Are fear-avoidance beliefs in low back pain patients a risk factor for low physical activity or vice versa? A cross-lagged panel analysis

Corinna Leonhardt, Dirk Lehr, Jean-François Chenot, Stefan Keller, Judith Luckmann, Heinz-Dieter Basler, Erika Baum, Norbert Donner-Banzhoff, Michael Pfingsten, Jan Hildebrandt, Michael M. Kochen & Annette Becker
Objective: The assumption that low back pain (LBP) patients suffer from “disuse” as a consequence of high fear-avoidance beliefs is currently under debate. A secondary analysis served to investigate whether fear-avoidance beliefs are associated cross-sectionally and longitudinally with the physical activity level (PAL) in LBP patients. Methods: A total of 787 individuals (57% acute and 43% chronic LBP) were followed up over a period of one year with measurements of fear-avoidance beliefs and physical activity...