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High degree of kinesiophobia after lumbar disc herniation surgery: a cross-sectional study of 84 patients

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

Keywords : Adolescent,Adult,adverse effects,Aged,Back,Back Pain,Catastrophization,Cross-Sectional Studies,Depression,Diskectomy,etiology,Female,Humans,Intervertebral Disc Displacement,Leg,Lumbar Vertebrae,Male,methods,Middle Aged,Movement,Movement Disorders,Outcome Assessment (Health Care),Pain,Patient Satisfaction,Patients,Phobic Disorders,Postoperative Complications,psychology,Quality of Life,rehabilitation,Self Efficacy,surgery,Surveys and Questionnaires,Sweden,Universities,Young Adult,, Degree,Kinesiophobia,After,Lumbar, diaphragm breathing vs chest breathing

Date of Publication : 2011 Dec

Authors : Svensson GL;Lundberg M;Ostgaard HC;Wendt GK;

Organisation : Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden. gunilla.limback_svensson@vgregion.se

Journal of Publication : Acta Orthop

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/22066555

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