Sean P Riley1, Vincent Tafuto2, Mark Cote3, Jean-Michel Brismée4, Alexis Wright5, Chad Cook6. 1. a Doctor of Physical Therapy Program , Sacred Heart University , Fairfield , CT , USA. 2. b Department of Rehabilitation , UConn Health , Farmington , CT , USA. 3. c Department of Orthopaedics , UConn Health , Farmington , CT , USA. 4. d Center for Rehabilitation Research , Texas Tech University Health Sciences Center , Lubbock , Texas , USA. 5. e Department of Physical Therapy , High Point University , High Point , NC , USA. 6. f Doctor of Physical Therapy (DPT) Division , Duke University , Durham , NC , USA.
Abstract
PURPOSE: The purpose of this study was to determine: 1) the test-retest reliability of Fear-Avoidance Beliefs Questionnaire (FABQ) Work (FABQW) subscale, FABQ Physical Activity (FABQPA) subscale, Shoulder Pain and Disability Index (SPADI) Pain subscale, SPADI Disability subscale, and Numeric Pain Rating scale (NPRS); and 2) the relationship between the FABQPA, FABQW, SPADI pain, SPADI disability, and NPRS after 4 weeks of pragmatically applied physical therapy (PT) in patients with shoulder pain. DESIGN: Prospective, single-group observational design. METHODS: Data were collected at initial evaluation, the first follow-up visit prior to the initiation of treatment, and after 4 weeks of treatment. RESULTS: Statistically significant Intraclass Correlation Coefficient (ICC2,1) values were reported for the FABQPA, FABQW, SPADI Pain, SPADI Disability, and NPRS. A statistically significant moderate relationship between the FABQPA subscale, SPADI subscale, and NPRS could not be established prior to and after 4 weeks of pragmatically applied PT. Statistically significant differences were observed between the initial evaluation and four-week follow-up for the FABQPA, SPADI Pain, SPADI Disability, and NPRS (p < 0.01). DISCUSSION: Since a meaningful relationship between the FABQ, SPADI, and NPRS did not exist, it suggests that the FABQPA may be measuring a metric other than pain. CONCLUSIONS: This study suggests that the FABQW may not be sensitive to change over time.
PURPOSE: The purpose of this study was to determine: 1) the test-retest reliability of Fear-Avoidance Beliefs Questionnaire (FABQ) Work (FABQW) subscale, FABQ Physical Activity (FABQPA) subscale, Shoulder Pain and Disability Index (SPADI) Pain subscale, SPADI Disability subscale, and Numeric Pain Rating scale (NPRS); and 2) the relationship between the FABQPA, FABQW, SPADI pain, SPADI disability, and NPRS after 4 weeks of pragmatically applied physical therapy (PT) in patients with shoulder pain. DESIGN: Prospective, single-group observational design. METHODS: Data were collected at initial evaluation, the first follow-up visit prior to the initiation of treatment, and after 4 weeks of treatment. RESULTS: Statistically significant Intraclass Correlation Coefficient (ICC2,1) values were reported for the FABQPA, FABQW, SPADI Pain, SPADI Disability, and NPRS. A statistically significant moderate relationship between the FABQPA subscale, SPADI subscale, and NPRS could not be established prior to and after 4 weeks of pragmatically applied PT. Statistically significant differences were observed between the initial evaluation and four-week follow-up for the FABQPA, SPADI Pain, SPADI Disability, and NPRS (p < 0.01). DISCUSSION: Since a meaningful relationship between the FABQ, SPADI, and NPRS did not exist, it suggests that the FABQPA may be measuring a metric other than pain. CONCLUSIONS: This study suggests that the FABQW may not be sensitive to change over time.
Entities:
Keywords:
Avoidance learning; fear; shoulder; shoulder pain; surveys and questionnaires