Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Gaziantep University, Gaziantep, Turkey.
Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Kahramanmaraş Sütçü İmam University, Kahramanmaraş, Turkey.
Rheumatol Int. 2021 Oct;41(10):1825-1831. doi: 10.1007/s00296-021-04957-6. Epub 2021 Jul 23.
The purpose of this study was to evaluate the responsiveness of Copenhagen Neck Functional Disability Scale (CNFDS), Neck Disability Index (NDI), Neck Bournemouth Questionnaire (NBQ), Neck Pain and Disability Scale (NPDS) in geriatric patients with non-specific chronic neck pain. A total of 52 geriatric patients with non-specific chronic neck pain were included in the present study. All participants were included in a physical therapy and rehabilitation program for five sessions per week that lasted 3 weeks. All participants were evaluated before and after the treatment. Pain and disability were assessed with the Visual Analog Scale-pain (VAS-pain), VAS-disability, muscle spasm, CNFDS, NDI, NBQ, NPDS scales. Additionally, patient satisfaction scores were questioned both before and after the treatment. Following the 3-week physical therapy and rehabilitation program, significant improvements were detected in the VAS-pain, VAS-disability, muscle spasm, CNFDS, NDI, NBQ, and NPDS scores (p < 0.05). Responsiveness values were found to be as follows: CNFDS [effect size (ES) = 0.78; standardized response mean (SRM) = 0.90], NDI (ES = 0.66; SRM = 1.18), NBQ (ES = 0.82; SRM = 0.97) and NPDS (ES = 0.87; SRM = 0.98). Our study demonstrated that CNFDS, NDI, NBQ, and NPDS are responsive scales in determining treatment-related changes in geriatric patients with non-specific neck pain. These results also suggest that all of these four scales can be used in the assessment of treatment induced changes in geriatric patients with chronic neck pain.
本研究旨在评估哥本哈根颈部功能障碍量表(CNFDS)、颈部残疾指数(NDI)、颈部 Bournemouth 问卷(NBQ)和颈部疼痛和残疾量表(NPDS)在老年非特异性慢性颈痛患者中的反应能力。本研究共纳入 52 例老年非特异性慢性颈痛患者。所有参与者均接受每周 5 次、持续 3 周的物理治疗和康复计划。所有参与者在治疗前后均进行评估。疼痛和残疾采用视觉模拟评分-疼痛(VAS-疼痛)、VAS-残疾、肌肉痉挛、CNFDS、NDI、NBQ、NPDS 量表进行评估。此外,在治疗前后还询问了患者满意度评分。经过 3 周的物理治疗和康复计划,VAS-疼痛、VAS-残疾、肌肉痉挛、CNFDS、NDI、NBQ 和 NPDS 评分均显著改善(p<0.05)。反应性值如下:CNFDS [效应量(ES)=0.78;标准化反应均值(SRM)=0.90]、NDI(ES=0.66;SRM=1.18)、NBQ(ES=0.82;SRM=0.97)和 NPDS(ES=0.87;SRM=0.98)。我们的研究表明,CNFDS、NDI、NBQ 和 NPDS 是确定老年非特异性颈痛患者治疗相关变化的敏感量表。这些结果还表明,这四个量表都可以用于评估老年慢性颈痛患者治疗引起的变化。
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