Viikari-Juntura E, Takala E P, Riihimäki H, Malmivaara A, Martikainen R, Jäppinen P
Finnish Institute of Occupational Health, Helsinki.
J Clin Epidemiol. 1998 Mar;51(3):245-55. doi: 10.1016/s0895-4356(97)00266-7.
A standardized examination protocol was developed for the assessment of low back disorders in primary care. The protocol was found feasible in the occupational health service setting. The interexaminer repeatability between an occupational physician and an occupational physiotherapist was good for most items. The predictive validity of different symptoms and signs was investigated with regard to future sick leaves due to low back disorders. Relief of pain when lying, severe trouble at work caused by pain, continuous pain, and pain in the leg or numbness or diminished sensitivity in the foot predicted sick leaves. Of physical signs, pain in the low back or buttock during lateral flexion and a side difference > or = 20 degrees in the straight-leg-raising angle were predictors for sick leaves. The predictive validity of the protocol items should be tested in another patient population before conclusions can be drawn concerning the external validity of our results.
制定了一项标准化检查方案，用于评估初级保健中的下背部疾病。该方案在职业健康服务环境中被证明是可行的。职业医生和职业物理治疗师之间的检查者间重复性在大多数项目上良好。针对因下背部疾病导致的未来病假情况，研究了不同症状和体征的预测效度。躺卧时疼痛缓解、工作中因疼痛导致的严重困扰、持续性疼痛以及腿部疼痛或足部麻木或感觉减退可预测病假。在体征方面，侧屈时下背部或臀部疼痛以及直腿抬高角度的侧方差异≥20度是病假的预测指标。在就我们结果的外部效度得出结论之前，应在另一患者群体中测试该方案项目的预测效度。
