EVALUATION OF TREATMENT FOR CHRONIC LOW BACK PAIN_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

CHENGJiwei ^1,2 , WANGHongwei ¹ , ZHENGWenjie ¹ , LIChangqing ¹ ,  ZHOUYue ¹

1. Department of Orthopaedics, Xinqiao Hospital, Third Military Medical University, Chongqing, 400037, P. R. China;
2. Department of Orthopaedics, the 113 th Hospital of Chinese PLA;

Corresponding?author：

ZHOUYue, Email: happyzhou@vip.163.com

Keywords：

Chronic low back pain; Effectiveness evaluation; Application status

DOI：

10.7507/1002-1892.20140026

Video：

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Objective To review the present clinical evaluation of treatment for chronic low back pain. Methods The literature on the effectiveness evaluation method of chronic low back pain was reviewed and summarized. Results Many scoring systems are used to assess the treatment for chronic low back pain through the evaluation of pain and functional disability. The function evaluations are divided into general and disease-specific evaluations. Currently the most widely used evaluation systems are as follows: short-form 36 health survey scale (SF-36), Oswestry disability index (ODI), Roland-Morris disability questionnaire (RDQ), Japanese Orthopaedic Association (JOA) low back pain scoring system, Quebec back pain disability scale (QBPDS), and Macnab criteria. Visual analogue scale (VAS) and numerical rating scale (NRS) are usually used to evaluate the pain degree. Conclusion There are many effectiveness evaluation methods of chronic low back pain, but there is still a lack of more comprehensive, concise, and practical evaluation method. Further studies are required to develop it.

Citation： CHENGJiwei, WANGHongwei, ZHENGWenjie, LIChangqing, ZHOUYue. EVALUATION OF TREATMENT FOR CHRONIC LOW BACK PAIN. Chinese Journal of Reparative and Reconstructive Surgery, 2014, 28(1): 119-122. doi: 10.7507/1002-1892.20140026 Copy

