Physiotherapy Commons^™

Contrais: Conservative Treatment For Adolescent Idiopathic Scoliosis: A Randomised Controlled Trial, Allan Abbott, Hans Moller, Paul Gerdhem

Allan D. Abbott

Background: Idiopathic scoliosis is a three-dimensional structural deformity of the spine that occurs in children and adolescents. Recent reviews on bracing and exercise treatment have provided some evidence for effect of these interventions. The purpose of this study is to improve the evidence base regarding the effectiveness of conservative treatments for preventing curve progression in idiopathic scoliosis. Methods/design: Patients: Previously untreated girls and boys with idiopathic scoliosis, 9 to 17 years of age with at least one year of remaining growth and a curve Cobb angle of 25–40 degrees will be included. A total of 135 participants will be randomly …

Endurance And Fatigue Characteristics Of The Neck Muscles In Patients With Cervical Radiculopathy, Marie Halvorsen, Allan Abbott, Anneli Peolsson, Asa Dedering

Allan D. Abbott

Purpose: The aim of the study was to compare myoelectric manifestation in neck muscle endurance and fatigue characteristics during sub-maximal isometric endurance test in patients with cervical radiculopathy and asymptomatic subjects. An additional aim was to explore associations between primary neck muscle endurance, myoelectric fatigability, and self-rated levels of fatigue, pain and subjective health measurements in patients with cervical radiculopathy.

Methods: Muscle fatigue in the ventral and dorsal neck muscles was assessed in patients with cervical radiculopathy and in an asymptomatic group during an isometric neck muscle endurance test in prone and supine. 46 patients and 34 asymptomatic subjects participated. …

Is There A Need For Cervical Collar Usage Post Anterior Cervical Decompression And Fusion Using Interbody Cages? A Randomized Controlled Pilot Trial, Allan Abbott, Marie Halvorsen, Asa Dedering

Allan D. Abbott

Anterior cervical discectomy and fusion (ACDF) is a common surgical intervention for radiculopathy resulting from degenerative cervical spine conditions. Post-surgical cervical collar use is believed to reduce post-operative pain, provide the patient with a sense of security during activities of daily living and even reduce rates of non-fusion. This prospective randomized controlled pilot trial investigates trial design feasibility in relation to prospective physical, functional, and quality of life-related outcomes of patients undergoing ACDF with interbody cage, with (n = 17) and without (n = 16) post-operative cervical collar usage. Results show that the sample provides sufficient statistical power to show …

Leg Pain And Psychological Variables Predict Outcome 2-3 Years After Lumbar Fusion Surgery, Allan Abbott, Raija Tyni-Lenne´, Rune Hedlund

Allan D. Abbott

Prediction studies testing a thorough range of psychological variables in addition to demographic, work-related and clinical variables are lacking in lumbar fusion surgery research. This prospective cohort study aimed at examining predictions of functional disability, back pain and health-related quality of life (HRQOL) 2–3 years after lumbar fusion by regressing nonlinear relations in a multivariate predictive model of pre-surgical variables. Before and 2–3 years after lumbar fusion surgery, patients completed measures investigating demographics, work-related variables, clinical variables, functional self-efficacy, outcome expectancy, fear of movement/(re)injury, mental health and pain coping. Categorical regression with optimal scaling transformation, elastic net regularization and bootstrapping …

Patients' Experience Post-Lumbar Fusion Regarding Back Problems, Recovery And Expectations In Terms Of The International Classification Of Functioning, Disability And Health, Allan Abbott, Rune Hedland, Raija Tyni-Lenné

Allan D. Abbott

Purpose - To describe within the context of the International Classification of Functioning, Disability and Health ((ICF)), patient's experiences post-lumber fusion regarding back problems, recovery and expectations of rehabilitation and to contrast with the content of outcome measures and the ICF low back pain ((LBP)) core sets.

Methods - The study has a cross-sectional and retrospective design and involves 20 lumbar fusion patients. Using the ICF, qualitative content analysis of semi-structured interviews 3–6 months post-surgery was performed. This was compared with the ICF related content of the Oswestry Disability Index ((ODI)), Medical Outcome Study Short Form 36 ((SF-36)), European Quality …

Postoperative Rehabiliation Of Lumbar Disc Herniation, Maria Kyhlbäck, Gunilla Kjellby-Wendt, Allan Abbott, Monica Millisdotter, Per Grönlund, Mia Johansson, Ann-Christin Johansson

Allan D. Abbott

No abstract provided.

The Influence Of Psychological Factors On Pre-Operative Levels Of Pain Intensity, Disability And Health-Related Quality Of Life In Lumbar Spinal Fusion Surgery Patients, Allan Abbott, Raija Tyni-Lenné, Rune Hedland

Allan D. Abbott

Objectives - To assess the extent to which perceived pain and psychological factors explain levels of disability and health-related quality of life (HRQOL) in patients scheduled for lumbar fusion surgery, and to test the hypothesis that relationships between pain intensity, mental health, fear of movement/(re)injury, disability and HRQOL are mediated by cognitive beliefs and appraisals.

Design - Cross-sectional, correlation study.

Setting - Orthopaedic outpatient setting in a tertiary hospital.

Participants - One hundred and seven chronic back pain patients scheduled for lumbar fusion surgery.

Measures - Visual analogue scale for pain intensity, Short Form 36 mental health subscale, Tampa Scale …

Early Rehabilitation Targeting Cognition, Behavior, And Motor Function After Lumbar Fusion. A Randomized Controlled Trial, Allan Abbott, Raija Tyni-Lenne´, Rune Hedlund

Allan D. Abbott

Study Design - Open label randomized controlled trial with 3-, 6-, 12-month, and 2- to 3-year follow-up.

Objective - To investigate the effectiveness of a psychomotor therapy focusing on cognition, behavior, and motor relearning compared with exercise therapy applied during the first 3 months after lumbar fusion.

Summary of Background Data - Postoperative management after lumbar fusion commonly focuses on analgesic pain control and activities of daily living. After 3 months, exercise therapy is often implemented. No randomized controlled trial has investigated early rehabilitation techniques conducted during the first 3 months after surgery.

Methods - The study recruited 107 patients, …

The Coping Strategy Questionnaire, Allan Abbott

Allan D. Abbott

Extract:
General description: The coping strategy questionnaire (CSQ), (Rosenstiel & Keefe 1983) in its original version consists of 50 items assessing patient self rated use of cognitive and behavioural strategies to cope with pain. It comprises six subscales for cognitive strategies (ignoring pain, reinterpretation of pain, diverting attention, coping self statements, catastrophising, praying/hoping) and two subscales for behavioural strategies (increasing activity levels and increasing pain behaviours). Each coping strategy subscale consists of six items measured with a numerical rating scale ranging from 0 (never do that) to 6 (always do that) indicating how frequently the strategy is used to cope …