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요통기간에 따른 손상, 장애, 심리적 요인들의 상관성 비교

Comparison of the Relationship Between Impairment, Disability and Psychological Factors According to the Difference of Duration of Low Back Pain

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참고문헌

주제분류물리치료학

초록

The purpose of this study was to investigate the correlations between pain intensity, physical impairments, disability, and psychological factors according to the difference in duration of low back pain. This study was a cross-sectional survey of 102 participants with low back pain, divided into two groups equal in number: The first group consisted of patients with acute and subacute low back pain, while the second group consisted of patients suffering from chronic low back pain. The results showed that gender, age, pain intensity, physical impairment, disability and Fear-Avoidance Beliefs (FABs) for work activities were not significantly different between two groups. FABs for physical activities of the first group were significantly more prevalent than in the second group. More than moderate correlations were found between pain intensity, physical impairment, and disability in the first group. Less than moderate correlations were found between pain intensity, physical impairment, disability, FABs, and depression in the second group. These findings suggest that we must consider psychological factors in the treatment of patients with chronic low back pain. Regression analyses revealed that pain intensity and FABs for work activities significantly contributed to the prediction of disability in the first group. Also, pain intensity and FABs for physical activities significantly contributed to the prediction of disability in the second group. Pain intensity was most important predictor of disability in two groups.

Abstract

The purpose of this study was to investigate the correlations between pain intensity, physical impairments, disability, and psychological factors according to the difference in duration of low back pain. This study was a cross-sectional survey of 102 participants with low back pain, divided into two groups equal in number: The first group consisted of patients with acute and subacute low back pain, while the second group consisted of patients suffering from chronic low back pain. The results showed that gender, age, pain intensity, physical impairment, disability and Fear-Avoidance Beliefs (FABs) for work activities were not significantly different between two groups. FABs for physical activities of the first group were significantly more prevalent than in the second group. More than moderate correlations were found between pain intensity, physical impairment, and disability in the first group. Less than moderate correlations were found between pain intensity, physical impairment, disability, FABs, and depression in the second group. These findings suggest that we must consider psychological factors in the treatment of patients with chronic low back pain. Regression analyses revealed that pain intensity and FABs for work activities significantly contributed to the prediction of disability in the first group. Also, pain intensity and FABs for physical activities significantly contributed to the prediction of disability in the second group. Pain intensity was most important predictor of disability in two groups.

참고문헌 (38)

