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Beliefs about back pain predict the recovery rate over 52 consecutive weeks. Patients with non-specific, low-back pain often believe that certain negative consequences of the pain are inevitable and that work, activity, and exercise may cause pain 1,2.
The belief that normal daily activities are likely to cause intense back pain facilitates avoidance of these activities. Sttudy, fear-avoidance behavior may result in immobility that then leads to disability 2. Such negative beliefs may, therefore, represent risk factors for the transition from acute to persistent lowback pain 3,4.
Three important reviews examining the scientific evidence for the fear-avoidance model of low-back pain have delivered contradictory conclusions concerning the role of pain-related fear as a This Study Was Examined Way Back Since factor for the transition from acute to chronic low-back pain. By following recovery after an episode of low-back pain in greater depth, our study attempts to shed light on the factors influencing the transition from current to chronic pain.
Recently, a review on psychosocial predictors of return to work in non-chronic, non-specific low-back pain indicated that fear-avoidance beliefs had moderate prognostic value, and that expectations about recovery were strongly predictive 8.
Recovery expectations represent one aspect of beliefs about the persistence and recurrence of low-back pain [ie, about the inevitability of the consequences of the pain, which itself was shown to be an important predictor of low-back pain in an earlier study 1 ].]
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