Influence of Clinical, Psychological, and Psychophysical Variables on Long‐term Treatment Outcomes in Carpal Tunnel Syndrome: Evidence From a Randomized Clinical Trial.
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| Title: | Influence of Clinical, Psychological, and Psychophysical Variables on Long‐term Treatment Outcomes in Carpal Tunnel Syndrome: Evidence From a Randomized Clinical Trial. |
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| Authors: | Fernández‐de‐las‐Peñas, César, de‐la‐Llave‐Rincón, Ana I., Cescon, Corrado, Barbero, Marco, Arias‐Buría, José L., Falla, Deborah |
| Source: | Pain Practice. Jul2019, Vol. 19 Issue 6, p644-655. 12p. 1 Diagram, 8 Charts. |
| Subjects: | Carpal tunnel syndrome, Life skills, Physical therapy, Postoperative period, Multiple regression analysis, Secondary analysis, Pain measurement, Randomized controlled trials, Treatment effectiveness, Severity of illness index, Descriptive statistics, Evaluation |
| Geographic Terms: | Spain |
| Abstract: | Objective: To assess the influence of clinical, psychological, and psychophysical variables on long‐term clinical outcomes after the application of either physical therapy or surgery in women presenting with carpal tunnel syndrome (CTS). Methods: A secondary analysis of a randomized trial investigating the efficacy of manual therapy including desensitization maneuvers of the central nervous system against surgery in 120 women with CTS was performed. Clinical outcomes including pain intensity, function, or symptom severity were assessed at 6 and 12 months post‐intervention. Participants completed at baseline several clinical (pain intensity, function, and symptom severity), psychological (depression), and psychophysical (pressure pain thresholds and pain extent) variables, which were included as predictors. Multiple regression analyses were conducted to assess the relationship between baseline variables and clinical outcomes at 6 and 12 months post‐intervention. Results: The regression models indicated that higher scores of each clinical outcome (ie, intensity of pain or symptom severity) at baseline predicted better outcomes at 6 and 12 months post‐intervention (from 15% to 65% of variance) in both groups. Lower pressure pain thresholds over the carpal tunnel at baseline predicted poorer clinical outcomes at 6 and 12 months post‐intervention (from 5% to 20% of variance) in the physical therapy group, whereas higher depressive symptoms at baseline contributed to poorer outcomes at 6 and 12 months post‐intervention (from 5% to 15% of the variance) within the surgery group. Conclusion: This study found that baseline localized pressure pain sensitivity and depression were predictive of long‐term clinical outcomes in women with CTS following physical therapy or surgery, respectively. [ABSTRACT FROM AUTHOR] |
| Copyright of Pain Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 137375884 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Influence of Clinical, Psychological, and Psychophysical Variables on Long‐term Treatment Outcomes in Carpal Tunnel Syndrome: Evidence From a Randomized Clinical Trial. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Fernández‐de‐las‐Peñas%2C+César%22">Fernández‐de‐las‐Peñas, César</searchLink><br /><searchLink fieldCode="AR" term="%22de‐la‐Llave‐Rincón%2C+Ana+I%2E%22">de‐la‐Llave‐Rincón, Ana I.</searchLink><br /><searchLink fieldCode="AR" term="%22Cescon%2C+Corrado%22">Cescon, Corrado</searchLink><br /><searchLink fieldCode="AR" term="%22Barbero%2C+Marco%22">Barbero, Marco</searchLink><br /><searchLink fieldCode="AR" term="%22Arias‐Buría%2C+José+L%2E%22">Arias‐Buría, José L.</searchLink><br /><searchLink fieldCode="AR" term="%22Falla%2C+Deborah%22">Falla, Deborah</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Pain+Practice%22">Pain Practice</searchLink>. Jul2019, Vol. 19 Issue 6, p644-655. 12p. 1 Diagram, 8 Charts. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Carpal+tunnel+syndrome%22">Carpal tunnel syndrome</searchLink><br /><searchLink fieldCode="DE" term="%22Life+skills%22">Life skills</searchLink><br /><searchLink fieldCode="DE" term="%22Physical+therapy%22">Physical therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Postoperative+period%22">Postoperative period</searchLink><br /><searchLink fieldCode="DE" term="%22Multiple+regression+analysis%22">Multiple regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Secondary+analysis%22">Secondary analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Pain+measurement%22">Pain measurement</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Severity+of+illness+index%22">Severity of illness index</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation%22">Evaluation</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Spain%22">Spain</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Objective: To assess the influence of clinical, psychological, and psychophysical variables on long‐term clinical outcomes after the application of either physical therapy or surgery in women presenting with carpal tunnel syndrome (CTS). Methods: A secondary analysis of a randomized trial investigating the efficacy of manual therapy including desensitization maneuvers of the central nervous system against surgery in 120 women with CTS was performed. Clinical outcomes including pain intensity, function, or symptom severity were assessed at 6 and 12 months post‐intervention. Participants completed at baseline several clinical (pain intensity, function, and symptom severity), psychological (depression), and psychophysical (pressure pain thresholds and pain extent) variables, which were included as predictors. Multiple regression analyses were conducted to assess the relationship between baseline variables and clinical outcomes at 6 and 12 months post‐intervention. Results: The regression models indicated that higher scores of each clinical outcome (ie, intensity of pain or symptom severity) at baseline predicted better outcomes at 6 and 12 months post‐intervention (from 15% to 65% of variance) in both groups. Lower pressure pain thresholds over the carpal tunnel at baseline predicted poorer clinical outcomes at 6 and 12 months post‐intervention (from 5% to 20% of variance) in the physical therapy group, whereas higher depressive symptoms at baseline contributed to poorer outcomes at 6 and 12 months post‐intervention (from 5% to 15% of the variance) within the surgery group. Conclusion: This study found that baseline localized pressure pain sensitivity and depression were predictive of long‐term clinical outcomes in women with CTS following physical therapy or surgery, respectively. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Pain Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=137375884 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1111/papr.12788 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 12 StartPage: 644 Subjects: – SubjectFull: Carpal tunnel syndrome Type: general – SubjectFull: Life skills Type: general – SubjectFull: Physical therapy Type: general – SubjectFull: Postoperative period Type: general – SubjectFull: Multiple regression analysis Type: general – SubjectFull: Secondary analysis Type: general – SubjectFull: Pain measurement Type: general – SubjectFull: Randomized controlled trials Type: general – SubjectFull: Treatment effectiveness Type: general – SubjectFull: Severity of illness index Type: general – SubjectFull: Descriptive statistics Type: general – SubjectFull: Evaluation Type: general – SubjectFull: Spain Type: general Titles: – TitleFull: Influence of Clinical, Psychological, and Psychophysical Variables on Long‐term Treatment Outcomes in Carpal Tunnel Syndrome: Evidence From a Randomized Clinical Trial. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Fernández‐de‐las‐Peñas, César – PersonEntity: Name: NameFull: de‐la‐Llave‐Rincón, Ana I. – PersonEntity: Name: NameFull: Cescon, Corrado – PersonEntity: Name: NameFull: Barbero, Marco – PersonEntity: Name: NameFull: Arias‐Buría, José L. – PersonEntity: Name: NameFull: Falla, Deborah IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 07 Text: Jul2019 Type: published Y: 2019 Identifiers: – Type: issn-print Value: 15307085 Numbering: – Type: volume Value: 19 – Type: issue Value: 6 Titles: – TitleFull: Pain Practice Type: main |
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