ArticlePM & R : the journal of injury, function, and rehabilitation2012
Fear avoidance beliefs predict disability in older adults with chronic low back pain.
Article in PM & R : the journal of injury, function, and rehabilitation, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.
- Meta-Analysis of Integrated Therapeutic Methods in Noninvasive Lower Back Pain Therapy (LBP): The Role of Interdisciplinary Functional Diagnostics.Pain research & management · 2020Pooled it
- Cluster-Defined Response Patterns Following Pain Neuroscience Education With Physical Activity in Older Women With Chronic Low Back Pain: A Quasi-Randomized Exploratory Study.Health science reports · 2026Article
- Article
- Pain and Frailty in Childhood Cancer Survivors: A Narrative Review.Current oncology (Toronto, Ont.) · 2024Review
- Examining Psychological Factors as Contributors to Pain, Disability, and Physical Function in Geriatric Chronic Low Back Pain: A Prospective Analysis of the Delaware Spine Studies Cohort.The journal of pain · 2024Article
- [Interdisciplinary pain therapy in the elderly].Schmerz (Berlin, Germany) · 2024Review
- Non-spinal low back pain: Global epidemiology, trends, and risk factors.Health science reports · 2023Article
- Examining the Association of Pain and Pain Frequency With Self-Reported Difficulty in Activities of Daily Living and Instrumental Activities of Daily Living Among Community-Dwelling Older Adults: Findings From the Longitudinal Aging Study in India.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023Article
- Fear Avoidance Beliefs in Upper-Extremity Musculoskeletal Pain Conditions: Secondary Analysis of a Prospective Clinical Study on Digital Care Programs.Pain medicine (Malden, Mass.) · 2023Article
- 'It Makes Me Feel Old': Understanding the Experience of Recovery From Ankle Fracture at 6 Months in People Aged 50 Years and Over.Qualitative health research · 2023Article
- Evidence-based clinical practice guidelines on the management of pain in older people - a summary report.British journal of pain · 2022Article
- Are Morphometric and Biomechanical Characteristics of Lumbar Multifidus Related to Pain Intensity or Disability in People With Chronic Low Back Pain After Considering Psychological Factors or Insomnia?Frontiers in psychiatry · 2022Article
- Experiences of community-dwelling older adults with chronic low back pain in Hong Kong and Switzerland - A qualitative study.Frontiers in rehabilitation sciences · 2022Article
- Graded activity with and without daily-monitored-walking in patients with type 2 diabetes with low back pain: secondary analysis of a randomized-clinical trial.Archives of physiotherapy · 2021Article
- ExposureFrontiers in neuroscience · 2019Article
- Restricting Back Pain and Subsequent Disability in Activities of Daily Living Among Community-Living Older Adults.Journal of aging and health · 2018Article
- Low back pain in older adults: risk factors, management options and future directions.Scoliosis and spinal disorders · 2017Review
- Article
- Deconstructing Chronic Low Back Pain in the Older Adult--Step by Step Evidence and Expert-Based Recommendations for Evaluation and Treatment. Part V: Maladaptive Coping.Pain medicine (Malden, Mass.) · 2016Review
- [Health care professionals' attitudes and beliefs towards older back pain patients. Analysis of the assessment methods and research gaps].Schmerz (Berlin, Germany) · 2015Review
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
objectivesTo determine whether fear avoidance beliefs (FABs) in older adults with chronic low back pain (CLBP) are significantly associated with gait speed decline and/or self-report of greater disability.
designCross-sectional analysis.
settingAn academic medical center (single site).
participantsTwo hundred English-speaking participants aged 65 years and older with CLBP every day or almost every day of moderate or greater intensity for ≥3 months. MAIN OUTCOME MEASUREMENTS: The physical activity portion of the FAB questionnaire assessed FABs. Disability was measured with gait speed and the Roland Morris Questionnaire. Covariates measured included age, gender, body mass index, chronic disease (Cumulative Illness Rating Scale), depression (Geriatric Depression Scale), and pain (McGill Pain Questionnaire Short Form).
resultsFABs were significantly associated with the Roland Morris Questionnaire (P < .0001) and gait speed (P = .002) after controlling for all covariates.
conclusionFABs related to physical activity in older adults with CLBP were significantly associated with both self-reported and performance-based disability after controlling for known confounders. Previous studies have reported similar associations between self-reported measures of disabling back pain and FABs. Ours is the first study to examine the relationship between FAB and gait speed, a powerful predictor of morbidity and mortality. Future work should examine whether targeting fear avoidance in addition to other psychosocial measures in older adults with CLBP improves gait speed and functional independence.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.