Recovery From Depressive Symptoms Over the Course of Physical Therapy: A Prospective Cohort Study of Individuals With Work-Related Orthopaedic Injuries and Symptoms of Depression

Wideman, Timothy H.; Scott, Whitney; Martel, Marc O.; Sullivan, Michael

doi:10.2519/jospt.2012.4182

Cited by 21 publications

(13 citation statements)

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“…The present results are consistent with previous research in showing that a physical therapy intervention can yield significant reductions in pain catastrophizing [11,14,35]. The findings of this study extend previous findings in showing that while catastrophizing scores appear to respond well to physical therapy, the number of non-responders increases dramatically when high catastrophizing is coupled with symptoms of mental health problems.…”

Section: Discussionsupporting

confidence: 83%

“…Participation in the physical therapy intervention was associated with a 30.1 % reduction in pain severity, a 37.2 % reduction in depression, a 29.8 % reduction in symptoms of post-traumatic stress, and a 40.3 % reduction in pain catastrophizing. The magnitude of these reductions is comparable (within 1 SD) to what has been reported in previous research examining the effects of physical therapy interventions on these variables [6,11,35,36]. There were no differences between the 4 groups on change in physical function (i.e., walking distance) (F (3,170) = 0.191, p = .902).…”

Section: Sample Characteristics and Descriptive Statisticssupporting

confidence: 65%

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Changes in Pain Catastrophizing Following Physical Therapy for Musculoskeletal Injury: The Influence of Depressive and Post-traumatic Stress Symptoms

et al. 2013

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Purpose: The aim of the present study was to investigate the factors that influence the change in pain catastrophizing during the course of a physical therapy intervention for musculoskeletal injury. Methods: 187 clients enrolled in a 7-week physical therapy intervention were divided into four mutually exclusive groups on the basis of a pre-treatment assessment: (1) clients whose pretreatment catastrophizing scores and measures of mental health problems were below clinical threshold, (2) clients whose pre-treatment catastrophizing scores were above clinical threshold but who scores on measures of mental health problems were below clinical threshold, (3) clients whose pre-treatment catastrophizing scores were above clinical threshold and whose scores on measures of mental health problems were also above clinical threshold, and (4) clients whose pre-treatment catastrophizing scores were below clinical threshold but whose scores on measures of mental health problems were above clinical threshold. Results: The most prevalent risk profile consisted of clients with high levels of pain catastrophizing and high mental health problems (37 %), followed by the low catastrophizing and low mental health problems profile (35 %), the high catastrophizing and low mental health problems profile (16 %), and low catastrophizing and high mental health problems profile (10 %). Clients were considered nonresponders if their post-treatment catastrophizing score remained above clinical threshold following treatment. Chi square analyses revealed a significantly higher proportion of non-responders in the high catastrophizing and mental health problem group than in any other group. Conclusions: The presence of mental health symptoms markedly reduces the effectiveness of physical therapy for reducing catastrophizing scores. The 'risk value' of high catastrophizing scores thus appears to vary as a function of the presence or absence of mental health symptoms. The findings argue for the inclusion of measures of mental health problems in the routine screening of individuals treated in physical therapy.

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Section: Discussionsupporting

confidence: 83%

Section: Sample Characteristics and Descriptive Statisticssupporting

confidence: 65%

Changes in Pain Catastrophizing Following Physical Therapy for Musculoskeletal Injury: The Influence of Depressive and Post-traumatic Stress Symptoms

et al. 2013

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“…In other words, the PROMIS Pain interference CAT is the PROMIS version of the Pain Catastrophizing Scale or Pain Self-Efficacy Questionnaire. Ineffective coping strategies and symptoms of depression explain a large part of the variation in symptom intensity and disability in patients with musculoskeletal illness—usually much more than diagnosis or impairment [2–7, 9, 11, 12, 14, 33, 35, 37–43, 47, 52–56, 58–61]. Feedback to the patient regarding the effectiveness of their coping strategies in response to pain compared to the average person in the US population might make it easier to discuss this aspect of health and well-being during the office visit.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Feedback regarding Coping Strategies and Illness Behavior on Hand Surgery Patient Satisfaction and Communication: A Randomized Controlled Trial

Mellema

O’Connor

Overbeek

et al. 2015

Hand (New York, N,Y.)

