Messung der Kinesiophobie bei Patienten mit chronischen Kreuzschmerzen - Gibt es eine einfache Lösung?

Zusammenfassung

Die Querschnittstudie untersuchte das Vorkommen von schmerzbezogener Angst bei Patienten mit chronischen Kreuzschmerzen in physiotherapeutischer und manualtherapeutischer Praxis. Die Merkmalsunterschiede zwischen Patienten mit einer hohen und einer niedrigen Punktzahl auf der Tampa-Skala für Kinesiophobie wurden ermittelt. Außerdem wurde untersucht, welche Fragen der Skala dazu dienen können, die betreffenden Patienten als „High scorer” bzw. „Low scorer” zu klassifizieren.

Patienten mit chronischen Kreuzschmerzen hatten häufig schmerzbezogene Angst vor (erneuter) Verletzung und Bewegung. Die „High scorer” und „Low scorer” unterschieden sich signifikant hinsichtlich der untersuchten Merkmale.

Abstract

The cross-sectional research study investigated the extent to which patients with chronic low back pain express pain-related fear in physiotherapeutic and manual therapeutic primary practice, the differences in characteristics between patients with high and low scores in the Tampa scale for kinesiophobia as well as which questions of the scale could help to classify the concerned patients as “high scorer” or “low scorer”.

Patients with chronic low back pain often showed pain-related fear of (new) injury and movement. “High scorer” and “low scorer” differed significantly in view of the investigated criteria.

