scholarly journals Role of psychosocial factors on the effect of physical activity on physical function in patients after lumbar spine surgery

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Hiral Master ◽  
Renan Castillo ◽  
Stephen T. Wegener ◽  
Jacquelyn S. Pennings ◽  
Rogelio A. Coronado ◽  
...  
Keyword(s):  
Physical Activity ◽  
Lumbar Spine ◽  
Physical Function ◽  
Psychosocial Factors ◽  
Spine Surgery ◽  
Self Efficacy ◽  
Psychosocial Factor ◽  
Lumbar Spine Surgery ◽  
Fear Of Movement ◽  
Steps Per Day

Abstract Background The purpose of this study was to investigate the longitudinal postoperative relationship between physical activity, psychosocial factors, and physical function in patients undergoing lumbar spine surgery. Methods We enrolled 248 participants undergoing surgery for a degenerative lumbar spine condition. Physical activity was measured using a triaxial accelerometer (Actigraph GT3X) at 6-weeks (6wk), 6-months (6M), 12-months (12M) and 24-months (24M) following spine surgery. Physical function (computerized adaptive test domain version of Patient-Reported Outcomes Measurement Information System) and psychosocial factors (pain self-efficacy, depression and fear of movement) were assessed at preoperative visit and 6wk, 6M, 12M and 24M after surgery. Structural equation modeling (SEM) techniques were utilized to analyze data, and results are represented as standardized regression weights (SRW). Overall SRW were computed across five imputed datasets to account for missing data. The mediation effect of each psychosocial factor on the effect of physical activity on physical function were computed [(SRW for effect of activity on psychosocial factor X SRW for effect of psychosocial factor on function) ÷ SRW for effect of activity on function]. Each SEM model was tested for model fit by assessing established fit indexes. Results The overall effect of steps per day on physical function (SRW ranged from 0.08 to 0.19, p<0.05) was stronger compared to the overall effect of physical function on steps per day (SRW ranged from non-existent to 0.14, p<0.01 to 0.3). The effect of steps per day on physical function and function on steps per day remained consistent after accounting for psychosocial factors in each of the mediation models. Depression and fear of movement at 6M mediated 3.4% and 5.4% of the effect of steps per day at 6wk on physical function at 12M, respectively. Pain self-efficacy was not a statistically significant mediator. Conclusions The findings of this study suggest that the relationship between physical activity and physical function is stronger than the relationship of function to activity. However, future research is needed to examine whether promoting physical activity during the early postoperative period may result in improvement of long-term physical function. Since depression and fear of movement had a very small mediating effect, additional work is needed to investigate other potential mediating factors such as pain catastrophizing, resilience and exercise self-efficacy.

183. Role of psychosocial factors on the effect of physical activity on physical function in patients after lumbar spine surgery

2021 ◽  
Vol 21 (9) ◽  
pp. S92-S93
Author(s):  
Hiral Master ◽  
Renan Castillo ◽  
Stephen Wegener ◽  
Jacquelyn S. Pennings ◽  
Rogelio A. Coronado ◽  
...  
Keyword(s):  
Physical Activity ◽  
Lumbar Spine ◽  
Physical Function ◽  
Psychosocial Factors ◽  
Spine Surgery ◽  
Lumbar Spine Surgery

scholarly journals The association between psychological characteristics and physical activity levels in people with knee osteoarthritis: a cross-sectional analysis

2020 ◽  
Author(s):  
Daisuke Uritani ◽  
Jessica Kasza ◽  
Penny K. Campbell ◽  
Ben Metcalf ◽  
Thorlene Egerton
Keyword(s):  
Physical Activity ◽  
Self Efficacy ◽  
Pain Catastrophizing ◽  
Psychological Characteristics ◽  
Activity Levels ◽  
Cross Sectional ◽  
Fear Of Movement ◽  
Physical Activity Levels ◽  
Steps Per Day ◽  
The Relationship

