The influence of expectations on improvements in pain and function in patients with neck/back/shoulder complaints: a cohort study

被引：5

作者：

Skatteboe, Sigrid ^{[1
,2
]}

Roe, Cecilie ^{[1
,2
]}

Fagerland, Morten W. ^{[3
]}

Granan, Lars-Petter ^{[4
]}

机构：

[1] Oslo Univ Hosp, Dept Phys Med & Rehabil, Oslo, Norway

[2] Univ Oslo, Fac Med, Oslo, Norway

[3] Oslo Univ Hosp, Res Support Serv, Oslo Ctr Biostat & Epidemiol, Oslo, Norway

[4] Oslo Univ Hosp, Div Emergencies & Crit Care, Dept Pain Management & Res, Oslo, Norway

来源：

EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE | 2017年 / 53卷 / 06期

关键词：

Back pain; Neck pain; Shoulder pain; Musculoskeletal pain; Treatment outcome; Physical and rehabilitation medicine; LOW-BACK-PAIN; RANDOMIZED-CONTROLLED-TRIAL; PREOPERATIVE EXPECTATIONS; PRIMARY-CARE; POSTOPERATIVE SATISFACTION; DISABILITY INDEX; NECK PAIN; OUTCOMES; WORK; POPULATION;

D O I：

10.23736/S1973-9087.17.04608-1

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

BACKGROUND: In musculoskeletal research, patients' expectations have recently received increased attention. However, few prospective studies have investigated these expectations or their prognostic significance and possible clinical value. AIM: To investigate the influence of patients' expectations on improvements in pain and functional status six months after an outpatient physical medicine assessment. DESIGN: Prospective cohort study. SETTING: Physical Medicine and Rehabilitation (PMR) outpatient clinic. POPULATION: Patients with neck, back, or shoulder complaints. METHODS: Pain, during rest and activity, and functional status (PainFunction) were assessed using numerical rating scales (NRSs; 0 to 11) prior to a PMR consultation and after six months. At baseline, the patients were asked to define their expectations (Exp) regarding pain and functional status at six months using equivalent NRSs. The influence of Exp on PainFunction at six months was assessed through multiple regression analysis, controlling for demographic factors. RESULTS: A total of 256 patients were included between January and June 2013, and 181 were followed up at six months. PainFunction improved statistically significant between baseline and six months (P<0.001). Approximately 40% of the patients expected (Exp) an improvement, while 29% reported an improvement at six months, reflected by a minimum of two points improvement in PainFunction. The regression analysis revealed that sick leave and the number of pain sites, but not expectations (Exp), influenced improvement in PainFunction at six months. CONCLUSIONS: The present study does not support the suggested influence of expectations on pain and functional improvement in patients with neck, back or shoulder complaints. CLINICAL REHABILITATION IMPACT: The patients' expectations were more positive than their actual pain and functional improvements. However, their expectations did not significantly influence the study outcomes.

引用

页码：936 / +

页数：10