Previous research found that fear avoidance beliefs have a negative impact on the prognosis of low-back pain (LBP). Now a new study looks at how chiropractic care influences fear avoidance thinking. Specifically, it found that these destructive beliefs are significantly reduced following just a first chiropractic visit.
Investigators looked at 71 patients with LBP presenting for chiropractic care at one of five clinics. They completed questionnaires prior to their first visit (pre-visit) and again before their second visit (post-visit). After one month, the patients were assessed for their impression of improvement.
Findings revealed that “fear avoidance beliefs (FAB), catastrophisation and self-efficacy were all improved significantly within a few days of a patient’s initial chiropractic consultation.”
In addition, “those patients who exhibited higher adverse psychology post-initial visit appear to have an increased risk of poor outcome at 1 month.”
Chiropractic & Osteopathy – July 30, 2010;18:Epub.