Abstract Background:The aim of this study was to examine the relationship between psychological characteristics and physical activity levels, measured as the average number of steps per day, in people with knee osteoarthritis (OA).Methods: This study analysed baseline data from a randomized controlled trial (Australian New Zealand Clinical Trials Registry reference: ACTRN12612000308897). A total of 167 adults aged over 50 years, with knee pain rated as four or more on an 11-point numeric rating scale, and knee OA diagnosed using American College of Rheumatology clinical criteria, were recruited from the community (62 men and 105 women; mean age, 62.2 ± 7.5 years). The average number of steps per day over seven consecutive days was measured using an accelerometer-based device. Psychological characteristics evaluated were: depressive symptoms (Depression Anxiety Stress Scale), self-efficacy (Arthritis Self-Efficacy Scale for pain and other symptoms), fear of movement (Brief Fear of Movement Scale for Osteoarthritis), and pain catastrophizing (Pain Catastrophizing Scale). The association between the average number of steps per day and psychological characteristics was analyzed using a multiple linear regression analysis, with the average number of steps per day as the dependent variable, adjusting for each psychological characteristic separately, and age, sex, body mass index, and pain entered as covariates.Results: There was evidence that the amount of physical activity was associated with fear of movement (coefficient [B]: -117, 95% confidence interval [95%CI]: -227 to -8) and with pain catastrophizing (B: -44, 95%CI: -86 to -1). The association with self-efficacy was similar (B:117, 95%CI: -12 to 246). However, the direction of the association with depressive symptoms was less clear (B: -59, 95%CI: -138 to 19).Conclusions: The results of this study revealed that the relationship was such that lower fear of movement and lower pain catastrophizing may be associated with more steps per day. It may be hypothesized that fear of moving and pain catastrophizing lead to activity avoidance and that strategies to improve these disease-related psychological aspects may be useful in enhancing physical activity participation, although this hypothesis is highly speculative and needs further testing given the cross-sectional design of this study.

51. Fostering physical activity after complex lumbar spine surgery: a randomized trial

2019 ◽  
Vol 19 (9) ◽  
pp. S25-S26
Author(s):  
Carol A. Mancuso ◽  
Manuela Rigaud ◽  
Roland Duculan ◽  
Frank P. Cammisa ◽  
Andrew A. Sama ◽  
...  
Keyword(s):  
Physical Activity ◽  
Lumbar Spine ◽  
Randomized Trial ◽  
Spine Surgery ◽  
Lumbar Spine Surgery

195. Fostering physical activity after complex lumbar spine surgery: long-term results of a randomized trial

2020 ◽  
Vol 20 (9) ◽  
pp. S96-S97
Author(s):  
Roland Duculan ◽  
Manuela Rigaud ◽  
Frank P. Cammisa ◽  
Andrew A. Sama ◽  
Alexander P. Hughes ◽  
...  
Keyword(s):  
Physical Activity ◽  
Lumbar Spine ◽  
Randomized Trial ◽  
Spine Surgery ◽  
Long Term Results ◽  
Lumbar Spine Surgery

Correlation between the Oswestry Disability Index and the 4-item short forms for physical function and pain interference from PROMIS

2019 ◽  
Vol 31 (5) ◽  
pp. 691-696 ◽  
Author(s):  
Timothy J. Yee ◽  
Brandon W. Smith ◽  
Jacob R. Joseph ◽  
Yamaan S. Saadeh ◽  
Jay K. Nathan ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Physical Function ◽  
Spine Surgery ◽  
Oswestry Disability Index ◽  
Short Form ◽  
Pearson Correlation ◽  
Pain Interference ◽  
Lumbar Spine Surgery ◽  
Time Points ◽  
Patient Reported

