Kahraman Turhan, Göz Evrim, Genç Arzu
School of Physical Therapy and Rehabilitation, Dokuz Eylül University, İzmir, Turkey.
Agri. 2017 Jan;29(1):1-8. doi: 10.5505/agri.2016.65668.
To investigate the association between self-reported low back pain (LBP) and lower limb disability as well as the association between neck pain and upper limb disability.
A hundred twenty-six participants registered as a healthcare staff member were included in this cross-sectional study. The presence of neck and LBP were determined using the Nordic Musculoskeletal Questionnaire. Neck and LBP/disability were measured with the Neck Pain and Disability Scale (NPDS) and Oswestry Disability Index (ODI), respectively. Upper and lower limb disability were measured with the Quick Disabilities of Arm, Shoulder, and Hand (Quick-DASH) and Western Ontario and McMaster Osteoarthritis Index (WOMAC), respectively.
Participants reporting LBP had more musculoskeletal complaints in the lower limbs (p<0.001) and similarly participants reporting neck pain also reported more musculoskeletal complaints in the upper limbs (p<0.001). There was a correlation between the ODI and WOMAC in the participant reporting LBP during the 12 months (ρ=0.510, p<0.001) and during the last 7 days (ρ=0.674, p<0.001). The NPAD was correlated with the Quick-DASH in the participants reporting neck pain during the last 12 months (ρ=0.659, p<0.001) and the last 7 days (ρ=0.734, p<0.001).
People reporting more severe LBP also reported high levels of lower limb disability. This association was also existing between the neck pain and upper limb disability.
探讨自我报告的腰痛（LBP）与下肢残疾之间的关联以及颈痛与上肢残疾之间的关联。
本横断面研究纳入了126名注册为医护人员的参与者。使用北欧肌肉骨骼问卷确定颈痛和腰痛的存在情况。分别用颈痛和残疾量表（NPDS）和奥斯维斯特残疾指数（ODI）测量颈痛和腰痛/残疾情况。分别用手臂、肩部和手部快速残疾评定量表（Quick-DASH）和西安大略和麦克马斯特大学骨关节炎指数（WOMAC）测量上肢和下肢残疾情况。
报告有腰痛的参与者下肢有更多的肌肉骨骼问题（p<0.001），同样，报告有颈痛的参与者上肢也有更多的肌肉骨骼问题（p<0.001）。在12个月期间（ρ=0.510，p<0.001）和过去7天内（ρ=0.674，p<0.001），报告有腰痛的参与者中ODI与WOMAC之间存在相关性。在过去12个月期间（ρ=0.659，p<0.001）和过去7天内（ρ=0.734，p<0.001），报告有颈痛的参与者中NPAD与Quick-DASH之间存在相关性。
报告有更严重腰痛的人也报告有高水平的下肢残疾。颈痛与上肢残疾之间也存在这种关联。
