OBJECTIVES: To assess the extent to which perceived pain and psychological factors explain levels of disability and health-related quality of life (HRQOL) in patients scheduled for lumbar fusion surgery, and to test the hypothesis that relationships between pain intensity, mental health, fear of movement/(re)injury, disability and HRQOL are mediated by cognitive beliefs and appraisals. DESIGN: Cross-sectional, correlation study. SETTING: Orthopaedic outpatient setting in a tertiary hospital. PARTICIPANTS: One hundred and seven chronic back pain patients scheduled for lumbar fusion surgery. MEASURES: Visual analogue scale for pain intensity, Short Form 36 mental health subscale, Tampa Scale for Kinesiophobia, Back Beliefs Questionnaire, Self-efficacy Scale, Coping Strategy Questionnaire, Oswestry Disability Index and European Quality of Life Questionnaire. RESULTS: The group effect of multiple mediators significantly influenced the relationships between pain intensity and mental health, fear of movement/(re)injury, functional disability and HRQOL. Pain catastrophising significantly mediated the relationship between pain intensity and mental health, control over pain significantly mediated the relationship between mental health and functional disability, self-efficacy and pain outcome expectancy significantly mediated the relationship between mental health and HRQOL, and self-efficacy also significantly mediated the relationship between pain intensity, fear of movement/(re)jury and functional disability. The model explained 28, 30, 52 and 42% of the variation in mental health, fear of movement/(re)injury, functional disability and HRQOL, respectively. CONCLUSIONS: This study highlights the strong influence and mediation roles of psychological factors on pain, mental health, fear of movement/(re)injury, disability and HRQOL in patients scheduled for lumber fusion. Future research should focus on screening as well as pre- and post-operative interventions based on these psychological factors for the potential improvement of lumber fusion surgery outcomes. Copyright 2010 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.
OBJECTIVES: To assess the extent to which perceived pain and psychological factors explain levels of disability and health-related quality of life (HRQOL) in patients scheduled for lumbar fusion surgery, and to test the hypothesis that relationships between pain intensity, mental health, fear of movement/(re)injury, disability and HRQOL are mediated by cognitive beliefs and appraisals. DESIGN: Cross-sectional, correlation study. SETTING: Orthopaedic outpatient setting in a tertiary hospital. PARTICIPANTS: One hundred and seven chronic back painpatients scheduled for lumbar fusion surgery. MEASURES: Visual analogue scale for pain intensity, Short Form 36 mental health subscale, Tampa Scale for Kinesiophobia, Back Beliefs Questionnaire, Self-efficacy Scale, Coping Strategy Questionnaire, Oswestry Disability Index and European Quality of Life Questionnaire. RESULTS: The group effect of multiple mediators significantly influenced the relationships between pain intensity and mental health, fear of movement/(re)injury, functional disability and HRQOL. Pain catastrophising significantly mediated the relationship between pain intensity and mental health, control over pain significantly mediated the relationship between mental health and functional disability, self-efficacy and pain outcome expectancy significantly mediated the relationship between mental health and HRQOL, and self-efficacy also significantly mediated the relationship between pain intensity, fear of movement/(re)jury and functional disability. The model explained 28, 30, 52 and 42% of the variation in mental health, fear of movement/(re)injury, functional disability and HRQOL, respectively. CONCLUSIONS: This study highlights the strong influence and mediation roles of psychological factors on pain, mental health, fear of movement/(re)injury, disability and HRQOL in patients scheduled for lumber fusion. Future research should focus on screening as well as pre- and post-operative interventions based on these psychological factors for the potential improvement of lumber fusion surgery outcomes. Copyright 2010 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.
Authors: Lauren K Dunn; Marcel E Durieux; Lucas G Fernández; Siny Tsang; Emily E Smith-Straesser; Hasan F Jhaveri; Shauna P Spanos; Matthew R Thames; Christopher D Spencer; Aaron Lloyd; Russell Stuart; Fan Ye; Jacob P Bray; Edward C Nemergut; Bhiken I Naik Journal: J Neurosurg Spine Date: 2017-11-10
Authors: Luis A Feigenbaum; Michael Baraga; Lee D Kaplan; Kathryn E Roach; Kathryn M Calpino; Katie Dorsey; Cristina Martorelli; Beatriz Sagarduy; Lesley-Anne King; Vincent A Scavo Journal: Int J Sports Phys Ther Date: 2015-02
Authors: Rogelio A Coronado; Dawn M Ehde; Jacquelyn S Pennings; Susan W Vanston; Tatsuki Koyama; Sharon E Phillips; Shannon L Mathis; Matthew J McGirt; Dan M Spengler; Oran S Aaronson; Joseph S Cheng; Clinton J Devin; Stephen T Wegener; Kristin R Archer Journal: Phys Ther Date: 2020-09-28