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manuelletherapie 2008; 12(3): 103-112
DOI: 10.1055/s-2008-1027564
Literaturstudie

© Georg Thieme Verlag KG Stuttgart · New York

Auswirkungen von Angstvermeidungsverhalten bei Rückenschmerzpatienten[1]

Effects of Fear-Avoidance Behaviour in Back Pain PatientsC. Keller-Eberle
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Publication History

Manuskript eingetroffen: 24.7.2007

Manuskript akzeptiert: 18.9.2007

Publication Date:
03 July 2008 (online)

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Zusammenfassung

Immer mehr Menschen leiden unter Rückenschmerzen. Während viele Patienten nach einer Episode akuter Rückenschmerzen wieder vollständig genesen, halten bei anderen die lumbalen Schmerzen dauerhaft an. Häufig entwickeln sich dabei psychosoziale Risikofaktoren, wie z. B. Angstvermeidungsverhalten.

Die Literaturstudie geht den Fragen nach, warum gewisse Patienten nach Ablauf der Wundheilungszeit immer noch Schmerzen und Aktivitätseinschränkungen aufweisen und wie das Angstvermeidungsverhalten Patienten mit lumbalen Beschwerden beeinflusst.

Abstract

A growing number of people suffer from lower back pain. While many patients recover completely after an episode of acute back pain, in others lumbar pain persists permanently. In this process psychosocial risk factors such as fear-avoidance behaviour often develop.

This literature review explores the questions why certain patients still have pain and activity restrictions after wound healing and how fear avoidance behaviour influences patients with lumbar complaints.

Schlüsselwörter

Rückenschmerzen - Behinderung - Angstvermeidungsverhalten - psychosoziale Faktoren

