Anne Boonstra - Academia.edu (original) (raw)

Papers by Anne Boonstra

Research paper thumbnail of The relationship between psychosocial distress and disability assessed by the Symptom Checklist-90-Revised and Roland Morris Disability Questionnaire in patients with chronic low back pain

The spine journal : official journal of the North American Spine Society

In the assessment and treatment of chronic low back pain (CLBP) patients, the biopsychosocial mod... more In the assessment and treatment of chronic low back pain (CLBP) patients, the biopsychosocial model is used worldwide. Psychological distress has been reported to have a strong relationship with disability as measured with several instruments. The relationship between psychosocial distress measured with the Symptom Checklist-90-Revised (SCL-90-R) and self-reported disability measured with the Roland Morris Disability Questionnaire (RMDQ) has not been investigated. To analyze the relationship between psychosocial distress measured with the SCL-90-R and self-reported disability measured with the RMDQ in patients with CLBP. This cross sectional study was performed in an outpatient pain rehabilitation setting. The study sample consisted of 152 patients with CLBP. SCL-90-R and RMDQ. All patients admitted for multidisciplinary treatment completed the SCL-90-R and RMDQ before treatment. Pearson's correlation coefficients between SCL-90-R (Global Severity Index and subscales) and RMDQ w...

Research paper thumbnail of Life satisfaction in patients with chronic musculoskeletal pain and its predictors

Quality of Life Research, 2013

To determine the life satisfaction of patients with chronic non-malignant musculoskeletal pain (C... more To determine the life satisfaction of patients with chronic non-malignant musculoskeletal pain (CMP) compared to the general population (GP) and to identify predictors of life satisfaction. Subjects were patients with CMP (n = 1,082) admitted to multidisciplinary rehabilitation and a general population sample (n = 506). Lisat-9 measures satisfaction with life as a whole and eight life domains. Physical, emotional and social functioning and pain intensity were assessed using the SF-36. Ordinal logistic regression was used to analyse differences between patients with CMP and the GP, and predictors of life satisfaction in patients with CMP. Compared to the general population, patients with CMP reported lower satisfaction with 'life as a whole', and with six life domains: self-care, leisure, vocational and financial situation, sex life and contacts with friends. In the CMP group, pain was associated with satisfaction with self-care, vocational situation, partnership, family life and contacts with friends. Marital status, age and mental health were associated with most satisfaction scores. Compared to the general population, patients with CMP reported lower satisfaction with 'life as a whole' and most life domains. The most consistent predictors of life satisfaction were marital status, mental health, vitality and pain.

Research paper thumbnail of Differences between patients with chronic musculoskeletal pain treated in an inpatient or an outpatient multidisciplinary rehabilitation program

International Journal of Rehabilitation Research, 2014

Multidisciplinary rehabilitation for patients with chronic musculoskeletal pain can be provided o... more Multidisciplinary rehabilitation for patients with chronic musculoskeletal pain can be provided on an inpatient or on an outpatient basis, but the rationale for choosing between the two programs is unknown. The aim of the study was to identify differences between patients provided inpatient or outpatient rehabilitation. It was a cross-sectional study within usual care. The study included 415 adult rehabilitation patients with chronic musculoskeletal pain with complex psychosocial problems. The measurements used were demographics, Short Form 36 Health Survey, Dutch Personality Questionnaire, Coping with Pain Questionnaire, Tampa Scale of Kinesiophobia, Symptom Checklist 90-Revised. In the multiple logistic analysis, five variables remained significantly different between inpatients and outpatients: inpatients were less likely to have a child aged less than 12 years and to have neck pain; their physical and social functioning were poorer; and their current pain period had lasted longer. The total explained variance was 26%. Five variables were identified as influencing the decision on inpatient or outpatient rehabilitation, but the explained variance was low.

Research paper thumbnail of Reliability of the Life Satisfaction Questionnaire to assess patients with chronic musculoskeletal pain

International Journal of Rehabilitation Research, 2008

The aim of this study was to determine the reliability of the Life Satisfaction Questionnaire, Du... more The aim of this study was to determine the reliability of the Life Satisfaction Questionnaire, Dutch version (LSQ-DV), to assess chronic pain patients. The study was designed as test-retest. The setting was the general rehabilitation centre. There were 51 patients over 18 years of age, suffering from chronic nonmalignant musculoskeletal pain. The main outcome measures were weighted kappa of test and retest data on the nine questions of the LSQ-DV, and Spearman correlation coefficient (rho) of the test and retest data on the mean LSQ score. The results were as follows: weighted kappa varied from 0.34 to 0.82: eight of the nine weighted kappa values were moderate to almost perfect whereas one ('family life') was low. The rho value of the mean score was 0.74. The conclusion was that the reliability of the LSQ-DV in patients with chronic nonmalignant pain treated in a rehabilitation setting proved moderate to good for most domains, though low for the 'family life' domain. We recommend using the LSQ-DV in clinical practice and research, although the 'family life' score has to be interpreted with caution.

