Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance

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Abstract
-DV)) (Kori et al. 1990), biographical variables (age, pain duration, gender, use of supportive equipment, compensation status), pain-related variables (pain intensity, pain cognitions, pain coping) and affective distress (fear and depression) in a group of 103 chronic low back pain (CLBP) patients. In the 2nd study, motoric, psychophysiologic and self-report measures of fear are taken from 33 CLBP patients who are exposed to a single and relatively simple movement. Generally, findings demonstrated that the fear of movement/(re)injury is related to gender and compensation status, and more closely to measures of catastrophizing and depression, but in a much lesser degree to pain coping and pain intensity. Furthermore, subjects who report a high degree of fear of movement/(re)injury show more fear and escape / avoidance when exposed to a simple movement. The discussion focuses on the clinical relevance of the construct of fear of movement/(re)injury and research questions that remain to be answered. ∗Corresponding author: Johan W.S. Vlaeyen, Institute for Rehabilitation Research, Zandbergsweg 111, 6432 CC Hoensbroek, The Netherlands. Submitted April 29, 1994; revised December 15, 1994; accepted December 16, 1994. © Lippincott-Raven Publishers....