期刊
EUROPEAN SPINE JOURNAL
卷 26, 期 10, 页码 2581-2588出版社
SPRINGER
DOI: 10.1007/s00586-017-4979-9
关键词
Disc herniation; Spinal stenosis; Spinal surgery; Widespread pain; Quantitative sensory testing
资金
- Swedish Research Council [521-2019-3578]
- Faculty of Medicine and Health, Linkoping University
- County Council of Ostergotland, Linkoping, Sweden
Purpose To investigate the association between pain sensitivity in the hand pre-surgery, and patient-reported outcomes (PROs) in function, pain and health pre- and post-surgery in patients with disc herniation or spinal stenosis. Methods This is a prospective cohort study with 82 patients. Associations between pressure-, cold- and heat pain threshold (PPT, CPT, HPT) in the hand pre-surgery and Oswestry, VAS pain, EQ-5D, HADS, and Self-Efficacy Scale, pre- and three months post-surgery; were investigated with linear regression. Results Patients with disc herniation more sensitive to pressure pain pre-surgery showed lower function and self-efficacy, and higher anxiety and depression pre-surgery, and lower function, and self-efficacy, and higher pain post-surgery. Results for cold pain were similar. In patients with spinal stenosis few associations with PROs were found and none for HPT and PROs. Conclusions Altered pain response in pressure- and cold pain in the hand, as a sign of widespread pain pre-surgery had associations with higher pain, lower function and self-efficacy post-surgery in patients with disc herniation.
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