요추수술실패 증후군 환자의 보행지표와 임상양상과의 상관관계
Correlations of the Clinical Factors and Gait Parameters in Failed Back Surgery Syndrome
1
조회
0
다운로드
1
인용
0
참고문헌
초록
Abstract
Objective: To analyze the relationship of clinical factors and gait parameters of patients with failed back surgery syndrome. Method: We investigated 25 male patients with back and /or lower limb pain who underwent lumbar spine operation. The following data were evaluated: clinical symptoms, physical examination, duration from operation to the gait analysis, number and level of operation, Visual Analogue Scales (VAS), modified Dallas pain questionnaire, psychological evaluations (Beck Depression Inventory, BDI) and gait parameters through 3 dimensional gait analysis. Results: Walking velocity was inversely correlated with scores of modified Dallas pain questionnaire and BDI. Stride length was inversely correlated with scores of return to work, neurogenic claudication, VAS, modified Dallas pain questionnaire and BDI. Range of pelvic obliquity was inversely correlated with scores of modified Dallas pain questionnaire and BDI. There was no significant differences between findings of physical exam and gait parameters. Conclusion: Results of the gait analysis of patients with failed back surgery syndrome showed significant relationship with clinical factors reflecting psychosocial background of patients.
참고문헌 (24)
- "요통치료의 평가지수", 25, pp.927~932 (1990)
- "척추수술 실패증후군의 원인 및 그 치료 성적에 대한 연구", 6, pp.135~140 (1999)
- "요통환자에서 경막외 주사효과의 평가", 24, pp.108~116 (2000)
- "척추수술 후 증후군 환자에 대한 임상적 고찰", 19, pp.581~586 (1995)
- "요추간판탈출증 수술실패 증후군 환자의 임상 및 전기진단학적 소견", 27, pp.388~393 (2003)
- "우울증상이 만성 요통에 미치는 영향", 27, pp.568~574 (2003)
- "만성요통환자에서 장애 감정 여부에 따른 통증형태와 심리적 특성", 24, pp.125~131 (2000)
- "Failed Lumbar Disc Surgery의 임상적 고찰", 28, pp.1017~1028 (1993)
- "The influence of pain and pain-related fear and disability beliefs on walking velocity in chronic low back pain", 26, pp.101~107 (2003)
- "The role of anticipation and fear of pain in the persistence of avoidance behaviour in patients with chronic low back pain", 25, pp.1126~1131 (2000)
- "Chronic pain-associated depression: antecedent or consequence of chronic pain?", 13, pp.116~137 (1997)
- "Chronic low back pain and depression", 39, pp.486~493 (1983)
- "Essentials of musculoskelectal care.", pp.559~562 (2000), American Academy of Orthopedic Surgeons
- "Long-term strength assessment of post-operative diskectomy patients", 14, pp.402~403 (1989)
- "An objective approach to quantifying pain behavior and gait patterns in low back pain patients", 21, pp.153~161 (1985)
- "Gait analysis of patients with low back pain before and after surgery", 18, pp.1451~1455 (1993)
- "Spatiotemporal gait patterns during over ground locomotion in major depression compared with healthy controls", 34, pp.277~283 (2000)
- "Orthopedic physical assessment.", pp.514~517 (2002), Saunders
- "Quantifying postoperative deficits of physical function following spinal surgery", 244, pp.147~157 (1989)
- "Characterization of gait function in patients with postsurgical sagittal (flatback) deformity", 27, pp.2328~2337 (2002)
- "Psychological aspects of chronic pain", 129, pp.150~155 (1977)
- "Gait analysis of patients with neurogenic intermittent claudication", 27, pp.2509~2513 (2002)
- "Correlation of low back pain with functional status, general health perception, social participation, subjective happiness and patients satisfaction.", 28, pp.1461~1467 (2003)
- "Failed lumbar disc surgery and repeat surgery following industrial injuries", 61, pp.201~207 (1979)