Title |
Association between pain sensitivity in the hand and outcomes after surgery in patients with lumbar disc herniation or spinal stenosis
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Published in |
European Spine Journal, February 2017
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DOI | 10.1007/s00586-017-4979-9 |
Pubmed ID | |
Authors |
Yvonne Lindbäck, Hans Tropp, Paul Enthoven, Björn Gerdle, Allan Abbott, Birgitta Öberg |
Abstract |
To investigate the association between pain sensitivity in the hand pre-surgery, and patient-reported outcomes (PROs) in function, pain and health pre- and post-surgery in patients with disc herniation or spinal stenosis. This is a prospective cohort study with 82 patients. Associations between pressure-, cold- and heat pain threshold (PPT, CPT, HPT) in the hand pre-surgery and Oswestry, VAS pain, EQ-5D, HADS, and Self-Efficacy Scale, pre- and three months post-surgery; were investigated with linear regression. Patients with disc herniation more sensitive to pressure pain pre-surgery showed lower function and self-efficacy, and higher anxiety and depression pre-surgery, and lower function, and self-efficacy, and higher pain post-surgery. Results for cold pain were similar. In patients with spinal stenosis few associations with PROs were found and none for HPT and PROs. Altered pain response in pressure- and cold pain in the hand, as a sign of widespread pain pre-surgery had associations with higher pain, lower function and self-efficacy post-surgery in patients with disc herniation. |
X Demographics
Geographical breakdown
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United States | 1 | 50% |
Unknown | 1 | 50% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 50% |
Practitioners (doctors, other healthcare professionals) | 1 | 50% |
Mendeley readers
Geographical breakdown
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Spain | 1 | 2% |
Unknown | 62 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Bachelor | 11 | 17% |
Student > Master | 9 | 14% |
Student > Ph. D. Student | 6 | 10% |
Student > Postgraduate | 4 | 6% |
Other | 4 | 6% |
Other | 12 | 19% |
Unknown | 17 | 27% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 15 | 24% |
Nursing and Health Professions | 10 | 16% |
Neuroscience | 5 | 8% |
Agricultural and Biological Sciences | 2 | 3% |
Psychology | 2 | 3% |
Other | 9 | 14% |
Unknown | 20 | 32% |