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Steven Z George - One of the best experts on this subject based on the ideXlab platform.
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longitudinal changes in Psychosocial Factors and their association with knee pain and function after anterior cruciate ligament reconstruction
Physical Therapy, 2011Co-Authors: Terese L Chmielewski, Giorgio Zeppieri, Trevor A Lentz, Susan M Tillman, Michael W Moser, Peter A Indelicato, Steven Z GeorgeAbstract:Background Evidence in the musculoskeletal rehabilitation literature suggests that Psychosocial Factors can influence pain levels and functional outcome. Objective The purpose of this study was to examine changes in select Psychosocial Factors and their association with knee pain and function over 12 weeks after anterior cruciate ligament (ACL) reconstruction. Design This was a prospective, longitudinal, observational study. Methods Patients with ACL reconstruction completed self-report questionnaires for average knee pain intensity (numeric rating scale [NRS]), knee function (International Knee Documentation Committee Subjective Knee Form [IKDC-SKF]), and Psychosocial Factors (pain catastrophizing [Pain Catastrophizing Scale], fear of movement or reinjury [shortened version of the Tampa Scale for Kinesiophobia (TSK-11)], and self-efficacy for rehabilitation tasks [modified Self-Efficacy for Rehabilitation Outcome Scale (SER)]). Data were collected at 4 time points after surgery (baseline and 4, 8, and 12 weeks). Repeated-measures analyses of variance determined changes in questionnaire scores across time. Hierarchical linear regression models were used to examine the association of Psychosocial Factors with knee pain and function. Results Seventy-seven participants completed the study. All questionnaire scores changed across 12 weeks. Baseline Psychosocial Factors did not predict the 12-week NRS or IKDC-SKF score. The 12-week change in modified SER score predicted the 12-week change in NRS score ( r 2=.061), and the 12-week change in modified SER and TSK-11 scores predicted the 12-week change in IKDC-SKF score ( r 2=.120). Limitations The psychometric properties of the Psychosocial Factor questionnaires are unknown in people with ACL reconstruction. The study focused on short-term outcomes using only self-report measures. Conclusions Psychosocial Factors are potentially modifiable early after ACL reconstruction. Baseline Psychosocial Factor levels did not predict knee pain or function 12 weeks postoperatively. Interventions that increase self-efficacy for rehabilitation tasks or decrease fear of movement or reinjury may have potential to improve short-term outcomes for knee pain and function.
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identifying Psychosocial variables in patients with acute work related low back pain the importance of fear avoidance beliefs
Physical Therapy, 2002Co-Authors: Julie M Fritz, Steven Z GeorgeAbstract:Background and Purpose. Psychosocial Factors are known to affect recovery from acute low back pain. The Factors with the greatest influence and the optimal methods of measurement and interpretation have not been established. The purpose of this study was to examine baseline Psychosocial variables and their ability to predict prolonged work restrictions. Subjects. The subjects were 78 people with work-related low back pain who were participating in a clinical trial (mean age=37.4 years, SD=10.4, range=18–58; mean duration of pain=5.5 days, SD=4.6, range=0–19). Methods. A baseline examination including measures of impairment, disability, and Psychosocial variables was performed. All subjects had physical therapy interventions. Work status was assessed after 4 weeks. Sensitivity, specificity, and likelihood ratios were calculated for the prediction of work status by the use of Psychosocial variables. Receiver operator characteristic curves and logistic regression were used to identify the variables that were most predictive of work status. Results. Twenty-two subjects (29%) had persistent work restrictions. The work subscale of the Fear-Avoidance Beliefs Questionnaire was the strongest predictor of work status (negative likelihood ratio of 0.08 for scores less than 30, positive likelihood ratio of 3.33 for scores greater than 34). Discussion and Conclusion. Fear-avoidance beliefs about work was the Psychosocial Factor that could best be used to predict return to work in patients with acute work-related low back pain. Examination of fear-avoidance beliefs may serve as a useful screening tool for identifying patients who are at risk for prolonged work restrictions.
Kare Birger Hagen - One of the best experts on this subject based on the ideXlab platform.
