Dimensions Underlying Measures of Disability, Personal Factors, and Health Status in Cervical Radiculopathy. Issue 24 (June 2015)

• Record Type: Journal Article
• Authors: Halvorsen, Marie; Kierkegaard, Marie; Harms-Ringdahl, Karin; Peolsson, Anneli; Dedering, Åsa; Rosales., Raymond Lotilla
• Is Part Of: Medicine. Volume 94:Issue 24(2015)
• Publication Date: 2015-06
• Subjects: Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000000999
• Languages: English
• ISSNs: 0025-7974

Abstract

<abstract> <title> <x xml:space="preserve">Abstract</x> </title> <sec> <title>Abstract</title> <p>This cross-sectional study sought to identify dimensions underlying measures of impairment, disability, personal factors, and health status in patients with cervical radiculopathy.</p> <p>One hundred twenty-four patients with magnetic resonance imaging-verified cervical radiculopathy, attending a neurosurgery clinic in Sweden, participated. Data from clinical tests and questionnaires on disability, personal factors, and health status were used in a principal-component analysis (PCA) with oblique rotation.</p> <p>The PCA supported a 3-component model including 14 variables from clinical tests and questionnaires, accounting for 73% of the cumulative percentage. The first component, <italic>pain and disability</italic>, explained 56%. The second component, <italic>health, fear-avoidance beliefs, kinesiophobia, and self-efficacy</italic>, explained 9.2%. The third component including <italic>anxiety</italic>, <italic>depression</italic>, and <italic>catastrophizing</italic> explained 7.6%. The strongest-loading variables of each dimension were "present neck pain intensity, " "fear avoidance, " and "anxiety."</p> <p>The three underlying dimensions identified and labeled <italic>Pain and functioning</italic>, <italic>Health, beliefs, and kinesiophobia</italic>, and <italic>Mood state and catastrophizing</italic> captured aspects of importance for cervical radiculopathy. Since the variables "present neck pain intensity, " "fear avoidance, " and "anxiety" had the strongest loading in each of the three dimensions; it may be important to include them in a reduced multidimensional measurement set in cervical radiculopathy.</p> </sec> </abstract>