Research paper thumbnail of Reliability and validity of the visual analogue scale for disability in patients with chronic musculoskeletal pain

International Journal of Rehabilitation Research, 2008

To determine the reliability and concurrent validity of a visual analogue scale (VAS) for disabil... more To determine the reliability and concurrent validity of a visual analogue scale (VAS) for disability as a single-item instrument measuring disability in chronic pain patients was the objective of the study. For the reliability study a test-retest design and for the validity study a crosssectional design was used. A general rehabilitation centre and a university rehabilitation centre was the setting for the study. The study population consisted of patients over 18 years of age, suffering from chronic musculoskeletal pain; 52 patients in the reliability study, 344 patients in the validity study. Main outcome measures were as follows. Reliability study: Spearman's correlation coefficients (q values) of the test and retest data of the VAS for disability; validity study: q values of the VAS disability scores with the scores on four domains of the Short-Form Health Survey (SF-36) and VAS pain scores, and with Roland-Morris Disability Questionnaire scores in chronic low back pain patients. Results were as follows: in the reliability study q values varied from 0.60 to 0.77; and in the validity study q values of VAS disability scores with SF-36 domain scores varied from 0.16 to 0.51, with Roland-Morris Disability Questionnaire scores from 0.38 to 0.43 and with VAS pain scores from 0.76 to 0.84.The conclusion of the study was that the reliability of the VAS for disability is moderate to good. Because of a weak correlation with other disability instruments and a strong correlation with the VAS for pain, however, its validity is questionable.

Research paper thumbnail of Assessing the treatment effects in apraxia of speech: introduction and evaluation of the Modified Diadochokinesis Test

International Journal of Language & Communication Disorders, 2012

Background: The number of reliable and valid instruments to measure the effects of therapy in apr... more Background: The number of reliable and valid instruments to measure the effects of therapy in apraxia of speech (AoS) is limited. Aims: To evaluate the newly developed Modified Diadochokinesis Test (MDT), which is a task to assess the effects of rate and rhythm therapies for AoS in a multiple baseline across behaviours design. Methods: The consistency, accuracy and fluency of speech of 24 adults with AoS and 12 unaffected speakers matched for age, gender and educational level were assessed using the MDT. The reliability and validity of the instrument were considered and outcomes compared with those obtained with existing tests. Results: The results revealed that MDT had a strong internal consistency. Scores were influenced by syllable structure complexity, while distinctive features of articulation had no measurable effect. The test-retest and intra-and interrater reliabilities were shown to be adequate, and the discriminant validity was good. For convergent validity different outcomes were found: apart from one correlation, the scores on tests assessing functional communication and AoS correlated significantly with the MDT outcome measures. The spontaneous speech phonology measure of the Aachen Aphasia Test (AAT) correlated significantly with the MDT outcome measures, but no correlations were found for the repetition subtest and the spontaneous speech articulation/prosody measure of the AAT.

Research paper thumbnail of F515 LIFE SATISFACTION IN PATIENTS WITH CHRONIC MUSCULOSKELETAL PAIN AND ITS PREDICTORS

European Journal of Pain Supplements, 2011

A sample of 468 chronic spine pain patients attending primary care units completed a battery of i... more A sample of 468 chronic spine pain patients attending primary care units completed a battery of instruments to assess anxiety sensitivity, resilience, fear of pain, pain anxiety, catastrophizing, passive coping, active coping, pain acceptance, job satisfaction, use of medical services, depression, anxiety, pain intensity, functional impairment, current functioning and general health. Results: Confirmatory factor analysis supported the validity of a 9-item version with 2 reliable subscales corresponding to 2 related factors: one referring to attention to pain (a = 0.88) and a second referring to attention to changes in pain (a = .92). Correlation analyses showed that pain vigilance was significantly associated with anxiety sensitivity (r = .30), resilience (r = −43), fear of pain (r = .39), pain anxiety (r = .40), catastrophizing (r = .57), passive coping (r = .54), active coping (r = −.47), depression (r = .44), anxiety (r = .41), pain intensity (r = .33), functional impairment (r = .33), current functioning (r = −.22) and general health (r = −31). Conclusions: These findings indicate that the Spanish Version of the Pain Vigilance and Awareness Questionnaire is a reliable and valid assessment instrument.

Research paper thumbnail of S289 DO MALE AND FEMALE PATIENTS WITH CHRONIC MUSCULOSKELETAL PAIN DIFFER IN THEIR PRE-TREATMENT EXPECTATIONS OF REHABILITATION OUTCOME?

European Journal of Pain Supplements, 2011

ii. two blunt pressure pain thresholds (PPT) using algometry applied on the 1 st interosseous mus... more ii. two blunt pressure pain thresholds (PPT) using algometry applied on the 1 st interosseous muscle. Results: RM ANOVA on GREP detected effects for Sex on Pain Sensitivity (p < 0.0001), Pain Endurance (p = 0.027), and Willingness to Report Pain (p = 0.007). GREP scores were higher for women in Pain Sensitivity and Willingness to Report Pain but lower in Pain Endurance. RM ANOVA on SETT scores detected effects for Sex (women higher than men, p = 0.047), Time (p < 0.0001) and Time X Sex interaction (p = 0.045). RM ANOVA on PPT detected effects for Sex (women lower than men, p = 0.01) and Cycle (p < 0.0001). Pain Sensitivity was negatively correlated with PPT (r = −0.38, p = 0.006) and Willingness to Report Pain was positively correlated with SETT scores (p < 0.01). Conclusion: Pain Sensitivity and Willingness to Report Pain predicted ischaemic pain intensity and mechanical pain threshold. This is consistent with studies on heat pain in Israel (Defrin et al., 2009) and USA (Wise et al., 2002) suggesting that the impact of gender role on pain responses is universal in nature.