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what is the role of nonorganic somatic components in functional capacity evaluations in patients with chronic nonspecific low back pain undergoing fitness for work evaluation
Spine, 2012Co-Authors: Peter Oesch, K Meyer, Beatrice Jansen, Petter Mowinckel, Stefan Bachmann, Kare Birger HagenAbstract:STUDY DESIGN: Analytical cross-sectional study. OBJECTIVE: To assess the association of "nonorganic somatic components" together with physical and other Psychosocial Factors on functional capacity evaluation (FCE) in patients with chronic nonspecific low back pain (NSLBP) undergoing fitness-for-work evaluation. SUMMARY OF BACKGROUND DATA: Functional capacity evaluation is increasingly used for physical fitness-for-work evaluation in patients with chronic NSLBP, but results seem to be influenced by physical as well as Psychosocial Factors. The influence of nonorganic somatic components together with physical and other Psychosocial Factors on FCE performance has not yet been investigated. METHODS: One hundred twenty-six patients with chronic NSLBP referred for physical fitness-for-work evaluation were included. The 4 FCE tests were lifting from floor to waist, forward bend standing, grip strength, and 6-minute walking. Nonorganic somatic components were assessed with the 8 nonorganic somatic signs as defined by Waddell and were adjusted for age, sex, days off work, salary in the previous occupation, pain intensity, fear avoidance belief, and perceived functional ability in multivariate regression analyses. RESULTS: Between 42% and 58% of the variation in the FCE tests was explained in the final multivariate regression models. Nonorganic somatic components were consistent independent predictors for all tests. Their influence was most important on forward bend standing and walking distance, and less on grip strength and lifting performance. The physical Factors of age and/or sex were strongly associated with grip strength and lifting, less with walking distance, and not at all with forward bend standing. The influence of at least 1 other Psychosocial Factor was observed in all FCE tests, having the highest proportion in the 6-minute walking test. CONCLUSION: Nonorganic somatic components seem to be consistent independent predictors in FCE testing and should be considered for interpretation of test results.
Rogelio A. Coronado - One of the best experts on this subject based on the ideXlab platform.
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Role of Psychosocial Factors on the effect of physical activity on physical function in patients after lumbar spine surgery
'Springer Science and Business Media LLC', 2021Co-Authors: Hiral Master, Renan Castillo, Stephen T. Wegener, Jacquelyn S. Pennings, Rogelio A. Coronado, Christine M. Haug, Richard L. Skolasky, Lee H. Riley, Brian J. Neuman, Joseph S. ChengAbstract:Abstract Background The purpose of this study was to investigate the longitudinal postoperative relationship between physical activity, Psychosocial Factors, and physical function in patients undergoing lumbar spine surgery. Methods We enrolled 248 participants undergoing surgery for a degenerative lumbar spine condition. Physical activity was measured using a triaxial accelerometer (Actigraph GT3X) at 6-weeks (6wk), 6-months (6M), 12-months (12M) and 24-months (24M) following spine surgery. Physical function (computerized adaptive test domain version of Patient-Reported Outcomes Measurement Information System) and Psychosocial Factors (pain self-efficacy, depression and fear of movement) were assessed at preoperative visit and 6wk, 6M, 12M and 24M after surgery. Structural equation modeling (SEM) techniques were utilized to analyze data, and results are represented as standardized regression weights (SRW). Overall SRW were computed across five imputed datasets to account for missing data. The mediation effect of each Psychosocial Factor on the effect of physical activity on physical function were computed [(SRW for effect of activity on Psychosocial Factor X SRW for effect of Psychosocial Factor on function) ÷ SRW for effect of activity on function]. Each SEM model was tested for model fit by assessing established fit indexes. Results The overall effect of steps per day on physical function (SRW ranged from 0.08 to 0.19, p
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do Psychosocial interventions improve rehabilitation outcomes after anterior cruciate ligament reconstruction a systematic review
Clinical Rehabilitation, 2018Co-Authors: Rogelio A. Coronado, Mackenzie L Bird, Erin E Van Hoy, Laura J Huston, Kurt P Spindler, Kristin R ArcherAbstract:Objective:To examine the role of Psychosocial interventions in improving patient-reported clinical outcomes, including return to sport/activity, and intermediary Psychosocial Factors after anterior cruciate ligament reconstruction.Methods:MEDLINE/PubMed, CINAHL, PsycINFO, and Web of Science were searched from each database’s inception to March 2017 for published studies in patients after anterior cruciate ligament reconstruction. Studies were included if they reported on the effects of a postoperative Psychosocial intervention on a patient-reported clinical measure of disability, function, pain, quality of life, return to sport/activity, or intermediary Psychosocial Factor. Data were extracted using a standardized form and summary effects from each article were compiled. The methodological quality of randomized trials was assessed using the Physiotherapy Evidence Database Scale and scores greater than 5/10 were considered high quality.Results:A total of 893 articles were identified from the literature sea...
