Exam 1 Study Guide 2: Fear Avoidance

Question 1

What is the most useful measure to gauge fear avoidance behavior?

Answer 1

FABQ (esp for return to work)

Question 2

These are important in determining long term disability/chronic pain

Answer 2

• outcome measures

- psychosocial views

Question 3

Which are the questionnaires most often used to assess fear avoidance?

Answer 3

• FABQ

- ODI

Question 4

Anyone on workers’ comp will use this outcome measure for fear avoidance

Answer 4

FABQ

Question 5

Why are the biopsychosocial aspects of pain important?

Answer 5

• PTs must recognize and learn how to treat psychological aspects of pain, not just MSK factors
• Addressing these with all pts may improve pt care and outcomes
• May reduce the cost of healthcare

Question 6

What is generally recommended for pts with acute LBP and high levels of fear avoidance beliefs?

Answer 6

Graded exercises along with pt education

Question 7

Though important, pain does not determine this for all patients

Answer 7

Exercise duration and intensity

Question 8

What is an external locus of control?

Answer 8

• Belief that improvement will only be achieved via external factors
• independent of their individual control or ability

Question 9

Is an internal or external LOC better?

Answer 9

Internal: “it’s my problem and I can fix it”

Question 10

When might pts shift from an internal to external LOC?

Answer 10

when pt has had a bad experience with tx

Question 11

What is self-efficacy? Why is it important?

Answer 11

• feeling confident and knowledgeable about the tx

- increasing self-efficacy may enhance outcome

Question 12

What is LOC?

Answer 12

individual belief that improvement will only be achieved via either internal or external factors

Question 13

How can PTs increase self-efficacy and self-esteem?

Answer 13

• pt education
• willingness to listen/understand
• communication

Question 14

These are used to determine if pt s/s or complaints are consistent with MSK dx

Answer 14

Waddell’s signs

Question 15

Waddell’s signs

Answer 15

• tenderness
• simulation tests
• distraction tests
• regional disturbances
• overreaction