Barbara Van Gorp, Joseph Lesnak, Timothy Fleagle, Kyle Hulshizer, Ashley Nielsen-Wise, Lisabeth Kestel, Carol Vance, Kathleen A Sluka
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引用次数: 0
Abstract
Intoduction: Common outcome measures for chronic neck pain are the Patient-Specific Functional Scale (PSFS) and the neck disability index (NDI). The primary aim was to categorize the top-rated, patient-selected functional activity limitations of the PSFS to determine if there were consistent limited functional activities for individuals with chronic neck pain and how these compared to the constructs of activities on the NDI. The secondary aim was to determine the relationship between scores for individuals who completed both the NDI and PSFS. Design: A retrospective review of data extracted from the electronic medical record, EPIC, within two hospital-based outpatient physical therapy clinics within a health care system. Methods: Retrospective analysis was performed on individual's characteristics, self-selected functional activity limitations, and total scores of the PSFS and NDI. Most common categories of self-selected functional activity limitations were developed by practicing physical therapists. These functional activity limitation categories of the PSFS were compared to the activities of the NDI. Mean PSFS total scores were correlated with the NDI total scores with Spearman's test. Results: Participants were individuals with chronic neck pain from January 2013-September 2018 (n = 2283). Movement-based activities accounted for 60.8% of the functional activity limitations of the PSFS with the top functional activity limitations being cervical motion and exercise (32%). The PSFS total score moderately correlated with NDI (r = -0.50, p = <0.01) which may relate to the differences in constructs of the NDI and the top patient-selected PSFS functional activity limitations found in this analysis. Conclusion: The results suggest that individuals with chronic neck pain present with similar categories of self-selected functional activity limitations that differ from activities of the NDI. Additional research is needed to improve outcome measures to capture patient-selected functional activity limitations and an individual's pain experience.
简介:慢性颈痛的常见结果测量方法是患者特定功能量表(PSFS)和颈部残疾指数(NDI)。该研究的主要目的是对患者自选的 PSFS 最高评分功能活动限制进行分类,以确定慢性颈痛患者是否存在一致的功能活动限制,以及这些限制与 NDI 活动结构的比较。次要目的是确定同时完成 NDI 和 PSFS 的患者的得分之间的关系。设计:对医疗保健系统内两家医院理疗门诊的电子病历 EPIC 中提取的数据进行回顾性分析。方法:对个人进行回顾性分析:对个人特征、自选功能活动限制以及 PSFS 和 NDI 总分进行回顾性分析。最常见的自选功能活动限制类别是由执业物理治疗师制定的。PSFS 的这些功能活动限制类别与 NDI 的活动进行了比较。PSFS 总分的平均值与 NDI 总分的平均值通过斯皮尔曼检验进行了相关性分析。结果参与者为2013年1月至2018年9月期间患有慢性颈部疼痛的人(n = 2283)。基于运动的活动占 PSFS 功能活动限制的 60.8%,其中最主要的功能活动限制是颈椎运动和锻炼(32%)。PSFS 总分与 NDI 呈中度相关(r = -0.50,p = 结论):研究结果表明,慢性颈痛患者自我选择的功能活动限制类别与 NDI 的活动限制类别相似。需要进行更多的研究来改进结果测量,以捕捉患者自选的功能活动限制和个人的疼痛体验。
期刊介绍:
Rehabilitation Research and Practice is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies in all areas of physical medicine and rehabilitation. The journal focuses on improving and restoring functional ability and quality of life to those with physical impairments or disabilities. In addition, articles looking at techniques to assess and study disabling conditions will be considered.