Ferrari Silvano, Vanti Carla, Frigau Luca, Guccione Andrew Anthony, Mola Francesco, Ruggeri Martina, Pillastrini Paolo, Monticone Marco
Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum, University of Bologna: Bologna, Italy.
Department of Economics and Business Sciences, University of Cagliari, Italy.
J Phys Ther Sci. 2019 Apr;31(4):360-365. doi: 10.1589/jpts.31.360. Epub 2019 Apr 1.
[Purpose] Oswestry Disability Index includes an item (Oswestry Disability Index-8) aiming to assess sexual disability associated to low back pain. The aim of this study is to investigate the percentage of participants who answered the Oswestry Disability Index-8, and the relevance and characteristics of sexual disability due to low back pain in Italian patients. [Participants and Methods] Design: multicenter retrospective analysis. Population: six hundred and ninety-seven outpatients with non-specific low back pain. Variables: pain characteristics (amount, localization, and duration of perceived pain), disability, and psychological variables (anxiety, depression, catastrophizing, kinesiophobia, pain acceptance, and pain vigilance and awareness). [Results] Seventy-seven participants (11.05%) did not answer the Oswestry Disability Index-8. The odds of being not responding to the Oswestry Disability Index-8 item appeared related to age (odds=7.50 for over 60), gender (odds=2.65 for females), and marital status (odds=2.33 for not married). Concerning the psychological variables, Activity Avoidance (coefficient=0.071), Depression (coefficient=0.068), and Rumination (coefficient=0.031) showed a positive impact on sexual disability. [Conclusion] In Italian patients, the percentage of not-responding to Oswestry Disability Index-8 was relatively low. In addition, sexual disability was related to depression, activity avoidance, and rumination.
[目的]奥斯威斯利功能障碍指数包含一个项目（奥斯威斯利功能障碍指数-8），旨在评估与腰痛相关的性功能障碍。本研究的目的是调查回答奥斯威斯利功能障碍指数-8的参与者的比例，以及意大利患者中因腰痛导致的性功能障碍的相关性和特征。[参与者与方法]设计：多中心回顾性分析。研究对象：697例非特异性腰痛门诊患者。变量：疼痛特征（感知疼痛的程度、部位和持续时间）、功能障碍以及心理变量（焦虑、抑郁、灾难化、运动恐惧、疼痛接受度以及疼痛警觉和意识）。[结果]77名参与者（11.05%）未回答奥斯威斯利功能障碍指数-8。未回答奥斯威斯利功能障碍指数-8项目的几率似乎与年龄（60岁以上几率=7.50）、性别（女性几率=2.65）和婚姻状况（未婚几率=2.33）有关。关于心理变量，活动回避（系数=0.071）、抑郁（系数=0.068）和反复思考（系数=0.031）对性功能障碍有积极影响。[结论]在意大利患者中，未回答奥斯威斯利功能障碍指数-8的比例相对较低。此外，性功能障碍与抑郁、活动回避和反复思考有关。
