Individual factors associated with neck disability in patients with cervical radiculopathy scheduled for surgery: a study on physical impairments, psychosocial factors, and life style habits

Wibault, Johanna; Dedering, Åsa; Löfgren, Håkan; Zsigmond, Peter; Persson, Liselott; Peolsson, Anneli

doi:10.1007/s00586-013-3066-0

Cited by 30 publications

(36 citation statements)

References 25 publications

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“…More generally, our broad patient assessment including measures of neck-related physical function and psychosocial factors improved the description of treatment outcomes, as was previously suggested by Wibault et al 32 The results show that neck-specific exercises are tolerated by patients with CR after surgery and they may suggest a benefit from structured postoperative physiotherapy. Future studies should investigate the long-term effects of SPT in patients with CR considering that some effects may be delayed up to one year after surgery.…”

Section: Discussionsupporting

confidence: 60%

Neck-Related Physical Function, Self-Efficacy, and Coping Strategies in Patients With Cervical Radiculopathy: A Randomized Clinical Trial of Postoperative Physiotherapy

Wibault

Öberg

Dedering

et al. 2017

Journal of Manipulative and Physiological Therapeutics

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Section: Discussionsupporting

confidence: 60%

Neck-Related Physical Function, Self-Efficacy, and Coping Strategies in Patients With Cervical Radiculopathy: A Randomized Clinical Trial of Postoperative Physiotherapy

Wibault

Öberg

Dedering

et al. 2017

Journal of Manipulative and Physiological Therapeutics

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“…Also, for all three subscales we hypothesized higher scores for subjects from the two clinical samples that had not undergone surgery yet, compared to subjects from the population-based sample. Furthermore, for the two limitation subscales we hypothesized that CRIS subscale scores would be higher for subjects with a high, more threatening, illness perception compared to subjects with a low, less threatening, illness perception, measured by the Brief Illness perception Questionnaire [25]. For confirmation of these hypotheses, differences not only had to be statistically significant, but also exceed the SEM value for the relevant subscale, to confirm that the difference was not based on measurement error.…”

Section: Construct Validitymentioning

confidence: 97%

“…For known-groups differences testing, we hypothesized higher scores on all three CRIS subscales for working subjects that were on sick-leave compared to working subjects that were not [25]. Also, for all three subscales we hypothesized higher scores for subjects from the two clinical samples that had not undergone surgery yet, compared to subjects from the population-based sample.…”

Section: Construct Validitymentioning

confidence: 99%

The Cervical Radiculopathy Impact Scale: development and evaluation of a new functional outcome measure for cervical radicular syndrome

Gärtner

Marinus

Hout

et al. 2019

Disability and Rehabilitation

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Objective: To develop and validate an outcome scale for the cervical radicular syndrome and to build a mapping, predicting EQ-5D utility from the new scale. Study design and setting: An item pool was developed based on literature and patient and clinician interviews. Item selection was based on symptomatology, factor analysis, and internal consistency. We assessed: (a) test-retest reliability by standard error of measurement and intraclass correlation coefficients; (b) construct validity by testing 22 hypotheses on relationships with existing measures and known-group differences. For the mapping, performance was assessed by mean absolute error and root mean squared error. Results: A total of 254 patients with cervical radicular syndrome completed the first questionnaire, 61 stable patients a retest. Item selection led to a 21-item questionnaire consisting of three subscales: Symptoms, Energy and postures, and Actions and activities. Standard error of measurement values ranged from 6.7 to 11.2 on a 0 to 100 scale. All subscales showed good reliability (intraclass correlation coefficients: 0.84, 0.87, and 0.94). All hypotheses for construct validity were confirmed. A linear utility mapping was preferred, with reasonable statistical performance. Conclusion: We developed a reliable and valid cervical radicular syndrome specific outcome scale, called the Cervical Radiculopathy Impact Scale (CRIS). This new questionnaire may facilitate (cost-)effectiveness studies in this field. ä IMPLICATIONS FOR REHABILITATIONThe cervical radicular syndrome is a frequently occurring and invalidating health problem, which causes severe radiating pain in the arm and/or hand, which can be accompanied by motor and/or sensory deficits. The Cervical Radiculopathy Impact Scale (CRIS) is a newly developed self-report questionnaire which covers measurement of symptoms and limitations in patients with cervical radiculopathy due to irradiating pain, tingling sensations and sensory loss in the arm in combination with neck disability. The CRIS consists of 21 items divided over three subscales: (i) symptoms, (ii) energy and postures, and (iii) actions and activities. The CRIS shows good content validity, test-retest reliability, construct validity and is able to discriminate between groups. The CRIS predicts EQ-5D utility and is therefore useful for (cost)effectiveness studies in this field. ARTICLE HISTORY

