liu.seSearch for publications in DiVA
Change search
ReferencesLink to record
Permanent link

Direct link
Multidimensional assessment of pain related disability after surgery for cervical disc disease
Karolinska University Hospital, Sweden; Karolinska Institute, Sweden; Bond University, Australia.ORCID iD: 0000-0002-4318-9216
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in West Östergötland, Research & Development Unit in Local Health Care.
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Health Sciences.ORCID iD: 0000-0002-6075-4432
2013 (English)In: APA Conference 2013: New moves, Australian Physiotherapy Association , 2013, 2-2 p.Conference paper, Abstract (Other academic)
Abstract [en]

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.

Place, publisher, year, edition, pages
Australian Physiotherapy Association , 2013. 2-2 p.
National Category
URN: urn:nbn:se:liu:diva-123556OAI: diva2:886198
National Conference of the Australian Physiotherapy Association (APA) Conference 2013, Melbourne, Australia, 17-20 October 2013
Available from: 2015-12-21 Created: 2015-12-21 Last updated: 2016-01-08Bibliographically approved

Open Access in DiVA

No full text

Other links

Link to Conference abstracts

Search in DiVA

By author/editor
Abbott, AllanKjellman, GörelPeolsson, Anneli
By organisation
Division of PhysiotherapyFaculty of Health SciencesResearch & Development Unit in Local Health Care

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Total: 343 hits
ReferencesLink to record
Permanent link

Direct link