Therapy · doi:10.2522/ptj.20150652 · Cited by 16 · see citing works
The Role of Anger in Psychosocial Subgrouping for Patients With Low Back Pain
Nisenzon, A. N., George, S. Z., Beneciuk, J. M., Wandner, L. D., Torres, C. A., & Robinson, M. E. (2013) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000019 · Cited by 16 · see citing works
Yamashita, Y., Nishigami, T., Mibu, A., Tanaka, K., Wand, B. M., Catley, M. J., & Higashi, T. (2021) · Journal of Pain Research · doi:10.2147/jpr.s267930 · Cited by 15 · see citing works
Simon, C., Stryker, S., & George, S. (2011) · Journal of Pain Research · doi:10.2147/jpr.s22457 · Cited by 13 · see citing works
Fear Avoidance Predicts Persistent Pain in Young Adults With Low Back Pain: A Prospective Study
Smith, J. A., Russo, L. M., & Santayana, N. (2021) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2021.9828 · Cited by 15 · see citing works
Graaf, M. T.-D., & Schmitt, M. A. (2012) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2012.4056 · Cited by 14 · see citing works
Empirically derived back pain subgroups differentiated walking performance, pain, and disability
Butera, K. A., Fox, E. J., Bishop, M. D., Coombes, S. A., & George, S. Z. (2020) · Pain · doi:10.1097/j.pain.0000000000002167 · Cited by 13 · see citing works
Sørensen, L., van Tulder, M. W., Johannsen, H. V., Ovesen, J., & Oestergaard, L. G. (2021) · JSES International · doi:10.1016/j.jseint.2021.05.008 · Cited by 13 · 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
Psychometric Properties of the OSPRO-YF Screening Tool in Patients with Shoulder Pathology.
Razmjou, H., Palinkas, V., Robarts, S., & Kennedy, D. (2020) · Physiotherapy Canada. Physiothérapie Canada · doi:10.3138/ptc-2019-0046 · Cited by 12 · see citing works
Mansfield, C., & Selhorst, M. (2018) · Physical Therapy in Sport · doi:10.1016/j.ptsp.2018.10.008 · Cited by 11 · see citing works
Costa, F. M. T. A., Janela, D., Molinos, M., Moulder, R. G., Jr., Bento, V., Laíns, J., Scheer, J. K., Yanamadala, V., Cohen, S. P., & Correia, F. D. (2022) · Journal of Medical Internet Research · doi:10.2196/38942 · Cited by 12 · see citing works
Zuk, E. F., Kim, S., Burland, J. P., & Glaviano, N. R. (2023) · International Journal of Sports Physical Therapy · doi:10.26603/001c.68045 · Cited by 9 · see citing works
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
Butera, K. A., George, S. Z., Borsa, P. A., & Dover, G. C. (2018) · Pain Practice · doi:10.1111/papr.12690 · Cited by 9 · see citing works
Janela, D., Costa, F., Molinos, M., Moulder, R. G., Lains, J., Bento, V., Scheer, J. K., Yanamadala, V., Cohen, S. P., & Correia, F. D. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19159198 · Cited by 8 · see citing works
“Fear-avoidance beliefs (FAB) were also assessed, through the 5-item questionnaire for physical activity (FABQ-PA), scored from 0 to 24 [60,61]; • Work productivity in employed participants through the Work Productivity and Activity Impairment questionnaire for general health (WPAI), assessed by the sub-scores: WPAI ov…”
MethodLutz, A. D., Windsor, B. A., Shanley, E., Denninger, T. R., Harrington, S., & Thigpen, C. A. (2021) · The Spine Journal · doi:10.1016/j.spinee.2021.11.008 · Cited by 8 · see citing works
Mullen, N., Ashby, S., Haskins, R., & Osmotherly, P. G. (2022) · Musculoskeletal Care · doi:10.1002/msc.1728 · Cited by 8 · see citing works
Kromer, T. O., Kohl, M., & Bastiaenen, C. H. G. (2024) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-024-07686-6 · Cited by 7 · see citing works
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
Prabu Raja, G., Bhat, S. N., Gangavelli, R., Anupama Prabhu, B., Stecco, A., Pirri, C., Jaganathan, V., & Fernández‐de‐las‐Peñas, C. (2023) · Life · doi:10.3390/life13112173 · Cited by 8 · see citing works
Saki, F., Ramezani, F., & Taheri, R. (2026) · PLoS ONE · doi:10.1371/journal.pone.0337553 · Cited by 6 · see citing works
Pottkotter, K. A., Hazlett, M., Mansfield, C. J., Rethman, K., Fritz, J. M., Quatman‐Yates, C. C., & Briggs, M. S. (2024) · Musculoskeletal Care · doi:10.1002/msc.1888 · Cited by 6 · see citing works
