Hermann K M, Reese C S
The Therapy Center, College Station Medical Center, 1605 Rock Praire Rd, Ste 5, College Station, TX 77845, USA.
Phys Ther. 2001 Mar;81(3):903-14.
Little is known about the relationship among impairments, functional limitations, and disability in people with cervical spine disorders (CSD) despite the fact that these concepts are routinely used in clinical practice. The primary purpose of this study was to investigate the relationships among commonly assessed impairment, functional limitation, and disability measures in patients with CSD. A secondary purpose was to determine the influence of payment source and time since onset of symptoms on these same measures.
Eighty patients (mean age=45.7 years, SD=15.9, range=20-88) with CSD who were referred for physical therapy participated in the study.
Data were obtained for 3 measures of impairment, 2 measures of functional limitation, and 3 measures of self-reported disability during the initial visit.
All 3 sets of variables (ie, impairment, functional limitation, disability) correlated with each other, with the highest correlation occurring between the impairment measures and the functional limitation measures (r=.82). Other correlations were noted between individual variables. There was no effect of payment type or time since onset of symptoms on the variables.
Positive correlations were noted among the 3 sets of measures, which supports the assumption that impairments, functional limitations, and disability are related in patients with CSD.
尽管颈椎疾病（CSD）患者的损伤、功能受限和残疾之间的关系在临床实践中经常被提及，但目前对此了解甚少。本研究的主要目的是调查CSD患者中常用的损伤、功能受限和残疾评估指标之间的关系。次要目的是确定支付来源和症状出现后的时间对这些相同指标的影响。
80例因颈椎疾病转诊接受物理治疗的患者（平均年龄 = 45.7岁，标准差 = 15.9，范围 = 20 - 88岁）参与了本研究。
在初次就诊时获取了3项损伤指标、2项功能受限指标和3项自我报告的残疾指标的数据。
所有3组变量（即损伤、功能受限、残疾）之间均相互关联，其中损伤指标与功能受限指标之间的相关性最高（r = 0.82）。个别变量之间也存在其他相关性。支付类型或症状出现后的时间对这些变量没有影响。
3组指标之间均呈正相关，这支持了CSD患者的损伤、功能受限和残疾相互关联的假设。
