Thursday, February 11, 2016

Week 4 Suliman: Fear Avoidance behaviors

Sam's had a lot of thinking to do on OT's role in pain management. In preparation for his presentation, he decided to look into some suggestions on good frames of reference for pain psych functional outcome measurements, leading to his interest in the Fear Avoidance Behavior Questionnaire:

The study he read is attached here:
http://mab.to/4Mj1qXEUi

Occupational therapy was once defined in a very unique way. Thinking of anything that occupies your time, and maintaining a personal plateau of independence. With that being said, it is hard to complete any activity that normally occupies our time when pain is being experienced. Many people use compensatory body mechanics in order to self-relieve experienced pain. Often movement will initiate pain response which causes people to fear re-injuring and injury. The article summarized is a cross-sectional study of psychological and social factors perceived with fear-avoidance. This study was focused on work absences due to back pain, and up to ninety percent of medical and compensation costs. Participants in this study were referred to a neck and back pain clinic as part of the initiating criteria. The participants ranged from eighteen through sixty years of age as well as ranging in socioeconomically diverse backgrounds. A comorbidity questionnaire was used to isolate patients experiencing back pain independent of other medical conditions as a way to evaluate back pain specifically in reference to fear-avoidance. This article concluded that those who have very little reward in returning to their optimal functioning were more susceptible to fear-avoidance. Those who gained the most from returning to optimal functioning expressed more motivation in the recovery processed and moved more frequently. This study is important in gaging motivation as well as psychological impacts of patients in treatment sessions. Understanding this will allow therapist to implement more client-centered therapy.

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