Síndrome dolorosa pós-laminectomia: estudo descritivo da abordagem terapêutica em 56 pacientes

Teixeira, Manoel Jacobsen; Yeng, Lin Tchia; Garcia, Oliver Garcia; FonoF, Erich Talamoni; Paiva, Wellingson Silva; Araujo, Joaci O.

doi:10.1590/s0104-42302011000300010

Cited by 8 publications

(9 citation statements)

References 24 publications

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“…In the study by Heyer et al, 12 these levels were similar, but the work by Teixeira et al found different levels. 24 In the present study, body weight was above the anthropometric parameters. Several studies have identified increased weight as an important risk factor for increasing pain before or after surgery.…”

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confidence: 42%

“…The data are similar to those previously reported in the literature for patients with chronic pain. 19,24 Meinhart and McCaffery 26 also point out that anxiety is a feeling often associated with acute pain, and is recognized as being responsible for increased pain perception. Anxiety is related to the intensity of pain and the possible meanings that the pain has for the patient.…”

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confidence: 99%

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Effectiveness of an Interdisciplinary Program in Patients With Failed Back Surgery Syndrome

et al. 2017

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Objective: To evaluate the results of an interdisciplinary program administered to patients with failed back surgery syndrome, aiming at functional improvement, modulation of pain, reduction of anxiety symptoms and depression, and improvement of quality of life. Method: This is a non-randomized prospective study with a sample of patients with failed back surgery pain syndrome diagnosed with persistent or recurrent pain after surgery to the lumbar spine (laminectomy and arthrodesis) referred to liaison in the Pain Clinic (n= 26). The instruments used were Brief Pain Inventory, Roland-Morris Questionnaire and Beck Anxiety and Depression Inventories. The generic WHOQOL-bref 13 questionnaire was used to evaluate the quality of life and the fear of moving was assessed by the Tampa Scale for Kinesiophobia. Results: There was a predominance of females, the mean age was 42.3 ± 5.8 years, 43% were married and average schooling was 7 ± 4.5 years. The mean time of pain reported was 8 ± 6.8 months in addition to high levels of anxiety, depression and kinesiophobia. After the intervention, there was a significant improvement in the perception of quality of life and of all parameters evaluated (p<0.05), with functional gains as well as decreased pain threshold. Conclusion: The interdisciplinary intervention in patients with failed back surgery syndrome provides better functional performance, decreases the intensity of pain, anxiety and depression symptoms, and improves quality of life. The inclusion of this intervention associated with drug therapy may the patient develop an active and independent lifestyle. Keywords: Low back pain; Interdisciplinary research; Reoperation. RESUMO

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Effectiveness of an Interdisciplinary Program in Patients With Failed Back Surgery Syndrome

et al. 2017

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“…Em relação ao sexo, observou-se que a maioria foi mulheres. Em um estudo (13) , os índices foram semelhantes, e houve discordância com outro estudo (14) . No presente estudo o peso corporal estava acima dos parâmetros antropométricos.…”

Section: Discussionunclassified

Impacto Funcional Na Qualidade De Vida De Indivíduos Com Síndrome Dolorosa Pós-Laminectomia

Martins¹,

Ramos²,

Foss³

et al. 2015

ACS

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ResumoIntrodução: A síndrome dolorosa pós-laminectomia (SDPL) ou dor após procedimentos cirúrgicos da coluna lombar causa um impacto significativo no individuo e na sociedade e muitas vezes é subtratada. Objetivo: avaliar a função, a qualidade de vida, o medo do movimento e sintomas de ansiedade e de depressão pós-laminectomia. Casuística e Métodos: Trata-se de um estudo descritivo, exploratório, de corte transversal e abordagem quantitativa, com pacientes pós laminectomizados (n = 18) atendidos em uma Clínica de Dor. Os instrumentos utilizados foram: o Questionário Roland-Morris, os inventários Beck de Ansiedade (BAI) e de Depressão (BDI), o World Health Organization's Quality of Life Instrument versão abreviada (Whoqol-bref) e a Escala Tampa de Cinesiofobia (ETC). Resultados: Na amostra houve predomínio do gênero feminino, média de idade de 42,3 ± 5,8 anos, 43% casados e média de escolaridade de 7 ± 4,5 anos. Foi relatado um tempo médio de dor de 8 ±6,8 meses e níveis altos de ansiedade, depressão e cinesiofobia. Conclusão: Este estudo demonstra o grande transtorno que essa síndrome representa para os pacientes em razão da incapacidade funcional, da dor, da baixa qualidade de vida e da situação emocional e física comprometida. Destaca-se a necessidade de programar mudanças na abordagem terapêutica dessa população especialmente vulnerável.Descritores: Laminectomia; Qualidade de Vida; Dor Crônica. AbstractIntroduction: Post-laminectomy syndrome (FBSS) or pain after surgical proceedings of the lumbar column cause a significant impact in the individual and in the society. It is often under treated. Objective: Evaluate the function, quality of life, fear of movement, and anxiety and depression symptoms in these patients. Patients and Method: This is a descriptive, exploratory, cross-sectional study using a quantitative approach with post laminectomy patients (n = 18) attended at a Pain Clinic. The instruments used were the Roland-Morris Questionnaire, the Beck Anxiety Inventory (BAI) and the Beck Depression Inventory (BDI). To assess the quality of life, we used the Whoqol-bref (a short version) and the Tampa Scale for kinesiophobia (KTS) for measure fear of movement. Results: The sample was predominantly female with a mean age of 42.3 ± 5.8 years, 43% married and mean schooling of 7 ± 4.5 years. It was reported an average time of pain of 8 ± 6.8 months, as well as high levels of anxiety, depression, and kinesiophobia. Conclusion: This study demonstrates the great inconvenience that this syndrome causes in patients. It provokes disability, pain, poor quality of life, and it impairs emotional and physical situations as well. This study depicts the great inconvenience that this syndrome causes in patients. It provokes disability, pain, poor quality of life, and it impairs emotional and physical situations as well. There is the need to make changes in the treatment of this particularly vulnerable population.Descriptors: Laminectomy; Quality of life; Chronic Pain.Arq.41-45 22(4) out-dez; 2015 Saúde. Ciênc.

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“…De acordo com a Associação Internacional de Estudo da Dor, a Síndrome Pós-laminectomia (SPL) é definida como dor lombar espinal de origem desconhecida que persiste na mesma localização da dor original apesar das intervenções cirúrgicas, ou que se instala após as cirurgias 5 .…”

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Navarro¹,

Chaves²,

Alves³

et al. 2018

jbnc

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Síndrome dolorosa pós-laminectomia: estudo descritivo da abordagem terapêutica em 56 pacientes

Abstract: In patients with a post-laminectomy syndrome, postoperative pain was more severe than preoperative pain from a herniated disk. A miofascial component was found in most patients.

Cited by 8 publications

References 24 publications

Effectiveness of an Interdisciplinary Program in Patients With Failed Back Surgery Syndrome

Effectiveness of an Interdisciplinary Program in Patients With Failed Back Surgery Syndrome

Impacto Funcional Na Qualidade De Vida De Indivíduos Com Síndrome Dolorosa Pós-Laminectomia

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