Ottosson et al developed the Prediction of Prolonged Self-Perceived Recovery After Musculoskeletal Injuries (PPS). This can help to identify a patient who may have a delayed recovery following traumatic injury. The authors are from Karolinska Institute in Stockholm.
NOTE: The authors refer to a prediction instrument that they developed, which may be published subsequently. The questionnaire is published in the Appendix.
Parameters:
(1) level of education
(2) current work status
(3) type of traumatic injury
(4) physical pain or discomfort along a 10 cm VAS
(5) mental anguish (depression, anxiety, or other psychological discomfort) along a 10 cm VAS
|
Parameter |
Finding |
Odds Ratio |
|
level of education |
did not go to university |
2 |
|
|
went to university |
1 |
|
current work status |
working |
1 |
|
|
not working |
2.5 |
|
type of traumatic injury |
contusion or minor injury |
1 |
|
|
whiplash with neck pain |
1.8 |
|
|
fracture or multiple injuries |
4.6 |
|
|
dislocation or distortion |
8.9 |
|
physical pain |
0 to 2.49 |
1 |
|
|
2.5 to 6.5 |
2 |
|
|
> 6.5 |
2.8 |
|
mental anguish |
0 to 0.49 |
1 |
|
|
0.5 to 5.1 |
2.3 |
|
|
> 5.1 |
4.2 |
cumulative odds ratio =
= PRODUCT(odds ratios for all 5 parameters)
Interpretation:
• minimum cumulative OR: 1
• maximum cumulative OR: 523
• The higher the cumulative odds ratio the greater the likelihood of a prolonged recovery (self-reported nonrecovery at 4 to 6 months after the injury).
Purpose: To identify a patient who may have a delayed recovery following musculoskeletal injury using the PPS of Ottosson et al.
Specialty: Sports Medicine & Rehabilitation
Objective: disability and performance
ICD-10: M95-M99,