Research paper thumbnail of 407 THE RELATIONSHIP BETWEEN PSYCHOSOCIAL DISTRESS AND DISABILITY ASSESSED BY THE SCL-90-R AND RMDQ IN PATIENTS WITH CHRONIC LOW BACK PAIN

European Journal of Pain, 2006

Research paper thumbnail of 961 PATIENT'S TREATMENT GOALS IN PAIN REHABILITATION

European Journal of Pain, 2006

Research paper thumbnail of Predictors of multidisciplinary treatment outcome in fibromyalgia:a systematic review

Disability and Rehabilitation, 2013

To identify outcome predictors for multidisciplinary treatment in patients with chronic widesprea... more To identify outcome predictors for multidisciplinary treatment in patients with chronic widespread pain (CWP) or fibromyalgia (FM). A systematic literature search in PubMed, PsycINFO, CINAHL, Cochrane Library, EMBASE and Pedro. Selection criteria included: age over 18; diagnosis CWP or FM; multidisciplinary treatment; longitudinal study design; original research report. Outcome domains: pain, physical functioning, emotional functioning, global treatment effect and &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;others&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;. Methodological quality of the selected articles was assessed and a qualitative data synthesis was performed to identify the level of evidence. Fourteen studies (all with FM patients) fulfilled the selection criteria. Six were of high quality. Poorer outcome (pain, moderate evidence; physical functioning and quality of life, weak evidence) was predicted by depression. Similarly, poorer outcome was predicted by the disturbance and pain profile of the Minnesota Multiphasic Personality Inventory (MMPI), strong beliefs in fate and high disability (weak evidence). A better outcome was predicted by a worse baseline status, the dysfunctional and the adaptive copers profile of the Multidimensional Pain Inventory (MPI), and high levels of pain (weak evidence). Some predictors were related to specific multidisciplinary treatment (weak evidence). Inconclusive evidence was found for other demographic and clinical factors, cognitive and emotional factors, symptoms and physical functioning as predictors of outcome. It was found that a higher level of depression was a predictor of poor outcome in FM (moderate evidence). In addition, it was found that the baseline status, specific patient profiles, belief in fate, disability, and pain were predictors of the outcome of multidisciplinary treatment. Our results highlight the lack of high quality studies for evaluating predictors of the outcome of multidisciplinary treatment in FM. Further research on predictors of multidisciplinary treatment outcome is needed.

Research paper thumbnail of Goal setting in Dutch paediatric rehabilitation. Are the needs and principal problems of children with cerebral palsy integrated into their rehabilitation goals?

Clinical Rehabilitation, 2008

To evaluate whether the needs and principal problems of children with cerebral palsy (CP) as form... more To evaluate whether the needs and principal problems of children with cerebral palsy (CP) as formulated in their interdisciplinary rehabilitation reports are integrated into the goal descriptions and whether this depends on the nature of the needs and problems. Descriptive multiple-case study. Five Dutch paediatric rehabilitation facilities. The rehabilitation profiles of 41 children with cerebral palsy aged between 4 and 8 years. The raw text data were extracted and organized, after which two raters independently linked the extracted content to the categories of the International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY). Matches between needs, problems and goals were identified by ICF-CY code comparisons. The Cohen&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s kappas for ICF-CY encoding were all in the range of &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;fair to good&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot; (0.52-0.78). For five children (12%) no needs had been formulated and the reports of 10 (24%) were excluded from further analyses as they lacked a principal goal. In the 31 reports analysed, 29 (23%) need constructs and 46 (46%) problem constructs were incorporated into the goals. Of the total of 95 goal constructs 49 (52%) were not related to either a need or a problem construct. No clear relationship could be established between the type of needs and problems and their inclusion or exclusion in the principal goals. Overall, the integration of the needs and principal problems of children with their rehabilitation goals was not optimal. However, integration was difficult to objectify because needs, problems and goals were poorly documented.

Research paper thumbnail of A systematic evaluation of the effect of thumb opponens splints on hand function in children with unilateral spastic cerebral palsy

Clinical Rehabilitation, 2012

To examine the effects of a neoprene thumb opponens splint on hand function during a self-selecte... more To examine the effects of a neoprene thumb opponens splint on hand function during a self-selected activities of daily living task in children with unilateral spastic cerebral palsy with thumb-in-palm position of the affected hand. Systematic evaluation of seven cases using a multiple baseline design across individuals. Outpatient clinic. Seven children with unilateral cerebral palsy (2-7 years old), Manual Ability Classification System level 2-3 participated in the study. Neoprene thumb opponens splints (McKie splint) were used. Children were followed for about four months. Baseline period ranged from 4 to 9 weeks, intervention period was two months and duration of follow-up one month. Hand function was assessed using goal attainment scaling and visual analogue scales. Data was assessed visually. In four children goal attainment scaling and/or visual analogue scale scores increased after introducing the splint. These effects remained when splints were not worn. Two children only benefited from the splint when it was worn. Thumb opponens splints were tolerated well by all children who participated in this study. Thumb opponens splints may have a positive effect on hand function in children with unilateral spastic cerebral palsy.

