[article] in Journal of Orthopaedic & Sports Physical Therapy > vol. 50, 6 (Juin 2020) . - p. 301-308 Titre : | Are Changes in Fear-Avoidance Beliefs and Self-efficacy Mediators of Function and Pain at Discharge in Patients With Acute and Chronic Low Back Pain? | Type de document : | article de périodique | Auteurs : | Sean Riley ; [et al.], Auteur | Année de publication : | 2020 | Article en page(s) : | p. 301-308 | Langues : | Français (fre) | Descripteurs (mots clés) : | [Thésaurus Mesh]Douleur musculosquelettique [Thésaurus Mesh]Maladie chronique
| Résumé : | Objective
To examine the mediating role of changes in fear-avoidance beliefs and self-efficacy on pain and physical functioning at discharge in patients with acute and chronic low back pain (LBP).
Design
Retrospective study.
Methods
Baseline and discharge data from 418 participants with acute and chronic LBP were analyzed. At discharge, functional status and pain intensity were analyzed to assess their role as a predictor of acute and chronic LBP status and as a mediator of fear-avoidance beliefs and self-efficacy from baseline to discharge.
Results
In multivariable analyses, patients with chronic LBP had lower discharge functional status (β = −7.4; 95% confidence interval [CI]: −10.5, −4.3), lower self-efficacy for physical function (β = −5.3; 95% CI: −10.2, −0.4), higher pain intensity (β = 0.9; 95% CI: 0.3, 1.5), and no difference in discharge fear-avoidance beliefs compared to patients with acute LBP. Change in self-efficacy for physical function had a small indirect association (β = −1.1; 95% bias-corrected CI: −2.5, −0.004), mediating the relationship between chronic LBP and discharge functional status.
Conclusion
Fear-avoidance beliefs were not a mediator of pain or function at discharge in patients with chronic LBP. Self-efficacy may be an important mediating factor for function at discharge in patients with chronic LBP who receive physical therapy. | Permalink : | https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= |
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