Template:Outcome Measures
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Summary[edit source]
FABQ is a questionnaire based on the Fear-Avoidance Model of Exaggerated Pain Perception, a model created in attempts to explain why some patients with acute painful conditions can recover while other patients develop chronic pain from such conditions[1][2][3]. The FABQ measures patients’ fear of pain and consequent avoidance of physical activity because of their fear[1][2]. This questionnaire consists of 16 items, with each item scored from 0-6. Higher scores on the FABQ are indicative of greater fear and avoidance beliefs[1].
Within the FABQ 2 subscales exist, the Work Subscale and the Physical Activity Subscale, which facilitate the identification of the patient’s beliefs about how work and physical activity affect their current Low Back Pain[1][2]. The numbers in parentheses below designate which items from the FABQ are included in each subscale[1].
Work Subscale (6, 7, 9-12, 15): 42 total points possible
Physical Activity Subscale (2-5): 24 points possible
A strong relationship exists between elevated fear avoidance beliefs and chronic disability secondary to LBP[1][2]. “Avoidance may lead to reduced activity levels, an exacerbation of the fear and avoidance behaviors, prolonged disability, and adverse physical and psychological effects” [2][3][4]. Thus, the FABQ is an outcome measure that serves as a clinically useful screening tool in identifying patients with high fear avoidance beliefs who are at risk for prolonged disability. Management of patients with elevated FABQ scores requires clinician tailor interventions to meet those needs. Research suggests multi-disciplinary approach including cognitive behavioral therapy and graded exposure to physical activity[2].
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References[edit source]
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- ↑ 1.0 1.1 1.2 1.3 1.4 1.5 Waddell C, 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
- ↑ 2.0 2.1 2.2 2.3 2.4 2.5 Fritz JM, George S. Identifying Psychosocial Variables in Patients With Acute Work-Related Low Back Pain: The Importance of Fear-Avoidance Beliefs. Phys Ther. 2002; 82(10): 973-983.
- ↑ 3.0 3.1 Lethem J, Slade PD, Troup JDG, Bendey G. Outline of a fear avoidance model of exaggerated pain perceptions, Behav Res Ther. 1983;21:401-408.
- ↑ Vlaeyen JWS, Kole-Snijders AMJ, Boeren RGB, van Eck H. Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance. Pain. 1995;62: 36, 272.
