Reply to “Letter to the editors”: re: Landers M, Creger R, Baker C, Stutelberg K. The use of fear-avoidance beliefs and nonorganic signs in predicting prolonged disability in patients with neck pain. Manual Therapy 2007

2008 ◽  
Vol 13 (3) ◽  
pp. e3-e4
Author(s):  
Merrill Landers ◽  
Rachel Creger ◽  
Carrie Baker ◽  
Karl Stutelberg
2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Taweewat Wiangkham ◽  
Nattawan Phungwattanakul ◽  
Patcharin Tedsombun ◽  
Isara Kongmee ◽  
Wanisara Suwanmongkhon ◽  
...  

AbstractObjectivesFear-avoidance beliefs questionnaire (FABQ) is a self-report, valid and reliable questionnaire to quantify fear and avoidance beliefs related to physical activity and work. Furthermore, it can be used to predict prolong disability in patients with non-specific neck pain. Although it was originally developed to manage patients with low back pain, it has also been studied in individuals with neck pain. This questionnaire was translated into several languages following reports of potential benefits in patients with neck pain. Recently, Thai neck clinical trials, international multi-centre trials and data sharing are growing throughout the world but no validated Thai version of the FABQ is available for clinical and research uses. Our objectives were to translate and cross-culturally adapt the FABQ into Thai version and evaluate its psychometric properties in Thai patients with non-specific neck pain.MethodsCross-cultural translation and adaptation of the FABQ were conducted according to standard guidelines. A total of 129 participants with non-specific neck pain were invited to complete the Thai versions of the FABQ (FABQ-TH), neck disability index and visual analogue scale for pain intensity. Psychometric evaluation included exploratory factor analysis, internal consistency, test-retest reliability, agreement, and convergent validity. Thirty participants completed the FABQ-TH twice with a 48-h interval between tests to assess the test-retest reliability.ResultsFactor analysis identified four components for the FABQ-TH (66.69% of the total variance). The intraclass correlation coefficient of test-retest reliability was excellent for the total score (0.986), work attitudes (0.995), physical activity attitudes (0.958), physical activity experiences (0.927), and expected recovery (0.984). Cronbach’s alpha for internal consistency was excellent (range 0.87–0.88) for all items. The minimal detectable change of the FABQ-TH was 5.85. The FABQ-TH correlated to its subscales (range 0.470–0.936), indicating the strongest association with work attitude. The weakest correlation was observed between the FABQ-TH and disability (rs=0.206, p=0.01). Missing data and significant floor or ceiling effects were not found.ConclusionsThe Thai version of the FABQ for non-specific neck pain was successfully adapted. It is a valid and reliable instrument to quantify fear and avoidance beliefs among patients with non-specific neck pain who speak and read Thai.


2015 ◽  
Vol 32 (1) ◽  
pp. 109-118 ◽  
Author(s):  
Cho In Lee ◽  
Jae Soo Kim ◽  
Yun Kyu Lee ◽  
Seong Chul Lim ◽  
Tae Young Jung ◽  
...  

Author(s):  
Norollah Javdaneh ◽  
Atle Hole Saeterbakken ◽  
Arash Shams ◽  
Amir Hossein Barati

Background: Chronic neck pain is common in the adult general population. Although the etiology of chronic neck pain is under debate, it is clear that chronic neck pain is multifactorial, with both physical and psychosocial contributors. Objective: To determine whether adding pain neuroscience education (PNE) to therapeutic exercises improved their pain–disability index, pain catastrophizing, fear–avoidance beliefs, and pain self-efficacy in subjects with chronic nonspecific neck pain. Methods: This study was a three-arm randomized control trial. Seventy-two patients with chronic nonspecific neck pain were allocated to three groups: therapeutic exercises alone (n = 24), combined (therapeutic exercises + PNE; (n = 24), and a control group (n = 24). Each program took place three times a week, lasting for six weeks. The disability index, pain catastrophizing, fear–avoidance beliefs, and pain self-efficacy measured by the Neck Pain and Disability Scale (NPAD), Pain Catastrophizing Scale (PCS), Fear–Avoidance Beliefs Questionnaire (FABQ), and Pain Self-Efficacy Questionnaire (PSEQ), respectively. Participants were assessed before and after the six-week intervention, and there was no further follow-up. Results: For the outcomes NPAD, PSC, and FABQ, combined intervention demonstrated more significant improvements than therapeutic exercises alone (p ≤ 0.05), whereas no differences were observed between the two intervention groups for PSEQ (p = 0.99). In addition, significant differences were favoring experimental groups versus control for all outcomes (p ≤ 0.001). Conclusion: Therapeutic exercises combined with pain neuroscience education reduced the pain–disability index, pain catastrophizing, and fear–avoidance beliefs more than therapeutic exercises alone in patients with chronic neck pain. For pain self-efficacy, there was no statistically significant difference between the two intervention groups; however, the combined group had a more significant effect than therapeutic exercises alone. Further studies with longer periods and follow-up are required.


2008 ◽  
Vol 13 (3) ◽  
pp. 239-248 ◽  
Author(s):  
Merrill R. Landers ◽  
Rachel V. Creger ◽  
Carrie V. Baker ◽  
Karl S. Stutelberg

Spine ◽  
2014 ◽  
Vol 39 (18) ◽  
pp. E1095-E1102 ◽  
Author(s):  
Ahmadreza Askary-Ashtiani ◽  
Ismail Ebrahimi-Takamejani ◽  
Giti Torkaman ◽  
Mohsen Amiri ◽  
Seyed Javad Mousavi

Sign in / Sign up

Export Citation Format

Share Document