Peter Oesch - One of the best experts on this subject based on the ideXlab platform.
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what is the role of nonorganic somatic components in functional capacity evaluations in patients with chronic nonspecific low back pain undergoing fitness for work evaluation
Spine, 2012Co-Authors: Peter Oesch, K Meyer, Beatrice Jansen, Petter Mowinckel, Stefan Bachmann, Kare Birger HagenAbstract:STUDY DESIGN: Analytical cross-sectional study. OBJECTIVE: To assess the association of "nonorganic somatic components" together with physical and other Psychosocial Factors on functional capacity evaluation (FCE) in patients with chronic nonspecific low back pain (NSLBP) undergoing fitness-for-work evaluation. SUMMARY OF BACKGROUND DATA: Functional capacity evaluation is increasingly used for physical fitness-for-work evaluation in patients with chronic NSLBP, but results seem to be influenced by physical as well as Psychosocial Factors. The influence of nonorganic somatic components together with physical and other Psychosocial Factors on FCE performance has not yet been investigated. METHODS: One hundred twenty-six patients with chronic NSLBP referred for physical fitness-for-work evaluation were included. The 4 FCE tests were lifting from floor to waist, forward bend standing, grip strength, and 6-minute walking. Nonorganic somatic components were assessed with the 8 nonorganic somatic signs as defined by Waddell and were adjusted for age, sex, days off work, salary in the previous occupation, pain intensity, fear avoidance belief, and perceived functional ability in multivariate regression analyses. RESULTS: Between 42% and 58% of the variation in the FCE tests was explained in the final multivariate regression models. Nonorganic somatic components were consistent independent predictors for all tests. Their influence was most important on forward bend standing and walking distance, and less on grip strength and lifting performance. The physical Factors of age and/or sex were strongly associated with grip strength and lifting, less with walking distance, and not at all with forward bend standing. The influence of at least 1 other Psychosocial Factor was observed in all FCE tests, having the highest proportion in the 6-minute walking test. CONCLUSION: Nonorganic somatic components seem to be consistent independent predictors in FCE testing and should be considered for interpretation of test results.
Kristin R Archer - One of the best experts on this subject based on the ideXlab platform.
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do Psychosocial interventions improve rehabilitation outcomes after anterior cruciate ligament reconstruction a systematic review
Clinical Rehabilitation, 2018Co-Authors: Rogelio A. Coronado, Mackenzie L Bird, Erin E Van Hoy, Laura J Huston, Kurt P Spindler, Kristin R ArcherAbstract:Objective:To examine the role of Psychosocial interventions in improving patient-reported clinical outcomes, including return to sport/activity, and intermediary Psychosocial Factors after anterior cruciate ligament reconstruction.Methods:MEDLINE/PubMed, CINAHL, PsycINFO, and Web of Science were searched from each database’s inception to March 2017 for published studies in patients after anterior cruciate ligament reconstruction. Studies were included if they reported on the effects of a postoperative Psychosocial intervention on a patient-reported clinical measure of disability, function, pain, quality of life, return to sport/activity, or intermediary Psychosocial Factor. Data were extracted using a standardized form and summary effects from each article were compiled. The methodological quality of randomized trials was assessed using the Physiotherapy Evidence Database Scale and scores greater than 5/10 were considered high quality.Results:A total of 893 articles were identified from the literature sea...