Tanaka Nobuhiro, Konno Shin-ichi, Takeshita Katsushi, Fukui Mitsuru, Takahashi Kazuhisa, Chiba Kazuhiro, Miyamoto Masabumi, Matsumoto Morio, Kasai Yuichi, Kanamori Masahiko, Matsunaga Shunji, Hosono Noboru, Kanchiku Tsukasa, Taneichi Hiroshi, Hashizume Hiroshi, Kanayama Masahiro, Shimizu Takachika, Kawakami Mamoru
Department of Orthopaedic Surgery, Institute of Biomedical and Health Sciences, Hiroshima University, Kasumi 1-2-3, Minami-ku, Hiroshima, 734-8551, Japan,
J Orthop Sci. 2014 Jan;19(1):33-48. doi: 10.1007/s00776-013-0494-y. Epub 2013 Dec 7.
An outcome measure to evaluate the neurological function of patients with cervical myelopathy was proposed by the Japanese Orthopaedic Association (JOA score) and has been widely used in Japan. However, the JOA score does not include patients' satisfaction, disability, handicaps, or general health, which can be affected by cervical myelopathy. In 2007, a new outcome measure, the Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire (JOACMEQ), which is a self-administered questionnaire, was developed. However, the influence of age and gender on the scores has not been fully examined. The purpose of this study was to establish the standard value of the JOACMEQ by age using healthy volunteers.
This study was conducted in 23 university hospitals and their affiliated hospitals from September to December 2011. The questionnaire included 24 questions for evaluation of physical function of the cervical spine and spinal cord. A total of 1,629 healthy volunteers were recruited for the study. The ages ranged from 20 to 89 years old.
The volunteers comprised 798 men and 831 women. In the elderly healthy volunteers, the JOACMEQ scores decreased with age. In general, the scores for cervical spine function and upper/lower extremity function were retained up to the 60s, then decreased in the 70s and 80s. The scores for quality of life were retained up to the 70s; however, the score for bladder function was retained up to the 40s, then declined with age from the 50s to 80s.
The standard values of the JOACMEQ by age were established. Differences in the scores were found among different generations. Patients with cervical myelopathy should be evaluated with this new self-administered questionnaire taking into account the standard values according to different ages.
日本矫形外科学会提出了一种用于评估脊髓型颈椎病患者神经功能的结果测量方法（JOA评分），并在日本广泛使用。然而，JOA评分未包括患者的满意度、残疾、障碍或总体健康状况，而这些可能会受到脊髓型颈椎病的影响。2007年，一种新的结果测量方法——日本矫形外科学会脊髓型颈椎病评估问卷（JOACMEQ）被开发出来，这是一种自填式问卷。然而，年龄和性别对评分的影响尚未得到充分研究。本研究的目的是通过健康志愿者确定JOACMEQ按年龄划分的标准值。
本研究于2011年9月至12月在23所大学医院及其附属医院进行。该问卷包括24个用于评估颈椎和脊髓身体功能的问题。共招募了1629名健康志愿者参与研究。年龄范围为20至89岁。
志愿者包括798名男性和831名女性。在老年健康志愿者中，JOACMEQ评分随年龄下降。一般来说，颈椎功能和上肢/下肢功能的评分在60多岁时保持不变，然后在70多岁和80多岁时下降。生活质量评分在70多岁时保持不变；然而，膀胱功能评分在40多岁时保持不变，然后从50多岁到80多岁随年龄下降。
确定了JOACMEQ按年龄划分的标准值。不同代际之间的评分存在差异。脊髓型颈椎病患者应使用这种新的自填式问卷进行评估，并考虑不同年龄的标准值。
