{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T23:48:02Z","timestamp":1790380082816,"version":"4.1.0"},"reference-count":31,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2012,4,18]],"date-time":"2012-04-18T00:00:00Z","timestamp":1334707200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000064","name":"National Center for Complementary and Alternative Medicine","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000064","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2012,7]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To determine whether fear avoidance beliefs (FABs) in older adults with chronic low back pain (CLBP) are significantly associated with gait speed decline and\/or self\u2010report of greater disability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Cross\u2010sectional analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>An academic medical center (single site).<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Two hundred English\u2010speaking participants aged 65 years and older with CLBP every day or almost every day of moderate or greater intensity for \u22653 months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measurements<\/jats:title><jats:p>The physical activity portion of the FAB questionnaire assessed FABs. Disability was measured with gait speed and the Roland Morris Questionnaire. Covariates measured included age, gender, body mass index, chronic disease (Cumulative Illness Rating Scale), depression (Geriatric Depression Scale), and pain (McGill Pain Questionnaire Short Form).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>FABs were significantly associated with the Roland Morris Questionnaire (<jats:italic>P<\/jats:italic> &lt; .0001) and gait speed (<jats:italic>P<\/jats:italic> = .002) after controlling for all covariates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>FABs related to physical activity in older adults with CLBP were significantly associated with both self\u2010reported and performance\u2010based disability after controlling for known confounders. Previous studies have reported similar associations between self\u2010reported measures of disabling back pain and FABs. Ours is the first study to examine the relationship between FAB and gait speed, a powerful predictor of morbidity and mortality. Future work should examine whether targeting fear avoidance in addition to other psychosocial measures in older adults with CLBP improves gait speed and functional independence.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.pmrj.2012.01.017","type":"journal-article","created":{"date-parts":[[2012,4,19]],"date-time":"2012-04-19T07:33:46Z","timestamp":1334820826000},"page":"493-497","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":45,"title":["Fear Avoidance Beliefs Predict Disability in Older Adults With Chronic Low Back Pain"],"prefix":"10.1002","volume":"4","author":[{"given":"Alejandra","family":"Camacho\u2010Soto","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gwendolyn A.","family":"Sowa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Subashan","family":"Perera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debra K.","family":"Weiner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,4,18]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.79.6.698"},{"key":"e_1_2_6_3_2","unstructured":"Y.J.Gist L.I.Hetzel.We the people: Aging in the United States Census 2000 Special Reportshttp:\/\/www.census.gov\/prod\/2004pubs\/censr\u201019.pdf Accessed March 5 2011"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181a18263"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4637.2003.03042.x"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200203010-00017"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0b013e31816b54f6"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ajp.0000173019.72365.f5"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7967(83)90009-8"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ajp.0000148626.84874.93"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1054\/math.1999.0199"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(93)90127-B"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afm169"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4637.2008.00518.x"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2009.06.012"},{"key":"e_1_2_6_16_2","doi-asserted-by":"crossref","first-page":"525","DOI":"10.2522\/ptj.20100131","article-title":"Fear\u2010avoidance beliefs are associated with disability in older American adults with low back pain","volume":"4","author":"Sions J.M.","year":"2011","journal-title":"Phys Ther"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2008.06.010"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-009-0245-0"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.1923"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2008.09.005"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200012150-00006"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/26.1.15"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1968.tb02103.x"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1080\/096382801750143643"},{"key":"e_1_2_6_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(98)00370-0"},{"key":"e_1_2_6_26_2","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/60.6.793"},{"key":"e_1_2_6_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3956(82)90033-4"},{"key":"e_1_2_6_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(87)91074-8"},{"key":"e_1_2_6_29_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-009-0246-z"},{"key":"e_1_2_6_30_2","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1111\/j.1532-5415.2006.00701.x","article-title":"Meaningful change and responsiveness in common physical performance measures in older adults","volume":"5","author":"Perera S.","year":"2006","journal-title":"J Am Geriatr Soc"},{"key":"e_1_2_6_31_2","doi-asserted-by":"crossref","first-page":"1727","DOI":"10.1111\/j.1532-5415.2007.01413.x","article-title":"Improvement in usual gait speed predicts better survival in older adults","volume":"11","author":"Hardy S.E.","year":"2007","journal-title":"J Am Geriatr Soc"},{"key":"e_1_2_6_32_2","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20050121"}],"container-title":["PM&amp;R"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.pmrj.2012.01.017","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1934148212000627?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1934148212000627?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.pmrj.2012.01.017","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T10:53:11Z","timestamp":1694688791000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1016\/j.pmrj.2012.01.017"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,4,18]]},"references-count":31,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2012,7]]}},"alternative-id":["10.1016\/j.pmrj.2012.01.017"],"URL":"https:\/\/doi.org\/10.1016\/j.pmrj.2012.01.017","archive":["Portico"],"relation":{},"ISSN":["1934-1482","1934-1563"],"issn-type":[{"value":"1934-1482","type":"print"},{"value":"1934-1563","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,4,18]]},"assertion":[{"value":"2011-11-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2012-01-31","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2012-04-18","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}