Division of Graduate Education and Research Programs, Canadian Memorial Chiropractic College, 6100 Leslie St, Toronto, Ontario, M2H 3J1, Canada.
Departments of Orthopedic Surgery and Environmental Medicine, New York University, New York, NY, USA.
Chiropr Man Therap. 2020 Feb 4;28(1):3. doi: 10.1186/s12998-019-0294-3.
To describe characteristics and activity limitations of new patients with musculoskeletal conditions presenting to the World Spine Care (WSC) clinic located in the underserved community of Moca, Dominican Republic.
We conducted a prospective case series of consecutive adults between October 12 and December 5, 2015. A survey of valid and reliable measures including: Body pain diagram, Wong-Baker FACES® pain rating scale, Spine Functional Index (SFI), Lower Limb Functional Index (LLFI), Upper Limb Functional Index (ULFI) and the 12-item Short Form Health Survey (SF-12v2) was administered to collect socio-demographics, expectation of recovery, comorbidities, and self-reported health status data.
Forty-two patients (23 females and 19 males) were included. The most common primary complaint was lower back pain (40.5%; 17/42) and 57% (24/42) of individuals reported pain that interfered with their ability to function and engage in daily activities. Half of the patients presented with two complaints. Complaints were similar between genders. Most patients (64%; 27/42) reported chronic pain (> 6 months) and 97% (41/42) reported believing that they would recover. Twenty-one percent (9/42) self-reported being diagnosed with depression and/or anxiety at some point in their life. In addition, most (57%; 24/42) individuals reported below average physical and mental health related quality of life.
This study is the first to describe characteristics of patients seeking care at the WSC clinic in Moca, Dominican Republic. Most patients attending the clinic suffer from persistent spine complaints that interfere with their ability to function and engage in daily activities. Nevertheless, the patients have positive expectations of recovery.
描述在多米尼加共和国贫困社区莫卡（Moca）的世界脊柱关爱（WSC）诊所新就诊的肌肉骨骼疾病患者的特征和活动受限情况。
我们对 2015 年 10 月 12 日至 12 月 5 日期间连续就诊的成年患者进行了前瞻性病例系列研究。采用经过验证和可靠的量表进行调查，包括：身体疼痛图、Wong-Baker FACES®疼痛评分量表、脊柱功能指数（SFI）、下肢功能指数（LLFI）、上肢功能指数（ULFI）和 12 项简明健康调查问卷（SF-12v2），收集社会人口统计学、康复预期、合并症和自我报告的健康状况数据。
共纳入 42 例患者（23 例女性和 19 例男性）。最常见的主要主诉是下腰痛（40.5%，17/42），57%（24/42）的患者报告疼痛影响其功能和日常活动能力。一半的患者有两种主诉。不同性别患者的主诉相似。大多数患者（64%，27/42）报告有慢性疼痛（>6 个月），97%（41/42）报告相信自己会康复。21%（9/42）的患者自我报告曾在其一生中被诊断出患有抑郁和/或焦虑症。此外，大多数（57%，24/42）患者报告其身心健康相关生活质量低于平均水平。
本研究首次描述了在多米尼加共和国莫卡的 WSC 诊所寻求治疗的患者特征。大多数到诊所就诊的患者都患有持续性脊柱疾病，这些疾病会影响他们的功能和日常活动能力。然而，患者对康复抱有积极的预期。
