Fear of Injury, Fear of Pain, Hip Pain Chronic, Knee Pain Chronic, Low Back Pain, Recurrent, Musculoskeletal Pain, Musculoskeletal Pain Disorder, Neck Pain, PROMs, Shoulder Pain
Conditions
Brief summary
Chronic musculoskeletal disorders such as low back and neck pain are responsible for an enormous global burden. Fear-avoidance (FA) can be a predictor for the transition from subacute to chronic low back pain. In patients with neck pain, those who were less fearful about harming their neck, had higher pain tolerance, which might have a positive impact on their level of disability. A new scale, the Fear-Avoidance Component Scale (FACS) was developed by Neblett, Mayer, Hartzell, Williams and Gatchel (2015) to assess FA. It consists of an all-encompassing set of constructs that more effectively deals with all critical issues of the FA concept than current scales do. Current scales have been criticized because of following findings: limited construct validity, little evidence on treatment responsiveness, a lack of evidence-based cut-off scores and items being too narrow or too general. The new scale comprehensively assesses all cognitive, emotional and behavioral components related to the updated version of the FA model by combining items of well-known scales in context of the FA model with items on one's perception of victimization and blame related to an injury. A Dutch version of the FACS is currently lacking. Subsequently, the aim of this study is to investigate different psychometric properties of the generated Dutch version in patients with musculoskeletal disorders.
Interventions
DIAGNOSTIC_TESTAssessment of disability and behavior (by questionnaires)
Assessment of disability and behavior (by questionnaires)
Sponsors
Jessa Hospital
Hasselt University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
DOUBLE (Subject, Investigator)
Intervention model description
Patients with musculoskeletal disorders are compared to matched healthy controls.
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
Yes
Inclusion criteria
for all patients * between 18-80 years old * current pain complaint is not surgically treated * not being currently treated by a physiotherapist for pain complaint * Dutch language is mother tongue * At least 6 weeks of pain
Exclusion criteria
for all patients * Pain from a non-musculoskeletal origin (e.g., tumour) * neurological disease * impaired cognition Inclusion criteria for healthy controls * Not being disabled due to MSK pain based on cut-off per disability questionnaire * Between 18-80 years old * Dutch language is mother tongue
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The fear-avoidance component scale (FACS) | day 0 | Questionnaire evaluating fear-avoidance related to pain (for all participants) 20 items range from 0-100 |
| Disabilities of the arm, shoulder and hand questionnaire (DASH) for shoulder pain patients | day 0 | Questionnaire evaluating disability (only used in patients with shoulder pain) 30 items Range total score 0-100 5 point-scale |
| Hip disability and Osteoarthritis Outcome Score (HOOS) for hip pain patients | day 0 | Questionnaire evaluating disability (only used in patients with hip pain) Subscores per domain 40 items 5 point scale 5 domains: symptoms (5 items), pain (10 items), activities of daily living (17 items), sport and leisure time (4 items), quality of life (4 items) |
| Knee injury and Osteoarthritis Outcome Score (KOOS) for knee pain patients | day 0 | Questionnaire evaluating disability (only used in patients with knee pain) Subscores per domain 42 items 5 domains: pain (9 items), symptoms (7 items), activities of daily life (17 items), sports and leisure (5 items), quality of life (4 items) 5 point Likert scale |
| Oswestry Disability Index for patients with low back pain | day 0 | Questionnaire evaluating disability (only used in patients with low back pain) 10 items Total score range from 0-100 |
| Neck Disability Index for neck pain patients | day 0 | Questionnaire evaluating disability (only used in patients with neck pain) 10 items Total score range from 0-100 |
| Fear-avoidance beliefs questionnaire | day 0 | 3 subscales: physical activity (4 items; 0-30), work (7 items; 0-66) and rest (5 items) |
| Tampa scale for kinesiophobia | day 0 | Questionnaire evaluating kinesiophobia related to pain (for all participants) 17 items total score from 17-68 |
| Pain catastrophizing scale | day 0 | Questionnaire evaluating catastrophizing (for all participants) 13 items 5 point Likert Scale Total score 0-52 |
| IEQ-Dutch scale for perceived injustice | day 0 | Questionnaire evaluating perceived injustice (for all participants) 12 items 5 point Likert-scale Total score range 0-48 |
| Hospital anxiety and depression scale | day 0 | Questionnaire evaluating anxiety and depression (for all participants) 2 subscales: anxiety (7 items) and depression (7 items) Total score 0-21 per subscale |
Countries
Belgium
Outcome results
None listed