Chronische Kreuzschmerzen - Tampa-Skala für Kinesiophobie

Chronic low back pain - tampa scale of kinesiophobia

Literatur

• 1 Abenhaim L. et al . The Prognostic Consequences in the Making of the Initial Medical Diagnosis of Work-Related Back Injuries.  Spine. 1995;  20 791-795
• 2 Al O baidi SM. et al . The role of anticipation and fear of pain in the persistence of avoidance behavior in patients with chronic low back pain.  Spine. 2000;  25 1126-1131
• 3 Asmundson G JG, Taylor S. Role of anxiety sensitivity in pain-related fear and avoidance.  J Behav Med. 1996;  19 577-586
• 4 Asmundson G J, Norton P J, Veloso F. Anxiety sensitivity and fear of pain in patients with recurring headaches.  Behav Res Ther. 1999;  37 703-713
• 5 Bekkering G E. et al . KNGF-richtlijn Lage-rugpijn.  Ned Tijdschr Fysiother. 2001;  Suppl 3 1-24
• 6 Beurskens A J, de Vet H C, Köke A J. et al . Measuring the functional status of patients with low back pain.  Spine. 1995;  20 1017-1028
• 7 Beurskens A J, de Vet H C, Köke A J. Responsiveness of functional status in low back pain. A comparison of different instruments.  Pain. 1996;  65 71-76
• 8 Bouman T K, Luteijn F, Albersnagel F A. et al . Enige ervaringen met de Beck Depression Inventory (BDI).  Gedrag, tijdschrift voor psychologie. 1985;  13 13-24
• 9 Bouman T K, Kok A R. Homogeneity of Beck’s Depression Inventory (BDI): Applying Rasch Analysis in Conceptual Exploration.  Acta Psychiatr Scand. 1987;  76 568-573
• 10 Chavannes A W, Mens J MA, Koes B W. et al . NHG-Standaard Aspecifieke lagerugpijn.  Huisarts Wet. 2005;  48 113-123
• 11 Crombez G, Vervaet L, Lysens R. et al . Avoidance and confrontation of painful, back-straining movements in chronic back pain patients.  Behavior Modification. 1998;  22 62-77
• 12 Crombez G, Vlaeyen J WS, Heuts P HTG. et al . Pain-related fear is more disabling than pain itself: evidence on the role of pain-related fear in chronic back pain disability.  Pain. 1999;  80 329-339
• 13 Fairbank J CT, Davies J B, Couper J. et al . The Oswestry Low-Back Pain Disability Questionnaire.  Physiotherapy. 1980;  66 271-273
• 14 Flor H, Turk D C. Etiological theories and treatments for chronic back pain. I. Somatic models and interventions.  Pain. 1984;  19 105-121
• 15 Fritz J M, George S Z, Delitto A. The role of fear-avoidance beliefs in acute low back pain: relationships with current and future disability and work status.  Pain. 2001;  94 7-15
• 16 Frymoyer J W. Back pain and sciatica.  New Engl J Med. 1998;  318 291-300
• 17 Geisser M E, Roth R S, Robinson M E. Assessing depression among persons with chronic pain using the center for epidemiological studies-depression scale and the Beck depression inventory: a comparative analysis.  Clin J Pain. 1997;  13 163-170
• 18 Goubert L, Crombez G, Vlaeyen J WS. et al . De Tampa Schaal voor Kinesiofobie: Psychometrische karakteristieken en normering.  Gedrag & Gezondheid. 2000;  28 54-62
• 19 Haanen H CM. Epidemiologie.  Bijblijven. 1993;  9 8-11
• 20 Hadjistavropoulos H D, Craig K D. Acute and chronic low back pain: cognitive, affective and behavioral dimensions.  Journal of Consulting and Clinical Psychology. 1994;  62 341-349
• 21 Heijmans W FGJ. et al . KNGF-richtlijn Manuele Therapie bij Lage-rugpijn.  Ned Tijdschr Fysiother. 2003;  Suppl 6 1-40
• 22 Jesen M P, Karoly P. Self-report scales and procedures for assessing pain in adults. Turk DC, Melzack R Handbook of Pain Assessment New York; The Guilford Press 1992
• 23 Keefe F J, Wallston K A, Caldwell D S. Coping with rheumatoid arthritis pain: catastrophising as a maladaptive strategy.  Pain. 1989;  37 51-56
• 24 Klenerman L. et al . The prediction of chronicity in patients with an acute attack of low back pain in a general practice setting.  Spine. 1995;  20 478-484
• 25 Kori S H, Miller R P, Todd D D. Kinesiophobia: a new view of chronic pain behavior.  Pain Manag. 1990;  1 35-43
• 26 Kraaimaat F W, Bakker A, Evers A WM. Pijncoping-strategieën bij chronische pijnpatiënten: De ontwikkeling van de Pijn-Coping-Inventarisatielijst (PCI).  Gedragstherapie. 1997;  30 185-201
• 27 Lin C C, Ward S E. Perceived self-efficacy and outcome expectancies in coping with chronic low back pain.  Research in Nursing & Health. 1996;  19 299-310
• 28 Linton S J. et al . Are fear-avoidance beliefs related to the inception of an episode of back pain? A prospective study.  Psychology and Health. 2000;  14 1051-1059
• 29 Miller R P, Kori S H, Todd D D. Tampa Schaal voor Kinesiofobie. 1991
• 30 Picavet H SJ, Schouten J SAG. Musculoskeletal pain in the Netherlands: prevalences, consequences and risk groups, the DMC3-study.  Pain. 2003;  102 167-178
• 31 Polatin PB. et al . Psychiatric illness and chronic low back pain. The mind and the spine: which goes first?.  Spine. 1993;  18 66-71
• 32 Reiss S, McNally R J. The expectancy model of fear. New York; Academic Press 1985
• 33 Severeijns R. et al . Pain catastrophizing predicts pain intensity, disability, and psychological distress independent of the level of physical impairment.  Clin J Pain. 2001;  17 165-172
• 34 Skovron M L. Epidemiology of low back pain.  Baillière’s Clinical Rheumatology. 1992;  6 559-573
• 35 Skovron M L, Szpalski M, Nordin N. et al . Sociocultural factors and back pain. A population-based study in Belgian adults.  Spine. 1994;  19 129-137
• 36 Strong J. Assessment of pain perception in clinical practice.  Manual Therapy. 1999;  4 216-220
• 37 Sullivan M JL. et al . The treatment of depression in chronic low back pain: review and recommendations.  Pain. 1992;  50 5-13
• 38 Sullivan M JL, Bishop S R. The Pain Catastrophizing Scale: Development and validation.  Psychological Assessment. 1995;  7 524-532
• 39 Sullivan M JL. et al . Catastrophizing, pain, and disability in patients with soft-tissue injuries.  Pain. 1998;  77 253-260
• 40 Swinkels-Meewisse I EF. et al . Fear of movement/(re)injury, disability and participation in acute low back pain.  Pain. 2003;  105 371-379
• 41 Swinkels-Meewisse I EJ. et al . Psychometric properties of the Tampa scale for kinesiophobia and the fear-avoidance beliefs questionnaire in acute low back pain.  Man Ther. 2003;  8 29-36
• 42 Turk D C. The role of demographic and psychosocial factors in transition from acute to chronic pain. Proceedings of the 8th World Congress on Pain Seattle; IASP 1997
• 43 Vlaeyen J WS. et al . The role of fear of movement/(re)injury in pain disability.  J Occup Rehabil. 1995;  5 235-252
• 44 Vlaeyen J WS, Kole-Snijders A MJ, Boeren R GB. et al . Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance.  Pain. 1995;  62 363-372
• 45 Vlaeyen J WS, Seelen H AM, Peters M. et al . Fear of movement/(re)injury and muscular reactivity in chronic low back pain patients: an experimental investigation.  Pain. 1999;  82 297-304
• 46 Vlaeyen J WS, Linton S J. Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art.  Pain. 2000;  85 317-332
• 47 Vlaeyen J WS. et al . Graded exposure in vivo in the treatment of pain-related fear: a replicated single-case experimental design in four patients with chronic low back pain.  Behr Res and Ther. 2001;  39 151-166
• 48 Vlaeyen J WS. et al . The treatment of fear of movement/(re)injury in chronic low back pain: further evidence on the effectiveness of exposure in vivo.  Clin J Pain. 2002;  18 251-261
• 49 Waddell G. Biopsychosocial analysis of low back pain.  Baillière’s Clinical Rheumatology. 1992;  6 523-557
• 50 Waddell G. The Back Pain Revolution. Edinburgh; Churchill Livingstone 1998