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Pain, coping, emotional state and physical function in patients with chronic radicular neck pain. A comparison between patients treated with surgery, physiotherapy or neck collar : a blinded, prospective randomized study

Persson, Liselott LU and Lilja, Åsa LU (2001) In Journal of Rehabilitation Medicine2001-01-01+01:00 23(8). p.325-335
Abstract
To describe and explore the relationships between pain, emotional state and coping strategies in patients with chronic radicular neck pain before and after surgery or conservative treatments. Methods: We randomize 81 conseutive patients with cervical radicular pain and nerve root compression, verified by MRI, to either surgical decompression with fusion or physiotherapy or neck collar. Emotional state was both measured with Mood Adjective Check List, Hospital Anxiety and Depression Scale and with a Coping Strategies Questionnaire. Pain was measured with VAS and function with Disability Index Rating. Measurements were made before treatment, and follow ups after 3 and 12 months post treatment. Results: We found generally a low emotional... (More)
To describe and explore the relationships between pain, emotional state and coping strategies in patients with chronic radicular neck pain before and after surgery or conservative treatments. Methods: We randomize 81 conseutive patients with cervical radicular pain and nerve root compression, verified by MRI, to either surgical decompression with fusion or physiotherapy or neck collar. Emotional state was both measured with Mood Adjective Check List, Hospital Anxiety and Depression Scale and with a Coping Strategies Questionnaire. Pain was measured with VAS and function with Disability Index Rating. Measurements were made before treatment, and follow ups after 3 and 12 months post treatment. Results: We found generally a low emotional state with anxiety, depression and sleep-disturbances not only connected to pain. Pain improved faster in the surgery group but after one year no differences were seen. Surgery and physiotherapy improved function with heavy work compared to collar after 3 months. Many patients used active coping before treatment, but after treatment more passive coping strategies were found. Conclusion: We recommend a multidisciplinary rehabilitation with cognitive behavioural therapy and psychological interventions. (Less)
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author
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Rehabilitation Medicine2001-01-01+01:00
volume
23
issue
8
pages
325 - 335
publisher
Taylor & Francis
external identifiers
  • pmid:11374522
  • scopus:0035918573
ISSN
1651-2081
DOI
10.1080/09638280010005567
language
English
LU publication?
no
id
d3f8e1f8-69f4-42b0-a8b4-ddcd08eb08e1
date added to LUP
2018-01-30 23:01:34
date last changed
2018-05-29 10:31:40
@article{d3f8e1f8-69f4-42b0-a8b4-ddcd08eb08e1,
  abstract     = {To describe and explore the relationships between pain, emotional state and coping strategies in patients with chronic radicular neck pain before and after surgery or conservative treatments. Methods: We randomize 81 conseutive patients with cervical radicular pain and nerve root compression, verified by MRI, to either surgical decompression with fusion or physiotherapy or neck collar. Emotional state was both measured with Mood Adjective Check List, Hospital Anxiety and Depression Scale and with a Coping Strategies Questionnaire. Pain was measured with VAS and function with Disability Index Rating. Measurements were made before treatment, and follow ups after 3 and 12 months post treatment. Results: We found generally a low emotional state with anxiety, depression and sleep-disturbances not only connected to pain. Pain improved faster in the surgery group but after one year no differences were seen. Surgery and physiotherapy improved function with heavy work compared to collar after 3 months. Many patients used active coping before treatment, but after treatment more passive coping strategies were found. Conclusion: We recommend a multidisciplinary rehabilitation with cognitive behavioural therapy and psychological interventions.},
  author       = {Persson, Liselott and Lilja, Åsa},
  issn         = {1651-2081},
  language     = {eng},
  number       = {8},
  pages        = {325--335},
  publisher    = {Taylor & Francis},
  series       = {Journal of Rehabilitation Medicine2001-01-01+01:00},
  title        = {Pain, coping, emotional state and physical function in patients with chronic radicular neck pain. A comparison between patients treated with surgery, physiotherapy or neck collar : a blinded, prospective randomized study},
  url          = {http://dx.doi.org/10.1080/09638280010005567},
  volume       = {23},
  year         = {2001},
}