Research paper thumbnail of Relationship between psychological factors and cancer: An update of the evidence

Clinical Psychologist, 2005

Background/Aims: Quality of life (QoL) is consistently decreased in gastroesophageal reflux disea... more Background/Aims: Quality of life (QoL) is consistently decreased in gastroesophageal reflux disease (GERD), but the relationship between QoL and psychological factors in GERD has not yet been clearly defined. The present study investigated the relationship between the psychological factors of two subtypes of GERD and QoL. Methods: A cohort of 769 participants underwent upper endoscopic evaluation in the health-promotion center of St. Paul's Hospital. The severity of GERD symptoms, psychological factors, and QoL were analyzed using the Visual Analogue Scale, the Hospital Anxiety and Depression Scale, and the abbreviated version of the World Health Organization Quality of Life instrument, respectively. Results: Among the total of 769 participants, 153 participants were included in the exclusion criteria. Erosive reflux disease (ERD) and nonerosive reflux disease (NERD) were present in 106 (14%) and 61 (8%) of the participants, respectively, and 449 (58%) acted as controls. In each GERD group, the QoL had no correlatioion with the symptom severity. The scores for anxiety and depression were highest in the NERD group, and QoL scores were lower in both the ERD and NERD groups than in the control group. Anxiety and depression resulted in QoL scores being lower in both the ERD and NERD groups than in the nonanxiety and nondepressed groups, respectively. Conclusions: This study provides evidence that the QoL associated with the ERD and NERD subtypes may be more related to psychological factors than to symptom severity. (Gut and Liver 2009;3:259-265)

Research paper thumbnail of Test-Retest and Inter- and Intrareliability of the Quality of the Upper-Extremity Skills Test in Preschool-Age Children With Cerebral Palsy

Archives of Physical Medicine and Rehabilitation, 2007

Haga N, van der Heijden-Maessen HC, van Hoorn JF, Boonstra AM, Hadders-Algra M. Test-retest and i... more Haga N, van der Heijden-Maessen HC, van Hoorn JF, Boonstra AM, Hadders-Algra M. Test-retest and inter-and intrareliability of the Quality of the Upper-Extremity Skills Test in preschool-age children with cerebral palsy. Arch Phys Med Rehabil 2007;88:1686-9.

Research paper thumbnail of Relation Between Muscle Activation Pattern and Pain: An Explorative Study in a Bassists Population

Archives of Physical Medicine and Rehabilitation, 2013

and sharing with colleagues.

Research paper thumbnail of The effectiveness of Speech–Music Therapy for Aphasia (SMTA) in five speakers with Apraxia of Speech and aphasia

Aphasiology, 2015

Background: Several studies using musical elements in the treatment of neurological language and ... more Background: Several studies using musical elements in the treatment of neurological language and speech disorders have reported improvement of speech production. One such programme, Speech-Music Therapy for Aphasia (SMTA), integrates speech therapy and music therapy (MT) to treat the individual with Apraxia of Speech (AoS) and aphasia. We have observed encouraging results in clinical practice, but there is still no empirical evidence of the effect of SMTA. Aims: The current study investigated the effectiveness of SMTA on verbal communication in daily life. Methods & Procedures: Five participants with AoS accompanied by aphasia were included in an efficacy study using a case series design with multiple measurements. All participants received 24 SMTA sessions including two 30-min sessions per week. Pretreatment and posttreatment (immediately and 3 months after treatment stopped), verbal communication (intelligibility and comprehensibility) were tested with the Amsterdam-Nijmegen Everyday Language Test. The Aachen Aphasia Test (AAT) and the Diagnostic Instrument for Apraxia of Speech (DIAS) were also administered. The participants were tested four times before the start of the treatment (baseline) with a related test for progress on articulation (Modified Diadochokinesis Test (MDT)) and once with an unrelated control test (Psycholinguistic Assessment in Language Processing of Aphasia 12; repetition of number series). During the treatment, both tests were administered weekly. Outcomes & Results: Intelligibility of verbal communication for all participating individuals, as well as comprehensibility in four out of five participants, improved after 24 SMTA treatment sessions. All measures of MDT and repetition of AAT showed significant improvement for all participants. Four participants also improved on the test for articulation of phonemes and the diadochokinesis test of the DIAS. Furthermore, two participants improved on the articulation of words (DIAS). The improvement remained stable after treatment ended (follow-up). For three out of the five participants, no improvement was found on the control tests. Two participants also showed improvement on almost all outcome measures, but also improved on the control tests. SMTA not only affected articulation but also positively influenced the severity of the aphasia in four out of five participants. Conclusions: SMTA seems an effective treatment programme for at least three of the five individuals that were treated in the current study. This treatment led not only to better articulation, but more importantly, also to improvement in communication in daily life.

