Verbunt Jeanine A, Seelen Henk A, Vlaeyen Johan W, van der Heijden Geert J, Knottnerus J Andre
Rehabilitation Foundation Limburg, Hoensbroek, The Netherlands.
Arch Phys Med Rehabil. 2003 Aug;84(8):1227-32. doi: 10.1016/s0003-9993(03)00132-1.
To 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.
Survey in a cross-sectional design.
A rehabilitation center in the Netherlands.
Forty patients with nonspecific CLBP.
Not applicable.
Fear 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.
Fear 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.
Fear 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.
检验慢性下腰痛（CLBP）患者中对受伤的恐惧会导致残疾和身体机能下降这一假设，并评估残疾与身体机能下降之间的关系。
横断面设计的调查。
荷兰的一家康复中心。
40例非特异性CLBP患者。
不适用。
采用坦帕运动恐惧量表测量对受伤的恐惧。身体素质以有氧适能表示，通过根据西科诺尔菲协议在次最大运动试验中得出的预测最大耗氧量来衡量。采用罗兰残疾问卷测量残疾情况。通过相关性分析和多元线性回归分析检验对受伤的恐惧与身体素质或残疾之间的关联。
对受伤的恐惧与残疾显著相关（r = 0.44），但与有氧适能无显著相关性。残疾与有氧适能之间无统计学上的显著关联。多元回归分析显示，有氧适能仅由性别预测。
对受伤的恐惧似乎与感知到的残疾的关联比与有氧适能的关联更强。在这个CLBP患者样本中，未证实对受伤的恐惧会导致身体机能下降这一假设。
