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Predictive Value of the Fear-Avoidance Model on Functional Capacity Evaluation


Autor/in:

Tüscher, Johanne; Burrus, Cyrille; Vuistiner, Philippe [u. a.]


Herausgeber/in:

k. A.


Quelle:

Journal of Occupational Rehabilitation, 2018, Volume 28 (Number 3), Seite 513-522, Dordrecht: Springer Niederlande, ISSN: 1053-0487 (Print); 1573-3688 (Online)


Jahr:

2018



Link(s):


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Abstract:


Purpose:

Measuring the predictive value of the Fear-Avoidance Model (FAM) on lifting tasks in Functional Capacity Evaluation (FCE), and on reasons for stopping the evaluation (safe maximal effort, versus self-limited).

Methods:

A monocentric prospective study was conducted on 298 consecutive inpatients. Components of the FAM were analyzed using the Cumulative Psychosocial Factor Index (CPFI: kinesiophobia, catastrophizing, depressive mood) and perceived disability (Hand/Spinal Function Sort: HFS/SFS). Floor-to-waist, waist-to-overhead and dominant-hand lifting tests were measured according to the FCE guidelines. Maximal safe performance was judged by certified FCE assessors. Analyses were conducted with linear multiple regression models.

Results:

The CPFI was significantly associated with the 3 FCE lifting tests: floor-to-waist (ß?=???1.12; p?=?0.039), waist-to-overhead (ß?=???0.88; p?=?0.011), and dominant-handed lifting (ß?=???1.21; p?=?0.027). Higher perceived disability was also related to lower performances: floor-to-waist (ß?=?0.09; p?

Conclusions:

FAM components should be taken into account when interpreting maximal physical performance in FCE. This study also suggests that factors other than pain-related fears may influence patients with self-limited effort.


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Dokumentart:


Zeitschriftenbeitrag / Forschungsergebnis / Online-Publikation




Bezugsmöglichkeit:


Journal of Occupational Rehabilitation
Homepage: https://link.springer.com/journal/10926

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Referenznummer:

R/ZA7581


Informationsstand: 18.09.2018

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