Article Text

AB0851 Improvement of Work Capacity Is Dependent of A Decrease in The Kinesiophobia
  1. M. Norberg1,
  2. L. Belgrand2,
  3. M. Norberg3,
  4. M. Norberg4
  1. 1Rheumatology, CHUV, Lausanne
  2. 2Rheumatology, Lavey-les-bains
  3. 3occupation therapy, Lavey Medical, Lavey les Bains
  4. 4Gymnase de Beaulieu, Lausanne, Switzerland


Background The avoidances of movement is a key structure in the chronic pain patient. In this situation the kinesiophobia has a great importance. It could be evaluated using different questionnaires (Tampa, TSK, but also the Fabq).According to Vlayen, the kinesiophobia is the most important prognostic factor when evaluating the return to work.

Objectives In this situation, we wanted to evaluate the evolution of the kniesiophobia before and after a functional restoration program, and its relationship to the work capacity in a group of chronic lumbar back pain patients.

Methods We included 702 patients who had followed an outpatient program of functional restoration during 3 weeks. The program was composed of physical exercices, occupational therapy and psychologcial follow. The patientes were followed on questionnaires (Tampa (3), Fabq, Pact (2) -subective work capacity-) their work capacity and their physical performances (using different tests as Shirado, Biering-Sörensen, Bruce, lumbar mobility)

Results There were a clear relationship between a decrease in kinesiophobia and an increase of work capacity. In fact in patient were the Tampa score decreased with more than 10 points, there were a still staying increased work capaciry. On the other side, none of he physical characteristics were associated with an increase or decrease of work capacity.

Conclusions We have confirmed the observation of Vlayen from 1996, saying that the kinesiophobia is an important prognostic factor for work capacity. This observation is important in functional restoration programs.

  1. Waddell G et coll. Pain 1993;52:157–68

  2. Matheson LN, Matheson M (1989) Spinal function sort: Performance Assessment and Capacity Testing PACT, Trabuco Canyon, California.

  3. Kori SH, Miller RP, Todd DD: Kinesiophobia: A new view

  4. of chronic pain behaviour. Pain Manage Jan/Feb:35–43, 1990

  5. Kori SH, Miller RP, Todd DD: Kinesiophobia: A new viewof chronic pain behaviour. Pain Manage Jan/Feb:35–43, 1990

Disclosure of Interest None declared

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