Predictive value of the "fear-avoidance" model on functional capacity evaluation (FCE) after orthopaedic trauma.

Details

Serval ID
serval:BIB_A210DBBC4F1F
Type
Article: article from journal or magazin.
Collection
Publications
Title
Predictive value of the "fear-avoidance" model on functional capacity evaluation (FCE) after orthopaedic trauma.
Journal
Annals of physical and rehabilitation medicine
Author(s)
Burrus C., Tuscher J., Vuistiner P., Rivier G., Léger B., Luthi F.
ISSN
1877-0665 (Electronic)
ISSN-L
1877-0657
Publication state
Published
Issued date
09/2016
Volume
59S
Pages
e61
Language
english
Notes
Publication types: Journal Article

Abstract
Functional capacity evaluation (FCE) based on a safe maximal performance (kinesiophysical criteria), is used to evaluate abilities of a patient to accomplish work-related tasks that may help precise functional limitations. As known in chronic pain, psychosocial factors and behavioral factors have been shown to influence FCE. The influence of the "fear-avoidance" model on FCE is debated (van Abbema, 2011) and has never been studied with a full model. The goal of this study was to evaluate the influence of the fear-avoidance model on FCE performance in patients admitted for vocational rehabilitation after orthopaedic trauma.
This prospective study used low lifting maximal performance following FCE protocol (WorkWell(©)) with kinesiophysical criteria (maximal performance judged by observer) as evaluation criteria. Statistical analysis was performed with multiple regressions. These predictive variables from "fear-avoidance" model were collected with self-questionnaires during the first two days of hospitalization: catastrophism (Pain Catastrophizing Scale [PCS]); kinesiophobia (Tampa Scale for kinesiophobia [TSK]); depression (Hospital Anxiety and Depression Scale [HADS]) and perception of disability (standardization on 200 points for spinal function sort [SFS] or hand function sort [HFS]). The following confondant variables were used: age, BMI, sex, severity of trauma, pain intensity, circumstance of trauma, education, native language, professional qualification, length of work incapacity.
Two hundred and ninety eight patients, (male: 97.2%), mean age 41.8 years (±11.9), non French native language (57.5%), without professional qualification (57.5%) were enrolled. After developing a psychological variable grouping arithmetic means of the 3 z-scores of the fear-avoidance model (PCS, TSK, HAD-d), multiple regressions found a prognostic value of this psychological variable for low lifting (ß=-2.7, P=0.09), explaining 37.5% of the variance (R2).
Although FCE are based on a kinesiophysical approach those results suggest the importance to integrate psychological variables of the Fear-avoidance model (catastrophism, kinesiophobia and depression) in the interpretation of FCE performances.

Pubmed
Create date
15/12/2016 11:38
Last modification date
20/08/2019 15:08
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