• Arch Phys Med Rehabil · Aug 2003

    Comparative Study

    Fear of injury and physical deconditioning in patients with chronic low back pain.

    • Jeanine A Verbunt, Henk A Seelen, Johan W Vlaeyen, Geert J van der Heijden, and J Andre Knottnerus.
    • Rehabilitation Foundation Limburg, Hoensbroek, The Netherlands. jverbunt@srl.nl
    • Arch Phys Med Rehabil. 2003 Aug 1; 84 (8): 1227-32.

    ObjectivesTo test the assumption that fear of injury leads to disability and physical deconditioning in patients with chronic low back pain (CLBP) and to evaluate the relation between disability and physical deconditioning.DesignSurvey in a cross-sectional design.SettingA rehabilitation center in the Netherlands.ParticipantsForty patients with nonspecific CLBP.InterventionsNot applicable.Main Outcome MeasuresFear of injury was measured with the Tampa Scale of Kinesiophobia. Physical fitness was expressed in aerobic fitness measured as predicted maximum oxygen consumption derived in a submaximal exercise test according the protocol of Siconolfi. Disability was measured with the Roland Disability Questionnaire. The association between fear of injury and physical fitness or disability was examined with correlational and multiple linear regression analyses.ResultsFear of injury correlated significantly with disability (r=.44), but did not correlate significantly with aerobic fitness. There was no statistically significant association between disability and aerobic fitness. Multiple regression analysis revealed that aerobic fitness was predicted by gender only.ConclusionsFear of injury appears to be more strongly associated with perceived disability than with aerobic fitness. The assumption that fear of injury leads to physical deconditioning was not confirmed in this sample of patients with CLBP.

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