Assessing fear-avoidance beliefs in patients with whiplash-associated disorders: A comparison of 2 measures

Pedler, Ashley and Sterling, Michele M. (2011) Assessing fear-avoidance beliefs in patients with whiplash-associated disorders: A comparison of 2 measures. Clinical Journal of Pain, 27 6: 502-507. doi:10.1097/AJP.0b013e31820d97b0


Author Pedler, Ashley
Sterling, Michele M.
Title Assessing fear-avoidance beliefs in patients with whiplash-associated disorders: A comparison of 2 measures
Journal name Clinical Journal of Pain   Check publisher's open access policy
ISSN 0749-8047
1536-5409
Publication date 2011-07-01
Sub-type Article (original research)
DOI 10.1097/AJP.0b013e31820d97b0
Volume 27
Issue 6
Start page 502
End page 507
Total pages 6
Place of publication Philadelphia, PA, U.S.A.
Publisher Lippincott Williams & Wilkins
Collection year 2012
Language eng
Formatted abstract
Objectives: To examine the development of fear avoidance behaviours following whiplash injury using two different measures of fear avoidance, the Pictorial Fear of Activities Scale-Cervical (PFActS-C), and the Tampa Scale of Kinesiophobia (TSK-17). Secondarily we assessed the capacity of these measures to predict recovery status at long term follow up and initial cervical range of movement (ROM).

Methods: Ninety-eight patients with acute WAD were recruited and completed measures of pain and disability (NDI), fear avoidance beliefs and cervical ROM at baseline (<4 weeks), 3 and 6 months post injury. Participants were grouped based on NDI scores at 6 months follow up as either recovered (NDI <10), mild (NDI 10-28) or moderate/severe (NDI≤30).

Results: Repeated measures, linear mixed model analysis showed a significant main effect for time and group for both TSK-17 and PFActS-C scores (P≤0.001). On both measures the moderate/severe group scored significantly higher than the mild and recovered groups. TSK-17 scores, age and initial pain intensity at baseline significantly predicted NDI scores at 6 months (P=0.002). PFActS-C scores, age and initial pain intensity at baseline significantly predicted initial cervical extension and rotation ROM (P=0.001).

Discussion: Fear avoidance beliefs and behaviours develop quickly following whiplash injury and influence both the initial physical presentation and long term outcome of patients with WAD. The PFActS-C may provide a measure of fear of movement which is more specific to the cervical spine in patients with WAD in comparison to the TSK-17.
Copyright © 2011 by Lippincott Williams & Wilkins
Keyword Neck pain
Whiplash
WAD
Fear avoidance
PFActS-C
TSK-17
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Publication date: July/August 2011.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Medicine Publications
 
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Created: Thu, 23 Jun 2011, 01:28:38 EST by Chesne McGrath on behalf of National Research on Disability and Rehabilitation Medicine