요통 환자에서 나타나는 공포-회피 반응과 기능 수행 수준의 관계

• 영문명: The Relationship Between Fear-Avoidance Beliefs and Functional Status in Patients With Low Back Pain : A Cross-Sectional Study
• 발행기관: 한국전문물리치료학회
• 저자명: 김진택(Jin-taek Kim) 김선엽(Suhn-yeop Kim) 오덕원(Duck-won Oh)
• 간행물 정보: 『한국전문물리치료학회지』한국전문물리치료학회지 제16권 제1호, 52~60쪽, 전체 9쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2009.02.19

영문 초록

The objectives of this study were to investigated the relationship between fear-avoidance beliefs and functional status in individuals suffering from low back pain, and to identify factors that influence on fear-avoidance beliefs, functional status and pain. A cross-sectional study included 214 individuals with low back pain. Each of subjects completed a fear-avoidance beliefs questionnaire (FABQ) which divided into two subscales, FABQ for physical activity (FABQ-PA) and FABQ for work (FABQ-W), Oswestry disability index (ODI) and numeric pain rating scale (NPRS). Individuals with radiating pain were significantly higher in FABQ-PA, FABQ-total, and ODI scores than with no radiating pain (p<.05). individuals who had received surgery were significantly higher in FABQ-PA, FABQ-total, ODI and NPRS scores when compared with individuals who had not received it (p<.05). And individuals with taking medication were significantly higher in all variables (FABQ-PA, FABQ-W, FABQ-total, ODI and NPRS) than individuals not taking medication (p<.05). In correlation analysis, age appeared to be significantly correlated with FABQ-PA, FABQ-total and ODI scores (p<.05), and all variables was significantly correlated with each other (p<.01). These findings indicate that individuals suffering from low back pain have psychosocial problems such as fear-avoidance beliefs as well as functional status and pain. Fear-avoidance beliefs may contribute to aggravate physical symptoms, and therefore it should be carefully considered for the management of individuals with low back pain.

키워드

Fear-avoidance beliefs Functional status Low back pain Psychosocial factor