Key words

back pain - disability - fear avoidance behaviour - psychosocial factors

1 Die Arbeit wurde als Bestandteil der SVOMP-OMT-Ausbildung 2004 – 2006 verfasst.

Literatur

  • 1 Al-Obaidi S M, Nelson R M, Al-Awadhi S. 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
    Search in Google Scholar
  • 2 Asmundson G JG, Norton G R, Allerdings M D. Fear and avoidance in dysfunctional chronic back pain patients.  Pain. 1997;  69 231-236
    Search in Google Scholar
  • 3 Asmundson G JG, Norton P J, Norton G R. Beyond pain: the role of fear and avoidance in chronicity.  Clin Psychol Rev. 1999;  19 97-119
    Search in Google Scholar
  • 4 Van den Berg F. Angewandte Physiologie. Bd. 4: Schmerzen verstehen und beeinflussen. (Kap. 1: Weiss T, Schaible HG. Physiologie des Schmerzes und der Nozizeption). Stuttgart; Thieme 2003
    Search in Google Scholar
  • 5 Cedraschi C, Allaz A F. How to identify patients with a poor prognosis in daily clinical practice.  Best Practice & Research Clinical Rheumatology. 2005;  19 577-591
    Search in Google Scholar
  • 6 Crombez G, Vlaeyen J WS, Heuts P H. 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
    Search in Google Scholar
  • 7 Fairbank J, Davies J B, Couper J. et al . The Oswestry Low Back Pain Disability Questionnaire.  Pysiotherapy. 1980;  66 271-273
    Search in Google Scholar
  • 8 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
    Search in Google Scholar
  • 9 Grotle M, Vollestad N K, Veierod M B. et al . Fear-avoidance beliefs and distress in relation to disability in acute and chronic low back pain.  Pain. 2004;  112 343-352
    Search in Google Scholar
  • 10 Hengeveld E. Gedanken zum Indikationsbereich der Manuellen Therapie.  Manuelle Therapie. 1998;  2 176-181
    Search in Google Scholar
  • 11 Hengeveld E. Biopsychosoziales Modell. Van den Berg F Angewandte Physiologie. Bd.4: Schmerzen verstehen und beeinflussen Stuttgart; Thieme 2003
    Search in Google Scholar
  • 12 Kendall N AS, Linton S J, Main C J. Guide to Assessing Psycho-Social Yellow Flags in Acute Low Back Pain: Risk Factors for Long-Term Disability and Work Loss. Wellington; Accident Compensation Corporation and the New Zealand Guidelines Group 1997
    Search in Google Scholar
  • 13 Klenerman L, Slade P D, Stanley I M. 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
    Search in Google Scholar
  • 14 Kori S H, Miller R P, Todd D D. Kinisophobia: a new view of chronic pain behavior.  Pain Management. 1990;  3 35-43
    Search in Google Scholar
  • 15 Lethem J, Slade P D, Troup J DG. et al . Outline of a fear-avoidance model of exaggerated pain perception.  Behav Res Thr. 1983;  21 401-408
    Search in Google Scholar
  • 16 Linton S J, Buer N, Vlaeyen J WS. et al . Are fear-avoidance beliefs related to the inception of an episode of back pain? A prospective study.  Psychol Health. 2000;  14 1051-1059
    Search in Google Scholar
  • 17 McCracken L M, Zayfert C, Gross R T. The Pain Anxiety Symptoms Scale: development and validation of a scale to measure fear of pain.  Pain. 1992;  50 67-73
    Search in Google Scholar
  • 18 McCracken L M, Gross R T, Aikens J. et al . The assessment of anxiety and fear in persons with chronic pain: a comparison of instruments.  Behav Res Ther. 1996;  34 927-933
    Search in Google Scholar
  • 19 Melzack R. The McGill Pain Questionnaire: major properties and scoring methods.  Pain. 1975;  1 277-299
    Search in Google Scholar
  • 20 Pfingsten M, Kroner-Herwig B, Leibing E. et al . Validation of the German version of the Fear-Avoidance Beliefs Questionnaire (FABQ).  Eur J Pain. 2000;  4 259-266
    Search in Google Scholar
  • 21 Pfund R, Zahnd F. Leitsymptom Schmerz. 1: Differenzierende manualtherapeutische Untersuchung und Therapie bei Bewegungsstörungen. Stuttgart; Thieme 2001
    Search in Google Scholar
  • 22 Philips C, Jahanshahi M. The components of pain behaviour report.  Behav Res Ther. 1986;  24 117-125
    Search in Google Scholar
  • 23 Philips C. Avoidance behaviour and its role in sustaining chronic pain.  Behav Res Ther. 1987;  25 273-279
    Search in Google Scholar
  • 24 Roland M, Morris R. A study of the natural history of back pain. Part 1 & 2: Roland-Morris Disability Questionnaire.  Spine. 1983;  8 141-150
    Search in Google Scholar
  • 25 Sieben J M, Vlaeyen J WS, Tuerlinckx S. et al . Pain-related fear in acute low back pain: the first two weeks of a new episode.  Eur J Pain. 2002;  6 229-237
    Search in Google Scholar
  • 26 Sieben J M, Portegijs P JM, Vlaeyen J WS. et al . Pain-related fear at the start of a new low back pain episode.  Eur J Pain. 2005;  9 635-641
    Search in Google Scholar
  • 27 Sieben J M, Vlaeyen J WS, Portegijs P JM. et al . A longitudinal study on the predictive validity of the fear-avoidance model in low back pain.  Pain. 2005;  117 162-170
    Search in Google Scholar
  • 28 Sullivan M JL, Bishop S R, Pivik J. The pain catastrophizing scale: development and validation.  Psychol Assess. 1995;  7 524-532
    Search in Google Scholar
  • 29 Swinkels-Meewisse I EJ, Roelofs J, Verbeek A LM. et al . Fear of movement/(re)injury, disability and participation in acute low back pain.  Pain. 2003;  105 371-379
    Search in Google Scholar
  • 30 Swinkels-Meewisse I EJ, Roelofs J, Oostendorp R AB. et al . Acute low back pain: pain-related fear and pain catastrophizing influence physical performance and perceived disability.  Pain. 2006;  120 36-43
    Search in Google Scholar
  • 31 Swinkels-Meewisse I EJ, Roelofs J, Verbeek A LM. et al . Fear-avoidance beliefs, disability, and participation in workers and nonworkers with acute low back pain.  Clin J Pain. 2006;  22 45-54
    Search in Google Scholar
  • 32 Vlaeyen J WS, Kole-Snijders A MJ, Boeren R G. et al . Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance.  J Occup Rehabil. 1995;  62 363-372
    Search in Google Scholar
  • 33 Vlaeyen J WS, Kole-Snijders A MJ, Rotteveel A. et al . The role of fear of movement/(re)injury in pain disability.  J Occup Rehabil. 1995;  5 235-252
    Search in Google Scholar
  • 34 Vlaeyen J WS, Crombez G. Fear of movement/(re)injury, avoidance and pain disability in chronic low back pain patients.  Manual Therapy. 1999;  4 187-195
    Search in Google Scholar
  • 35 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
    Search in Google Scholar
  • 36 Waddell G, Newton M, Henderson I. et al . A fear-avoidance beliefs questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability.  Pain. 1993;  52 157-168
    Search in Google Scholar
  • 37 Waddell G. The back pain revolution. Edinburgh; Churchill Livingstone 2004 2nd ed
    Search in Google Scholar
  • 38 World Health Organization (WHO) .International Classification of Functioning, Disability and Health. Geneva; WHO 2001
    Search in Google Scholar

1 Die Arbeit wurde als Bestandteil der SVOMP-OMT-Ausbildung 2004 – 2006 verfasst.

Catherine Keller-Eberle

Schachenstr. 3

6006 Luzern, Schweiz

Email: ceberle@gmx.ch