Evaluation of questionnaire in assessment of low back pain and disability and find correlation between disability score, clinical features and imaging findings

Dr. Sunil Kumar Saharan, Dr. Kartikeya Sharma
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Abstract

Introduction: To evaluate the utility of a questionnaire in assessment of low back pain and disability and the correlation between disability score, clinical features and imaging findings in patients with low back pain. Methodology: Here, we included 25 consecutive patients with duration of low back pain for 1 month who were not responding to conservative OPD treatment, and also had no reason to suspect any underlying organic disease. Each patient was analyzed on the basis of history and physical examination and a base line X-ray was taken. Results: Here, mean age of patients is 39.8 years with female predominance. According to Q-score there are 13 out of 25 patients are of modrate category, 11 in severe cateogory and rest in extreme category. We further divide these patients into 2 types i.e concavity right side and concavity left side. There are 5 patient of former category and 1 of later. Conclusion: A back-pain questionnaire should be designed and framed according to the life style of the patient i.e. if the patient cannot read or understand the questionnaire than it should be framed in the local language and should be read by investigator. Clinical examination is also an important tool for assessment of patients especially to support and exclude destructive and compressive lesions and also neurological diseases.
评估问卷对腰痛与失能的评估,发现失能评分与临床特征及影像学表现的相关性
前言:评估问卷在评估腰痛和残疾中的效用,以及腰痛患者残疾评分、临床特征和影像学表现之间的相关性。方法:在这里,我们纳入了25例连续1个月的腰痛患者,他们对保守的OPD治疗没有反应,也没有理由怀疑有任何潜在的器质性疾病。根据病史和体格检查对每位患者进行分析,并拍摄基线x线片。结果:本组患者平均年龄39.8岁,以女性为主。根据Q-score, 25例患者中有13例为中度,11例为重度,其余为极端。我们进一步将这些患者分为右侧凹型和左侧凹型两种。前一类5例,后一类1例。结论:应根据患者的生活方式设计和编制背痛问卷,即如果患者不能阅读或理解问卷,则应以当地语言编制问卷,并由调查员阅读。临床检查也是评估患者的重要工具,特别是支持和排除破坏性和压缩性病变以及神经系统疾病。
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