Naliboff Bruce D, Cohen Michael J, Swanson Gretchen A, Bonebakker Adelita D, McArthur David L
Veterans Administration Medical Center, Behavioral Medicine Research (151J), Sepulveda, CA 91343, U.S.A. Department of Anesthesiology, UCLA, U.S.A. Department of Psychiatry and Biobehavioral Sciences, UCLA, U.S.A. Graduate School of Education, UCLA, Los Angeles, CA 90024 U.S.A.
Pain. 1985 Oct;23(2):121-134. doi: 10.1016/0304-3959(85)90054-5.
A comprehensive functional evaluation designed for patients with chronic low back pain (CLBP) is described. The evaluation includes measures from 4 domains of the CLBP syndrome; physical abilities, level of activity, psychological adjustment and pain perception. New measures for standardized assessment of physical abilities and employment of body mechanics are introduced. Evaluation data from 68 CLBP subjects and 35 age-matched, pain-free, controls is presented. Results indicate important deficits in physical abilities and psychological adjustment for the CLBP group compared to the controls. Factor analysis of the evaluation measures yielded a general conditioning factor and a general psychological adjustment factor but complicated factor structures for report of pain and time in activities. Further analysis demonstrated a strong relationship between objective disability and psychological and psychosocial adjustment but little relationship between level of pain and other disability measures.
本文描述了一种专为慢性下腰痛（CLBP）患者设计的综合功能评估。该评估包括CLBP综合征4个领域的指标：身体能力、活动水平、心理调适和疼痛感知。引入了用于身体能力标准化评估和身体力学应用的新指标。呈现了68名CLBP受试者和35名年龄匹配、无疼痛的对照组的评估数据。结果表明，与对照组相比，CLBP组在身体能力和心理调适方面存在重要缺陷。对评估指标的因子分析产生了一个一般身体状况因子和一个一般心理调适因子，但疼痛报告和活动时间的因子结构复杂。进一步分析表明，客观残疾与心理和社会心理调适之间存在密切关系，但疼痛程度与其他残疾指标之间关系不大。