Research paper thumbnail of The relationship between psychosocial distress and disability assessed by the Symptom Checklist-90-Revised and Roland Morris Disability Questionnaire in patients with chronic low back pain

The spine journal : official journal of the North American Spine Society

In the assessment and treatment of chronic low back pain (CLBP) patients, the biopsychosocial mod... more In the assessment and treatment of chronic low back pain (CLBP) patients, the biopsychosocial model is used worldwide. Psychological distress has been reported to have a strong relationship with disability as measured with several instruments. The relationship between psychosocial distress measured with the Symptom Checklist-90-Revised (SCL-90-R) and self-reported disability measured with the Roland Morris Disability Questionnaire (RMDQ) has not been investigated. To analyze the relationship between psychosocial distress measured with the SCL-90-R and self-reported disability measured with the RMDQ in patients with CLBP. This cross sectional study was performed in an outpatient pain rehabilitation setting. The study sample consisted of 152 patients with CLBP. SCL-90-R and RMDQ. All patients admitted for multidisciplinary treatment completed the SCL-90-R and RMDQ before treatment. Pearson's correlation coefficients between SCL-90-R (Global Severity Index and subscales) and RMDQ w...

Research paper thumbnail of Life satisfaction in patients with chronic musculoskeletal pain and its predictors

Quality of Life Research, 2013

To determine the life satisfaction of patients with chronic non-malignant musculoskeletal pain (C... more To determine the life satisfaction of patients with chronic non-malignant musculoskeletal pain (CMP) compared to the general population (GP) and to identify predictors of life satisfaction. Subjects were patients with CMP (n = 1,082) admitted to multidisciplinary rehabilitation and a general population sample (n = 506). Lisat-9 measures satisfaction with life as a whole and eight life domains. Physical, emotional and social functioning and pain intensity were assessed using the SF-36. Ordinal logistic regression was used to analyse differences between patients with CMP and the GP, and predictors of life satisfaction in patients with CMP. Compared to the general population, patients with CMP reported lower satisfaction with &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;life as a whole&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;, and with six life domains: self-care, leisure, vocational and financial situation, sex life and contacts with friends. In the CMP group, pain was associated with satisfaction with self-care, vocational situation, partnership, family life and contacts with friends. Marital status, age and mental health were associated with most satisfaction scores. Compared to the general population, patients with CMP reported lower satisfaction with &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;life as a whole&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; and most life domains. The most consistent predictors of life satisfaction were marital status, mental health, vitality and pain.

Research paper thumbnail of Differences between patients with chronic musculoskeletal pain treated in an inpatient or an outpatient multidisciplinary rehabilitation program

International Journal of Rehabilitation Research, 2014

Multidisciplinary rehabilitation for patients with chronic musculoskeletal pain can be provided o... more Multidisciplinary rehabilitation for patients with chronic musculoskeletal pain can be provided on an inpatient or on an outpatient basis, but the rationale for choosing between the two programs is unknown. The aim of the study was to identify differences between patients provided inpatient or outpatient rehabilitation. It was a cross-sectional study within usual care. The study included 415 adult rehabilitation patients with chronic musculoskeletal pain with complex psychosocial problems. The measurements used were demographics, Short Form 36 Health Survey, Dutch Personality Questionnaire, Coping with Pain Questionnaire, Tampa Scale of Kinesiophobia, Symptom Checklist 90-Revised. In the multiple logistic analysis, five variables remained significantly different between inpatients and outpatients: inpatients were less likely to have a child aged less than 12 years and to have neck pain; their physical and social functioning were poorer; and their current pain period had lasted longer. The total explained variance was 26%. Five variables were identified as influencing the decision on inpatient or outpatient rehabilitation, but the explained variance was low.

Research paper thumbnail of Reliability of the Life Satisfaction Questionnaire to assess patients with chronic musculoskeletal pain

International Journal of Rehabilitation Research, 2008

The aim of this study was to determine the reliability of the Life Satisfaction Questionnaire, Du... more The aim of this study was to determine the reliability of the Life Satisfaction Questionnaire, Dutch version (LSQ-DV), to assess chronic pain patients. The study was designed as test-retest. The setting was the general rehabilitation centre. There were 51 patients over 18 years of age, suffering from chronic nonmalignant musculoskeletal pain. The main outcome measures were weighted kappa of test and retest data on the nine questions of the LSQ-DV, and Spearman correlation coefficient (rho) of the test and retest data on the mean LSQ score. The results were as follows: weighted kappa varied from 0.34 to 0.82: eight of the nine weighted kappa values were moderate to almost perfect whereas one (&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;family life&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;) was low. The rho value of the mean score was 0.74. The conclusion was that the reliability of the LSQ-DV in patients with chronic nonmalignant pain treated in a rehabilitation setting proved moderate to good for most domains, though low for the &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;family life&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; domain. We recommend using the LSQ-DV in clinical practice and research, although the &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;family life&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; score has to be interpreted with caution.

