The mind does matter: psychological and physical recovery after musculoskeletal trauma

Alasdair George Sutherland, David Alan Alexander, James Douglas Hutchison

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Background: Posttraumatic psychopathology (PTP) is important to the orthopedic surgeon because it appears to be much more common than might have been suspected and may complicate the recovery from musculoskeletal injury. We have investigated the relationship between physical and psychological recovery in victims of musculoskeletal trauma.
Methods: A prospective cohort of 200 patients with musculoskeletal injuries were studied, correlating development of psychopathology (measured by the General Health Questionnaire) and functional outcome (measured by Short Form-36, Sickness Impact Profile, and Musculoskeletal Function Assessment) 2 and 6 months after their injuries.
Results: Pre-existing psychological disturbance was found in 11% of our patients; this figure rose to 46% of patients at 2 months but fell to 22% at 6 months. The posttraumatic disturbance correlated strongly with impaired functional outcome as measured by all three outcomes measures (total and category scores) (p < 0.05).
Conclusions: The strong correlation of PTP with impaired functional outcome after musculoskeletal trauma stresses that it is a significant problem. Further research is required to determine whether an approach that combines physical and psychological treatment can improve patient outcomes.

Original languageEnglish
Pages (from-to)1408-1414
Number of pages7
JournalThe Journal of Trauma Injury, Infection, and Critical Care
Volume61
Issue number6
DOIs
Publication statusPublished - Dec 2006
Event62nd Annual Meeting of the Australian Orthopaedic Association - Melbourne, Australia
Duration: 1 Oct 20024 Oct 2002

Keywords

  • stress disorders
  • post-traumatic
  • multiple trauma/complications
  • treatment outcome
  • posttraumatic-stress-disorder
  • quality-of-life
  • sickness impact profile
  • function assessment questionnaire
  • function assessment instrument
  • health survey SF-36
  • major trauma
  • injury severity
  • general health
  • risk-factors

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