Physical therapist management of a patient with acute low back pain and elevated fear-avoidance beliefs.

Published

Journal Article

BACKGROUND AND PURPOSE: Elevated fear-avoidance beliefs are believed to be a precursor of chronic disability, yet effective intervention options have not been described in the literature. The purpose of this case report is to describe physical therapist management of a patient with acute low back pain and elevated fear-avoidance beliefs. CASE DESCRIPTION: The patient was a 42-year-old sales manager with acute low back pain. The patient had no previous history of activity-limiting low back pain and initially had limitations in straight leg raising, limitations in lumbar movement, and elevated fear-avoidance beliefs. INTERVENTION: Treatment-based classification and graded exercise were used. OUTCOME: Disability, fear-avoidance beliefs, and pain decreased 4 weeks after starting physical therapy. Six months later, disability and fear-avoidance beliefs had increased, but were still improved when compared with the initial measurements. DISCUSSION: Disability and fear-avoidance beliefs improved following a fear-avoidance-based physical therapy intervention. Research is warranted to investigate the effectiveness of this approach.

Full Text

Duke Authors

Cited Authors

  • George, SZ; Bialosky, JE; Fritz, JM

Published Date

  • June 2004

Published In

Volume / Issue

  • 84 / 6

Start / End Page

  • 538 - 549

PubMed ID

  • 15161419

Pubmed Central ID

  • 15161419

International Standard Serial Number (ISSN)

  • 0031-9023

Language

  • eng

Conference Location

  • United States