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Smärta och beteenderelaterade faktorer före och två år efter diskbråcksoperation
Mälardalen University, School of Health, Care and Social Welfare.
Mälardalen University, School of Health, Care and Social Welfare.
2011 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Omkring 10-20 % av personer med lumbalt diskbråck opereras. Operationen syftar främst till att behandla utstrålande smärta i nedre extremiteter. Beteenderelaterade faktorer kan påverka smärtupplevelsen vid långvariga smärttillstånd och viss forskning finns om hur resultatet av diskbråcksoperation påverkas av olika biopsykosociala faktorer.

Syftet med denna studie var att undersöka hur smärtintensitet var associerat till vissa beteenderelaterade faktorer före och två år efter lumbal diskbråcksoperation, samt om dessa faktorer preoperativt kan predicera smärta efter diskbråcksoperation. Studien är en longitudinell deskriptiv kohortstudie där associationer analyseras. Data samlades in med en enkät före och efter operationen.

Preoperativt besvarade 59 personer enkäten, två år senare upplevde 20 personer ingen smärta och besvarade därför inte de beteenderelaterade frågorna. Preoperativt fanns svaga till moderata korrelationer mellan smärta och de flesta beteenderelaterade faktorerna. Två år postoperativt fanns moderata till starka korrelationer mellan smärta och katastroftankar, rörelserädsla, ”möjlighet att minska smärta” respektive smärtkontroll men inte till self-statement. Postoperativ bensmärta vid aktivitet korrelerade med preoperativt högt skattad self-statement.

Studiens resultat säger ingenting om kausalitet, men tyder på att effektiva copingstrategier kan förhindra att kronisk smärta utvecklas, mätt två år efter diskbråcksoperation. Resultatet kan också förklaras med att en från början låg smärtintensitet är lättare att hantera.

Abstract [en]

Approximately 10-20% of patients with lumbar disc herniation require surgical treatment. Surgery aims primarily to reduce radiating pain in the lower limbs. Behaviour related factors can affect the experience of pain in a long term conditions. Some research is available concerning the influence of different biopsychosocial factors on the outcome of disc herniation surgery.

The aim of this study was to analyse the association between pain intensity and behaviour related factors before and two years after lumbar disc surgery. Further, the aim is to analyse the predictive value of these factors in relation to pain two years after surgery. The design is a longitudinal descriptive cohort trial where associations are analysed. Data were collected before and two years after surgery.

Questionnaires were answered by 59 persons with lumbar disc herniation before surgery. As 20 of the responders had no pain two years postoperatively, these did not answer the questions related to behaviour related factors. Before surgery correlations were weak to moderate between most of the behaviour related factors and pain. Two years later pain correlated moderately and strongly to catastrophising, fear of movement, ability to decrease pain and pain control but not to self-statements. Conversely, leg pain in activity two years after surgery correlated with highly rated use of self-statements preoperatively.

The results of the study say nothing about causal relationships but indicate that effective coping strategies can prevent the development of chronic pain, measured two years post surgery. Possibly, lower pain is easier to cope with, which could also explain the results.

Place, publisher, year, edition, pages
2011. , 24 p.
Keyword [en]
Disc herniation, Behaviour, Catastrophising, Fear of movement, Pain, Surgery
Keyword [sv]
Beteende, Diskbråck, Katastroftankar, Kirurgi, Smärta, Rörelserädsla
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:mdh:diva-12162OAI: oai:DiVA.org:mdh-12162DiVA: diva2:412821
Uppsok
Medicine
Supervisors
Examiners
Available from: 2011-04-26 Created: 2011-04-26 Last updated: 2011-04-26Bibliographically approved

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