Fear of Movement Is Related to Low Back Disability During a Two-Year Period in Patients Who Have Undergone Elective Lumbar Spine Surgery

Mike K Kemani, Olle Hägg, Max Jakobsson, Mari Lundberg

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

OBJECTIVE: To evaluate change in fear of movement and the relationship of fear of movement and pain intensity to low back disability and general health-related quality of life over a 2-year period.

METHODS: Consecutive patients scheduled for lumbar spine surgery were included. In addition to clinical background variables, back pain intensity, fear of movement, low back disability, and general health-related quality of life were assessed at baseline, 1 year, and 2 years after surgery. Linear mixed-effects models were used to analyze data.

RESULTS: In total, 348 patients were included in the final analyses. There was a significant reduction in fear of movement and a significant interaction between fear of movement and low back disability across assessments, showing that greater levels of fear of movement were related to greater levels of disability over the 2-year period. Similarly, greater levels of back pain intensity were related to lower levels of general health-related quality of life during this period.

CONCLUSIONS: We found that greater levels of fear of movement were related to greater levels of low back disability, following lumbar spine surgery, in a longitudinal study. This shows the need to address fear of movement in prehabilitation/rehabilitation pre- or postsurgically to improve health outcomes for patients who undergo lumbar spine surgery.

Original languageEnglish
Pages (from-to)e416-e424
Number of pages9
JournalWorld Neurosurgery
Volume137
DOIs
Publication statusPublished - May 2020

Bibliographical note

Copyright © 2020 Elsevier Inc. All rights reserved.

Keywords

  • Adult
  • Disability Evaluation
  • Fear/psychology
  • Female
  • Humans
  • Longitudinal Studies
  • Low Back Pain/etiology
  • Lumbar Vertebrae
  • Male
  • Middle Aged
  • Movement
  • Quality of Life
  • Spinal Diseases/complications
  • Surveys and Questionnaires

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