OBJECTIVEThe Oswestry Disability Index (ODI) is one of the most commonly used patient-reported outcome instruments, but completion of this 10-question survey can be cumbersome. Tools from the Patient-Reported Outcomes Measurement Information System (PROMIS) are an alternative, and potentially more efficient, means of assessing physical, mental, and social outcomes in spine surgery. Authors of this retrospective study assessed whether scores on the 4-item surveys of function and pain from the PROMIS initiative correlate with those on the ODI in lumbar spine surgery.METHODSPatients evaluated in the adult neurosurgery spine clinic at a single institution completed the ODI, PROMIS Short Form v2.0 Physical Function 4a (PROMIS PF), and PROMIS Short Form v1.0 Pain Interference 4a (PROMIS PI) at various time points in their care. Score data were retrospectively analyzed using linear regressions with calculation of the Pearson correlation coefficient.RESULTSThree hundred forty-three sets of surveys (ODI, PROMIS PF, and PROMIS PI) were obtained from patients across initial visits (n = 147), 3-month follow-ups (n = 107), 12-month follow-ups (n = 52), and 24-month follow-ups (n = 37). ODI scores strongly correlated with PROMIS PF t-scores at baseline (r = −0.72, p < 0.0001), 3 months (r = −0.79, p < 0.0001), 12 months (r = −0.85, p < 0.0001), and 24 months (r = −0.89, p < 0.0001). ODI scores also correlated strongly with PROMIS PI t-scores at baseline (r = 0.71, p < 0.0001), at 3 months (r = 0.82, p < 0.0001), at 12 months (r = 0.86, p < 0.0001), and at 24 months (r = 0.88, p < 0.0001). Changes in ODI scores moderately correlated with changes in PROMIS PF t-scores (r = −0.68, p = 0.0003) and changes in PROMIS PI t-scores (r = 0.57, p = 0.0047) at 3 months postoperatively.CONCLUSIONSA strong correlation was found between the ODI and the 4-item PROMIS PF/PI at isolated time points for patients undergoing lumbar spine surgery. Large cohort studies are needed to determine longitudinal accuracy and precision and to assess possible benefits of time savings and improved rates of survey completion.

P137. Trajectories of PROMIS physical function, pain interference, and spine legacy measures in 24 months following lumbar spine surgery

2021 ◽  
Vol 21 (9) ◽  
pp. S208
Author(s):  
Jacquelyn S. Pennings ◽  
Rogelio A. Coronado ◽  
Hiral Master ◽  
Richard L. Skolasky ◽  
Stephen Wegener ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Physical Function ◽  
Spine Surgery ◽  
Pain Interference ◽  
Lumbar Spine Surgery

scholarly journals The association between psychological characteristics and physical activity levels in people with knee osteoarthritis: a cross-sectional analysis

2020 ◽  
Author(s):  
Daisuke Uritani ◽  
Jessica Kasza ◽  
Penny K. Campbell ◽  
Ben Metcalf ◽  
Thorlene Egerton
Keyword(s):  
Physical Activity ◽  
Self Efficacy ◽  
Pain Catastrophizing ◽  
Psychological Characteristics ◽  
Activity Levels ◽  
Cross Sectional ◽  
Fear Of Movement ◽  
Physical Activity Levels ◽  
Steps Per Day ◽  
The Relationship

Abstract Background The aim of this study was to examine the relationship between psychological characteristics and physical activity levels, measured as the average number of steps per day, in people with knee osteoarthritis (OA). Methods This study analysed baseline data from a randomized controlled trial (Australian New Zealand Clinical Trials Registry reference: ACTRN12612000308897). A total of 167 adults aged over 50 years, with knee pain rated as four or more on an 11-point numeric rating scale, and knee OA diagnosed using American College of Rheumatology clinical criteria, were recruited from the community (62 men and 105 women; mean age, 62.2 ± 7.5 years). The average number of steps per day over seven consecutive days was measured using an accelerometer-based device. Psychological characteristics evaluated were: depressive symptoms (Depression Anxiety Stress Scale), self-efficacy (Arthritis Self-Efficacy Scale for pain and other symptoms), fear of movement (Brief Fear of Movement Scale for Osteoarthritis), and pain catastrophizing (Pain Catastrophizing Scale). The association between the average number of steps per day and psychological characteristics was analyzed using a multiple linear regression analysis, with the average number of steps per day as the dependent variable, adjusting for each psychological characteristic separately, and age, sex, body mass index, and pain entered as covariates. Results There was evidence that the amount of physical activity was associated with fear of movement (coefficient [B]: -133, 95% confidence interval [95%CI]: -257 to -8) and with pain catastrophizing (B: -44, 95%CI: -86 to -1). The association with self-efficacy was similar (B:153, 95%CI: -2 to 308). However, the direction of the association with depressive symptoms was less clear (B:75, 95%CI: -165 to 14). Conclusions The results of this study revealed that the relationship was such that lower fear of movement and lower pain catastrophizing may be associated with more steps per day. It may be hypothesized that fear of moving and pain catastrophizing lead to activity avoidance and that strategies to improve these disease-related psychological aspects may be useful in enhancing physical activity participation, although this hypothesis is highly speculative and needs further testing given the cross-sectional design of this study.

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