The DOI matches its Crossref record; 32 of the 32 references it cites were found in a registry or an index.
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.
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“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]
Citations
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Raja G, P., Bhat N, S., Fernández‐de‐las‐Peñas, C., Gangavelli, R., Davis, F., Shankar, R., & Prabhu, A. (2021) · Figshare · doi:10.6084/m9.figshare.16530398
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Kromer, T. O., Kohl, M., & Bastiaenen, C. H. G. (2024) · Figshare · doi:10.6084/m9.figshare.26753128
Raja G, P., Bhat N, S., Fernández‐de‐las‐Peñas, C., Gangavelli, R., Davis, F., Shankar, R., & Prabhu, A. (2021) · Figshare · doi:10.6084/m9.figshare.16530395
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Kromer, T. O., Kohl, M., & Bastiaenen, C. H. G. (2024) · Figshare · doi:10.6084/m9.figshare.26753107
Kromer, T. O., Kohl, M., & Bastiaenen, C. H. G. (2024) · Figshare · doi:10.6084/m9.figshare.26367929
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Kromer, T. O., Kohl, M., & Bastiaenen, C. H. G. (2024) · Figshare · doi:10.6084/m9.figshare.26753110
Kromer, T. O., Kohl, M., & Bastiaenen, C. H. G. (2024) · Figshare · doi:10.6084/m9.figshare.26753122
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Kromer, T. O., Kohl, M., & Bastiaenen, C. H. G. (2024) · Figshare · doi:10.6084/m9.figshare.26753119
Kromer, T. O., Kohl, M., & Bastiaenen, C. H. G. (2024) · Figshare · doi:10.6084/m9.figshare.26753125
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Metadata
- 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 › 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 › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › 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
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