Research paper thumbnail of Reliability and validity of the visual analogue scale for disability in patients with chronic musculoskeletal pain

International Journal of Rehabilitation Research, 2008

To determine the reliability and concurrent validity of a visual analogue scale (VAS) for disabil... more To determine the reliability and concurrent validity of a visual analogue scale (VAS) for disability as a single-item instrument measuring disability in chronic pain patients was the objective of the study. For the reliability study a test-retest design and for the validity study a crosssectional design was used. A general rehabilitation centre and a university rehabilitation centre was the setting for the study. The study population consisted of patients over 18 years of age, suffering from chronic musculoskeletal pain; 52 patients in the reliability study, 344 patients in the validity study. Main outcome measures were as follows. Reliability study: Spearman's correlation coefficients (q values) of the test and retest data of the VAS for disability; validity study: q values of the VAS disability scores with the scores on four domains of the Short-Form Health Survey (SF-36) and VAS pain scores, and with Roland-Morris Disability Questionnaire scores in chronic low back pain patients. Results were as follows: in the reliability study q values varied from 0.60 to 0.77; and in the validity study q values of VAS disability scores with SF-36 domain scores varied from 0.16 to 0.51, with Roland-Morris Disability Questionnaire scores from 0.38 to 0.43 and with VAS pain scores from 0.76 to 0.84.The conclusion of the study was that the reliability of the VAS for disability is moderate to good. Because of a weak correlation with other disability instruments and a strong correlation with the VAS for pain, however, its validity is questionable.

Research paper thumbnail of Assessing the treatment effects in apraxia of speech: introduction and evaluation of the Modified Diadochokinesis Test

International Journal of Language & Communication Disorders, 2012

Background: The number of reliable and valid instruments to measure the effects of therapy in apr... more Background: The number of reliable and valid instruments to measure the effects of therapy in apraxia of speech (AoS) is limited. Aims: To evaluate the newly developed Modified Diadochokinesis Test (MDT), which is a task to assess the effects of rate and rhythm therapies for AoS in a multiple baseline across behaviours design. Methods: The consistency, accuracy and fluency of speech of 24 adults with AoS and 12 unaffected speakers matched for age, gender and educational level were assessed using the MDT. The reliability and validity of the instrument were considered and outcomes compared with those obtained with existing tests. Results: The results revealed that MDT had a strong internal consistency. Scores were influenced by syllable structure complexity, while distinctive features of articulation had no measurable effect. The test-retest and intra-and interrater reliabilities were shown to be adequate, and the discriminant validity was good. For convergent validity different outcomes were found: apart from one correlation, the scores on tests assessing functional communication and AoS correlated significantly with the MDT outcome measures. The spontaneous speech phonology measure of the Aachen Aphasia Test (AAT) correlated significantly with the MDT outcome measures, but no correlations were found for the repetition subtest and the spontaneous speech articulation/prosody measure of the AAT.

Research paper thumbnail of F515 LIFE SATISFACTION IN PATIENTS WITH CHRONIC MUSCULOSKELETAL PAIN AND ITS PREDICTORS

European Journal of Pain Supplements, 2011

A sample of 468 chronic spine pain patients attending primary care units completed a battery of i... more A sample of 468 chronic spine pain patients attending primary care units completed a battery of instruments to assess anxiety sensitivity, resilience, fear of pain, pain anxiety, catastrophizing, passive coping, active coping, pain acceptance, job satisfaction, use of medical services, depression, anxiety, pain intensity, functional impairment, current functioning and general health. Results: Confirmatory factor analysis supported the validity of a 9-item version with 2 reliable subscales corresponding to 2 related factors: one referring to attention to pain (a = 0.88) and a second referring to attention to changes in pain (a = .92). Correlation analyses showed that pain vigilance was significantly associated with anxiety sensitivity (r = .30), resilience (r = −43), fear of pain (r = .39), pain anxiety (r = .40), catastrophizing (r = .57), passive coping (r = .54), active coping (r = −.47), depression (r = .44), anxiety (r = .41), pain intensity (r = .33), functional impairment (r = .33), current functioning (r = −.22) and general health (r = −31). Conclusions: These findings indicate that the Spanish Version of the Pain Vigilance and Awareness Questionnaire is a reliable and valid assessment instrument.

Research paper thumbnail of S289 DO MALE AND FEMALE PATIENTS WITH CHRONIC MUSCULOSKELETAL PAIN DIFFER IN THEIR PRE-TREATMENT EXPECTATIONS OF REHABILITATION OUTCOME?

European Journal of Pain Supplements, 2011

ii. two blunt pressure pain thresholds (PPT) using algometry applied on the 1 st interosseous mus... more ii. two blunt pressure pain thresholds (PPT) using algometry applied on the 1 st interosseous muscle. Results: RM ANOVA on GREP detected effects for Sex on Pain Sensitivity (p < 0.0001), Pain Endurance (p = 0.027), and Willingness to Report Pain (p = 0.007). GREP scores were higher for women in Pain Sensitivity and Willingness to Report Pain but lower in Pain Endurance. RM ANOVA on SETT scores detected effects for Sex (women higher than men, p = 0.047), Time (p < 0.0001) and Time X Sex interaction (p = 0.045). RM ANOVA on PPT detected effects for Sex (women lower than men, p = 0.01) and Cycle (p < 0.0001). Pain Sensitivity was negatively correlated with PPT (r = −0.38, p = 0.006) and Willingness to Report Pain was positively correlated with SETT scores (p < 0.01). Conclusion: Pain Sensitivity and Willingness to Report Pain predicted ischaemic pain intensity and mechanical pain threshold. This is consistent with studies on heat pain in Israel (Defrin et al., 2009) and USA (Wise et al., 2002) suggesting that the impact of gender role on pain responses is universal in nature.

