Health-related quality of life and life satisfaction in patients following surgically treated pelvic ring fractures. A prospective observational study with two years follow-up

Borg, Tomas; Berg, Per; Fugl-Meyer, Kerstin; Larsson, Sune

doi:10.1016/j.injury.2009.11.006

Cited by 76 publications

(69 citation statements)

References 19 publications

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“…Satisfaction with life as a whole was markedly reduced in the study subjects, compared with a reference population (8), to a level that is comparable to and even lower than life satisfaction in subjects with disabilities after severe trauma (20,30) or stroke (31,32). One explanation for this low level could be the lack of verifiable somatic changes to explain the subjects' pain.…”

Section: Levels Of Satisfaction With Life As a Whole And The Domains mentioning

confidence: 81%

Life satisfaction in subjects with long-term musculoskeletal pain in relation to pain intensity, pain distribution and coping

Anke¹,

Damsgård²,

Røe³

2013

J Rehabil Med

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Objective: To investigate levels of life satisfaction in subjects with long-term musculoskeletal pain in relation to pain characteristics and coping. Design: Cross-sectional study. Methods: A total of 232 (42%) respondents answered selfreport questionnaires regarding life satisfaction, self-efficacy, sense of coherence, pain distribution and pain intensity at rest and during activity. Results: Levels of life satisfaction and scores for sense of coherence were low. Pain intensity at rest was negatively correlated with global life satisfaction. This result was also obtained in multiple regression analyses together with the coping factors. The life satisfaction domains activities of daily living/contacts were negatively correlated with pain intensity during activity, and the domains work/economy were negatively correlated with pain distribution. Pain was not associated with satisfaction with family life, partner relationship or sexual life. Younger age, being married/cohabitant and being female were protective for some domains. Clinically meaningful subgroups with regard to adaptation were identified by cluster analysis, and the highest level of coping was found in the adaptive cluster with high life satisfaction/low pain intensity at rest. Conclusion: Long-term pain is related to low levels of life satisfaction, and pain intensity and distribution influence satisfaction in different domains. Pain intensity is negatively associated with coping. The results support efforts to reduce pain, together with strengthening active coping processes and addressing individual needs.

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Section: Levels Of Satisfaction With Life As a Whole And The Domains mentioning

confidence: 81%

Life satisfaction in subjects with long-term musculoskeletal pain in relation to pain intensity, pain distribution and coping

Anke¹,

Damsgård²,

Røe³

2013

J Rehabil Med

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“…Borg et al [5] prospectively analyzed the health-related quality of life and life satisfaction in patients following surgical treatment of pelvic ring fractures. Although the radiological and clinical outcomes were considered favorable, pelvic fracture patients scored lower than their reference population in both physical and mental domains at 2 years follow-up.…”

Section: Introductionmentioning

confidence: 99%

Outcome in Pelvic Ring Fractures

Hessmann¹,

Rickert²,

Hofmann

et al. 2010

Eur J Trauma

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Pelvic ring fractures represent a negative prognostic factor for what concerns morbidity and mortality of a polytraumatized patient. The subjective and functional prognosis of a pelvic ring fracture is dependent upon its degree of instability. Associated severe peripelvic soft tissue injuries and neurovascular lesions (complex pelvic trauma) affect outcome negatively. Although high rates of anatomic reduction and stable fixation have been achieved in recent years, only 60% of patients have an excellent or good clinical result. Sequelae of neurologic lesions and genitorurinary injuries are typically associated with considerable rates of persistent functional impairment. Chronic pain and disability are often very difficult to treat. Health-related quality of life and life satisfaction after pelvic ring fractures caused by high-energy trauma is substantially lower when compared to a reference population.

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“…The complexity of the condition is pronounced, and even after excellent osseous restoration, patients often suffer considerable pain as well as impairments in their physical and mental quality of life [28,29,30]. Guidelines for the management of long-term incapacity to work suggest relaxation training (a core element of many CAM therapies - and certainly of WATSU) as one intervention [31].…”

Section: Discussionmentioning

confidence: 99%

Passive Hydrotherapy WATSU® for Rehabilitation of an Accident Survivor: A Prospective Case Report

Schitter

Fleckenstein

2018

Complement Med Res

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Background: WaterShiatsu (WATSU) is a passive form of hydrotherapy in warm water (35 °C) that aims at relaxation, pain relief, and a sense of security. This case report focuses on a patient's experience of integrating WATSU into her rehabilitative care. Case Report: A 52-year-old woman survived a severe motorcycle accident in which she sustained several fractures on the right side of her body, including ribs, the pelvis, and the femur. After discharge from stationary care, she independently scheduled 8 weekly WATSU sessions with an experienced WATSU therapist also trained in physiotherapy and psychosomatics. Quantitative and qualitative data obtained from the patient's diary and the therapist's notes is presented. Results: The patient associated WATSU with physical and emotional release, reconciliation with her body, and trunk mobilization (followed by ameliorated breath). She ascribed WATSU lasting effects on her body image and reported continuous improvement by the Patient-Specific Functional Scale. The therapist employed WATSU to equalize awareness throughout the body and for careful mobilization. Due to complications (elevated inflammation markers), only 6 of 8 scheduled sessions were administered. Conclusions: WATSU was experienced as helpful in approaching a condition that the patient felt insufficiently covered by conventional physiotherapy alone. In early rehabilitation, additional medical/physiotherapeutic skills of contributing complementary therapists are advocated.

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Health-related quality of life and life satisfaction in patients following surgically treated pelvic ring fractures. A prospective observational study with two years follow-up

Cited by 76 publications

References 19 publications

Life satisfaction in subjects with long-term musculoskeletal pain in relation to pain intensity, pain distribution and coping

Life satisfaction in subjects with long-term musculoskeletal pain in relation to pain intensity, pain distribution and coping

Outcome in Pelvic Ring Fractures

Passive Hydrotherapy WATSU® for Rehabilitation of an Accident Survivor: A Prospective Case Report

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