Reliability and relationship of the fear-avoidance beliefs questionnaire with the shoulder pain and disability index and numeric pain rating scale in patients with shoulder pain |
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Authors: | Sean P Riley Vincent Tafuto Mark Cote Jean-Michel Brismée Alexis Wright Chad Cook |
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Institution: | 1. Doctor of Physical Therapy Program, Sacred Heart University, Fairfield, CT, USA;2. Department of Rehabilitation, UConn Health, Farmington, CT, USA;3. Department of Orthopaedics, UConn Health, Farmington, CT, USA;4. Center for Rehabilitation Research, Texas Tech University Health Sciences Center, Lubbock, Texas, USA;5. Department of Physical Therapy, High Point University, High Point, NC, USA;6. Doctor of Physical Therapy (DPT) Division, Duke University, Durham, NC, USA |
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Abstract: | Purpose: The purpose of this study was to determine: 1) the test–retest reliability of Fear-Avoidance Beliefs Questionnaire (FABQ) Work (FABQW) subscale, FABQ Physical Activity (FABQPA) subscale, Shoulder Pain and Disability Index (SPADI) Pain subscale, SPADI Disability subscale, and Numeric Pain Rating scale (NPRS); and 2) the relationship between the FABQPA, FABQW, SPADI pain, SPADI disability, and NPRS after 4 weeks of pragmatically applied physical therapy (PT) in patients with shoulder pain. Design: Prospective, single-group observational design. Methods: Data were collected at initial evaluation, the first follow-up visit prior to the initiation of treatment, and after 4 weeks of treatment. Results: Statistically significant Intraclass Correlation Coefficient (ICC2,1) values were reported for the FABQPA, FABQW, SPADI Pain, SPADI Disability, and NPRS. A statistically significant moderate relationship between the FABQPA subscale, SPADI subscale, and NPRS could not be established prior to and after 4 weeks of pragmatically applied PT. Statistically significant differences were observed between the initial evaluation and four-week follow-up for the FABQPA, SPADI Pain, SPADI Disability, and NPRS (p < 0.01). Discussion: Since a meaningful relationship between the FABQ, SPADI, and NPRS did not exist, it suggests that the FABQPA may be measuring a metric other than pain. Conclusions: This study suggests that the FABQW may not be sensitive to change over time. |
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Keywords: | Avoidance learning fear shoulder shoulder pain surveys and questionnaires |
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