Department of Public Health Sciences, School of Public Health, University of Alberta, Edmonton, Alberta, Canada.
Disabil Rehabil. 2012;34(1):45-52. doi: 10.3109/09638288.2011.587085. Epub 2011 Sep 22.
There is potential value in developing a brief assessment tool for assessing recovery after musculoskeletal injuries. Our goal was to investigate the association between a one-item global self-assessment of recovery and commonly used measures of recovery status.
We followed a cohort of 6,021 adults with acute whiplash-associated disorders for six months. Pain, depression, work status and physical health were assessed at baseline and follow-up. The question "How do you feel you are recovering from your injury?" (six response options from "all better" to "getting much worse") and functional limitations were administered at follow-up.
Responses to the recovery question was associated with our other indices of recovery. Those "all better" had the lowest pain intensity, pain-related limitations, depression and work disability, and the best general physical health. Incrementally poorer recovery ratings on the recovery question were associated with greater pain, functional limitations and depression, poorer physical health and being off work, although "no improvement" and "getting a little worse" were similar. Recovery categories also reflected different degrees of actual improvements over the preceding follow-up period.
Our findings suggest that a single recovery question is a useful tool for conducting brief global assessments of recovery of musculoskeletal injuries.
开发一种用于评估肌肉骨骼损伤后恢复情况的简短评估工具具有潜在价值。我们的目标是研究单项整体自我评估恢复情况与常用恢复状态评估指标之间的关系。
我们对 6021 名急性挥鞭样损伤患者进行了为期 6 个月的队列研究。在基线和随访时评估疼痛、抑郁、工作状态和身体健康状况。在随访时还评估了“您感觉自己的伤势恢复情况如何？”（从“完全康复”到“情况恶化”的六个回答选项）和功能限制。
对恢复情况问题的回答与我们的其他恢复指标相关。那些“完全康复”的患者疼痛强度最低，疼痛相关的限制、抑郁和工作障碍程度最低，一般身体健康状况最佳。恢复情况问题的回答逐渐变差与疼痛、功能限制和抑郁加重、身体健康状况更差以及缺勤相关，尽管“无改善”和“稍有恶化”的情况相似。恢复类别也反映了在前一个随访期间的实际改善程度不同。
我们的研究结果表明，一个简单的恢复问题是评估肌肉骨骼损伤恢复情况的一种有用工具。
