作为患有机械性颈臂疼痛并发夏科-马里-图思病患者康复治疗结果指标的伯恩茅斯问卷：病例报告
The Bournemouth Questionnaire as an outcome measure in the rehabilitation of a person suffering with mechanical neck and arm pain and concurrent Charcot-Marie-Tooth disease: a case report.
作者信息
Rankin Paul
机构信息
Private practice, 2018 - 20 Kingsbridge Garden Circle, Mississauga, ON, Canada.
出版信息
J Can Chiropr Assoc. 2006 Sep;50(3):190-4.
OBJECTIVE
The objective of this paper was to present a report in which the Bournemouth Questionnaire was used as an outcome measure in the treatment and rehabilitation of an individual previously diagnosed with Charcot-Marie-Tooth disease and concurrently suffering with mechanical neck and arm pain. DESIGN ARCHITECTURE: This was a retrospective case report. SAMPLE PROFILE: An individual over 18 years of age previously diagnosed with Charcot-Marie-Tooth disease and now suffering with mechanical neck and arm pain. The individual is free from other illnesses and the individual is free from contra-indications to chiropractic care and rehabilitation.
OUTCOME MEASURES
The outcome measures of this case report were based on the Bournemouth Neck Questionnaire.
METHOD
The course of treatment involved diversified chiropractic manipulative therapy of involved joints, soft tissue therapy and specific rehabilitative postural exercises. Outcome measures were compared to pretreatment baselines. The Bournemouth Neck Questionnaire was completed at weeks 0, and 6. The length of the study was 6 weeks. Re-evaluation of treatment occurred at similar intervals.
RESULTS
The Bournemouth patient raw scores pre-intervention were 6, 3, 2, 7, 2, 4, 2 with a total score of 26/70. Post intervention raw scores were 4, 2, 0, 7, 1, 2, 1 with a total score of 17/70. The percentage change score was 34.6.
CONCLUSION
The change in raw scores was not clinically important. The percentage change score is considered indicative of clinically important change. The following two questions for further study are presented. Can the questions relating to depression and mood in the Bournemouth Questionnaire be used as a clinical indicator of adherence to home exercise programs? Can the Bournemouth Questionnaire be used as an appropriate outcome measure of non-specific musculoskeletal pain in individuals suffering from Charcot-Marie-Tooth disease?
目的
本文旨在呈现一份报告，其中将伯恩茅斯问卷用作一名先前被诊断患有夏科-马里-图思病且同时患有机械性颈部和手臂疼痛的个体的治疗与康复效果评估指标。
设计架构
这是一份回顾性病例报告。
样本概况
一名18岁以上的个体，先前被诊断患有夏科-马里-图思病，现患有机械性颈部和手臂疼痛。该个体无其他疾病，且无脊椎按摩治疗和康复的禁忌证。
评估指标
本病例报告的评估指标基于伯恩茅斯颈部问卷。
方法
治疗过程包括对受累关节进行多样化的脊椎按摩手法治疗、软组织治疗以及特定的康复姿势练习。将评估指标与治疗前基线进行比较。在第0周和第6周完成伯恩茅斯颈部问卷。研究时长为6周。以类似的间隔进行治疗再评估。
结果
干预前伯恩茅斯患者原始分数分别为6、3、2、7、2、4、2，总分26/70。干预后原始分数为4、2、0、7、1、2、1，总分17/70。百分比变化分数为34.6。
结论
原始分数的变化在临床上并不重要。百分比变化分数被认为可指示临床上的重要变化。提出了以下两个有待进一步研究的问题。伯恩茅斯问卷中与抑郁和情绪相关的问题能否用作家庭锻炼计划依从性的临床指标？伯恩茅斯问卷能否用作夏科-马里-图思病患者非特异性肌肉骨骼疼痛的合适评估指标？
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