Simpson, B. G., & Simon, C. B. (2013) · Journal of Manual & Manipulative Therapy · doi:10.1179/2042618613y.0000000042 · Cited by 6 · see citing works
Trøstrup, J., Mikkelsen, L. R., Frost, P., Dalbøge, A., Høybye, M. T., Casper, S. D., Jørgensen, L. B., Klebe, T., & Svendsen, S. W. (2019) · Trials · doi:10.1186/s13063-019-3703-y · Cited by 6 · see citing works
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
Patellar Tendinopathy in Athletes
Cummings, K., Skinner, L., & Cushman, D. M. (2019) · Current Physical Medicine and Rehabilitation Reports · doi:10.1007/s40141-019-00232-9 · Cited by 5 · see citing works
Nava‐Bringas, T. I., Macías‐Hernández, S. I., Vásquez‐Ríos, J. R., Coronado‐Zarco, R., Miranda‐Duarte, A., Cruz‐Medina, E., & Arellano‐Hernández, A. (2016) · Revista Brasileira de Reumatologia · doi:10.1016/j.rbr.2016.09.004 · Cited by 5 · see citing works
Janela, D., Tong, X., Areias, A. C., Pires, D., Costa, F. M. T. A., & Fonseca, H. (2025) · PAIN Reports · doi:10.1097/pr9.0000000000001319 · Cited by 4 · see citing works
Gray matter morphology and pain-related disability in young adults with low back pain
Smith, J. A., Tain, R., Chrisman, I., Sharp, K., Glynn, L. M., Dillen, L. R. V., Jacobs, J. V., & Cramer, S. C. (2025) · NeuroImage · doi:10.1016/j.neuroimage.2025.121227 · Cited by 3 · see citing works
Silva, G. Z. M., de Lira, M. R., Garcêz, L. R., George, S. Z., Neblett, R., Pezolato, A., de Lima, T. C., & Chaves, T. C. (2024) · Evaluation & the Health Professions · doi:10.1177/01632787241264588 · Cited by 3 · see citing works
Trøstrup, J., Svendsen, S. W., Dalbøge, A., Mikkelsen, L. R., Høybye, M. T., Jørgensen, L. B., Klebe, T., & Frost, P. (2022) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-022-05674-2 · Cited by 3 · see citing works
Development and validation of a military fear avoidance questionnaire
Cooper, C., Frey, B. B., & Day, C. (2022) · Frontiers in Rehabilitation Sciences · doi:10.3389/fresc.2022.979776 · Cited by 3 · see citing works
Using Massage to Combat Fear-Avoidance and the Pain Tension Cycle
Hunt, E. R., Baez, S., Olson, A. D., Butterfield, T. A., & Dupont‐Versteegden, E. E. (2019) · International Journal of Athletic Therapy & Training · doi:10.1123/ijatt.2018-0097 · Cited by 3 · see citing works
The Relationship Between Fear Avoidance Beliefs and Low Back Pain in Firefighters
Stassin, N., Games, K. E., & Winkelmann, Z. K. (2019) · Athletic Training & Sports Health Care · doi:10.3928/19425864-20190724-01 · Cited by 3 · see citing works
Trøstrup, J., Frost, P., Dalbøge, A., Mikkelsen, L. R., Høybye, M. T., Jørgensen, L. B., Casper, S. D., Klebe, T., & Svendsen, S. W. (2022) · Journal of Occupational Rehabilitation · doi:10.1007/s10926-022-10086-z · Cited by 2 · see citing works
Leibbrandt, D. C., & Louw, Q. (2019) · South African Journal of Physiotherapy · doi:10.4102/sajp.v75i1.684 · Cited by 2 · see citing works
Brindisino, F., Maselli, F., Giovannico, G., Dunning, J. R., & Mourad, F. (2020) · Journal of Bodywork and Movement Therapies · doi:10.1016/j.jbmt.2020.07.005 · Cited by 2 · see citing works
Screening for Mental Health Conditions in Athletes
Trojian, T. H. (2020) · Springer eBooks · doi:10.1007/978-3-030-44754-0_2 · Cited by 2 · see citing works
What does Dr Google tell us about tendinopathies? An Italian analysis of online content
d’Amone, F., Rio, E., Esposto, M., Ganderton, C. L., Rossettini, G., & Cioeta, M. (2025) · Pain Management · doi:10.1080/17581869.2025.2571389 · Cited by 1 · see citing works
Valoración del dolor crónico de hombro en población mayor: un enfoque biopsicosocial
Caracuel-Martinez, J.-C., Martos, I. C., Valenza‐Demet, G., Fajardo-Rodríguez, M. E., Molina-Martínez, C. A., Castellote‐Caballero, Y., & Valenza, M. C. (2013) · Rehabilitación · doi:10.1016/j.rh.2013.09.006 · Cited by 1 · see citing works
Ploutarchou, G., Korakakis, V., Lazoura, E., Savva, C., Pavlou, K., Christofi, I., Sotiriou, K., Savvidou, C., Panteli, A., Karagiannis, C., et al. (2024) · Clinics and Practice · doi:10.3390/clinpract14040098 · Cited by 1 · see citing works
Firth, A. (2016) · Scholarship@Western (Western University) · Cited by 1 · see citing works
Shinost, C. A., Pratt, L., & Smith, K. (2017) · OALib · doi:10.4236/oalib.1103669 · Cited by 1 · see citing works
