Prins Maarten R, van der Wurff Peter, Groen Gerbrand J
Research and Development, Military Rehabilitation Centre Aardenburg, Doorn, The Netherlands.
J Back Musculoskelet Rehabil. 2013;26(1):55-61. doi: 10.3233/BMR-2012-00350.
Accompanying leg pain is commonly observed in patients with chronic low back pain (CLBP) and is assumed to be an indicator for the disorder severity. However, it is still unknown whether it is possible to estimate a patient's functional status by the extent of leg pain present. In a post rehabilitation cohort of 132 patients with CLBP (mean age 44.3 years) the relationship between pain extent and functional status was determined using pain drawings scored for pain extent by a simplified scoring system (Lower Extremity Region: LER) and several function related questionnaires. Primary outcomes were pain extent, pain intensity ratings (Visual Analog Scale: VAS), disability status (Oswestry Disability Index: ODI) and physical and mental health (Short Format 12: SF-12). Statistically significant differences between patients with low (1-2) and high (≥ 3) LER scores were found in VAS, ODI and SF-12 physical health scores, however, the LER score has a poor diagnostic accuracy in predicting desirable versus undesirable VAS, ODI and SF-12 scores. Pain intensity (VAS), back disability (ODI) and physical health are worse in CLBP patients with high LER scores. However LER scores cannot be used to predict elevated VAS, ODI and SF-12 scores in an individual patient.
慢性下腰痛(CLBP)患者常伴有腿部疼痛,且被认为是疾病严重程度的一个指标。然而,目前仍不清楚是否可以通过腿部疼痛的程度来估计患者的功能状态。在一个由132名CLBP患者(平均年龄44.3岁)组成的康复后队列中,使用一种简化评分系统(下肢区域:LER)对疼痛程度进行评分的疼痛图以及几份与功能相关的问卷,确定了疼痛程度与功能状态之间的关系。主要结局指标为疼痛程度、疼痛强度评分(视觉模拟量表:VAS)、残疾状态(Oswestry残疾指数:ODI)以及身心健康状况(简明健康调查量表12项:SF-12)。在VAS、ODI和SF-12身体健康评分方面,LER评分低(1-2)和高(≥3)的患者之间存在统计学显著差异,然而,LER评分在预测理想与不理想的VAS、ODI和SF-12评分方面诊断准确性较差。LER评分高的CLBP患者疼痛强度(VAS)、背部残疾(ODI)和身体健康状况更差。然而,LER评分不能用于预测个体患者VAS、ODI和SF-12评分升高的情况。
Spine (Phila Pa 1976). 2010-3-15
J Med Internet Res. 2020-10-26