A Review of Relationship between Fear Avoidance Beliefs and Postural Stability in Non Specific Chronic Low Back Pain
|Abdolkarim Karimi1 and Marzieh Saeidi2*|
|1Assistant Professor, School of Rehabilitation, Isfahan University of Medical Sciences, Iran|
|2Physiotherapist of Shariati Hospital, Management Treatment of Isfahan social security organization, Iran|
|Corresponding Author :||Marzieh Saeidi
Physiotherapist of Shariati Hospital
Management Treatment of Isfahan Social Security Organization, Iran
E-mail: [email protected]
|Received April 30, 2013; Accepted July 08, 2013; Published July 10, 2013|
|Citation: Karimi A, Saeidi M (2013) A Review of Relationship between Fear Avoidance Beliefs and Postural Stability in Non Specific Chronic Low Back Pain. J Spine 2:139. doi:10.4172/2165-7939.1000139|
|Copyright: © 2013 Karimi A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Introduction: Low back pain (LBP) is one of the most prevalent diseases in most developed and developing countries, affecting 70% to 80% of adults at some time during their lives. Recent evidence suggests that psychosocial factors especially fear-avoidance beliefs (FAB) are important in predicting patients who will progress from an acute to a chronic stage as well as failure of interventions. The aim of this study is to review the Relationship between Fear Avoidance Beliefs and Postural stability in non specific Chronic Low Back Pain (CLBP).
Methods: In this narrative article we have searched PubMed, CINHAL, APTA and MEDLINE data bases. The key words included: chronic low back pain, fear avoidance beliefs, posture, stability, balance, motor control, center of pressure and force plate. The inclusion criteria were being related to FAB and postural stability and adults with non specific CLBP, in English language, up to 2013, regardless of their study design.
Results: The results showed that psychological factors such as FAB influence the chronicity of LBP, a group of studies indicated that FAB is related to pain and disability. Another group of studies indicated that postural stability is related to pain and disability. The only study on the relationship between postural stability and FAB did not found any significant relationship.
Conclusion: FAB is related to pain and disability. Postural stability is related to pain and disability. More studies with stronger methodology such as larger population with control group are needed for evaluating the relationship of FAB and postural control.