Prognostic Value of Preoperative Coping Strategies for Pain in Patients with Residual Neuropathic Pain after Laminoplasty for Compressive Cervical Myelopathy
Study DesignSingle-center retrospective cohort study.PurposeTo clarify the prognostic value of preoperative coping strategies for pain due to compressive cervical myelopathy.Overview of LiteraturePreoperative physical function, imaging and electrophysiological findings are known predictors of surgic...
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| Format: | Article |
| Language: | English |
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Korean Spine Society
2015-10-01
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| Series: | Asian Spine Journal |
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| Online Access: | http://www.asianspinejournal.org/upload/pdf/asj-9-675.pdf |
| _version_ | 1818207580031287296 |
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| author | Daisuke Higuchi |
| author_facet | Daisuke Higuchi |
| author_sort | Daisuke Higuchi |
| collection | DOAJ |
| description | Study DesignSingle-center retrospective cohort study.PurposeTo clarify the prognostic value of preoperative coping strategies for pain due to compressive cervical myelopathy.Overview of LiteraturePreoperative physical function, imaging and electrophysiological findings are known predictors of surgical outcomes. However, coping strategies for pain have not been considered.MethodsPostoperative questionnaires, concerning health-related quality of life (HRQOL) and daily living activities, were sent to 78 patients with compressive cervical myelopathy who had suffered from neuropathic pain before laminoplasty, and been preoperatively assessed with respect to their physical and mental status and coping strategies for pain. Hierarchical multiple regression analysis was performed to clarify the extent to which the patient's preoperative coping strategies could explain the variance in postoperative HRQOL and activity levels.ResultsForty-two patients with residual neuropathic pain after laminoplasty were analyzed by questionnaires (28 men, 14 women; mean age, 62.7±10.2 years; symptom duration, 48.0±66.0 months). The valid response rate was 53.8%. Hierarchical multiple regression analysis showed that preoperative coping strategies, which involved coping self-statements, diverting attention, and catastrophizing, were independently associated with postoperative HRQOL and activity level, and could explain 7% to 11% of their variance. Combinations of the coping strategies for pain and upper/lower motor functions could explain 26% to 36% of the variance in postoperative HRQOL and activity level.ConclusionsPreoperative coping strategies for pain are good predictors of postoperative HRQOL and activities of daily living in patients with postoperative residual neuropathic pain due to compressive cervical myelopathy. |
| first_indexed | 2024-12-12T04:31:10Z |
| format | Article |
| id | doaj.art-133ba37c53d74befa070bba801c4e1ca |
| institution | Directory Open Access Journal |
| issn | 1976-1902 1976-7846 |
| language | English |
| last_indexed | 2024-12-12T04:31:10Z |
| publishDate | 2015-10-01 |
| publisher | Korean Spine Society |
| record_format | Article |
| series | Asian Spine Journal |
| spelling | doaj.art-133ba37c53d74befa070bba801c4e1ca2022-12-22T00:38:05ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462015-10-019567568210.4184/asj.2015.9.5.675831Prognostic Value of Preoperative Coping Strategies for Pain in Patients with Residual Neuropathic Pain after Laminoplasty for Compressive Cervical MyelopathyDaisuke Higuchi0Department of Rehabilitation, Harunaso Hospital, Takasaki, Japan.Study DesignSingle-center retrospective cohort study.PurposeTo clarify the prognostic value of preoperative coping strategies for pain due to compressive cervical myelopathy.Overview of LiteraturePreoperative physical function, imaging and electrophysiological findings are known predictors of surgical outcomes. However, coping strategies for pain have not been considered.MethodsPostoperative questionnaires, concerning health-related quality of life (HRQOL) and daily living activities, were sent to 78 patients with compressive cervical myelopathy who had suffered from neuropathic pain before laminoplasty, and been preoperatively assessed with respect to their physical and mental status and coping strategies for pain. Hierarchical multiple regression analysis was performed to clarify the extent to which the patient's preoperative coping strategies could explain the variance in postoperative HRQOL and activity levels.ResultsForty-two patients with residual neuropathic pain after laminoplasty were analyzed by questionnaires (28 men, 14 women; mean age, 62.7±10.2 years; symptom duration, 48.0±66.0 months). The valid response rate was 53.8%. Hierarchical multiple regression analysis showed that preoperative coping strategies, which involved coping self-statements, diverting attention, and catastrophizing, were independently associated with postoperative HRQOL and activity level, and could explain 7% to 11% of their variance. Combinations of the coping strategies for pain and upper/lower motor functions could explain 26% to 36% of the variance in postoperative HRQOL and activity level.ConclusionsPreoperative coping strategies for pain are good predictors of postoperative HRQOL and activities of daily living in patients with postoperative residual neuropathic pain due to compressive cervical myelopathy.http://www.asianspinejournal.org/upload/pdf/asj-9-675.pdfCervical vertebraeSpinal cord diseasesLaminoplastyPainAdaptation |
| spellingShingle | Daisuke Higuchi Prognostic Value of Preoperative Coping Strategies for Pain in Patients with Residual Neuropathic Pain after Laminoplasty for Compressive Cervical Myelopathy Asian Spine Journal Cervical vertebrae Spinal cord diseases Laminoplasty Pain Adaptation |
| title | Prognostic Value of Preoperative Coping Strategies for Pain in Patients with Residual Neuropathic Pain after Laminoplasty for Compressive Cervical Myelopathy |
| title_full | Prognostic Value of Preoperative Coping Strategies for Pain in Patients with Residual Neuropathic Pain after Laminoplasty for Compressive Cervical Myelopathy |
| title_fullStr | Prognostic Value of Preoperative Coping Strategies for Pain in Patients with Residual Neuropathic Pain after Laminoplasty for Compressive Cervical Myelopathy |
| title_full_unstemmed | Prognostic Value of Preoperative Coping Strategies for Pain in Patients with Residual Neuropathic Pain after Laminoplasty for Compressive Cervical Myelopathy |
| title_short | Prognostic Value of Preoperative Coping Strategies for Pain in Patients with Residual Neuropathic Pain after Laminoplasty for Compressive Cervical Myelopathy |
| title_sort | prognostic value of preoperative coping strategies for pain in patients with residual neuropathic pain after laminoplasty for compressive cervical myelopathy |
| topic | Cervical vertebrae Spinal cord diseases Laminoplasty Pain Adaptation |
| url | http://www.asianspinejournal.org/upload/pdf/asj-9-675.pdf |
| work_keys_str_mv | AT daisukehiguchi prognosticvalueofpreoperativecopingstrategiesforpaininpatientswithresidualneuropathicpainafterlaminoplastyforcompressivecervicalmyelopathy |