Fear of movement/(re)injury, avoidance and pain disability in chronic low back pain patients

Man Ther. 1999 Nov;4(4):187-95. doi: 10.1054/math.1999.0199.


Chronic pain syndromes such as chronic low back pain are responsible for enormous costs for health care and society. For these conditions a pure biomedical approach often proves insufficient. Numerous studies have shown that there is little direct relationship between pain and disability and suggest that the biopsychosocial approach offers the foundations for a better insight in how pain can become a persistent problem. The main assumption is that pain and pain disability are not only influenced by organic pathology, if found, but also by psychological and social factors. In this contribution, a behavioural analysis of chronic musculoskeletal pain will be discussed, with special attention to the role of pain-related fear in the development and maintenance of chronic pain disability, and the behavioural rehabilitation perspective of chronic pain management.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Avoidance Learning
  • Behavior
  • Chronic Disease
  • Disabled Persons* / rehabilitation
  • Electromyography
  • Fear
  • Humans
  • Low Back Pain / psychology*
  • Low Back Pain / rehabilitation*
  • Muscles / physiology
  • Psychophysiologic Disorders / diagnosis
  • Social Support
  • Surveys and Questionnaires