Terai Hidetomi, Iwamae Masayoshi, Tamai Koji, Takahashi Shinji, Hori Yusuke, Ohyama Shoichiro, Yabu Akito, Hoshino Masatoshi, Nakamura Hiroaki
Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan.
Spine Surg Relat Res. 2021 Sep 9;5(6):365-374. doi: 10.22603/ssrr.2021-0088. eCollection 2021.
The coronavirus disease 2019 (COVID-19) pandemic has greatly changed the lifestyles of individuals due to the need to prevent disease spread. Globally, governments have enforced various policies, including travel bans, quarantine, home confinement, and lockdowns, as safety measures. Consequently, the frequency of individuals going out has decreased. This survey aimed to assess how decreasing the frequency of going out due to the COVID-19 pandemic impacts patients with spinal disorders.
This multicenter cross-sectional questionnaire survey included patients who visited four private spine clinics for any symptoms. Participants completed questionnaires pre- and post-pandemic that assessed the following topics: frequency of leaving home, exercise habits, locomotive syndrome, and health-related quality of life (HRQOL). Patients were divided into decreased and non-decreased frequency of going out groups, according to observed changes in their frequencies of leaving home. Both groups were statistically compared using univariate and multivariate logistic regression analyses to identify factors associated with the frequency of going out.
Among 855 patients, 160 (18.7%; the decreased group) reported that they went out less frequently, and 695 (81.3%; the non-decreased group) reported that they left home equally frequently post- versus pre-pandemic. Multivariate analyses showed that exercise habits significantly decreased (adjusted odds ratio (aOR) = 2.67, p = 0.004), the incidence of locomotive syndrome significantly increased (aOR = 2.86, p = 0.012), and HRQOL significantly deteriorated (aOR = 4.14, p < 0.001) in the decreased group compared to the non-decreased group.
Restrictions regarding leaving home due to the COVID-19 pandemic significantly decreased exercise frequency, increased the occurrence of locomotive syndrome, and were associated with deterioration of HRQOL in patients with spine disorders. It may be beneficial for spine surgeons to encourage patients with spinal disorders to leave home at a frequency similar to what they did pre-pandemic while avoiding crowded areas, despite the presence of the COVID-19 pandemic.
由于需要预防疾病传播，2019年冠状病毒病（COVID-19）大流行极大地改变了个人的生活方式。在全球范围内，各国政府已实施各种政策，包括旅行禁令、隔离、居家限制和封锁等安全措施。因此，个人外出的频率有所下降。本调查旨在评估因COVID-19大流行导致外出频率降低对脊柱疾病患者的影响。
这项多中心横断面问卷调查纳入了因任何症状前往四家私立脊柱诊所就诊的患者。参与者在大流行前和大流行后完成了问卷，问卷评估了以下主题：离家频率、运动习惯、机车综合征以及健康相关生活质量（HRQOL）。根据观察到的离家频率变化，将患者分为外出频率降低组和未降低组。使用单变量和多变量逻辑回归分析对两组进行统计学比较，以确定与外出频率相关的因素。
在855名患者中，160名（18.7%；降低组）报告他们外出频率降低，695名（81.3%；未降低组）报告他们在大流行后与大流行前离家频率相同。多变量分析显示，与未降低组相比，降低组的运动习惯显著下降（调整优势比（aOR）=2.67，p=0.004），机车综合征的发生率显著增加（aOR=2.86，p=0.012），HRQOL显著恶化（aOR=4.14，p<0.001）。
因COVID-19大流行而实施的离家限制显著降低了运动频率，增加了机车综合征的发生率，并与脊柱疾病患者的HRQOL恶化有关。尽管存在COVID-19大流行，但脊柱外科医生鼓励脊柱疾病患者以与大流行前相似的频率离家，同时避免前往拥挤区域，可能是有益的。
