Walking speed is associated with postoperative pain catastrophizing in patients with lumbar spinal stenosis: a prospective observational study
Abstract Background The purpose of this study was to investigate whether walking speed is associated with postoperative pain catastrophizing in patients with lumbar spinal stenosis. Methods In this prospective observational study, consecutive patients with clinically and radiologically defined lumba...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-12-01
|
| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-022-06086-y |
| _version_ | 1797977628590735360 |
|---|---|
| author | Takashi Wada Shinji Tanishima Yuki Kitsuda Mari Osaki Hideki Nagashima Hisashi Noma Hiroshi Hagino |
| author_facet | Takashi Wada Shinji Tanishima Yuki Kitsuda Mari Osaki Hideki Nagashima Hisashi Noma Hiroshi Hagino |
| author_sort | Takashi Wada |
| collection | DOAJ |
| description | Abstract Background The purpose of this study was to investigate whether walking speed is associated with postoperative pain catastrophizing in patients with lumbar spinal stenosis. Methods In this prospective observational study, consecutive patients with clinically and radiologically defined lumbar spinal stenosis underwent surgical treatment (decompression, or posterolateral or transforaminal lumbar interbody fusion) at Tottori University Hospital, between October 2015 and April 2018. The pain catastrophizing scale, walking speed, leg and back pain (numerical rating scale), and Japanese Orthopaedic Association score were evaluated preoperatively and at 3, 6, and 12 months postoperatively. Correlations between the pain catastrophizing scale and each variable were analyzed at each evaluation time point. The effect of walking speed on the pain catastrophizing scale was analyzed using mixed-effect models for repeated measurements. Results Ninety-four patients were included at baseline, and 83, 88, and 82 patients were analyzed at 3, 6, and 12 months postoperatively, respectively. The pain catastrophizing scale was significantly correlated with walking speed, leg pain, back pain, and the Japanese Orthopaedic Association score at all evaluation time points. The pain catastrophizing scale was associated with walking speed at all evaluation time points. Conclusions Our results suggest that changes in postoperative pain catastrophizing after lumbar spine surgery are associated with walking speed. Thus, walking speed is a necessary assessment for the management of pain catastrophizing and associated pain and disability in patients after lumbar spine surgery. |
| first_indexed | 2024-04-11T05:09:33Z |
| format | Article |
| id | doaj.art-4dddec7eba3e46bca24966d333379bb0 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-04-11T05:09:33Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-4dddec7eba3e46bca24966d333379bb02022-12-25T12:02:39ZengBMCBMC Musculoskeletal Disorders1471-24742022-12-012311610.1186/s12891-022-06086-yWalking speed is associated with postoperative pain catastrophizing in patients with lumbar spinal stenosis: a prospective observational studyTakashi Wada0Shinji Tanishima1Yuki Kitsuda2Mari Osaki3Hideki Nagashima4Hisashi Noma5Hiroshi Hagino6Rehabilitation Division, Tottori University HospitalDivision of Orthopedic Surgery, Department of Sensory and Motor Organs, School of Medicine, Faculty of Medicine, Tottori UniversityRehabilitation Division, Tottori University HospitalRehabilitation Division, Tottori University HospitalDivision of Orthopedic Surgery, Department of Sensory and Motor Organs, School of Medicine, Faculty of Medicine, Tottori UniversityDepartment of Data Science, The Institute of Statistical MathematicsRehabilitation Division, Tottori University HospitalAbstract Background The purpose of this study was to investigate whether walking speed is associated with postoperative pain catastrophizing in patients with lumbar spinal stenosis. Methods In this prospective observational study, consecutive patients with clinically and radiologically defined lumbar spinal stenosis underwent surgical treatment (decompression, or posterolateral or transforaminal lumbar interbody fusion) at Tottori University Hospital, between October 2015 and April 2018. The pain catastrophizing scale, walking speed, leg and back pain (numerical rating scale), and Japanese Orthopaedic Association score were evaluated preoperatively and at 3, 6, and 12 months postoperatively. Correlations between the pain catastrophizing scale and each variable were analyzed at each evaluation time point. The effect of walking speed on the pain catastrophizing scale was analyzed using mixed-effect models for repeated measurements. Results Ninety-four patients were included at baseline, and 83, 88, and 82 patients were analyzed at 3, 6, and 12 months postoperatively, respectively. The pain catastrophizing scale was significantly correlated with walking speed, leg pain, back pain, and the Japanese Orthopaedic Association score at all evaluation time points. The pain catastrophizing scale was associated with walking speed at all evaluation time points. Conclusions Our results suggest that changes in postoperative pain catastrophizing after lumbar spine surgery are associated with walking speed. Thus, walking speed is a necessary assessment for the management of pain catastrophizing and associated pain and disability in patients after lumbar spine surgery.https://doi.org/10.1186/s12891-022-06086-yCatastrophizingLumbar spinal stenosisLumbar surgeryPain catastrophizingSpine surgeryWalking speed |
| spellingShingle | Takashi Wada Shinji Tanishima Yuki Kitsuda Mari Osaki Hideki Nagashima Hisashi Noma Hiroshi Hagino Walking speed is associated with postoperative pain catastrophizing in patients with lumbar spinal stenosis: a prospective observational study BMC Musculoskeletal Disorders Catastrophizing Lumbar spinal stenosis Lumbar surgery Pain catastrophizing Spine surgery Walking speed |
| title | Walking speed is associated with postoperative pain catastrophizing in patients with lumbar spinal stenosis: a prospective observational study |
| title_full | Walking speed is associated with postoperative pain catastrophizing in patients with lumbar spinal stenosis: a prospective observational study |
| title_fullStr | Walking speed is associated with postoperative pain catastrophizing in patients with lumbar spinal stenosis: a prospective observational study |
| title_full_unstemmed | Walking speed is associated with postoperative pain catastrophizing in patients with lumbar spinal stenosis: a prospective observational study |
| title_short | Walking speed is associated with postoperative pain catastrophizing in patients with lumbar spinal stenosis: a prospective observational study |
| title_sort | walking speed is associated with postoperative pain catastrophizing in patients with lumbar spinal stenosis a prospective observational study |
| topic | Catastrophizing Lumbar spinal stenosis Lumbar surgery Pain catastrophizing Spine surgery Walking speed |
| url | https://doi.org/10.1186/s12891-022-06086-y |
| work_keys_str_mv | AT takashiwada walkingspeedisassociatedwithpostoperativepaincatastrophizinginpatientswithlumbarspinalstenosisaprospectiveobservationalstudy AT shinjitanishima walkingspeedisassociatedwithpostoperativepaincatastrophizinginpatientswithlumbarspinalstenosisaprospectiveobservationalstudy AT yukikitsuda walkingspeedisassociatedwithpostoperativepaincatastrophizinginpatientswithlumbarspinalstenosisaprospectiveobservationalstudy AT mariosaki walkingspeedisassociatedwithpostoperativepaincatastrophizinginpatientswithlumbarspinalstenosisaprospectiveobservationalstudy AT hidekinagashima walkingspeedisassociatedwithpostoperativepaincatastrophizinginpatientswithlumbarspinalstenosisaprospectiveobservationalstudy AT hisashinoma walkingspeedisassociatedwithpostoperativepaincatastrophizinginpatientswithlumbarspinalstenosisaprospectiveobservationalstudy AT hiroshihagino walkingspeedisassociatedwithpostoperativepaincatastrophizinginpatientswithlumbarspinalstenosisaprospectiveobservationalstudy |