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논문 기본 정보

자료유형
학술저널
저자정보
Janardhana P. Aithala (Yenepoya Medical College) Suraj Kumar (Kasturba Medical College) Shodhan Aithal (Kasturba Medical College) Shashidhar M. Kotian (Kasturba Medical College)
저널정보
대한척추외과학회 Asian Spine Journal Asian Spine Journal Vol.12 No.6
발행연도
2018.1
수록면
1,106 - 1,116 (11page)

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Study Design: Prospective observational study. Purpose: To evaluate the disability domains relevant to Indian patients with low backache and propose a modified disability questionnaire for such patients. Overview of Literature: The Oswestry Disability Index (ODI) is a self-reported measurement tool that measures both pain and functional status and is used for evaluating disability caused by lower backache. Although ODI remains a good tool for disability assessment, from the Indian perspective questions related to weight lifting and sexual activity of ODI are questioned in some of the earlier studies. Activities of daily living in Indian patients vary substantially from those in other populations and include activities like bending forwards, sitting in floor and squatting which are not represented in the ODI. Methods: In this prospective observational study, a seven-step approach was used for the development of a questionnaire. Thirty patients were interviewed to identify the most challenging issue they faced while performing their daily activities (by free listing) and understand how important the questionnaire items were in terms of the standard ODI. Thus, a comprehensive disability questionnaire comprising 14 questions was developed and administered to 88 patients. Both qualitative (interviews) and quantitative methods (to establish the validity, reliability, and correlation with the Visual Analog Scale [VAS] and Rolland Morris disability questionnaire) were used to identify the 10 questions that best addressed the disability domains relevant to Indian patients. Results: According to free listing, four new questions pertaining to bending forward, sitting on the floor, walking on uneven surfaces, and work-related disabilities were included. In the second phase, wherein the questionnaire with 14 items was used, 56.8% patients did not answer the questions related to sexual activity, whereas 23.8% did not answer those related to walking on uneven surfaces. The modified questionnaire demonstrated good internal consistency (Cronbach’s alpha=0.892) and correlation with the Rolland Morris questionnaire (Cronbach’s alpha=0.850, p >0.05), as well as with the VAS score for disability (Cronbach’s alpha=0.712, p >0.05) and pain (Cronbach’s alpha=0.625, p >0.05). Conclusions: A modified disability questionnaire that was designed by adding two questions related to bending forward and work status and removing questions related to sexual activity and weight lifting or traveling (depending on the occupation) can help evaluate disability caused by back pain in Indian population.

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참고문헌 (24)

참고문헌 신청
Fairbank JC / 1980 / The Oswestry low back pain disability questionnaire / Physiotherapy 66:271~273 google schola Bombardier C / 2000 / Outcome assessments in the evaluation of treatment of spinal disorders : summary and general recommendations / Spine(Phila Pa 1976) 25:3100~3103 google schola Deyo RA / 1998 / Outcome measures for low back pain research : a proposal for standardized use / Spine(Phila Pa 1976) 23:2003~2013 google schola Doleys DM / 1997 / Psychological evaluation in spinal cord stimulation therapy / Pain Rev 4:189~207 google schola Turk DC / 1994 / Assessment of chronic pain patients / Semin Neurol 14:206~212 google schola

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