지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 180 - 191 (12page)
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초록· 키워드
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Study Design: Cross-sectional population-based study.Purpose: The study objective was to evaluate the coexistence of neck- and shoulder-disability, to establish normative scores for Neck Disability Index (NDI), Visual Analog Scale (VAS)-neck, VAS-arm, Quick Disability of Shoulder and Hand (Quick-DASH), and modified Constant score (mConstant score), and to determine the influence of psychological distress (Hospital Anxiety and Depression Scale [HADS]) on the disability measures. The authors also investigated the distribution of dysphagia across the population and its relation to the NDI scores.Overview of Literature: Several factors can adversely influence the clinical outcomes after cervical surgeries. The interaction of neck and shoulder disability in the perspective of psychological distress is not well understood.Methods: Prospective questionnaire-based assessment was performed for 1,000 participants. Questionnaires consisted of validated generic and disease-specific queries and specific questions. The survey included patients without pathologies of cervical spine/shoulders/upper extremities.Results: Mean age of participants was 39 years. The average neck VAS score was 1.2, NDI% was 7.3, arm VAS score was 0.8, QuickDASH was 6.2, mConstant score was 70.7, HADS-A score was 4.9, and HADS-D score was 3.2. The psychological scores showed a significant correlation with neck- and shoulder-disability (<i>p</i><0.0001, <i>r</i>=0.3 to <i>r</i>=0.5). However, correlations between neck (NDI%, neck VAS score) and shoulder disability (mConstant score, arm VAS score, Quick-DASH) were stronger (<i>p</i><0.0001, <i>r</i>=0.5 to <i>r</i>=0.6). A body mass index >35 kg/m<sup>2</sup> influenced shoulder-disability (<i>p</i><0.005) and psychological distress (HADS-D score, <i>p</i><0.00001). Limited neck rotation was present in those with higher age, psychological distress, neck and shoulder disability (<i>p</i><0.001).Conclusions: Normative scores for neck and shoulder disability were established. The outcomes of cervical spine surgery can be normalized to these results. A better understanding of the interdependencies of neck and shoulder disability and psychological distress would enable superior decision-making and patient counseling.
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등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Kaaria S / 2012 / Risk factors of chronic neck pain : a prospective study among middle-aged employees / Eur J Pain 16:911~920
McLean SM / 2010 / Risk factors for the onset of non-specific neck pain : a systematic review / J Epidemiol Community Health 64:565~572
Ramirez-Maestre C / 2014 / The role of sex/gender in the experience of pain : resilience, fear, and acceptance as central variables in the adjustment of men and women with chronic pain / J Pain 15:608~618
Saastamoinen P / 2009 / Psychosocial risk factors of pain among employees / Eur J Pain 13:102~108
Cote P / 2008 / The burden and determinants of neck pain in workers: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders / Spine (Phila Pa 1976) 33(4 Suppl):S60~S74
McLean SM / 2010 / Risk factors for the onset of non-specific neck pain : a systematic review / J Epidemiol Community Health 64:565~572
Ramirez-Maestre C / 2014 / The role of sex/gender in the experience of pain : resilience, fear, and acceptance as central variables in the adjustment of men and women with chronic pain / J Pain 15:608~618
Saastamoinen P / 2009 / Psychosocial risk factors of pain among employees / Eur J Pain 13:102~108
Cote P / 2008 / The burden and determinants of neck pain in workers: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders / Spine (Phila Pa 1976) 33(4 Suppl):S60~S74
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