Reliability and relationship of the fear-avoidance beliefs questionnaire with the shoulder pain and disability index and numeric pain rating scale in patients with shoulder pain.

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Riley, SP; Tafuto, V; Cote, M; Brismée, J-M; Wright, A; Cook, C

Published Date

  • May 2019

Published In

Volume / Issue

  • 35 / 5

Start / End Page

  • 464 - 470

PubMed ID

  • 29558227

Electronic International Standard Serial Number (EISSN)

  • 1532-5040

Digital Object Identifier (DOI)

  • 10.1080/09593985.2018.1453004


  • eng

Conference Location

  • England