Rehabilitation for Rhabdomyolysis Associated With Breast Cancer Treatment
Burns, G., & Wilson, C. M. (2020) · Cureus · doi:10.7759/cureus.8625 · Cited by 1 · see citing works
Warikoo, D., & Sharma, M. (2013) · CogPrints (University of Southampton) · Cited by 1 · see citing works
Physiotherapy in shoulder impingement syndrome
Kromer, T. O. (2014) · doi:10.26481/dis.20140213tk
Revalidatie van scapulaire spieren bij bovenhandse sporters met impingement
Mey, K. D., Danneels, L. A., Cagnie, B. J., & Cools, A. M. J. (2013) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-313-9173-8_5
Spinal Examination and Diagnosis in Orthopaedic Manual Physical Therapy
Olson, K. A. (2015) · Elsevier eBooks · doi:10.1016/b978-0-323-26306-1.00002-2
LOW BACK DISODERS AMONG WASTE COLLECTION WORKERS: PREVALENCE AND RISK FACTORS
Asante, B. O. (2016) · University Library - University of Saskatchewan (University of Saskatchewan)
Beyond the tissue: the relationship between structure, function, and pain in Achilles tendinopathy
Auliffe, S. M. (2017) · University of Limerick Institutional Repository (University of Limerick) · doi:10.34961/7905
Dunleavy, K. (2019) · Elsevier eBooks · doi:10.1016/b978-0-323-28053-2.00006-5
Shaffer, M. A., Kestel, L. L., Wolf, B. R., & Shields, R. K. (2020) · PubMed Central
Talking to Balaam's ass : a concluding conversation
Putt, B. K., & Westphal, M. (2009)
Bibliography Current World Literature
(2011) · Current Orthopaedic Practice · doi:10.1097/bco.0b013e3182434f58
Prevalence of fear-avoidance belief in patients with neck and back pain seeking physiotherapy.
Afzal, J., Yasmeen, S., Ishaque, F., Nazar, B., Naz, A., & Azhar, E. (2021) · INTERNATIONAL JOURNAL OF ENDORSING HEALTH SCIENCE RESEARCH (IJEHSR) · doi:10.29052/ijehsr.v9.i3.2021.302-308
Physical Therapy Treatment and the Impact of Behavioral Health Concerns
Galper, J. S. (2018) · Springer eBooks · doi:10.1007/978-3-319-89860-5_11
Dunleavy, K., & Slowik, A. K. (2019) · Elsevier eBooks · doi:10.1016/b978-0-323-28053-2.00011-9
Breidenbach, F., & McClure, P. W. (2024) · JOSPT Cases · doi:10.2519/josptcases.2024.0025
Abnormalities in Sensorimotor Circuit Function are Related to Chronicity of Low Back PainPreprint
Smith, J. A., Tain, R., Glynn, L. M., Sharp, K., Dillen, L. R. V., Jacobs, J. V., & Cramer, S. C. (2025) · SSRN Electronic Journal · doi:10.2139/ssrn.5265920
Keating, C. D., Puentedura, E. J., Lucado, A. M., & Cleland, J. A. (2025) · JOSPT open. · doi:10.2519/josptopen.2025.0179
Abnormalities in sensorimotor brain function are related to chronicity of low back pain
Smith, J. A., Tain, R., Sharp, K., Glynn, L. M., Dillen, L. R. V., Jacobs, J. V., & Cramer, S. C. (2025) · NeuroImage · doi:10.1016/j.neuroimage.2025.121651
Physical Therapy Treatment and the Impact of Behavioral Health Concerns
Galper, J. S. (2010) · Springer eBooks · doi:10.1007/978-0-387-09814-2_7
- Authors
- George, S. Z., & Stryker, S. E.
- Affiliations
- University of Florida (US)
- ORCID
- George, Steven Z.
- Venue
- Journal of Orthopaedic & Sports Physical Therapy
- Published
- 2011-04
- Volume
- 41
- Issue
- 4
- Pages
- 249-259
- ISSN
- 0190-6011 (ISSN-L)
- 1938-1344
- OpenAlex
- W2151805978
- Cited by
- 118
- References
- 32
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 15 · 2023: 5 · 2022: 9 · 2021: 12 · 2020: 9 · 2019: 10 · 2018: 10 · 2017: 7 · 2016: 9 · 2015: 1 · 2014: 6 · 2013: 6 · 2012: 4
- FWCI
- 4.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Orthopaedic and Sports Physical Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Myofascial pain diagnosis and treatment
- Keywords
- fear-avoidance beliefs, musculoskeletal pain, outpatient physical therapy, cervical spine pain, lumbar spine pain, upper limb pain, lower limb pain, pain intensity, functional outcome, treatment utility
- MeSH terms
- Ambulatory Care, Analysis of Variance, Disability Evaluation, Fear, Female, Humans, Male, Middle Aged, Musculoskeletal Diseases, Pain, Pain Measurement, Prospective Studies, Psychometrics, Surveys and Questionnaires, Treatment Outcome, Physical Therapy Modalities
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review