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High degree of kinesiophobia after lumbar disc herniation surgery.

Artikel i vetenskaplig tidskrift
Författare Gunilla Limbäck Svensson
Mari Lundberg
Hans-Christian Östgaard
Gunilla Kjellby-Wendt
Publicerad i Acta orthopaedica
Volym 82
Nummer/häfte 6
Sidor 732-736
ISSN 1745-3682
Publiceringsår 2011
Publicerad vid Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap och rehabilitering
Institutionen för kliniska vetenskaper, Avdelningen för ortopedi
Sidor 732-736
Språk en
Länkar dx.doi.org/10.3109/17453674.2011.63...
Ämneskategorier Ortopedi

Sammanfattning

Background and purpose Several studies have investigated outcomes after disc surgery. However, the occurrence of kinesiophobia has not been investigated previously in patients after disc herniation surgery. In this cross-sectional study, we investigated kinesiophobia in patients who had been treated surgically for lumbar disc herniation, and we related the results to established outcome measures. Patients and methods 10?34 months after surgery, questionnaires were sent to 97 patients who had undergone standardized open discectomy. Outcome measures included Tampa scale for kinesiophobia (TSK); Oswestry disability index (ODI); European quality of life in 5 dimensions (EQ-5D); visual analog scale (VAS) for leg and back pain, work disability, and patient satisfaction; Zung self-rating depression scale (ZDS); pain catastrophizing scale (PCS); and a self-efficacy scale (SES). Results 36 of 80 patients reported having kinesiophobia. There were statistically significant differences in ODI, EQ-5D, VAS leg and back pain, ZDS, PCS, and SES between patients with and without kinesiophobia. Interpretation Half of the patients suffered from kinesiophobia 10?34 months after surgery for disc herniation. These patients were more disabled, had more pain, more catastrophizing thoughts, more symptoms of depression, lower self-efficacy, and poorer health-related quality of life than patients without kinesiophobia.

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