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The relationship between pain with walking and self-rated health 12 months following total knee arthroplasty: a longitudinal study

BACKGROUND: A subgroup of patients continue to report pain with walking 12 months after total knee arthroplasty (TKA). The association between walking pain and self-rated health (SRH) after TKA is not known. This prospective longitudinal study aimed to investigate the association between a comprehen...

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Autores principales: Lindberg, Maren Falch, Rustøen, Tone, Miaskowski, Christine, Rosseland, Leiv Arne, Lerdal, Anners
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5301389/
https://www.ncbi.nlm.nih.gov/pubmed/28183297
http://dx.doi.org/10.1186/s12891-017-1430-7
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author Lindberg, Maren Falch
Rustøen, Tone
Miaskowski, Christine
Rosseland, Leiv Arne
Lerdal, Anners
author_facet Lindberg, Maren Falch
Rustøen, Tone
Miaskowski, Christine
Rosseland, Leiv Arne
Lerdal, Anners
author_sort Lindberg, Maren Falch
collection PubMed
description BACKGROUND: A subgroup of patients continue to report pain with walking 12 months after total knee arthroplasty (TKA). The association between walking pain and self-rated health (SRH) after TKA is not known. This prospective longitudinal study aimed to investigate the association between a comprehensive list of preoperative factors, postoperative pain with walking, and SRH 12 months after TKA. METHODS: Patients (N = 156) scheduled for TKA completed questionnaires that evaluated demographic and clinical characteristics, symptoms, psychological factors, and SRH. SRH was re-assessed 12 months after TKA. Clinical variables were retrieved from medical records. Pain with walking was assessed before surgery, at 6 weeks, 3, and 12 months after TKA. Subgroups with distinct trajectories of pain with walking over time were identified using growth mixture modeling. Multiple linear regression was used to investigate the relationships between pain with walking and other factors on SRH. RESULTS: Higher body mass index, a higher number of painful sites at 12 months, recurrent pain with walking group membership, ketamine use, higher depression scores, and poorer preoperative self-rated health were associated with poorer SRH 12 months after TKA. The final model was statistically significant (p = 0.005) and explained 56.1% of the variance in SRH 12 months after surgery. SRH improved significantly over time. Higher C-reactive protein levels, higher number of painful sites before surgery, higher fatigue severity, and more illness concern was associated with poorer preoperative SRH. CONCLUSIONS: In patients whose walking ability decreases over time, clinicians need to assess for unreleaved pain and decreases in SRH. Additional research is needed on interventions to improve walking ability and SRH.
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spelling pubmed-53013892017-02-15 The relationship between pain with walking and self-rated health 12 months following total knee arthroplasty: a longitudinal study Lindberg, Maren Falch Rustøen, Tone Miaskowski, Christine Rosseland, Leiv Arne Lerdal, Anners BMC Musculoskelet Disord Research Article BACKGROUND: A subgroup of patients continue to report pain with walking 12 months after total knee arthroplasty (TKA). The association between walking pain and self-rated health (SRH) after TKA is not known. This prospective longitudinal study aimed to investigate the association between a comprehensive list of preoperative factors, postoperative pain with walking, and SRH 12 months after TKA. METHODS: Patients (N = 156) scheduled for TKA completed questionnaires that evaluated demographic and clinical characteristics, symptoms, psychological factors, and SRH. SRH was re-assessed 12 months after TKA. Clinical variables were retrieved from medical records. Pain with walking was assessed before surgery, at 6 weeks, 3, and 12 months after TKA. Subgroups with distinct trajectories of pain with walking over time were identified using growth mixture modeling. Multiple linear regression was used to investigate the relationships between pain with walking and other factors on SRH. RESULTS: Higher body mass index, a higher number of painful sites at 12 months, recurrent pain with walking group membership, ketamine use, higher depression scores, and poorer preoperative self-rated health were associated with poorer SRH 12 months after TKA. The final model was statistically significant (p = 0.005) and explained 56.1% of the variance in SRH 12 months after surgery. SRH improved significantly over time. Higher C-reactive protein levels, higher number of painful sites before surgery, higher fatigue severity, and more illness concern was associated with poorer preoperative SRH. CONCLUSIONS: In patients whose walking ability decreases over time, clinicians need to assess for unreleaved pain and decreases in SRH. Additional research is needed on interventions to improve walking ability and SRH. BioMed Central 2017-02-10 /pmc/articles/PMC5301389/ /pubmed/28183297 http://dx.doi.org/10.1186/s12891-017-1430-7 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Lindberg, Maren Falch
Rustøen, Tone
Miaskowski, Christine
Rosseland, Leiv Arne
Lerdal, Anners
The relationship between pain with walking and self-rated health 12 months following total knee arthroplasty: a longitudinal study
title The relationship between pain with walking and self-rated health 12 months following total knee arthroplasty: a longitudinal study
title_full The relationship between pain with walking and self-rated health 12 months following total knee arthroplasty: a longitudinal study
title_fullStr The relationship between pain with walking and self-rated health 12 months following total knee arthroplasty: a longitudinal study
title_full_unstemmed The relationship between pain with walking and self-rated health 12 months following total knee arthroplasty: a longitudinal study
title_short The relationship between pain with walking and self-rated health 12 months following total knee arthroplasty: a longitudinal study
title_sort relationship between pain with walking and self-rated health 12 months following total knee arthroplasty: a longitudinal study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5301389/
https://www.ncbi.nlm.nih.gov/pubmed/28183297
http://dx.doi.org/10.1186/s12891-017-1430-7
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