Anne Söderlund1, Pernilla Asenlöf. 1. Department of Physiotherapy, School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden. anne.soderlund@mdh.se
Abstract
PURPOSE: The overall aim of this study was to estimate the possible mediating role of self-efficacy, catastrophic thinking and fear of movement and (re)injury between pain intensity and pain-related disability in two samples of acute pain patients, i.e. patients with musculoskeletal injuries and patients with whiplash injury. METHOD: A cross sectional design with data-collection after an acute injury was used. Subjects were recruited at an emergency department. Sixty-four patients with acute whiplash associated disorders (WAD) and 74 patients with musculoskeletal injury completed the questionnaires. RESULTS: Self-efficacy was found to be a mediator between pain intensity and pain-related disability in the WAD group, whereas fear of movement and (re)injury appeared as mediator in the musculoskeletal-injury group. The strength of association between variables was weaker in the musculoskeletal-injury group compared to the WAD group. CONCLUSIONS: It is important to assess fear of movement beliefs in patients with musculoskeletal injuries. Similarly, patients with acute WAD expressing low self-efficacy beliefs should be identified. An early detection of these beliefs may improve management at the acute phase and possibly reduce risks for slow improvements.
PURPOSE: The overall aim of this study was to estimate the possible mediating role of self-efficacy, catastrophic thinking and fear of movement and (re)injury between pain intensity and pain-related disability in two samples of acute painpatients, i.e. patients with musculoskeletal injuries and patients with whiplash injury. METHOD: A cross sectional design with data-collection after an acute injury was used. Subjects were recruited at an emergency department. Sixty-four patients with acute whiplash associated disorders (WAD) and 74 patients with musculoskeletal injury completed the questionnaires. RESULTS: Self-efficacy was found to be a mediator between pain intensity and pain-related disability in the WAD group, whereas fear of movement and (re)injury appeared as mediator in the musculoskeletal-injury group. The strength of association between variables was weaker in the musculoskeletal-injury group compared to the WAD group. CONCLUSIONS: It is important to assess fear of movement beliefs in patients with musculoskeletal injuries. Similarly, patients with acute WAD expressing low self-efficacy beliefs should be identified. An early detection of these beliefs may improve management at the acute phase and possibly reduce risks for slow improvements.
Authors: Yolanda Pedrero-Martin; Deborah Falla; Javier Martinez-Calderon; Bernard X W Liew; Marco Scutari; Alejandro Luque-Suarez Journal: Eur Spine J Date: 2021-01-27 Impact factor: 3.134
Authors: Felicity L Bishop; Lucy Yardley; Philip Prescott; Cyrus Cooper; Paul Little; George T Lewith Journal: Clin J Pain Date: 2015-03 Impact factor: 3.442
Authors: Lauri Raittio; Antti Launonen; Teemu Hevonkorpi; Toni Luokkala; Juha Kukkonen; Aleksi Reito; Bakir Sumrein; Minna Laitinen; Ville M Mattila Journal: BMC Musculoskelet Disord Date: 2017-09-18 Impact factor: 2.362