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Reduced work capacity after lumbar disc surgery: the role of cognitive-behavioral and work-related risk factors.
den Boer, Jasper J; Oostendorp, Rob A B; Beems, Tjemme; Munneke, Marten; Evers, Andrea W M.
Afiliação
  • den Boer JJ; Department of Physical Therapy, University Medical Centre Radboud, Nijmegen, The Netherlands. J.denBoer@fysio.umcn.nl
Pain ; 126(1-3): 72-8, 2006 Dec 15.
Article em En | MEDLINE | ID: mdl-16843598
ABSTRACT
A significant number of patients who have had surgery for lumbosacral radicular syndrome still have a reduced work capacity several months later. In a prospective cohort study of 182 people who underwent lumbar disc surgery, we determined the predictive value of preoperatively measured cognitive-behavioral and work-related factors on work capacity 6 months after surgery. Logistic regression analyses indicated that these factors independently predicted work capacity 6 months after surgery. Specifically, fear of movement/(re)injury, more passive pain coping, and higher physical work-load predicted reduced work capacity in multiple logistic regression analyses, taking into account the role of a wide range of control variables including demographic variables, preoperative disability and pain intensity, neurological deficits, intake of analgesics, duration of complaints, and pain intensity 3 days postoperatively. The study supports the need to develop and evaluate preoperative risk screening measures that include both cognitive-behavioral and work-related factors and to evaluate the effectiveness of cognitive-behavioral and work-related interventions in patients at risk of reduced work capacity after surgery for LRS.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Avaliação da Capacidade de Trabalho / Dor nas Costas / Avaliação da Deficiência / Disco Intervertebral / Vértebras Lombares Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Pain Ano de publicação: 2006 Tipo de documento: Article
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Avaliação da Capacidade de Trabalho / Dor nas Costas / Avaliação da Deficiência / Disco Intervertebral / Vértebras Lombares Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Pain Ano de publicação: 2006 Tipo de documento: Article