The Relationship Between Fear-Avoidance and Neuromuscular Measures of Function in Patients With Adult Degenerative Scoliosis

Spine
Ram HaddasAndrew Block

Abstract

A prospective cohort study. To examine the relationship of fear-avoidance beliefs and neuromuscular activity during gait in adult degenerative scoliosis (ADS) patients. Among patients with chronic spine pain, fear-avoidance beliefs are predictive of poor surgical outcomes. Fear-avoi occurs when patients perceive that movement will worsen underlying physical problems. This process leads them to restrict activity, which further heightens emotional distress. Patients with ADS have previously been shown to have an altered gait pattern. Electromyography is evolving into a useful tool to further our understanding of the pathologic manifestations of ADS during gait. Fifty ADS patients completed the Tampa Scale for Kinesiophobia (TSK) questionnaire and the Fear Avoidance Beliefs Questionnaire (FABQ). Surface electromyography electrodes were bilaterally placed on trunk and lower extremity muscles. Each patient performed a series of over-ground gait trials at a self-selected comfortable speed. Pearson Product Correlation analysis was used to determine the relationship between the self-reported fear of movement measures and the neuromuscular gait analysis biomechanical data. The TSK total score and the FABQ physical were correlated with m...Continue Reading

References

Nov 13, 2007·American Journal of Physical Medicine & Rehabilitation·Joshua A ClelandJohn D Childs
Sep 16, 2010·The Clinical Journal of Pain·Tamar PincusMichael J L Sullivan
Oct 17, 2014·Journal of Athletic Training·Ram HaddasTroy L Hooper
Apr 4, 2018·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Ram HaddasIsador H Lieberman

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Citations

Nov 12, 2020·International Journal of Sports Medicine·David RicePeter McNair
Feb 26, 2021·The Spine Journal : Official Journal of the North American Spine Society·Ram HaddasIsador Lieberman

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