Sakulsriprasert Prasert, Vachalathiti Roongtiwa, Kingcha Pathaimas
Division of Physical Therapy, Faculty of Physical Therapy, Mahidol University, Nakhon Pathom, 73170, Thailand.
Physical Therapy Center, Faculty of Physical Therapy, Mahidol University, Nakhon Pathom, 73170, Thailand.
Hong Kong Physiother J. 2020 Jun;40(1):11-17. doi: 10.1142/S101370252050002X. Epub 2019 Dec 6.
Clinical outcomes are very important in clinical assessment, and responsiveness is a component inside the outcome measures that needs to be investigated, particularly in chronic nonspecific low back pain (CNSLBP).
This study aimed to investigate the responsiveness of pain, functional capacity tests, and disability in individuals with CNSLBP.
Twenty subjects were assessed in pain using the following methods: visual analog scale (VAS) and numeric pain rating scale (NPRS), functional capacity tests: functional reach test (FRT), five-time sit-to-stand test (5 TSST), and two-minute step test (2 MST), and disability level: modified Oswestry Disability Questionnaire (MODQ), Thai version before and after 2-week intervention session. For interventions, the subjects received education, spinal manipulative therapy, and individual therapeutic exercise twice a week, for a total of two weeks. The statistics analyzed were change scores, effect size (ES), and standardized response mean (SRM).
The most responsive parameter for individuals with CNSLBP was pain as measured by numeric pain rating scale (NPRS) (ES -0.986, SRM -0.928) and five-time sit-to-stand test (5 TSST) (SRM -0.846).
This study found that NPRS pain and 5 TSST were responsive in individuals with CNSLBP at two weeks after the beginning of interventions.
临床结果在临床评估中非常重要，反应性是结果测量中的一个需要研究的组成部分，尤其是在慢性非特异性下腰痛（CNSLBP）中。
本研究旨在调查CNSLBP患者疼痛、功能能力测试和残疾的反应性。
使用以下方法对20名受试者进行疼痛评估：视觉模拟量表（VAS）和数字疼痛评分量表（NPRS）；功能能力测试：功能性伸展测试（FRT）、五次坐立测试（5TSST）和两分钟踏步测试（2MST）；残疾水平：改良Oswestry残疾问卷（MODQ），泰语版，在为期2周的干预前后进行评估。对于干预措施，受试者每周接受两次教育、脊柱手法治疗和个体治疗性锻炼，共两周。分析的统计数据为变化分数、效应量（ES）和标准化反应均值（SRM）。
对于CNSLBP患者，反应性最强的参数是通过数字疼痛评分量表（NPRS）测量的疼痛（ES -0.986，SRM -0.928）和五次坐立测试（5TSST）（SRM -0.846）。
本研究发现，在干预开始两周后，NPRS疼痛和5TSST对CNSLBP患者具有反应性。
