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Understanding discrepancies in a person’s fear of movement and avoidance behaviour : a guide for musculoskeletal rehabilitation clinicians who support people with chronic musculoskeletal pain

De Baets Liesbet, Meulders Ann, Stefaan Van Damme (UGent) , J. P. Caneiro and Thomas Matheve (UGent)
(2023) JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY. 53(5). p.307-316
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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.
Keywords
behavioral assessment, chronic pain, pain avoidance, pain management, pain-related fear, safety behavior, LOW-BACK-PAIN, EXPOSURE THERAPY, MOTOR BEHAVIOR, IN-VIVO, CONSEQUENCES, ASSOCIATION, DISABILITY, RESPONSES, EFFICACY, ANXIETY

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Citation

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MLA
Liesbet, De Baets, et al. “Understanding Discrepancies in a Person’s Fear of Movement and Avoidance Behaviour : A Guide for Musculoskeletal Rehabilitation Clinicians Who Support People with Chronic Musculoskeletal Pain.” JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY, vol. 53, no. 5, 2023, pp. 307–16, doi:10.2519/jospt.2023.11420.
APA
Liesbet, D. B., Ann, M., Van Damme, S., Caneiro, J. P., & Matheve, T. (2023). Understanding discrepancies in a person’s fear of movement and avoidance behaviour : a guide for musculoskeletal rehabilitation clinicians who support people with chronic musculoskeletal pain. JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY, 53(5), 307–316. https://doi.org/10.2519/jospt.2023.11420
Chicago author-date
Liesbet, De Baets, Meulders Ann, Stefaan Van Damme, J. P. Caneiro, and Thomas Matheve. 2023. “Understanding Discrepancies in a Person’s Fear of Movement and Avoidance Behaviour : A Guide for Musculoskeletal Rehabilitation Clinicians Who Support People with Chronic Musculoskeletal Pain.” JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY 53 (5): 307–16. https://doi.org/10.2519/jospt.2023.11420.
Chicago author-date (all authors)
Liesbet, De Baets, Meulders Ann, Stefaan Van Damme, J. P. Caneiro, and Thomas Matheve. 2023. “Understanding Discrepancies in a Person’s Fear of Movement and Avoidance Behaviour : A Guide for Musculoskeletal Rehabilitation Clinicians Who Support People with Chronic Musculoskeletal Pain.” JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY 53 (5): 307–316. doi:10.2519/jospt.2023.11420.
Vancouver
1.
Liesbet DB, Ann M, Van Damme S, Caneiro JP, Matheve T. Understanding discrepancies in a person’s fear of movement and avoidance behaviour : a guide for musculoskeletal rehabilitation clinicians who support people with chronic musculoskeletal pain. JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY. 2023;53(5):307–16.
IEEE
[1]
D. B. Liesbet, M. Ann, S. Van Damme, J. P. Caneiro, and T. Matheve, “Understanding discrepancies in a person’s fear of movement and avoidance behaviour : a guide for musculoskeletal rehabilitation clinicians who support people with chronic musculoskeletal pain,” JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY, vol. 53, no. 5, pp. 307–316, 2023.
@article{01GRV3W1RMBZWCD1QHAAQ5DANZ,
  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.}},
  author       = {{Liesbet, De Baets and Ann, Meulders and Van Damme, Stefaan and Caneiro, J. P. and Matheve, Thomas}},
  issn         = {{0190-6011}},
  journal      = {{JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY}},
  keywords     = {{behavioral assessment,chronic pain,pain avoidance,pain management,pain-related fear,safety behavior,LOW-BACK-PAIN,EXPOSURE THERAPY,MOTOR BEHAVIOR,IN-VIVO,CONSEQUENCES,ASSOCIATION,DISABILITY,RESPONSES,EFFICACY,ANXIETY}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{307--316}},
  title        = {{Understanding discrepancies in a person’s fear of movement and avoidance behaviour : a guide for musculoskeletal rehabilitation clinicians who support people with chronic musculoskeletal pain}},
  url          = {{http://doi.org/10.2519/jospt.2023.11420}},
  volume       = {{53}},
  year         = {{2023}},
}
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