Exam 1 Study Guide 2: Fear Avoidance Flashcards
What is the most useful measure to gauge fear avoidance behavior?
FABQ (esp for return to work)
These are important in determining long term disability/chronic pain
- outcome measures
- psychosocial views
Which are the questionnaires most often used to assess fear avoidance?
- FABQ
- ODI
Anyone on workers’ comp will use this outcome measure for fear avoidance
FABQ
Why are the biopsychosocial aspects of pain important?
- PTs must recognize and learn how to treat psychological aspects of pain, not just MSK factors
- Addressing these with all pts may improve pt care and outcomes
- May reduce the cost of healthcare
What is generally recommended for pts with acute LBP and high levels of fear avoidance beliefs?
Graded exercises along with pt education
Though important, pain does not determine this for all patients
Exercise duration and intensity
What is an external locus of control?
- Belief that improvement will only be achieved via external factors
- independent of their individual control or ability
Is an internal or external LOC better?
Internal: “it’s my problem and I can fix it”
When might pts shift from an internal to external LOC?
when pt has had a bad experience with tx
What is self-efficacy? Why is it important?
- feeling confident and knowledgeable about the tx
- increasing self-efficacy may enhance outcome
What is LOC?
individual belief that improvement will only be achieved via either internal or external factors
How can PTs increase self-efficacy and self-esteem?
- pt education
- willingness to listen/understand
- communication
These are used to determine if pt s/s or complaints are consistent with MSK dx
Waddell’s signs
Waddell’s signs
- tenderness
- simulation tests
- distraction tests
- regional disturbances
- overreaction