Research paper thumbnail of 407 THE RELATIONSHIP BETWEEN PSYCHOSOCIAL DISTRESS AND DISABILITY ASSESSED BY THE SCL-90-R AND RMDQ IN PATIENTS WITH CHRONIC LOW BACK PAIN

European Journal of Pain, 2006

Research paper thumbnail of 961 PATIENT'S TREATMENT GOALS IN PAIN REHABILITATION

European Journal of Pain, 2006

Research paper thumbnail of Predictors of multidisciplinary treatment outcome in fibromyalgia:a systematic review

Disability and Rehabilitation, 2013

To identify outcome predictors for multidisciplinary treatment in patients with chronic widesprea... more To identify outcome predictors for multidisciplinary treatment in patients with chronic widespread pain (CWP) or fibromyalgia (FM). A systematic literature search in PubMed, PsycINFO, CINAHL, Cochrane Library, EMBASE and Pedro. Selection criteria included: age over 18; diagnosis CWP or FM; multidisciplinary treatment; longitudinal study design; original research report. Outcome domains: pain, physical functioning, emotional functioning, global treatment effect and &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;others&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;. Methodological quality of the selected articles was assessed and a qualitative data synthesis was performed to identify the level of evidence. Fourteen studies (all with FM patients) fulfilled the selection criteria. Six were of high quality. Poorer outcome (pain, moderate evidence; physical functioning and quality of life, weak evidence) was predicted by depression. Similarly, poorer outcome was predicted by the disturbance and pain profile of the Minnesota Multiphasic Personality Inventory (MMPI), strong beliefs in fate and high disability (weak evidence). A better outcome was predicted by a worse baseline status, the dysfunctional and the adaptive copers profile of the Multidimensional Pain Inventory (MPI), and high levels of pain (weak evidence). Some predictors were related to specific multidisciplinary treatment (weak evidence). Inconclusive evidence was found for other demographic and clinical factors, cognitive and emotional factors, symptoms and physical functioning as predictors of outcome. It was found that a higher level of depression was a predictor of poor outcome in FM (moderate evidence). In addition, it was found that the baseline status, specific patient profiles, belief in fate, disability, and pain were predictors of the outcome of multidisciplinary treatment. Our results highlight the lack of high quality studies for evaluating predictors of the outcome of multidisciplinary treatment in FM. Further research on predictors of multidisciplinary treatment outcome is needed.

Research paper thumbnail of Goal setting in Dutch paediatric rehabilitation. Are the needs and principal problems of children with cerebral palsy integrated into their rehabilitation goals?

Clinical Rehabilitation, 2008

To evaluate whether the needs and principal problems of children with cerebral palsy (CP) as form... more To evaluate whether the needs and principal problems of children with cerebral palsy (CP) as formulated in their interdisciplinary rehabilitation reports are integrated into the goal descriptions and whether this depends on the nature of the needs and problems. Descriptive multiple-case study. Five Dutch paediatric rehabilitation facilities. The rehabilitation profiles of 41 children with cerebral palsy aged between 4 and 8 years. The raw text data were extracted and organized, after which two raters independently linked the extracted content to the categories of the International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY). Matches between needs, problems and goals were identified by ICF-CY code comparisons. The Cohen&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s kappas for ICF-CY encoding were all in the range of &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;fair to good&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot; (0.52-0.78). For five children (12%) no needs had been formulated and the reports of 10 (24%) were excluded from further analyses as they lacked a principal goal. In the 31 reports analysed, 29 (23%) need constructs and 46 (46%) problem constructs were incorporated into the goals. Of the total of 95 goal constructs 49 (52%) were not related to either a need or a problem construct. No clear relationship could be established between the type of needs and problems and their inclusion or exclusion in the principal goals. Overall, the integration of the needs and principal problems of children with their rehabilitation goals was not optimal. However, integration was difficult to objectify because needs, problems and goals were poorly documented.

Research paper thumbnail of A systematic evaluation of the effect of thumb opponens splints on hand function in children with unilateral spastic cerebral palsy

Clinical Rehabilitation, 2012

To examine the effects of a neoprene thumb opponens splint on hand function during a self-selecte... more To examine the effects of a neoprene thumb opponens splint on hand function during a self-selected activities of daily living task in children with unilateral spastic cerebral palsy with thumb-in-palm position of the affected hand. Systematic evaluation of seven cases using a multiple baseline design across individuals. Outpatient clinic. Seven children with unilateral cerebral palsy (2-7 years old), Manual Ability Classification System level 2-3 participated in the study. Neoprene thumb opponens splints (McKie splint) were used. Children were followed for about four months. Baseline period ranged from 4 to 9 weeks, intervention period was two months and duration of follow-up one month. Hand function was assessed using goal attainment scaling and visual analogue scales. Data was assessed visually. In four children goal attainment scaling and/or visual analogue scale scores increased after introducing the splint. These effects remained when splints were not worn. Two children only benefited from the splint when it was worn. Thumb opponens splints were tolerated well by all children who participated in this study. Thumb opponens splints may have a positive effect on hand function in children with unilateral spastic cerebral palsy.

