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 language | English |
---|---|
Pages (from-to) | 732-736 |
Number of pages | 5 |
Journal | Acta Orthopaedica |
Volume | 82 |
Issue number | 6 |
DOIs | |
Publication status | Published - 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