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Correlation between expectations of recovery and injury severity perception in whiplash-associated disorders

Journal of Zhejiang University-Science B(Biomedicine & Biotechnology) 2011年第8期12卷 683-686页

作者： Robert FERRARI deon louw Department of Medicine University of AlbertaEdmonton

Objective:To assess the correlation between expectations of recovery and whiplash patients' perceptions of injury severity using a simplified *** of recovery have been shown to predict rate of recovery from whiplash injury in population-based *** perception of having more severe pathology or more ominous diagnostic labels has also been associated with a worse ***:Consecutive patients with whiplash-associated disorder grade 1 or 2,presenting in the acute stage to a primary care centre,were asked "do you think that your injury will…" with response options "get better soon;get better slowly;never get better;don't know." Injury severity perception (ISP) was measured with a numerical rating scale which ranged from 0-10,on which subjects were asked to rate how severe (in terms of damage) they thought their injury *** anchors were labeled "no damage" (0) and "severe,and maybe permanent damage" (10).The primary outcome measure was the correlation between the subject's ISP score and expectation of ***:A total of 94 subjects (34 males,60 females,and mean age (40.6±10.0) years,range 19-60 years) were *** initial responses to expectation of recovery were:get better soon (29/94);get better slowly (22/94);never get better (11/94);don't know (32/94).The mean ISP score was 4.9±1.7 (range 2-9 out of 10).There was a high correlation between expectations and ISP scores (Spearman's rank correlation coefficient 0.68).Those who expected to recover soon and those who expected to get better slowly had the lowest ISP ***:The more slowly whiplash patients expect to recover,or the less sure they are of recovery,the more severe their initial perceptions of injury.

关键词： Whiplash-associated disorders (WAD) Expectations of recovery Injury severity perception (ISP)

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Development of a symptom expectation questionnaire for minor head injury

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Journal of Zhejiang University-Science B(Biomedicine & Biotechnology) 2011年第6期12卷 499-502页

作者： Robert FERRARI deon louw Department of Medicine University of AlbertaEdmonton

Background and objective:Expectations and beliefs are important predictors of outcome following minor head *** this paper,the primary purpose is to develop a simple symptom expectation questionnaire for minor head injury for use in future research ***:An existing database of 179 injury-naive subjects who completed a 56-item checklist of expected symptoms for minor head injury was analyzed to determine which items could correctly identify an a priori case definition of an expecter (a subject who expected at least one of these symptoms would remain chronic following minor head injury).A total of six of the 56 items were found to be discriminatory,and these were tested in additional subject groups against the original ***:From the original database of 179 subjects completing a 56-item symptom expectation checklist,135 expected that at least one of the 56 symptoms would be chronic following minor head *** 135 expecters,however,all chose at least one of six items:headache,anxious or worried,depressed,difficulty concentrating,dizziness,and neck *** these six items,in two new groups of subjects,all those who endorsed one of the 56 symptoms as likely to be chronic following minor head injury (expecters) could also be identified on the 6-item ***:A shortened (6-item) symptom expectation checklist of commonly reported symptoms following minor head injury (headache,anxious or worried,depressed,difficulty concentrating,dizziness,and neck pain) correctly identifies subjects who expect that at least one symptom will be chronic following minor head injury (i.e.,an expecter).

关键词： Minor head iniurv Expectation Outcomes

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Effect of a pain diary use on recovery from acute whiplash injury: a cohort study

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Journal of Zhejiang University-Science B(Biomedicine & Biotechnology) 2013年第11期14卷 1049-1053页

作者： Robert FERRARI deon louw Department of Medicine University of Alberta SureSurgery

Previously,it was shown that the use of a symptom diary for two weeks,even in generally healthy subjects,results in increased recall of daily symptoms and increased perception of symptom severity(Ferrari and Russell,2010).In that study,generally healthy female subjects were asked to recall symptoms experienced in the previous two weeks,after keeping a symptom diary for two weeks,while a control group was asked to recall symptoms experienced in the previous two weeks without having kept a symptom *** both groups had

关键词： a cohort study Effect of a pain diary use on recovery from acute whiplash injury

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Development of a symptom expectation questionnaire for whiplash injury

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Journal of Sport and Health Science 2012年第3期1卷 174-177,195页

作者： Robert Ferrari deon louw Department of Medicine University of AlbertaEdmontonAlberta T6G 2P4Canada SureSurgery EdmontonAlberta T5G OW6Canada

Background:Expectations and beliefs appear to be important predictors of outcome following whiplash *** for measuring these expectations in the general population have not been well *** objective of this study was to develop a simple symptom expectation questionnaire for whiplash injury for use in future research studies. Methods:An existing database of 179 injury-naive subjects who completed a 56-item checklist of expected symptoms for whiplash injury was analyzed to determine which items could correctly identify an a priori case definition of an expecter(a subject who expected at least one of these symptoms would remain chronic following whiplash injury).A total of seven of the 56 items were found to be *** identified, discriminatory items were then tested in additional subject groups against the original questionnaire. Results:From the original database of 179 subjects completing a 56-item symptom expectation checklist,119 expected at least one of the 56 symptoms would be chronic following whiplash *** 119 ***,all chose at least one of seven items:headache,anxious or worried,depressed,neck pain,problems sleeping,back pain,or jaw *** these seven items,in two new groups of subjects given the 56- item symptom expectation checklist and then a new shortened(7-item) symptom expectation checklist one week later(and the same done for another group of 100 subjects in reverse order),all those who endorsed one of the 56 symptoms as likely to be chronic following whiplash injury (expecters) could also be identified on the 7-item checklist. Conclusion:A shortened(7-item) symptom expectation checklist of commonly reported symptoms following whiplash injury(headache, anxious or worried,depressed,neck pain,problems sleeping,back pain,and jaw pain) correctly identifies subjects who expect at least one symptom will be chronic following minor head injury(i.e.,an expecter).This shortened(7-item) symptom expectation ch

关键词： Expectation Questionnaire Symptoms Whiplash injuries

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动脉瘤夹简史

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中国现代神经疾病杂志 2005年第4期5卷 233-235页

作者： deon F louw Wilson T Asfora Garnette R Sutherland 刘暌只达石 Sutherland Sioux Valley Hospital and Department of SurgeryUniversity of South Dakota Sioux Falls 300060 天津市环湖医院神经外科天津医科大学总医院

动脉瘤手术的历史是凭借技术和毅力战胜这种致命性疾病的历史.曾经有人认为针对动脉瘤手术的努力是徒劳的.Cushing认为,颅内动脉瘤'是一种难以用手术治疗的疾病,是否具备手术指征如颈内动脉结扎,需要更进一步地深入探讨'[1,2].

关键词：动脉瘤手术方法肿瘤神经疾病

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