Ohtori Seiji, Ito Toshinori, Yamashita Masaomi, Murata Yasuaki, Morinaga Tatsuo, Hirayama Jiro, Kinoshita Tomoaki, Ataka Hiromi, Koshi Takana, Sekikawa Toshihiko, Miyagi Masayuki, Tanno Takaaki, Suzuki Munetaka, Aoki Yasuchika, Aihara Takato, Nakamura Shinichiro, Yamaguchi Kiyoshi, Tauchi Toshiyuki, Hatakeyama Kenji, Takata Keiichi, Sameda Hiroaki, Ozawa Tomoyuki, Hanaoka Eiji, Suzuki Hirohito, Akazawa Tsutomu, Suseki Kaoru, Arai Hajime, Kurokawa Masahiro, Eguchi Yawara, Suzuki Miyako, Okamoto Yuzuru, Miyagi Jin, Yamagata Masatsune, Toyone Tomoaki, Takahashi Kazuhisa
Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chuo-ku, Chiba, Japan.
J Orthop Sci. 2010 Jan;15(1):86-91. doi: 10.1007/s00776-009-1426-8. Epub 2010 Feb 12.
The Japanese Orthopaedic Association (JOA) has investigated the JOA Back Pain Evaluation Questionnaire (JOABPEQ) to evaluate several aspects of low back pain in patients. The score includes five categories (25 items) selected from the Roland Morris Disability Questionnaire and Short Form 36, and a visual analogue scale. Japanese physicians have recently used these scores to evaluate back pain; however, the efficacy has not been fully explored in large-scale studies. In the current study, we used the JOABPEQ to evaluate lumbar spinal disease in 555 patients (with lumbar disc herniation, lumbar spinal stenosis, and lumbar disc degeneration/spondylosis) in multiple spine centers and compared the results based on age, sex, and type of disease.
A total of 555 patients who had low back or leg pain were selected in 22 hospitals in Chiba Prefecture. Spine surgeons diagnosed their disease type based on symptoms, physical examination, radiography images, and magnetic resonance imaging. In all, 486 patients were diagnosed with spinal stenosis (239 patients), disc degeneration/spondylosis (143 patients), or disc herniation (104 patients). The other 69 patients were diagnosed with spondylolysis (16 patients) or other diseases (53 patients). The pain score in all patients was evaluated using the JOABPEQ (from 0 to 100, with 0 indicating the worst pain).
The age of the patients was 56.1 +/- 13.3 years (mean +/- SD); the age of patients in the disc herniation and disc degeneration/spondylosis group was significantly lower than that in the spinal stenosis group. The average JOABPEQ scores in all patients were, for low back pain, 47.1; lumbar function, 53.6; walking ability, 54.8; social life function, 48.7; and mental health, 48.3. The low back pain score in men was significantly worse than that in women. In contrast, the mental health score in women was significantly higher than that in men. The low back pain score in patients <40 years old and the walking ability score in patients >65 years old were significantly lower than those scores in other patients. Based on the disease type, low back pain, lumbar function, social life function, and mental health scores for patients with disc herniation were significantly worse than for those with spinal stenosis.
JOABPEQ scores were evaluated for several lumbar diseases. The average of five categories of JOABPEQ scores in all patients was similarly distributed. However, the average scores in the five categories were significantly different depending on age, sex, and type of disease. Compared with prior mass data (baseline data on the observational cohort of the Spine Patient Outcomes Research Trial in the United States), many data were similar based on the type of disease in the current study. Furthermore, the JOABPEQ is easy to use compared with the SF-36. Hence, we concluded that the JOABPEQ could be used worldwide as a tool for evaluating low back pain.
日本骨科学会（JOA）对JOA下腰痛评估问卷（JOABPEQ）进行了研究，以评估患者下腰痛的多个方面。该评分包括从罗兰·莫里斯残疾问卷和简明健康调查问卷36项版本中选取的五个类别（25项）以及一个视觉模拟量表。日本医生最近使用这些评分来评估背痛；然而，其疗效尚未在大规模研究中得到充分探讨。在本研究中，我们使用JOABPEQ对多个脊柱中心的555例患者（患有腰椎间盘突出症、腰椎管狭窄症和腰椎间盘退变/脊椎关节病）的腰椎疾病进行评估，并根据年龄、性别和疾病类型比较结果。
在千叶县的22家医院共选取了555例有下腰痛或腿痛的患者。脊柱外科医生根据症状、体格检查、X线影像和磁共振成像诊断其疾病类型。其中，486例患者被诊断为椎管狭窄（239例）、椎间盘退变/脊椎关节病（143例）或椎间盘突出症（104例）。另外69例患者被诊断为椎弓峡部裂（16例）或其他疾病（53例）。所有患者的疼痛评分均使用JOABPEQ进行评估（范围为0至100，0表示最严重的疼痛）。
患者年龄为56.1±13.3岁（平均值±标准差）；椎间盘突出症和椎间盘退变/脊椎关节病组患者的年龄显著低于椎管狭窄组。所有患者的JOABPEQ平均得分中，下腰痛为47.1；腰椎功能为53.6；行走能力为54.8；社会生活功能为48.7；心理健康为48.3。男性的下腰痛评分显著高于女性。相比之下，女性的心理健康评分显著高于男性。40岁以下患者的下腰痛评分和65岁以上患者的行走能力评分显著低于其他患者。根据疾病类型，椎间盘突出症患者的下腰痛、腰椎功能、社会生活功能和心理健康评分显著低于椎管狭窄患者。
对几种腰椎疾病的JOABPEQ评分进行了评估。所有患者JOABPEQ五个类别的平均分分布相似。然而，这五个类别的平均分根据年龄、性别和疾病类型存在显著差异。与先前的大量数据（美国脊柱患者预后研究试验观察队列的基线数据）相比，本研究中基于疾病类型的许多数据相似。此外，与简明健康调查问卷36项版本相比，JOABPEQ易于使用。因此，我们得出结论，JOABPEQ可作为一种在全球范围内评估下腰痛的工具。