  1. 조맹제, "주요 우울증 환자 예비평가에서 the Center for Epidemiologic Studies Depression Scale(CES-D)의 진단적 타당성 연구", 신경정신의학회지, 32(3), pp.381~399 (1993)
  2. Alschuler KN, "A comparison of the relationship between depression, perceived disability, and physical performance in persons with chronic pain", Eur J Pain, 12(6), pp.757~764 (2008)
  3. Brox JI, "Disability, pain, psychological factors and physical performance in healthy controls, patients with sub-acute and chronic low back pain: A case-control study", J Rehabil Med, 37(2), pp.95~99 (2005)
  4. Chandola T, "Chronic stress at work and the metabolic syndrome: Prospective study", BMJ, 332(7540), pp.521~525 (2006)
  5. Cioffi D, "Beyond attentional strategies: Cognitive-perceptual model of somatic interpretation", Psychol Bull, 109(1), pp.25~41 (1991)
  6. Crombez G, "Pain-related fear is more disabling than pain itself: Evidence on the role of pain-related fear in chronic back pain disability", Pain, 80(1-2), pp.329~339 (1999)
  7. Denison E, "Self-efficacy, fear avoidance, and pain intensity as predictors of disability in subacute and chronic musculoskeletal pain patients in primary health care", Pain, 111(3), pp.245~252 (2004)
  8. Dickens C, "Psychological correlates of pain behavior in patients with chronic low back pain", Psychosomatics, 43(1), pp.42~48 (2002)
  9. Fairbank JC, "The Oswestry low back pain disability questionnaire", Physiotherapy, 66(8), pp.271~273 (1980)
  10. Feuerstein M, "Biobehavioral factors affecting pain and disability in low back pain: Mechanisms and assessment", Phys Ther, 75(4), pp.267~280 (1995)
  11. Feuerstein M, "Biobehavioral mechanisms of chronic low back pain", Clin Psycho Rev, 7, pp.243~273 (1987)
  12. Finch E, "Physical Rehabilitation Outcome Measures", Lippincott Williams & Wilkins (1995)
  13. Fritz JM, "Identifying psychosocial variables in patients with acute work-related low back pain: The importance of fear-avoidance beliefs", Phys Ther, 82(10), pp.973~983 (2002)
  14. Friz JM, "The role of fear-avoidance beliefs in acute low back pain: Relationships with current and future disability and work status", Pain, 94(1), pp.7~15 (2001)
  15. Fritz JM, "Physical impairment index: Reliability, validity, and responsiveness in patients with acute low back pain", Spine, 28(11), pp.1189~1194 (2003)
  16. Grotle M, "Fear-avoidance beliefs and distress in relation to disability in acute and chronic low back pain", Pain, 112(3), pp.343~352 (2004)
  17. Haldeman S, "North American Spine Society: Failure of the pathology model to predict back pain", Spine, 15(7), pp.718~724 (1990)
  18. Hazard RG, "Chronic low back pain: The relationship between patient satisfaction and pain, impairment, and disability outcomes", Spine, 19(8), pp.881~887 (1994)
  19. Hermann KM, "Relationships among selected measures of impairment, functional limitation, and disability in patients with cervical spine disorders", Phys Ther, 81(3), pp.903~914 (2001)
  20. Holzberg AD, "The effects of depression and chronic pain on psychosocial and physical functioning", Clin J Pain, 12(2), pp.118~125 (1996)
  21. Jette AM, "Using health-related quality of life measures in physical therapy outcomes research", Phys Ther, 73(8), pp.528~537 (1993)
  22. Jette AM, "Physical disablement concepts for physical therapy research and practice", Phys Ther, 74(5), pp.380~386 (1994)
  23. Lyle MA, "Relationship of physical examination findings and self-reported symptom severity and physical function in patients with degenerative lumbar conditions", Phys Ther, 85(2), pp.120~133 (2005)
  24. Magee DJ, "Orthopedic Physical Assessment. 3rd ed" (1997), WB Saunders Co
  25. Michel A, "The association between clinical findings on physical examination and self-reported severity in back pain. Results of a population-based study", Spine, 22(3), pp.296~303 (1997)
  26. Nattrass CL, "Lumbar spine range of motion as a measure of physical and functional impairment: An investigation of validity", Clin Rehabil, 13(3), pp.211~218 (1999)
  27. Pengel LH, "Responsiveness of pain, disability, and physical impairment outcomes in patients with low back pain", Spine, 29(8), pp.879~883 (2004)
  28. Poiraudeau S, "Fear-avoidance beliefs about back pain in patients with subacute low back pain", Pain, 124(3), pp.305~311 (2006)
  29. Roach KE, "Test-retest reliability of patient reports of low back pain", J Orthop Sports Phys Ther, 26(5), pp.253~259 (1997)
  30. Rothstein JM, "Hypothesis-oriented algorithm for clinicians. A method for evaluation and treatment planning", Phys Ther, 66(9), pp.1388~1394 (1986)
  31. Thomas JS, "Pain-related fear is associated with avoidance of spinal motion during recovery from low back pain", Spine, 32(16), pp.460~466 (2007)
  32. Turk DC, "Psychosocial factors in chronic pain: Evolution and revolution", J Consult Clin Psych, 70(3), pp.678~690 (2002)
  33. Turk DC, "Chronic pain and depression: Role of perceived impact and perceived control in different age cohorts", Pain, 61(1), pp.93~101 (1995)
  34. Waddell G, "Biopsychosocial analysis of low back pain", Baillieres Clin Rhematol, 6(3), pp.523~557 (1992)
  35. Waddell G, "Normality and reliability in the clinical assessment of backache", Br Med J (Clin Res Ed), 284(6328), pp.1519~1523 (1982)
  36. Waddell G, "A fear-avoidance beliefs questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability", Pain, 52(2), pp.157~168 (1993)
  37. Waddell G, "Objective clinical evaluation of physical impairment in chronic low back pain", Spine, 17(6), pp.617~628 (1992)
  38. Williamson A, "Pain: A review of three commonly used pain rating scales", J Clin Nurs, 14(7), pp.798~804 (2005)

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