Multidimensional assessment of pain related disability after surgery for cervical disc disease

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Abbott, AllanKarolinska University Hospital, Sweden; Karolinska Institute, Sweden; Bond University, Australia (författare)

Multidimensional assessment of pain related disability after surgery for cervical disc disease

Artikel/kapitelEngelska2013

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Australian Physiotherapy Association,2013
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LIBRIS-ID:oai:DiVA.org:liu-123556
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-123556URI

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Språk:engelska
Sammanfattning på:engelska

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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.

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Kjellman, GörelÖstergötlands Läns Landsting,Linköpings universitet,Avdelningen för sjukgymnastik,Hälsouniversitetet,Forsknings- och utvecklingsenheten för Närsjukvården i Östergötland(Swepub:liu)gorkj48 (författare)
Peolsson, AnneliLinköpings universitet,Avdelningen för sjukgymnastik,Hälsouniversitetet(Swepub:liu)annpe35 (författare)
Karolinska University Hospital, Sweden; Karolinska Institute, Sweden; Bond University, AustraliaAvdelningen för sjukgymnastik (creator_code:org_t)

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Ingår i:APA Conference 2013: Australian Physiotherapy Association, s. 2-2

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Av författaren/redakt...: Abbott, Allan; Kjellman, Görel; Peolsson, Anneli

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Sjukgymnastik

Artiklar i publikationen: APA Conference 2 ...

Av lärosätet: Linköpings universitet

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