Prevalence of fear-avoidance belief in patients with neck and back pain seeking physiotherapy.
Background: Fear-avoidance beliefs and signs specifically non-organics are considered the psychological factors that have been determined in playing a major role in the advancement of prolonged disability. The current study was directed to explore the prevalence of fear-avoidance belief in patients with neck and back pain seeking physiotherapy and identifying the superior level of fear-avoidance beliefs regarding work or bodily performances which causes chronicity and disability in patients.
Methodology: An observational study was conducted at the Institute of Physical Medicine & Rehabilitation, Dow University of Health Sciences, Ojha Campus, Karachi-Pakistan, from 1st Dec 2019 to 29th Feb 2020. Standard Fear Avoidance Belief Questionnaire (FAB-Q) was used to assess the fear level. The queries determined from the questionnaire were distributed into two types; FABQ-work-related and FABQ-physical activity-related.
Results: A total of 100 patients were included in the study, with a mean age of 45.76 ± 13.75 years. 39.0% patients reported neck pain, whereas 61.0% reported back pain. The prevalence of fear-avoidance belief related to physical activity was 90% and related to work was 91%. The results also showed a significant association between gender and work-related fear-avoidance belief with a p-value of 0.024 (≤ 0.05).
Conclusion: It is concluded that neck and backache sufferers show a high prevalence of fear-avoidance behavior of physical pastime and work score, confining their daily activities and not taking part in any bodily activities due to fear.
2. Buragadda S, Aleisa ES, Melam GR. Fear avoidance beliefs and disability among women with low back pain. Neuropsychiatry. 2018;8(1):73-79.
3. Farheen H, Riaz H, Murad S, Shabbir S,Abid M. Fear avoidance beliefs contribute to chronicity and severity of neck pain. Rawal Medical J. 2017;42(2):165-168.
4. Akrouf QA, Crawford JO, Al Shatti AS, Kamel MI. Musculoskeletal disorders among bank office workers in Kuwait. EMHJ. 2010;16(1):94-100.
5. Dedering Å, Börjesson T. Assessing Fear‐avoidance Beliefs in Patients with Cervical Radiculopathy. Physiother Res Int. 2013;18(4):193-202.
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