The prognostic value of fear-avoidance beliefs on postoperative pain and dysfunction for lumbar degenerative disk disease: a meta-analysis

Author:

Zhao Zhenni1,Li Jiawei1,Zhang Rui1,Feng Yun1,He Yanyan1,Sun Zhiling1

Affiliation:

1. School of Nursing, Nanjing University of Chinese Medicine, Nanjing, China

Abstract

The study aimed to explore the prognostic value of fear-avoidance beliefs (FABs) on postoperative pain and back-specific function for patients with lumbar degenerative disk disease (LDDD). FABs have been proven to be a predictorof pain and disability for patients with low back pain. However, whether FABs are a predictor of surgical outcomes for LDDD is a matter of debate. PubMed, Cochrane library, EMBASE, and EBSCO were searched for eligible cohort studies or secondary analyses of randomized controlled trials. Fixed-effect meta-analysis models were used to estimate odds ratios (OR) because of absent or low heterogeneity (I² < 50%). Subgroup analyses were conducted according to different follow-up durations. Forest plots were used for graphical representation. Six studies with a total of 829 participants were included in the meta-analyses. Risk of bias was high for three studies and moderate for the other three studies. For patients with LDDD, meta-analyses showed that FABs were a predictor of postoperative pain intensity [OR 2.88; 95% confidence interval (CI), 2.76–3.00] and back-specific function (OR 3.13; 95% CI, 3.02–3.24). Patients with FABs are less likely to report improvement in pain (OR 2.56; 95% CI, 1.73–3.86) and function (OR 2.81; 95% CI, 2.57–3.07). In conclusion, FABs were a predictor of postoperative pain and back-specific function for patients with LDDD. This prognostic value is sustained for a long period after surgery (>12 months). Clinicians are advised to initiate targeted interventions for patients with FABs at different stages after surgery. Due to the limited number and low quality of included studies, the results of this meta-analysis should be interpreted with caution.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation

Reference58 articles.

1. Non-specific low back pain.;Maher;Lancet,2017

2. Optimizing the management and outcomes of failed back surgery syndrome: a proposal of a standardized multidisciplinary team care pathway.;Gatzinsky;Pain Res Manag,2019

3. A long-term outcome analysis of 984 surgically treated herniated lumbar discs.;Davis;J Neurosurg,1994

4. Outline of a Fear-Avoidance Model of exaggerated pain perception--I.;Lethem;Behav Res Ther,1983

5. Effects of dynamic lumbar stabilization exercises following lumbar microdiscectomy on pain, mobility and return to work. Randomized controlled trial.;Demir;Eur J Phys Rehabil Med,2014

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3