Blom Ashley, Taylor Adrian, Whitehouse Sarah, Orr Bill, Smith Evert
Avon Orthopaedic Centre, Southmead Hospital, Bristol, UK.
Ann R Coll Surg Engl. 2002 Sep;84(5):342-3. doi: 10.1308/003588402760452682.
The treatment of lower back pain constitutes a major problem for orthopaedic surgeons. Identifying the patients who have a non-organic component to their lower back pain is often difficult. Waddell et al. (Waddell G, McCulloch HA, Kummel E, Venner RM. Non-organic physical signs in low-back pain. Spine 1980; 5: 117-25) devised a set of five physical signs to assist in determining this. These signs are time consuming and can be difficult to interpret. We have developed a sign that is simple, quick and easy to perform. In a set of 94 patients, we have compared our sign with Waddell's signs. Our sign has a highly significant correlation with Waddell's signs (chi2 = 55.093, P < 0.001), and thus we would suggest it as an accurate alternative to Waddell's signs.
下背痛的治疗是骨科医生面临的一个主要问题。识别那些下背痛存在非器质性因素的患者往往很困难。瓦德尔等人（瓦德尔G、麦卡洛赫HA、库梅尔E、文纳RM。下背痛的非器质性体征。《脊柱》1980年；5：117 - 25）设计了一组五项体征来协助判断这一点。这些体征耗时且可能难以解读。我们开发了一种简单、快速且易于操作的体征。在一组94名患者中，我们将我们的体征与瓦德尔体征进行了比较。我们的体征与瓦德尔体征具有高度显著的相关性（卡方 = 55.093，P < 0.001），因此我们建议将其作为瓦德尔体征的一种准确替代方法。
