Prevalence of fear-avoidance belief in patients with neck and back pain seeking physiotherapy.

  • Jaweria Afzal Dow Institute of Physical Medicine & Rehabilitation, Dow University of Health Sciences, Ojha Campus, Karachi-Pakistan. https://orcid.org/0000-0001-6197-1693
  • Samreen Yasmeen Dow Institute of Physical Medicine & Rehabilitation, Dow University of Health Sciences, Karachi-Pakistan. https://orcid.org/0000-0001-9246-9807
  • Farhan Ishaque Dow Institute of Physical Medicine & Rehabilitation, Dow University of Health Sciences, Karachi-Pakistan. https://orcid.org/0000-0002-6582-7821
  • Bakhtawar Nazar Dow Institute of Physical Medicine & Rehabilitation, Dow University of Health Sciences, Karachi-Pakistan. https://orcid.org/0000-0002-1218-1772
  • Areesha Naz Dow Institute of Physical Medicine & Rehabilitation, Dow University of Health Sciences, Karachi-Pakistan. https://orcid.org/0000-0003-2088-8011
  • Esha Azhar Dow Institute of Physical Medicine & Rehabilitation, Dow University of Health Sciences, Karachi-Pakistan.
Keywords: Fear-avoidance Belief, Disability, Cervical Pain, Lumbar Pain, Psychological Factors.

Abstract

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.

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References

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Published
2021-09-01
How to Cite
Afzal, J., Yasmeen, S., Ishaque, F., Nazar, B., Naz, A., & Azhar, E. (2021). Prevalence of fear-avoidance belief in patients with neck and back pain seeking physiotherapy. International Journal of Endorsing Health Science Research (IJEHSR), 9(3), 302-308. https://doi.org/10.29052/IJEHSR.v9.i3.2021.302-308

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