Research paper thumbnail of Relationship between psychological factors and cancer: An update of the evidence

Clinical Psychologist, 2005

Background/Aims: Quality of life (QoL) is consistently decreased in gastroesophageal reflux disea... more Background/Aims: Quality of life (QoL) is consistently decreased in gastroesophageal reflux disease (GERD), but the relationship between QoL and psychological factors in GERD has not yet been clearly defined. The present study investigated the relationship between the psychological factors of two subtypes of GERD and QoL. Methods: A cohort of 769 participants underwent upper endoscopic evaluation in the health-promotion center of St. Paul's Hospital. The severity of GERD symptoms, psychological factors, and QoL were analyzed using the Visual Analogue Scale, the Hospital Anxiety and Depression Scale, and the abbreviated version of the World Health Organization Quality of Life instrument, respectively. Results: Among the total of 769 participants, 153 participants were included in the exclusion criteria. Erosive reflux disease (ERD) and nonerosive reflux disease (NERD) were present in 106 (14%) and 61 (8%) of the participants, respectively, and 449 (58%) acted as controls. In each GERD group, the QoL had no correlatioion with the symptom severity. The scores for anxiety and depression were highest in the NERD group, and QoL scores were lower in both the ERD and NERD groups than in the control group. Anxiety and depression resulted in QoL scores being lower in both the ERD and NERD groups than in the nonanxiety and nondepressed groups, respectively. Conclusions: This study provides evidence that the QoL associated with the ERD and NERD subtypes may be more related to psychological factors than to symptom severity. (Gut and Liver 2009;3:259-265)

Research paper thumbnail of Test-Retest and Inter- and Intrareliability of the Quality of the Upper-Extremity Skills Test in Preschool-Age Children With Cerebral Palsy

Archives of Physical Medicine and Rehabilitation, 2007

Haga N, van der Heijden-Maessen HC, van Hoorn JF, Boonstra AM, Hadders-Algra M. Test-retest and i... more Haga N, van der Heijden-Maessen HC, van Hoorn JF, Boonstra AM, Hadders-Algra M. Test-retest and inter-and intrareliability of the Quality of the Upper-Extremity Skills Test in preschool-age children with cerebral palsy. Arch Phys Med Rehabil 2007;88:1686-9.

Research paper thumbnail of Relation Between Muscle Activation Pattern and Pain: An Explorative Study in a Bassists Population

Archives of Physical Medicine and Rehabilitation, 2013

and sharing with colleagues.

Research paper thumbnail of The effectiveness of Speech–Music Therapy for Aphasia (SMTA) in five speakers with Apraxia of Speech and aphasia

Aphasiology, 2015

Background: Several studies using musical elements in the treatment of neurological language and ... more Background: Several studies using musical elements in the treatment of neurological language and speech disorders have reported improvement of speech production. One such programme, Speech-Music Therapy for Aphasia (SMTA), integrates speech therapy and music therapy (MT) to treat the individual with Apraxia of Speech (AoS) and aphasia. We have observed encouraging results in clinical practice, but there is still no empirical evidence of the effect of SMTA. Aims: The current study investigated the effectiveness of SMTA on verbal communication in daily life. Methods & Procedures: Five participants with AoS accompanied by aphasia were included in an efficacy study using a case series design with multiple measurements. All participants received 24 SMTA sessions including two 30-min sessions per week. Pretreatment and posttreatment (immediately and 3 months after treatment stopped), verbal communication (intelligibility and comprehensibility) were tested with the Amsterdam-Nijmegen Everyday Language Test. The Aachen Aphasia Test (AAT) and the Diagnostic Instrument for Apraxia of Speech (DIAS) were also administered. The participants were tested four times before the start of the treatment (baseline) with a related test for progress on articulation (Modified Diadochokinesis Test (MDT)) and once with an unrelated control test (Psycholinguistic Assessment in Language Processing of Aphasia 12; repetition of number series). During the treatment, both tests were administered weekly. Outcomes & Results: Intelligibility of verbal communication for all participating individuals, as well as comprehensibility in four out of five participants, improved after 24 SMTA treatment sessions. All measures of MDT and repetition of AAT showed significant improvement for all participants. Four participants also improved on the test for articulation of phonemes and the diadochokinesis test of the DIAS. Furthermore, two participants improved on the articulation of words (DIAS). The improvement remained stable after treatment ended (follow-up). For three out of the five participants, no improvement was found on the control tests. Two participants also showed improvement on almost all outcome measures, but also improved on the control tests. SMTA not only affected articulation but also positively influenced the severity of the aphasia in four out of five participants. Conclusions: SMTA seems an effective treatment programme for at least three of the five individuals that were treated in the current study. This treatment led not only to better articulation, but more importantly, also to improvement in communication in daily life.