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

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_25609B33EF3F
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Predictive Value of the Fear-Avoidance Model on Functional Capacity Evaluation.
Journal
Journal of occupational rehabilitation
Author(s)
Tüscher J., Burrus C., Vuistiner P., Léger B., Rivier G., Luthi F.
ISSN
1573-3688 (Electronic)
ISSN-L
1053-0487
Publication state
Published
Issued date
09/2018
Peer-reviewed
Oui
Volume
28
Number
3
Pages
513-522
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
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 < 0.001), waist-to-overhead (ß = 0.04; p < 0.001), and dominant-handed lifting (ß = 0.06; p < 0.001). The CPFI was not related to performances of patients with self-limited effort despite higher psychological scores, while a relationship was found for patients who achieved a safe maximal performance. Higher perceived disability was related to performances in both situations. 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.
Keywords
Adult, Avoidance Learning, Chronic Pain/psychology, Disabled Persons/psychology, Fear, Female, Humans, Lifting/adverse effects, Male, Middle Aged, Models, Psychological, Musculoskeletal Pain/psychology, Pain/etiology, Perception, Predictive Value of Tests, Prospective Studies, Work Capacity Evaluation, Fear-avoidance model, Functional capacity evaluation, Physical performance
Pubmed
Web of science
Open Access
Yes
Create date
16/11/2017 18:42
Last modification date
16/12/2019 7:19
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