Million R, Hall W, Nilsen K H, Baker R D, Jayson M I
Spine (Phila Pa 1976). 1982 May-Jun;7(3):204-12. doi: 10.1097/00007632-198205000-00004.
Fifteen subjective variables reflecting the severity of back pain, the circumstances exacerbating symptoms, and the impact of the problem on life style were scored on Visual Analogue Scales. It was possible to combine the results from these assessments to provide a global subjective index. Repeated measurements by the same observer showed a high degree of reproducibility, but when performed by separate observers discrepancies arose in certain questions. By improving certain questions and standardizing their presentation to the patient, a considerable improvement in the correlation of results between observers was obtained. Objective assessments of spinal motion and straight leg raising and a global objective index showed a high degree of intraobserver reproducibility. This technique was applied to a study of relief of back pain by lumbar corsets when it was found that there was significantly greater relief of back pain by a corset with a lumbar support than one without a spinal support. We conclude that the emphasis in assessing the progress of the back-pain patient must be on the subjective parameters, and the technique developed offers a useful method for reliably assessing patients and following their progress.
在视觉模拟量表上对反映背痛严重程度、症状加重情况以及该问题对生活方式影响的15个主观变量进行评分。可以将这些评估结果结合起来，以提供一个整体主观指标。同一观察者的重复测量显示出高度的可重复性，但由不同观察者进行测量时，某些问题会出现差异。通过改进某些问题并将其向患者呈现的方式标准化，观察者之间结果的相关性得到了显著改善。对脊柱活动度和直腿抬高的客观评估以及一个整体客观指标显示出高度的观察者内可重复性。当发现带有腰部支撑的束腰比没有脊柱支撑的束腰能显著减轻更多背痛时，该技术被应用于一项关于束腰缓解背痛的研究。我们得出结论，在评估背痛患者的病情进展时，重点必须放在主观参数上，并且所开发的技术为可靠地评估患者及其病情进展提供了一种有用的方法。
