Most of the outcome question naires had a mixed content reflecting various constructs such as pain and symptoms , sleep disturbances , psychological dysfunctions , physical impairments , and social functions .
STUDY DESIGN A systematic literature review of outcome question naires design ed for assessing functional status or disability in patients with low back pain .
OBJECTIVES To provide a comprehensive overview of all functioning/disability question naires used in recent years and to explore how the main concept(s ) was described or defined in the original paper , the content or the domains of disability , and the measurement properties of the question naires .
SUMMARY OF BACKGROUND DATA A number of clinical tools design ed for evaluating the functional status of patients with low back pain have been developed .
Only a few have been review ed earlier , and there has been little focus on the content reflected in the question naires .
Relationships between epidural fibrosis, pain, disability, and psychological factors after lumbar disc surgery
Abstract Failed back surgery syndrome ( FBSS ) is an important complication of lumbar disc surgery . Epidural fibrosis is one of the major causes of FBSS . However , most patients with epidural fibrosis do not develop symptomatic complaints from scarring . The purpose of this prospect i ve study was to evaluate the relationships among the severity of epidural fibrosis , psychological factors , back pain and disability after lumbar disc surgery . Twenty-nine surgically managed patients ( 13 women , 16 men ) were included in this study . In all patients , the presence and severity of epidural fibrosis was determined with contrast-enhanced magnetic resonance imaging ( MRI ) . A pain visual analog scale ( VAS ) and Oswestry Disability Question naire ( ODQ ) were completed before and after surgery . Subjects were grouped by their type of herniation ( protrusion , free fragment ) , MRI findings and results of the mini form of the Minnesota Multiphasic Personality Inventory ( MMPI ) , and the groups were compared for their VAS and ODQ scores . Our results disclosed that neither the postoperative VAS scores nor the postoperative ODQ scores differed significantly among the epidural fibrosis severity groups . Moreover , postoperative VAS scores were positively correlated with the scores of the mini MMPI . These findings indicate that epidural fibrosis may be considered as a radiological entity independent of patients ’ complaints . Furthermore , the mini MMPI should be included in the assessment and planning of the reoperations in FBSS patients , because of the importance of psychological factors in postoperative pain and disability
Most of the outcome question naires had a mixed content reflecting various constructs such as pain and symptoms , sleep disturbances , psychological dysfunctions , physical impairments , and social functions .
STUDY DESIGN A systematic literature review of outcome question naires design ed for assessing functional status or disability in patients with low back pain .
OBJECTIVES To provide a comprehensive overview of all functioning/disability question naires used in recent years and to explore how the main concept(s ) was described or defined in the original paper , the content or the domains of disability , and the measurement properties of the question naires .
SUMMARY OF BACKGROUND DATA A number of clinical tools design ed for evaluating the functional status of patients with low back pain have been developed .
Only a few have been review ed earlier , and there has been little focus on the content reflected in the question naires .