Holmström E, Moritz U
Construction Industry's Organization for Working Environment and Health, Malmö, Sweden.
Scand J Rehabil Med. 1991;23(3):119-25.
The aim of this study was to analyse the correspondence between answers to a questionnaire about trouble from the musculoskeletal system, answers in a personal interview and clinical findings indicating low back disorder. The questionnaire was answered by 1,773 construction workers. Out of those, 206 workers underwent interview and clinical examination. Among those who reported no lifetime LBT in the questionnaire 63% gave the same report in the personal interview and those were all assessed negative at a blind clinical examination. Of those reporting current LBT in the interview 80% (47/59) were clinically positive. The clinical criteria used in the examination seemed to indicate lumbar painful structures. Answers to a question about functional impairment were in conformity with clinical findings. As regards answers to a question about frequency of pain and a question, in the specific Nordic questionnaire for the low back, concerning inability to do normal work the correlation to clinical findings was less apparent. Reported inability to do normal work in the questionnaire corresponded only to 43% with reported sick-leave in the interview.
本研究的目的是分析一份关于肌肉骨骼系统问题的问卷答案、个人访谈答案以及表明腰椎疾病的临床检查结果之间的一致性。1773名建筑工人回答了该问卷。其中，206名工人接受了访谈和临床检查。在问卷中报告无终生腰痛的人中，63%在个人访谈中给出了相同的报告，并且在盲法临床检查中均被评估为阴性。在访谈中报告当前腰痛的人中，80%（47/59）临床检查呈阳性。检查中使用的临床标准似乎表明了腰椎疼痛结构。关于功能障碍问题的答案与临床检查结果一致。至于关于疼痛频率问题的答案，以及在北欧特定的腰痛问卷中关于无法进行正常工作问题的答案，与临床检查结果的相关性不太明显。问卷中报告无法进行正常工作的情况与访谈中报告的病假情况仅43%相符。
