A prospective study predicting the outcome of chronic low back pain and physical therapy: the role of fear-avoidance beliefs and extraspinal pain

作者：Feitosa Aloma S A; Lopes Jaqueline Barros; Bonfa Eloisa; Halpern Ari S R^*

来源：Revista Brasileira de Reumatologia, 2016, 56(5): 384-390.

DOI：10.1016/j.rbr.2015.11.001

• Fear-avoidance beliefs
• Extraspinal pain
• Therapeutic response
• Chronic low back pain

Objective: To identify the prognostic factors for conventional physical therapy in patients with chronic low back pain (CLBP).
Methods: Prospective observational study.Participants: One hundred thirteen patients with CLBP selected at the Spinal Disease Outpatient Clinic.
Main outcome measures: Pain intensity was scored using the Numeric Rating Scale (NRS), and function was measured using the Roland-Morris Disability Questionnaire (RMDQ).
Results: The Fear-Avoidance Beliefs Questionnaire work subscale results (FABQ-work; odds ratio [OR] = 0.27, 95% confidence interval [CI] 0.13 to 0.56, p < 0.001) and extraspinal pain (OR = 0.35, 95% CI 0.17 to 0.74, p = 0.006) were independently associated with a decreased response to conventional physical therapy for CLBP.
Conclusion: We identified high FABQ-work and extraspinal pain scores as key determinants of a worse response to physical therapy among CLBP patients, supporting the need for a special rehabilitation program for this subgroup.

• 出版日期2016-10