Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
권호 표지
DOI QR코드

DOI QR Code

A Correlation Analysis of Neck Pain, Neck Disability Index and Fear-avoidance Beliefs in Patients with Neck Pain Caused by Traffic Accidents

교통사고로 인한 경추통 환자의 공포 회피반응과 경추통, 목 장애 지수 사이의 관련성 분석

  • Lee, Cho In (Department of Acupuncture & Moxibustion, Meridian & Acupoint, College of Oriental Medicine, Daegu Haany University) ;
  • Kim, Jae Soo (Department of Acupuncture & Moxibustion, Meridian & Acupoint, College of Oriental Medicine, Daegu Haany University) ;
  • Lee, Yun Kyu (Department of Acupuncture & Moxibustion, Meridian & Acupoint, College of Oriental Medicine, Daegu Haany University) ;
  • Lim, Seong Chul (Department of Acupuncture & Moxibustion, Meridian & Acupoint, College of Oriental Medicine, Daegu Haany University) ;
  • Jung, Tae Young (Je-Han Oriental Medical Academy) ;
  • Lee, Bong Hyo (Department of Acupuncture & Moxibustion, Meridian & Acupoint, College of Oriental Medicine, Daegu Haany University) ;
  • Lee, Hyun Jong (Department of Acupuncture & Moxibustion, Meridian & Acupoint, College of Oriental Medicine, Daegu Haany University)
  • 이초인 (대구한의대학교 한의과대학 침구경혈학교실) ;
  • 김재수 (대구한의대학교 한의과대학 침구경혈학교실) ;
  • 이윤규 (대구한의대학교 한의과대학 침구경혈학교실) ;
  • 임성철 (대구한의대학교 한의과대학 침구경혈학교실) ;
  • 정태영 (제한동의학술원) ;
  • 이봉효 (대구한의대학교 한의과대학 침구경혈학교실) ;
  • 이현종 (대구한의대학교 한의과대학 침구경혈학교실)
  • Received : 2015.02.14
  • Accepted : 2015.03.02
  • Published : 2015.03.20
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives : This study aimed to investigate the correlation between fear-avoidance beliefs and neck pain/neck disability caused by traffic accidents. Methods : We surveyed 52 patients who were injured in traffic accidents. The patients completed baseline measures of pain, disability, fear-avoidance beliefs according to the visual analogue scale(VAS), neck disability index(NDI) and a fear-avoidance beliefs questionnaire (FABQ). At the end of medical treatment, VAS and NDI were reassessed. In order to determine the relationship between FABQ(including its subscales), change of VAS and NDI, Pearson correlation coefficients were used. To examine the accuracy of previously reported cut-off scores, we classified the patients into low and high groups and analyzed the change of VAS and NDI. The relationship was measured by Mann-Whitney U-test and a student's T-test. Results : FABQ and its subscales(total, physical activity and work) were significantly correlated with final VAS and NDI. FABQ-T showed low significant negative correlation with change of NDI. Previously reported cut-off scores did not show a statistical significance in this study Conclusions : This study suggests that screening for fear-avoidance beliefs may be useful for identifying patients at risk of prolonged pain after traffic accidents.

Keywords

References

  1. Ministry of Land, Infrastructure and Transport. Current status of vehicle registration. [cited 2014 Sep 3] Available from : URL : http://www.index. go.kr/potal/main/EachDtlPageDetail.do?idx_cd=1 257
  2. Korean National Police Agency. Current status of traffic accidents(death, injury). [cited 2014 July 14] Available from : URL : http://www.index.go. kr/potal/main/EachDtlPageDetail.do?idx_cd=1614
  3. Choi ES, Jang HG, Kwon OG, Woo CH, An HD. The change of cervical curvature in whiplash injury patients after oriental medicine treatment. J Oriental Rehab Med. 2002 ; 19(3) : 107-21.
  4. Waddell G, Newton M, Henderson I, Somerville D, Main CJ. A fear-avoidance beliefs questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability. Pain. 1993 ; 52(2) : 157-68. https://doi.org/10.1016/0304-3959(93)90127-B
  5. Fritza JM, Georgeb SZ. Delitto A. The role of fear-avoidance beliefs in acute low back pain: relationships with current and future disability and work status. Pain. 2001 ; 94(1) : 7–15. https://doi.org/10.1016/S0304-3959(01)00333-5
  6. Joo MK, Kim TY, Kim JT, Kim SY. Reliability and validity of the Korean version of the fearavoidance beliefs questionnaire. PTK. 2009 ; 16(2) : 24-30.
  7. Song KJ, Choi BW, Kim SJ, Yoon SJ. Crosscultural adaptation and validation of the Korean version of the neck disability index. J Korean Orthop Assoc. 2009 ; 44(3) : 350-9. https://doi.org/10.4055/jkoa.2009.44.3.350
  8. Landers MR, Creger RV, Baker CV, Stutelberg KS. The use of fear-avoidance beliefs and nonorganic signs in predicting prolonged disability in patients with neck pain. Manual Therapy. 2008 ; 13(3) : 239-48. https://doi.org/10.1016/j.math.2007.01.010
  9. Korean Statistical Information Serivce. Current status of hospital management. 2004-2011. Available from : URL : http://kosis.kr/wnsearch/total Search.jsp.
  10. Hush JM, Michaleff Z, Maher CG, Refshauqe K. Individual, physical and psychological risk factors for neck pain in Australian office workers: a 1-year longitudinal study. Eur Spine J. 2009 ; 18(10) : 1532-40. https://doi.org/10.1007/s00586-009-1011-z
  11. Lethem J, Slade PD, Troup JD, Bentley G. Outline of a fear-avoidance model of exaggerated pain perception-I. Behav Res Ther. 1983 ; 21(4) : 401-8. https://doi.org/10.1016/0005-7967(83)90009-8
  12. George SZ, Fritz JM, Erhard RE. A comparison of fear-avoidance beliefs in patients with lumbar spine pain and cervical spine pain. Spine. 2001 ; 26(19) : 2139-45. https://doi.org/10.1097/00007632-200110010-00019
  13. George SZ, Fritz JM. Investigation of elevated fear-avoidance beliefs for patients with low back pain: a secondary analysis involving patients enrolled in physical therapy. Journal of Orthopaedic & Sports Physical Therapy. 2008 ; 38(2) : 50-8. https://doi.org/10.2519/jospt.2008.2647
  14. Jang HJ, Kim SY, Jeon JG, Shin EJ. The association between neck pain/disability and upper limb disability in patients with non-specific neck pain. Journal of the Korea Academia-Industrialcooperation Society. 2013;14(6):2862-8. https://doi.org/10.5762/KAIS.2013.14.6.2862
  15. Kim SS, Chung EJ, Lee JS, Lee BH. A study of the relationship between fear-avoidance beliefs, pain and neck disability index in patients with neck pain. J Oriental Rehab Med. 2012 ; 22(4) : 123-33.
  16. Choi HS, Kim MY, Kim JS et al. The correlation analysis of low back pain, stress by event, and fear-avoidance beliefs caused by traffic accidents. J oriental Rehab Med. 2013 ; 23(4) : 203-12.
  17. Cleland JA, Fritz JM. Predictive validity of initial fear avoidance beliefs in patients with low back pain receiving physical therapy: is the FABQ a useful screening tool for identifying patients at risk for a poor recovery? Eur Spine J. 2008 ; 17(1) : 70-9. https://doi.org/10.1007/s00586-007-0511-y