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 .
Psychological distress deteriorates the subjective outcome of lumbosacral fusion. A prospective study.
A prospect i ve study was set up to evaluate the influence of psychological distress on the outcome of lumbosacral fusion in a group of chronic low back pain ( CLBP ) patients . Response to low back surgical procedures depends upon physical and psychological factors . Various reports exist concerning the influence of a patient 's psychological condition on the outcome of low back surgery . Few investigators , however , have checked this influence in a prospect i ve manner . A psychogenic back pain score ( NPL ) was administered to 53 CLBP patients ( 24 men and 29 women ) prior to surgery , to evaluate the presence of psychological distress . According to the test score patients were divided in an " organic " , an " uncertain " and a " psychogenic " group . Disability in activities of daily living result ing from the back pain was also scored preoperatively with the Oswestry Disability Index ( ODI ) . Twelve months after surgery the ODI was readministered to the 50 patients available to follow-up . Each group separately showed significant improvement of disability 12 months after fusion , however , the " organic " group scored significantly better than the " psychogenic " group . Question naires about back pain , sciatic pain and use of analgesics and Visual Analog Scales regarding pain and disability also indicated better results in the " organic " group . Psychological distress deteriorates the subjective outcome of lumbosacral spine fusion and psychological screening should indeed be an integral part of the global assessment of CLBP patients , especially when surgery is considered
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 .