The relationship of disability (Oswestry) and pain drawings to functional testing

被引:27
作者
Ohnmeiss, DD
Vanharanta, H
Estlander, AM
Jämsén, A
机构
[1] Texas Back Inst Res Fdn, Plano, TX 75093 USA
[2] Texas Hlth Res Inst, Plano, TX 75093 USA
[3] Univ Oulu, Oulu, Finland
[4] Finnish Back Inst, Helsinki, Finland
关键词
low back pain; Oswestry disability questionnaire; pain drawings; isokinetic testing;
D O I
10.1007/s005869900118
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
There was much enthusiasm about the development of computerized dynamometry in providing Large quantities of data to objectively assess muscle performance. However, a much more basic issue arose questioning what these machines actual measure, particularly in pain populations. The purpose of the present study was to determine whether patients' self-reported disability and pain expression, as evaluated with simple questionnaires, were related to isokinetic performance in low back pain patients. Method: Oswestry Disability Questionnaires and pain drawings were collected from 76 patients undergoing isokinetic testing upon entering a physical rehabilitation program. Isokinetic trunk testing was performed in the standing position and results recorded for flexion and extension at speeds of 50 degrees, 100 degrees and 150 degrees per second. Results: Patients indicating minimal disability on the Oswestry questionnaire performed better than those indicating greater levels of disability (P < 0.05: ANOVA with Turkey adjustment for multiple comparisons). Patients with greater pain drawing scores, indicating unusual pain patterns, performed more poorly during isokinetic testing than those with normal drawings (P < 0.05). Regression analysis revealed that the lifting question from the Oswestry questionnaire, pain drawings scores, and sex were all significantly related to isokinetic performance and could account for 37.6-48.1% of the variance in performance (varying with speed of test). Conclusions: The results of this study indicate that isokinetic test values are significantly influenced by a patient's self-reported disability and pain expression, which can be evaluated using simple tools such as pain drawings and the Oswestry questionnaire. This study supports the supposition that dynamometry testing is related to factors other than muscle performance.
引用
收藏
页码:208 / 212
页数:5
相关论文
共 22 条
[1]
[Anonymous], 1976, Spine
[2]
THE PAIN DRAWING AND WADDELL NONORGANIC PHYSICAL SIGNS IN CHRONIC LOW-BACK-PAIN [J].
CHAN, CW ;
GOLDMAN, S ;
ILSTRUP, DM ;
KUNSELMAN, AR ;
ONEILL, PI .
SPINE, 1993, 18 (13) :1717-1722
[3]
Pain-related fear is more disabling than pain itself: evidence on the role of pain-related fear in chronic back pain disability [J].
Crombez, G ;
Vlaeyen, JWS ;
Heuts, PHTG ;
Lysens, R .
PAIN, 1999, 80 (1-2) :329-339
[4]
PEAK TORQUE-TO-BODY WEIGHT RATIOS IN THE TRUNK - A CRITICAL ANALYSIS [J].
DELITTO, A ;
CRANDELL, CE ;
ROSE, SJ .
PHYSICAL THERAPY, 1989, 69 (02) :138-143
[5]
ANTHROPOMETRIC VARIABLES, SELF-EFFICACY BELIEFS, AND PAIN AND DISABILITY RATINGS ON THE ISOKINETIC PERFORMANCE OF LOW-BACK-PAIN PATIENTS [J].
ESTLANDER, AM ;
VANHARANTA, H ;
MONETA, GB ;
KAIVANTO, K .
SPINE, 1994, 19 (08) :941-947
[6]
Fairbank J C, 1980, Physiotherapy, V66, P271
[7]
DISABILITY EXAGGERATION AS A PREDICTOR OF FUNCTIONAL RESTORATION OUTCOMES FOR PATIENTS WITH CHRONIC LOW-BACK-PAIN [J].
HAZARD, RG ;
BENDIX, A ;
FENWICK, JW .
SPINE, 1991, 16 (09) :1062-1067
[8]
RELATIONSHIP BETWEEN PERFORMANCE ON LUMBAR DYNAMOMETRY AND WADDELL SCORE IN A POPULATION WITH LOW-BACK-PAIN [J].
HIRSCH, G ;
BEACH, G ;
COOKE, C ;
MENARD, M ;
LOCKE, S .
SPINE, 1991, 16 (09) :1039-1043
[9]
IMPROVED PHYSICAL PERFORMANCE OUTCOMES AFTER FUNCTIONAL RESTORATION TREATMENT IN PATIENTS WITH CHRONIC LOW-BACK-PAIN - EARLY VERSUS RECENT TRAINING RESULTS [J].
KOHLES, S ;
BARNES, D ;
GATCHEL, RJ ;
MAYER, TG .
SPINE, 1990, 15 (12) :1321-1324
[10]
EFFECT OF INSTRUCTIONS ON ISOKINETIC TRUNK STRENGTH TESTING VARIABILITY, RELIABILITY, ABSOLUTE VALUE, AND PREDICTIVE-VALIDITY [J].
MATHESON, L ;
MOONEY, V ;
CAIOZZO, V ;
JARVIS, G ;
POTTINGER, J ;
DEBERRY, C ;
BACKLUND, K ;
KLEIN, K ;
ANTONI, J .
SPINE, 1992, 17 (08) :914-921