Psychological and cognitive-behavioral factors and treatment outcomes of low back pain after microdiscectomy

Wednesday, November 9, 2022

3:40 PM – 3:45 PM

Location: Station 9

Non-presenting Author(s)

SP

Slobodan Pantelinac, n/a

Associate Professor of Physical Medicine and Rehabilitation Medical Rehabilitation Clinic
University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia; Clinical Centre of Vojvodina, Medical Rehabilitation Clinic, Novi Sad, Serbia
Novi Sad, Vojvodina, Serbia
DS

Dusica Simic-Panic

Specialist physical medicine and rehabilitation
University of Novi Sad, Medical faculty
Novi Sad, Vojvodina, Serbia
EG

Enis Garipi

MD
University of Novi Sad, Medical faculty, Medical rehabilitation clinic
Novi Sad, Vojvodina, Serbia
NJ

Natasa Jurisic - Ilic

MD
University of Novi Sad, Medical faculty, Medical rehabilitation Clinic
Novi Sad, Vojvodina, Serbia

Presenting Author(s)

ST

Snezana Tomasevic-Todorovic, Phd MD

Professor Snezana Tomasevic-Todorovic Head of Department for PM&R, Faculty of Medicine, University o
University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia; Clinical Centre of Vojvodina, Medical Rehabilitation Clinic, Novi Sad, Serbia, Vojvodina, Serbia

Research Objectives: After microdiscectomy in patients with low back pain on postoperative outcome significant influences may have anxiety, fears, fear-avoidance beliefs and depression.

Design: The study was performed as a prospective cohort study on the patients with low back pain after microdiscectomy in the Clinic for Medical Rehabilitation, Clinical Center of Vojvodina, Novi Sad, Serbia.

Setting: The aim of research was to assess the influence of mentioned psychological and cognitive-behavioral factors on pain and functional status of patients after lumbar microdiscectomy and the subsequent physical therapy.

Participants: The research was conducted on 198 patients (95 men and 103 women) mean age 50.20 ± 10.26 years.

Interventions: For examinations were used the following questionnaires: Spielberger Anxiety Inventory-State and Trait; Fear-Avoidance Beliefs Questionnaire (Physical activity and Work); Beck Depression Inventory; for intensity of pain - visual analogue scale; Oswestry Low Back Pain Disability Questionnaire. These assessments were carried out after microdiscectomy: just before the rehabilitation treatment, one month later and then 3 and 6 months after microdiscectomy.

Main Outcome Measures: Standard statistical methods and Student's test were used as well as techniques of mixed model ANOVA with the software package STATISTICS 12, serial number AXA 302C271408AR-B.

Results: On the pain and functional disability the significant influences had following factors: anxiety-state (p < 0.01), anxiety-trait (p < 0.01), fear/avoidance beliefs - physical activity (p < 0.01), fear/avoidance beliefs - work (p < 0.01) and depression (p < 0.01).

Conclusions: On the pain and functional disability of the patients after lumbar microdiscectomy, significant influences have anxiety (state and trait), fears, fear-avoidance beliefs and depression.

Author(s) Disclosures: Registering mentioned psychological and cognitive-behavioral factors after lumbar microdiscectomy, it is possible to predict the maintenance of pain and functional disability and if necessary to apply additional therapeutic procedures.

Learning Objectives:

significant influences have anxiety (state and trait), fears, fear-avoidance beliefs and depression.
significant influences have anxiety (state and trait), fears, fear-avoidance beliefs and depression.
significant influences have anxiety (state and trait), fears, fear-avoidance beliefs and depression.
significant influences have anxiety (state and trait), fears, fear-avoidance beliefs and depression.
significant influences have anxiety (state and trait), fears, fear-avoidance beliefs and depression.