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“…In addition, the resolution or improvement of depression was associated with long-term improvements in pain and disability. 50 Our study suggests that depressive symptoms are associated with function and disability in women with CTS.…”

Section: Tablementioning

confidence: 88%

“…The results indicated that depression consistently exhibited an impact on patient outcomes, including those with upper extremity pathologies. 23 In another recent study, 50 it was determined that depressive symptoms resolved over the course of physical therapy treatment in around 40% of patients with work-related musculoskeletal injuries and symptoms of depression. In addition, the resolution or improvement of depression was associated with long-term improvements in pain and disability.…”

Section: Tablementioning

confidence: 99%

Clinical, Physical, and Neurophysiological Impairments Associated With Decreased Function in Women With Carpal Tunnel Syndrome

Fernández‐de‐las‐Peñas

Cleland²,

Plaza-Manzano³

et al. 2013

J Orthop Sports Phys Ther

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[ research report ] C arpal tunnel syndrome (CTS) is a disorder characterized by compres sion of the median nerve at the carpal tunnel, often as a result of repetitive activities. 40The clinical presentation of CTS includes motor and sensory deficits in the median nerve distribution and numbness, which may be worse during the night. 31 Women are most often afflicted with CTS, with a reported annual incidence of 139 per 100 000 females, compared to 67 cases per 100 000 males.6 CTS can result in considerable pain, loss of function, and disability. The societal burden of CTS is substantial, and it has been reported that individuals with CTS exhibit loss in productivity and monetary income. 22 Although CTS is primarily considered a peripheral neuropathy, increasing evidence is showing that musculoskeletal disorders and sensitization mechanisms are related in this condition. 16 Previous studies have demonstrated the presence of widespread pressure pain hypersen-T T STUDY DESIGN: Cross-sectional study. T T OBJECTIVE:To examine the associations between clinical (pain), physical (cervical range of motion [ROM] and pinch grip force), and neurophysiological (pressure pain thresholds) outcomes and self-reported function and disability in women with carpal tunnel syndrome (CTS). T T BACKGROUND:The association of physical and physiological variables with self-rated function and disability in patients with CTS has not been fully determined. A better understanding of the association between potentially modifiable risk factors, such as limited cervical ROM, could assist clinicians in optimizing therapeutic programs for this group of patients. T T METHODS:One hundred fifty-four women with CTS were recruited. Demographic information and data on duration of symptoms, pain intensity, depression, cervical ROM, pinch grip force, and pressure pain thresholds over the neck, hand, and leg were collected. Self-reported function and disability were measured with the functional status subscale of the Boston Carpal Tunnel Questionnaire. Correlation and regression analyses were performed to determine associations between variables. T T RESULTS:There were significant positive correlations between the functional status subscale score and pain intensity (r = 0.36, P<.001), depression (r = 0.32, P<.001), and duration of symptoms (r = 0.23, P = .005). Significant negative correlations were also observed between the functional status subscale score and pinch grip force of the index finger (r = -0.25, P = .002) and little finger (r = -0.28, P<.001), ROM in cervical flexion (r = -0.22, P = .003) and lateral flexion away from the side of CTS (r = -0.24, P = .002) and toward the side of CTS (r = -0.16, P = .045), and pressure pain threshold over C5-6 (r = -0.34, P<.001), the carpal tunnel (r = -0.35, P<.001), and the tibialis anterior muscle (r = -0.26, P<.001).Stepwise regression analyses revealed that pain intensity, thumb and little finger pinch grip force, severity of depression, and cervical ROM in lateral flexion away from the side of CTS expla...

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Recovery From Depressive Symptoms Over the Course of Physical Therapy: A Prospective Cohort Study of Individuals With Work-Related Orthopaedic Injuries and Symptoms of Depression

Cited by 21 publications

References 70 publications

Changes in Pain Catastrophizing Following Physical Therapy for Musculoskeletal Injury: The Influence of Depressive and Post-traumatic Stress Symptoms

Changes in Pain Catastrophizing Following Physical Therapy for Musculoskeletal Injury: The Influence of Depressive and Post-traumatic Stress Symptoms

The Effect of Feedback regarding Coping Strategies and Illness Behavior on Hand Surgery Patient Satisfaction and Communication: A Randomized Controlled Trial

Clinical, Physical, and Neurophysiological Impairments Associated With Decreased Function in Women With Carpal Tunnel Syndrome

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