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Importance of fear-avoidance belief questionnaire in non-specific chronic low back pain: a case review
Citation
Nair, MR and Nagarajan, M, Importance of fear-avoidance belief questionnaire in non-specific chronic low back pain: a case review, Abstracts from APA Conference Week, 01-05 October, Sydney, pp. 29. (2009) [Conference Extract]
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Abstract
A fear avoidance belief questionnaire is widely used to
discover the patient beliefs about how physical activity
and work affect back pain. Also it has moderate to good
correlation with disability recovery rate. The aim of this
case review is to describe the role of fear avoidance belief
questionnaire during examination and management of
chronic non-specific low back pain. A 24 year-old female
was referred for physiotherapy with a chronic history of
low back pain. Thorough musculoskeletal examination was
undertaken with Oswestry Disability Questionnaire and
fear avoidance belief questionnaire as outcome measures.
Subjective examination showed strong positive signs of
psychological illness and there were no red signs. Physical
examination showed painful guarded movement patterns
in the lumbo-pelvic region, which made it difficult to
indicate specific examination. Based on current findings
and ongoing clinical reasoning, the patient was educated in
terms of cognitive reconstruction regarding the nature of
her low back pain and its relation with present disabilities.
After cognitive reconstruction we requested her to perform
functional activities. Interestingly, she was able to achieve
smooth movement patterns in the spine, with minimal
abnormalities. Following this, we were able to progress
with further specific physical examination involving muscle
power test, spine accessory movements and motor control
tests without the help of further radiological evaluation.
The patient was treated using a specific biopsychosocial
approach. There were positive results for considering a
fear avoidance belief questionnaire as a useful and highly
economical diagnostic tool for evaluation and management
of low back pain patients.
Item Details
| Item Type: | Conference Extract |
|---|---|
| Keywords: | low back pain, fear avoidance behavior, physiotherapy |
| Research Division: | Health Sciences |
| Research Group: | Allied health and rehabilitation science |
| Research Field: | Physiotherapy |
| Objective Division: | Health |
| Objective Group: | Clinical health |
| Objective Field: | Human pain management |
| UTAS Author: | Nagarajan, M (Dr Nagarajan Manickaraj) |
| ID Code: | 148383 |
| Year Published: | 2009 |
| Deposited By: | Health Sciences |
| Deposited On: | 2022-01-04 |
| Last Modified: | 2022-02-03 |
| Downloads: | 0 |
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