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“…16 This question has been used in previous research to investigate patient satisfaction with the outcome of treatment for neck, low back and pelvic pain. [16][17][18] The independent explanatory variables assessed for this study are detailed in Table 1. Variables were grouped as psychological factors, appraisals of knee function, and return to the pre-injury activity.…”

Section: Outcome Measuresmentioning

confidence: 99%

Satisfaction With Knee Function After Primary Anterior Cruciate Ligament Reconstruction Is Associated With Self-Efficacy, Quality of Life, and Returning to the Preinjury Physical Activity

Ardern

Österberg

Sonesson

et al. 2016

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Purpose: To assess whether patient-reported outcomes (psychological factors, appraisals of knee function, and physical activity participation) were associated with satisfaction with knee function after anterior cruciate ligament (ACL) reconstruction. Methods: Participants who were aged 18 to 45 years and a minimum 12 months post primary ACL reconstruction completed a questionnaire battery evaluating knee self-efficacy, knee-related quality of life, self-reported function, and physical activity participation. Participants responses to the question "If you were to spend the rest of your life with your knee just the way it has been in the last week, would you feel.... (7-point ordinal scale; 1 = happy, 7 = unhappy)" were categorized as satisfied, mostly satisfied, or dissatisfied and used as the primary outcome. Ordinal regression was used to examine associations between independent variables and the primary outcome. Results: A total of 177 participants were included at an average of 3 years after primary ACL reconstruction. At follow-up, 44% reported they would be satisfied, 28% mostly satisfied, and 28% dissatisfied with the outcome of ACL reconstruction. There were significant differences in psychological responses and appraisal of knee function between the 3 groups (P = .001), and significantly more people in the satisfied group had returned to their preinjury activity (58%) than in the mostly satisfied (28%) and dissatisfied (26%) groups (P = .001). Multivariable analysis demonstrated that the odds of being satisfied increased by a factor of 3 with higher self-efficacy, greater knee-related quality of life, and returning to the preinjury activity. Conclusions: People who had returned to their preinjury physical activity and who reported higher knee-related self-efficacy and quality of life were more likely to be satisfied with the outcome of ACL reconstruction

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Individual factors associated with neck disability in patients with cervical radiculopathy scheduled for surgery: a study on physical impairments, psychosocial factors, and life style habits

Abstract: Assessments of physical impairments and psychosocial factors in patients with cervical radiculopathy could improve the description of neck disability and the interpretation of treatment outcomes in longitudinal studies.

Cited by 30 publications

References 25 publications

Neck-Related Physical Function, Self-Efficacy, and Coping Strategies in Patients With Cervical Radiculopathy: A Randomized Clinical Trial of Postoperative Physiotherapy

Neck-Related Physical Function, Self-Efficacy, and Coping Strategies in Patients With Cervical Radiculopathy: A Randomized Clinical Trial of Postoperative Physiotherapy

The Cervical Radiculopathy Impact Scale: development and evaluation of a new functional outcome measure for cervical radicular syndrome

Satisfaction With Knee Function After Primary Anterior Cruciate Ligament Reconstruction Is Associated With Self-Efficacy, Quality of Life, and Returning to the Preinjury Physical Activity

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