Cited by 119Musculoskeletal pain and rehabilitationSpine and Intervertebral Disc PathologyPain Management and Treatment

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Management of catastrophising and kinesiophobia improves rehabilitation after fusion for lumbar spondylolisthesis and stenosis. A randomised controlled trial

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Monticone, Marco, Ferrante, Simona, Teli, Marco, Rocca, Barbara, Foti, Calogero, Lovi, Alessio, Brayda Bruno, Marco·2014·European Spine Journal

DOI 10.1007/s00586-013-2889-zPMC PMC3897823

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Abstract

Purpose To evaluate the effect of a rehabilitation programme including the management of catastrophising and kinesiophobia on disability, dysfunctional thoughts, pain, and the quality of life in patients after lumbar fusion for degenerative spondylolisthesis and/or lumbar spinal stenosis.Methods This was a parallel-group, randomised, superiority-controlled study in which 130 patients were randomly assigned to a programme consisting of exercises and cognitive-behavioural therapy (experimental group, 65 subjects) or exercises alone (control group, 65 subjects). Before treatment (T1), 4 weeks later (post-treatment analysis, T2) and 12 months after the end of treatment (follow-up, T3), all the patients completed a booklet containing the Oswestry Disability Index (ODI, primary outcome), the Tampa Scale for Kinesiophobia, the Pain Catastrophising Scale, a pain Numerical Rating Scale, and the Short-Form Health Survey. A linear mixed model for repeated measures was used for each outcome measure.Results The ODI linear mixed model revealed significant main effects of group (F(1,122.8) = 95.78, p < 0.001) and time (F(2,120.1) = 432.02, p < 0.001) in favour of the experimental group. There was a significant group × time interaction effect (F(2,120.1) = 20.37, p < 0.001). The analyses of all of the secondary outcome measures revealed a significant effect of time, group and interaction in favour of the experimental group.Conclusion The rehabilitation programme, including the management of catastrophising and kinesiophobia, was superior to the exercise programme in reducing disability, dysfunctional thoughts, and pain, and enhancing the quality of life of patients after lumbar fusion for degenerative spondylolisthesis and/or LSS. The effects lasted for at least 1 year after the intervention ended.

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Authors: Monticone, M., Ferrante, S., Teli, M., Rocca, B., Foti, C., Lovi, A., & Brayda Bruno, M.
Affiliations: Fondazione Salvatore Maugeri (IT)
Azienda Ospedaliera Ospedale Civile di Legnano (IT)
University of Rome Tor Vergata (IT)
IRCCS Ospedale Galeazzi - Sant'Ambrogio (IT)
Corresponding author: Monticone, Marco
ORCID: Monticone, Marco
Ferrante, Simona
Teli, Marco
Rocca, Barbara
Foti, Calogero
Lovi, Alessio
Venue: European Spine Journal
Publisher: Springer Science and Business Media LLC
Published: 2013-07-09
Volume: 23
Issue: 1
Pages: 87-95
ISSN: 0940-6719 (ISSN-L)
1432-0932
DOI: 10.1007/s00586-013-2889-z
PMC: PMC3897823
OpenAlex: W2026685408
Cited by: 119
References: 32
Citations by year: 2026: 3 · 2025: 10 · 2024: 7 · 2023: 14 · 2022: 13 · 2021: 12 · 2020: 11 · 2019: 18 · 2018: 6 · 2017: 7 · 2016: 10 · 2015: 6 · 2014: 2
FWCI: 4.41
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.springer.com/tdm (tdm)
Locations: European Spine Journal (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Virtual Community of Pathological Anatomy (University of Castilla La Mancha) (submittedVersion, other-oa)
Cineca Institutional Research Information System (Tor Vergata University) (submittedVersion)
Institutional Research Information System (Università degli Studi di Brescia) (submittedVersion)
UNICA IRIS Institutional Research Information System (University of Cagliari) (submittedVersion)
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Orthopedics and Sports Medicine › Spine and Intervertebral Disc Pathology
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Keywords: pain catastrophizing, kinesiophobia, lumbar fusion, degenerative spondylolisthesis, lumbar spinal stenosis, cognitive behavioral therapy, exercise therapy, postoperative rehabilitation, disability, pain, quality of life, long-term outcomes
MeSH terms: Adult, Exercise Therapy, Female, Persons with Disabilities, Humans, Lumbar Vertebrae, Male, Middle Aged, Movement, Pain Measurement, Phobic Disorders, Quality of Life, Spinal Stenosis, Spondylolisthesis, Cognitive Behavioral Therapy, Treatment Outcome, Outcome Assessment, Health Care, Disease Management, Catastrophization

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Management of catastrophising and kinesiophobia improves rehabilitation after fusion for lumbar spondylolisthesis and stenosis. A randomised controlled trial

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