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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00005208naa a2200457 4500
001oai:DiVA.org:liu-164547
003SwePub
008200323s2020 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:143402622
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-1645472 URI
0247 a https://doi.org/10.1002/ejp.15372 DOI
0247 a http://kipublications.ki.se/Default.aspx?queryparsed=id:1434026222 URI
040 a (SwePub)liud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Liew, Bernard X Wu University of Essex, United Kingdom4 aut
2451 0a Probing the mechanisms underpinning recovery in post-surgical patients with cervical radiculopathy using Bayesian networks
264 c 2020-02-21
264 1b John Wiley & Sons,c 2020
338 a electronic2 rdacarrier
500 a Funding agencies: Region OstergotlandRegion Auvergne-Rhone-AlpesRegion Bourgogne-Franche-ComteRegion Hauts-de-FranceRegion Nouvelle-Aquitaine; Swedish Research CouncilSwedish Research Council; Lions; Futurum; Medical Research Council of Southeast Sweden; Swedish Society of
520 a BACKGROUND: Rehabilitation approaches should be based on an understanding of the mechanisms underpinning functional recovery. Yet, the mediators that drive an improvement in post-surgical pain-related disability in individuals with cervical radiculopathy (CR) are unknown. The aim of the present study is to use Bayesian networks (BN) to learn the probabilistic relationships between physical and psychological factors, and pain-related disability in CR.METHODS: We analysed a prospective cohort dataset of 201 post-surgical individuals with CR. In all, 15 variables were used to build a BN model: age, sex, neck muscle endurance, neck range of motion, neck proprioception, hand grip strength, self-efficacy, catastrophizing, depression, somatic perception, arm pain intensity, neck pain intensity and disability.RESULTS: A one point increase in a change of self-efficacy at 6 months was associated with a 0.09 point decrease in a change in disability at 12 months (t = -64.09, p < .001). Two pathways led to a change in disability: a direct path leading from a change in self-efficacy at 6 months to disability, and an indirect path which was mediated by neck and arm pain intensity changes at 6 and 12 months.CONCLUSIONS: This is the first study to apply BN modelling to understand the mechanisms of recovery in post-surgical individuals with CR. Improvements in pain-related disability was directly and indirectly driven by changes in self-efficacy levels. The present study provides potentially modifiable mediators that could be the target of future intervention trials. BN models could increase the precision of treatment and outcome assessment of individuals with CR.SIGNIFICANCE: Using Bayesian Network modelling, we found that changes in self-efficacy levels at 6-month post-surgery directly and indirectly influenced the change in disability in individuals with CR. A mechanistic understanding of recovery provides potentially modifiable mediators that could be the target of future intervention trials.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Sjukgymnastik0 (SwePub)303072 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Physiotherapy0 (SwePub)303072 hsv//eng
7001 a Peolsson, Anneliu Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten4 aut0 (Swepub:liu)annpe35
7001 a Scutari, Marcou IDSIA, Switzerland4 aut
7001 a Löfgren, Håkan,d 1957-u Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Ryhov Hospital, Region Jönköping4 aut0 (Swepub:liu)haklo96
7001 a Wibault, Johanna,d 1978-u Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Rörelse och Hälsa4 aut0 (Swepub:liu)johwi23
7001 a Dedering, Åsau Karolinska Institutet4 aut
7001 a Öberg, Birgittau Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten4 aut0 (Swepub:liu)birob80
7001 a Zsigmond, Peter,d 1966-u Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Neurokirurgiska kliniken US4 aut0 (Swepub:liu)petzs86
7001 a Falla, Deborahu University of Birmingham, United Kingdom4 aut
7102 a University of Essex, United Kingdomb Avdelningen för prevention, rehabilitering och nära vård4 org
7730 t European Journal of Paind : John Wiley & Sonsg 24:5, s. 909-920q 24:5<909-920x 1090-3801x 1532-2149
8564 u https://liu.diva-portal.org/smash/get/diva2:1416373/FULLTEXT01.pdfx primaryx Raw objecty fulltext:postprint
8564 u http://repository.essex.ac.uk/28950/1/e.Proofing.pdf
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-164547
8564 8u https://doi.org/10.1002/ejp.1537
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:143402622

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