Swinkels-Meewisse Ilse E J, Roelofs Jeffrey, Oostendorp Rob A B, Verbeek André L M, Vlaeyen Johan W S
Department of Medical, Clinical, and Experimental Psychology, University of Maastricht, Maastricht, The Netherlands Practice of Physical Therapy and Manual Therapy, Geldrop, The Netherlands Department of Quality of Care Research, Research Centre for Allied Health Care, University Medical Centre Nijmegen, Nijmegen, The Netherlands Dutch Institute of Allied Health Care, Amersfoort, The Netherlands Department of Epidemiology and Biostatistics, University Medical Centre Nijmegen, Nijmegen, The Netherlands Institute for Rehabilitation Research, Hoensbroek, The Netherlands.
Pain. 2006 Jan;120(1-2):36-43. doi: 10.1016/j.pain.2005.10.005. Epub 2005 Dec 13.
Pain-related fear and pain catastrophizing are associated with disability and actual performance in chronic pain patients. In acute low back pain (LBP), little is known about the prediction of actual performance or perceived disability by pain-related fear and pain catastrophizing. This experimental, cross-sectional study aimed at examining whether pain-related fear and pain catastrophizing were associated with actual performance and perceived disability. Ninety six individuals with an episode of acute LBP performed a dynamic lifting task to measure actual performance. Total lifting time was used as outcome measure. The results show that pain-related fear, as measured with the Tampa Scale for Kinesiophobia, was the strongest predictor of this physical task. Using the Roland Disability Questionnaire as a measure of perceived disability, both pain-related fear and pain catastrophizing, as measured with the Pain Catastrophizing Scale, were significantly predictive of perceived disability and more strongly than pain intensity was. The results of the current study suggest that pain-related fear is an important factor influencing daily activities in individuals suffering an episode of acute LBP. The study results have important clinical implications, especially in the development of preventive strategies for chronic LBP.
疼痛相关恐惧和疼痛灾难化与慢性疼痛患者的残疾及实际表现相关。在急性下背痛（LBP）中，关于疼痛相关恐惧和疼痛灾难化对实际表现或感知到的残疾的预测作用知之甚少。这项实验性横断面研究旨在检验疼痛相关恐惧和疼痛灾难化是否与实际表现及感知到的残疾相关。96名患有急性LBP的个体进行了一项动态提举任务以测量实际表现。总提举时间用作结果指标。结果显示，用坦帕运动恐惧量表测量的疼痛相关恐惧是这项体力任务的最强预测因素。使用罗兰残疾问卷作为感知到的残疾的衡量指标，用疼痛灾难化量表测量的疼痛相关恐惧和疼痛灾难化均能显著预测感知到的残疾，且比疼痛强度的预测作用更强。当前研究结果表明，疼痛相关恐惧是影响急性LBP发作个体日常活动的一个重要因素。研究结果具有重要的临床意义，尤其是在慢性LBP预防策略的制定方面。
