Browsing by Subject "Back Pain"
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Item An Evaluation of Presurgical Psychological Screening as a Predictor of Outcome for Total Disc Replacement(2010-05-14) Austin, Sabrina Stirling; Evans, Harry M.A long-term follow-up study was conducted to evaluate the efficacy of presurgical psychological screening (PPS) in predicting the response to treatment by patients undergoing Total Disc Replacement (TDR). Subjects participated in a psychological screening prior to surgery and were given a prognosis that was then used to determine whether they were fit to proceed with surgery. All participants in this study had a prognosis of Good (G), Fair-Good (FG), or Fair (F). Subjects were followed for one year and reported on measures of pain and functional disability at baseline, 6 months, and 12 months. G subjects showed significantly greater improvement in both pain and restoration of function than F subjects. G subjects also had significantly greater pain reduction than FG subjects. SCL-90 response patterns were detected in data but were not found to be predictive of outcome on either pain reduction or functional restoration measures. PAIRS scores were shown to correlate with baseline measures of functional disability but analyses were not able to determine whether these scores could predict treatment outcome. These findings suggest that PPS is an effective tool in predicting a patient's response to TDR.Item Management of low back pain in older adults: changing our approach(2015-05-08) Makris, UnaItem [News](1988-01-04) Harrell, AnnItem [News](1984-04-30) Floyd, CarolItem Press Memo(1976-07-30) Williams, AnnItem The Relationship Between MMPI-2 Profile Patterns and Treatment Efficacy in a Heterogeneous Pain Population: A Prospective Outcome Study(2007-08-08) Haggard, Robbie A.; Stowell, Anna W.In a prior study, Gatchel, Mayer, and Eddington (2006) demonstrated the utility of an MMPI-2 profile pattern, formerly known as the "Floating Profile", for use with identifying treating outcomes in the context of pain management. Re-termed the "Disability Profile", this profile pattern comprised a large proportion of the sample being studied, and demonstrated several negative treatment outcomes for patients who exhibited such a profile. This current study was an attempt at replicating these findings in a heterogeneous pain population, while also comparing four MMPI-2 profile patterns and five pain categories with various intake and outcome measures.Item [UT Southwestern Medical Center News](2008-01-31) Rian, RussellItem Where There Is a Will There Is a Way: Defining the Path Between Hope, Pain and Quality of Life in Pediatric Acute Lymphoblastic Leukemia Survivors(2011-12-12) Foxwell, Aleksandra Aceska; Germann, JulieAcute Lymphoblastic Leukemia (ALL) is the most common childhood cancer, with an expected long-term survival rate of approximately 80 – 85%. Observations have lead researchers to believe that adolescent and young adult survivors of childhood ALL have an unexpectedly high frequency of lower back pain. This increase of pain is attributed to the number of lumber punctures during treatment. Various factors influence levels of pain (i.e. BMI, exercise and neuroticism) and pain has been shown to have a negative effect on quality of life. Hope, a construct that has not been widely studied in the oncology literature, may be a buffer between pain and quality of life, meaning that those with higher hope are able to cope with their pain more effectively and in turn have a better quality of life. Moreover, because survivors have had an aversive experience, they may have increased levels of hope, thus despite high pain levels have a positive quality of life. Results suggested that ALL survivors reported higher pain ratings than siblings, but lower total hope and agency. Agency and total hope were significant predictors of QoL at time 2 over and above QoL at time 1 and mediated the relationship between pain time 1 and QoL time 2 when QoL time was not a covariate. These results conclude that hope and more specifically, agency, should be further examined in pediatric oncology and merits the development and investigation of a hope intervention.