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

Gunilla Limbäck Svensson, Mari Lundberg, Hans Christian Ostgaard, Gunilla Kjellby Wendt

Research output: Contribution to journalArticlepeer-review

34 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)732-736
Number of pages5
JournalActa Orthopaedica
Volume82
Issue number6
DOIs
Publication statusPublished - Dec 2011

Keywords

  • Adolescent
  • Adult
  • Aged
  • Catastrophization
  • Cross-Sectional Studies
  • Diskectomy/adverse effects
  • Female
  • Humans
  • Intervertebral Disc Displacement/rehabilitation
  • Lumbar Vertebrae/surgery
  • Male
  • Middle Aged
  • Movement
  • Movement Disorders/etiology
  • Outcome Assessment, Health Care
  • Patient Satisfaction
  • Phobic Disorders/surgery
  • Postoperative Complications/etiology
  • Self Efficacy
  • Surveys and Questionnaires
  • Young Adult

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