Boerger Timothy, Alsouhibani Ali, Mowforth Oliver, Hamilton Joseph, Lalkhen Abdul, Davies Benjamin M, Kotter Mark R N
Department of Physical Therapy, Marquette University, Milwaukee, WI, USA.
Department of Physical Therapy, College of Medical Rehabilitation, Qassim University, Buraydah, Saudi Arabia.
Global Spine J. 2022 Sep;12(7):1434-1442. doi: 10.1177/2192568220986143. Epub 2021 Feb 25.
Cross-sectional internet survey of people living with degenerative cervical myelopathy.
The purpose of this study was to quantify pain distribution, severity, and interference in persons with degenerative cervical myelopathy.
Eighty-two participants with degenerative cervical myelopathy were recruited for this internet survey. This survey utilized the Michigan Body Map and brief pain inventory (BPI) to assess anatomical distribution and severity of pain as well as the patient derived modified Japanese Orthopedic Association scale (p-mJOA) for myelopathic severity and SF-36 for measures of health-related quality of life. Internal consistency was evaluated with Cronbach's alpha. Pearson's correlations were assessed with p-mJOA and SF-36. Multivariate analysis of variance was used to determine if history of prior surgery or concomitant pain diagnosis impacted experience of pain.
Michigan body map distribution and brief pain inventory severity and interference were correlated with p-mJOA and SF-36 scores (p < 0.05). Pain was moderate to severe in 78% of participants. Pain was commonly widespread. Pain scales were sufficiently internally consistent (α > 0.9). History of surgery or other pain diagnosis did not impact experience of pain in myelopathy.
Pain is commonly identifiable in large areas of the body, is frequently moderate to severe in intensity and impacts quality of life and severity of myelopathy in a cohort of individuals with myelopathy who have pain.
对退行性颈椎脊髓病患者进行横断面网络调查。
本研究旨在量化退行性颈椎脊髓病患者的疼痛分布、严重程度及干扰情况。
招募了82名退行性颈椎脊髓病患者参与此次网络调查。该调查使用密歇根身体图和简明疼痛量表（BPI）来评估疼痛的解剖分布和严重程度，以及患者衍生的改良日本骨科协会量表（p-mJOA）来评估脊髓病严重程度，使用SF-36来衡量健康相关生活质量。用Cronbach's α评估内部一致性。用p-mJOA和SF-36评估Pearson相关性。采用多变量方差分析来确定既往手术史或伴随的疼痛诊断是否会影响疼痛体验。
密歇根身体图分布、简明疼痛量表严重程度及干扰情况与p-mJOA和SF-36评分相关（p < 0.05）。78%的参与者疼痛为中度至重度。疼痛通常广泛存在。疼痛量表的内部一致性良好（α > 0.9）。手术史或其他疼痛诊断并未影响脊髓病患者的疼痛体验。
在患有脊髓病且伴有疼痛的人群中，身体大片区域通常可出现疼痛，疼痛强度常为中度至重度，并影响生活质量和脊髓病严重程度。
