Article

Several studies have investigated outcomes after disc
surgery. However, the occurrence of kinesiophobia has not been investigated
previously in patients after disc herniation surgery. In this cross-sectional
study, we investigated kinesiophobia in patients who had been treated surgically
for lumbar disc herniation, and we related the results to established outcome
measures. METHODS: 10-34 months after surgery, questionnaires were
sent to 97 patients who had undergone standardized open discectomy. Outcome
measures included Tampa scale for kinesiophobia (TSK); Oswestry disability index
(ODI); European quality of life in 5 dimensions (EQ-5D); visual analog scale
(VAS) for leg and back pain, work disability, and patient satisfaction; Zung
self-rating depression scale (ZDS); pain catastrophizing scale (PCS); and a
self-efficacy scale (SES). RESULTS: 36 of 80 patients reported having
kinesiophobia. There were statistically significant differences in ODI, EQ-5D,
VAS leg and back pain, ZDS, PCS, and SES between patients with and without
kinesiophobia. INTERPRETATION: Half of the patients suffered from kinesiophobia
10-34 months after surgery for disc herniation. These patients were more
disabled, had more pain, more catastrophizing thoughts, more symptoms of
depression, lower self-efficacy, and poorer health-related quality of life than
patients without kinesiophobia.

Langue : ANGLAIS