Sökning: WFRF:(Peolsson Anneli) > Multidimensional as...
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000 | 03968naa a2200289 4500 | |
001 | oai:DiVA.org:liu-123556 | |
003 | SwePub | |
008 | 151221s2013 | |||||||||||000 ||eng| | |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-1235562 URI |
040 | a (SwePub)liu | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a vet2 swepub-contenttype |
072 | 7 | a kon2 swepub-publicationtype |
100 | 1 | a Abbott, Allanu Karolinska University Hospital, Sweden; Karolinska Institute, Sweden; Bond University, Australia4 aut0 (Swepub:liu)allab56 |
245 | 1 0 | a Multidimensional assessment of pain related disability after surgery for cervical disc disease |
264 | 1 | b Australian Physiotherapy Association,c 2013 |
338 | a print2 rdacarrier | |
520 | a 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. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Sjukgymnastik0 (SwePub)303072 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Physiotherapy0 (SwePub)303072 hsv//eng |
700 | 1 | a Kjellman, Görelu Östergötlands Läns Landsting,Linköpings universitet,Avdelningen för sjukgymnastik,Hälsouniversitetet,Forsknings- och utvecklingsenheten för Närsjukvården i Östergötland4 aut0 (Swepub:liu)gorkj48 |
700 | 1 | a Peolsson, Anneliu Linköpings universitet,Avdelningen för sjukgymnastik,Hälsouniversitetet4 aut0 (Swepub:liu)annpe35 |
710 | 2 | a Karolinska University Hospital, Sweden; Karolinska Institute, Sweden; Bond University, Australiab Avdelningen för sjukgymnastik4 org |
773 | 0 | t APA Conference 2013d : Australian Physiotherapy Associationg , s. 2-2q <2-2 |
856 | 4 | u http://www.physiotherapy.asn.au/DocumentsFolder/CONFERENCE%202013/APA%202013%20Conference%20Abstracts%20%28PDF%29.pdf#page=2y Link to Conference abstracts |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-123556 |
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