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Text
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URL Address
<a href="http://doi.org/10.1007/s10865-008-9191-2" target="_blank" rel="noreferrer noopener">http://doi.org/10.1007/s10865-008-9191-2</a>
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Pages
223-233
Issue
3
Volume
32
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Title
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Patients' reasons for electing to undergo total knee arthroplasty impact post-operative pain severity and range of motion
Publisher
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Journal of Behavioral Medicine
Date
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2009
2009-06
Subject
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osteoarthritis; pain; Surgery; Psychology; predictors; quality-of-life; replacement; fear; fatigue; Approach-avoidance goals; chronic musculoskeletal pain; Post-operative recovery; Reasoning; Surgical outcome; Total knee arthroplasty
Creator
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Cremeans-Smith J K; Boarts J M; Greene K; Delahanty D L
Description
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The present study examines the reasons cited by 103 patients for their electing to undergo total knee arthroplastic surgery and the relationship between these reasons and their post-operative pain and range of motion. Results suggest that individuals who describe different reasons for undergoing surgery vary in their post-operative recovery. Specifically, patients who cite pain as the reason they are undergoing surgery report greater levels of pain during the early post-operative period. In contrast, patients who describe goals of regaining mobility or a specific activity as their reason for undergoing surgery achieve a greater range of motion during early post-operative physical therapy. Individuals who express avoidance goals for undergoing total knee arthroplasty report more severe post-operative pain at 1 and 3 months following surgery compared to patients who express approach goals. Interventions targeted towards patients reporting pre-operative pain or avoidance goals may decrease subsequent post-operative pain and increase mobility.
Identifier
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<a href="http://doi.org/10.1007/s10865-008-9191-2" target="_blank" rel="noreferrer noopener">10.1007/s10865-008-9191-2</a>
Format
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Journal Article or Conference Abstract Publication
2009
Approach-avoidance goals
Boarts J M
chronic musculoskeletal pain
Cremeans-Smith J K
Delahanty D L
fatigue
Fear
Greene K
Journal Article or Conference Abstract Publication
Journal of Behavioral Medicine
Osteoarthritis
Pain
Post-operative recovery
predictors
Psychology
quality-of-life
Reasoning
Replacement
Surgery
Surgical outcome
Total knee arthroplasty