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Title: | Understanding Discrepancies in a Person's Fear of Movement and Avoidance Behavior: A Guide for Musculoskeletal Rehabilitation Clinicians Who Support People With Chronic Musculoskeletal Pain | Authors: | DE BAETS, Liesbet Meulders, Ann Van Damme, Stefaan Caneiro, J. P. MATHEVE, Thomas |
Issue Date: | 2023 | Publisher: | J O S P T | Source: | JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY, 53 (5) , p. 307 -316 | Abstract: | BACKGROUND: Generic self-report measures do not reflect the complexity of a person's pain -related behavior. Since variations in a person's fear of movement and avoidance behavior may arise from contextual and motivational factors, a person-centered evaluation is required-addressing the cognitions, emotions, motivation, and actual behavior of the person.CLINICAL QUESTION: Most musculoskeletal rehabilitation clinicians will recognize that different people with chronic pain have very different patterns of fear and avoidance behavior. However, an important remaining question for clinicians is "How can I identify and reconcile discrepancies in fear of movement and avoidance behavior observed in the same person, and adapt my management accordingly?"KEY RESULTS: We frame a clinical case of a patient with persistent low back pain to illustrate the key pieces of information that clinicians may consider in a person-centered evaluation (ie, patient interview, self-report measures, and behavioral assessment) when working with patients to manage fear of movement and avoidance behavior.CLINICAL APPLICATION: Understanding the discrepancies in a person's fear of movement and avoidance behavior is essential for musculoskeletal rehabilitation clinicians, as they work in partnership with patients to guide tailored approaches to changing behaviors. | Notes: | De Baets, L (corresponding author), Vrije Univ Brussel, Fac Phys Educ & Physiotherapy, Dept Physiotherapy Human Physiol & Anat, Pain Mot Res Grp PAIN, Brussels, Belgium. Liesbet.de.baets@vub.be |
Keywords: | behavioral assessment;chronic pain;pain avoidance;pain management;pain-related fear;safety behavior | Document URI: | http://hdl.handle.net/1942/40650 | ISSN: | 0190-6011 | e-ISSN: | 1938-1344 | DOI: | 10.2519/jospt.2023.11420 | ISI #: | 001023830900005 | Rights: | 2023 Journal of Orthopaedic & Sports Physical Therapy. All rights reserved. | Category: | A1 | Type: | Journal Contribution |
Appears in Collections: | Research publications |
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PDF1.pdf Restricted Access | Published version | 8.76 MB | Adobe PDF | View/Open Request a copy |
De Baets et al., JOSPT, 2023 _author version.pdf | Peer-reviewed author version | 2.65 MB | Adobe PDF | View/Open |
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