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Multidimensional as...
Multidimensional assessment of pain related disability after surgery for cervical disc disease
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- Abbott, Allan (författare)
- Karolinska University Hospital, Sweden; Karolinska Institute, Sweden; Bond University, Australia
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- Kjellman, Görel (författare)
- Östergötlands Läns Landsting,Linköpings universitet,Avdelningen för sjukgymnastik,Hälsouniversitetet,Forsknings- och utvecklingsenheten för Närsjukvården i Östergötland
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- Peolsson, Anneli (författare)
- Linköpings universitet,Avdelningen för sjukgymnastik,Hälsouniversitetet
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(creator_code:org_t)
- Australian Physiotherapy Association, 2013
- 2013
- Engelska.
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Ingår i: APA Conference 2013. - : Australian Physiotherapy Association. ; , s. 2-2
- Relaterad länk:
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http://www.physiothe...
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Abstract
Ämnesord
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- Questions: Given only 25% of patients, 10 year post-surgery for cervical disc disease report clinically meaningful improvements in functional disability, what are the biopsychosocial factors associated with continued long-term disability? What are the implications for physiotherapy practice?Design: Cross-sectional observational study.Participants: Ninety patients who had undergone anterior discectomy and fusion (ACDF) surgery 10-13 years prior.Outcome Measures: The Neck Disability Index (NDI), ACDF surgery type, surgical fusion status, patient age and Part 1 of the West Haven-Yale multidimensional pain inventory Swedish version (MPI-S) were entered into a statistical model. Part 1 of the MPI-S contains 5 subscales: pain severity, interference, life control, affective distress and support.Results: Seventy-three patients answered the questionnaires. Non-linear categorical regression modeling (CATREG) of the selected predictive variables explained 76.1% of the variance in NDI outcomes 10-13 years post ACDF. Of these predictors, MPI-S affective distress subscale (β = 0.635, p = <0.001) and pain severity subscale (β = 0.354, p = <0.001) were significant individual predictors of NDI ratings.Conclusion: This is the first study to investigate potential factors associated with prolonged functional disability greater than 10 years post-surgery for cervical disc disease. The results suggest the importance of not only pain severity but also screening affective distress as a potential barrier to physical functioning in patients previously operated for cervical disc disease. Future research on the utility of affect-focused body awareness therapy and pain coping strategies for post-surgical patients with continuing pain and physical disability is indicated.Key Practice Points:• The screening of pain severity and affective distress is of importance for patients presenting with continuing physical disability after previous surgery for cervical disc disorders• Affect-focused body awareness therapies and pain coping strategies may be a potential treatment alternative for patients with continuing pain and physical disability.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Sjukgymnastik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Physiotherapy (hsv//eng)
Publikations- och innehållstyp
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