Activity Limitations in Patients with Axial Spondyloarthritis: A Role for Fear of Movement and (Re)injury Beliefs

Thijs W.  Swinnen; Johan W.S.  Vlaeyen; Wim Dankaerts; Rene Westhovens; Kurt de Vlam

doi:10.3899/jrheum.170318

Research ArticleArticle

Activity Limitations in Patients with Axial Spondyloarthritis: A Role for Fear of Movement and (Re)injury Beliefs

Thijs W. Swinnen, Johan W.S. Vlaeyen, Wim Dankaerts, Rene Westhovens and Kurt de Vlam

The Journal of Rheumatology November 2017, jrheum.170318; DOI: https://doi.org/10.3899/jrheum.170318

Thijs W. Swinnen

From the Division of Rheumatology, University Hospitals Leuven; Skeletal Biology and Engineering Research Center, Department of Development and Regeneration, KU Leuven; Health Psychology, Department of Behavior, Health and Psychopathology, KU Leuven, Belgium; Behavioral Medicine, Clinical and Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, the Netherlands; Musculoskeletal Rehabilitation Research Unit, Department of Rehabilitation Sciences, KU Leuven, Belgium. Grant support from the Division of Rheumatology, University Hospitals Leuven; Fonds voor Wetenschappelijk Reuma Onderzoek (FWRO, grant number 3M140121), Brussels, Belgium. J.W. Vlaeyen is supported by the “Asthenes” longterm structural funding — Methusalem grant (nr. METH/15/011) by the Flemish Government, Belgium. T.W. Swinnen, PT, MSc, Doctoral research fellow, Division of Rheumatology, University Hospitals Leuven, Skeletal Biology and Engineering Research Center, Department of Development and Regeneration, KU Leuven, Musculoskeletal Rehabilitation Research Unit, Department of Rehabilitation Sciences, KU Leuven; J.W. Vlaeyen, PhD, Full Professor, Health Psychology, Department of Psychology, KU Leuven, Behavioral Medicine, Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University; W. Dankaerts, PT, PhD, Associate Professor, Rehabilitation Sciences, Musculoskeletal Rehabilitation Research Unit, Department of Rehabilitation Sciences, KU Leuven; R. Westhovens, MD, PhD, Full Professor, Division of Rheumatology, University Hospitals Leuven, Skeletal Biology and Engineering Research Center, Department of Development and Regeneration, KU Leuven; K. de Vlam, MD, PhD, Division of Rheumatology, University Hospitals Leuven, Skeletal Biology and Engineering Research Center, Department of Development and Regeneration, KU Leuven. Address correspondence to Dr. K. de Vlam, Herestraat 49, Box 7003/13, 3000 Leuven, Belgium. E-mail: kurt.devlam@uzleuven.be. Accepted for publication September 8, 2017.

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Johan W.S. Vlaeyen

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Wim Dankaerts

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Rene Westhovens

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Kurt de Vlam

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Activity Limitations in Patients with Axial Spondyloarthritis: A Role for Fear of Movement and (Re)injury Beliefs