1.	陳凱.曲馬多對復發性腰椎間盤突出癥患者SF-36問卷評分影響.中國民康醫學,2010,22(10):1221,1279.
2.	Fujita T,Ohue M,Nakajima M,et al.Comparison of the effects of elcatonin and risedronate on back and knee pain by electroalgometry using fall of skin impedance and quality of life assessment using SF-36.J Bone Miner Metab,2011,29(5):588-597.
3.	Ware JE Jr,Sherbourne CD.The MOS 36-item short-form health survey (SF-36).I.Conceptual framework and item selection.Med Care,1992,30(6):473-483.
4.	Johnsen LG,Hellum C,Nygaard OP,et al.Comparison of the SF6D,the EQ5D,and the oswestry disability index in patients with chronic low back pain and degenerative disc disease.BMC Musculoskelet Disord,2013,14:148.
5.	Mansourian M,Mahdiyeh Z,Park JJ,et al.Skew-symmetric random effect models with application to a preventive cohort study:Improving outcomes in low back pain patients.Int J Prev Med,2013,4(3):279-285.
6.	Monticone M,Baiardi P,Vanti C,et al.Responsiveness of the Oswestry Disability Index and the Roland Morris Disability Questionnaire in Italian subjects with sub-acute and chronic low back pain.Eur Spine J,2012,21(1):122-129.
7.	Fairbank JC,Pynsent PB.The Oswestry Disability Index.Spine (Phila Pa 1976),2000,25(22):2940-2952.
8.	Fritz J M,Irrgang JJ.A comparison of a modified Oswestry Low Back Pain Disability Questionnaire and the Quebec Back Pain Disability Scale.Phys Ther,2001,81(2):776-788.
9.	鄭光新,趙曉鷗,劉廣林,等.Oswestry功能障礙指數評定腰痛患者的可信性.中國脊柱脊髓雜志,2002,12(1):13-15.
10.	許斌,王與榮,趙建寧,等.ODI在腰椎間盤突出癥手術療效評價中的應用.頸腰痛雜志,2004,25(1):31-34.
11.	Sánchez-Zuriaga D,López-Pascual J,Garrido-Jaén D,et al.Reliability and validity of a new objective tool for low back pain functional assessment.Spine (Phila Pa 1976),2011,36(16):1279-1288.
12.	Gr?nblad M,Hupli M,Wennerstrand P,et al.Intercorrelation and test-retest reliability of the Pain Disability Index (PDI) and the Oswestry Disability Questionnaire (ODQ) and their correlation with pain intensity in low back pain patients.Clin J Pain,1993,9(3):189-195.
13.	Jacobs WC,van der Gaag NA,Kruyt MC,et al.Total disc replacement for chronic discogenic low back pain:a cochrane review.Spine (Phila Pa 1976),2013,38(1):24-36.
14.	Yu Y,Liu W,Song D,et al.Diagnosis of discogenic low back pain in patients with probable symptoms but negative discography.Arch Orthop Trauma Surg,2012,132(5):627-632.
15.	Roland M,Fairbank J.The Roland-Morris Disability Questionnaire and the Oswestry Disability Questionnaire.Spine (Phila Pa 1976),2000,25(24):3115-3124.
16.	Roland M.Back Pain:New Approaches to Rehabilitation and Education.Manchester:Manchester University Press,1989:174-186.
17.	Roland M,Morris R.A study of the natural history of back pain.Part I:development of a reliable and sensitive measure of disability in low-back pain.Spine (Phila Pa 1976),1983,8(2):141-144.
18.	姜宏.日本腰痛評定新標準介紹.中醫正骨,1998,10(3):60.
19.	Laguerre D,Wavasseur T,Vital JM,et al.A disabling cervical compressive myelopathy with normal JOA score.Clin Neurol Neurosurg,2013,115(7):1147-1149.
20.	Azimi P,Mohammadi HR,Montazeri A.An outcome measure of functionality and pain in patients with lumbar disc herniation:a validation study of the Japanese Orthopedic Association (JOA) score.J Orthop Sci,2012,17(4):341-345.
21.	徐衛國,陳圣華,魯光錢,等.三維牽引治療腰椎間盤突出癥的療效及JOA對其預測價值.實用醫學雜志,2008,24(21):3679-3680.
22.	Fukui M,Chiba K,Kawakami M,et al.JOA Back Pain Evaluation Questionnaire (JOABPEQ)/JOA Cervical Myelopathy Evaluation Questionnaire (JOACMEQ).The report on the development of revised versions.April 16,2007.The Subcommittee of the Clinical Outcome Committee of the Japanese Orthopaedic Association on Low Back Pain and Cervical Myelopathy Evaluation.J Orthop Sci,2009,14(3):348-365.
23.	Kopec JA,Esdaile JM,Abrahamowicz M,et al.The Quebec Back Pain Disability Scale.Measurement properties.Spine (Phila Pa 1976),1995,20(3):341-352.
24.	Müller U,R?der C,Greenough CG.Back related outcome assessment instruments.Eur Spine J,2006,15 Suppl 1:S25-31.
25.	Ahsan K,Najmus-Sakeb,Hossain A,et al.Discectomy for primary and recurrent prolapse of lumbar intervertebral discs.J Orthop Surg (Hong Kong),2012,20(1):7-10.
26.	Lee SH,Kang HS.Percutaneous endoscopic laser annuloplasty for discogenic low back pain.World Neurosurg,2010,73(3):198-206.
27.	Daltroy LH,Cats-Baril WL,Katz JN,et al.The North American spine society lumbar spine outcome assessment instrument:reliability and validity tests.Spine (Phila Pa 1976),1996,21(6):741-749.
28.	Greenough CG,Fraser RD.Assessment of outcome in patients with low-back pain.Spine (Phila Pa 1976),1992,17(1):36-41.
29.	Manniche C,Asmussen K,Lauritsen B,et al.Low Back Pain Rating scale:validation of a tool for assessment of low back pain.Pain,1994,57(3):317-326.
30.	Ruta DA,Garratt AM,Wardlaw D,et al.Developing a valid and reliable measure of health outcome for patients with low back pain.Spine (Phila Pa 1976),1994,19(17):1887-1896.
31.	Williams RM,Myers AM.A new approach to measuring recovery in injured workers with acute low back pain:Resumption of Activities of Daily Living Scale.Phys Ther,1998,78(6):613-623.
32.	Feise RJ,Michael Menke J.Functional rating index:a new valid and reliable instrument to measure the magnitude of clinical change in spinal conditions.Spine (Phila Pa 1976),2001,26(1):78-87.
33.	胡有谷.腰椎間盤突出癥.北京:人民衛生出版社,1985:283-284.
34.	Spengler DM,Ouellette EA,Battié M,et al.Elective discectomy for herniation of a lumbar disc.Additional experience with an objective method.J Bone Joint Surg (Am),1990,72(2):230-237.
35.	Spengler DM,Freeman CW.Patient selection for lumbar discectomy.An objective approach.Spine (Phila Pa 1976),1979,4(2):129-134.
36.	張余,劉景發,夏虹,等.腰椎間盤突出癥的綜合評分法.廣東醫學,1999,20(4):278-279.
37.	楊占輝,孫建華,丁浩.腰椎間盤突出癥的評分法療效評定標準.頸腰痛雜志,1999,20(1):20-21.
38.	張巖,王歡,段景柱,等.自制腰椎間盤突出癥評估系統對外科治療患者術前病情程度及術后功能恢復的預測.中國臨床康復,2005,9(30):1-3.
39.	莊子齊,王敦建.癥狀體征量化評分法評價腰椎間盤突出癥的臨床療效.遼寧中醫雜志,2005,32(12):1225-1226.
40.	Huskisson EC.Measurement of pain.Lancet,1974,2(7889):1127-1131.
41.	ten Klooster PM,Vlaar AP,Taal E,et al.The validity and reliability of the graphic rating scale and verbal rating scale for measuring pain across cultures:a study in Egyptian and Dutch women with rheumatoid arthritis.Clin J Pain,2006,22(9):827-830.
42.	Phan NQ,Blome C,Fritz F,et al.Assessment of pruritus intensity:prospective study on validity and reliability of the visual analogue scale,numerical rating scale and verbal rating scale in 471 patients with chronic pruritus.Acta Derm Venereol,2012,92(5):502-507.
43.	Joos E,Peretz A,Beguin S,et al.Reliability and reproducibility of visual analogue scale and numeric rating scale for therapeutic evaluation of pain in rheumatic patients.J Rheumatol,1991,18(8):1269-1270.
44.	Young IA,Cleland JA,Michener LA,et al.Reliability,construct validity,and responsiveness of the neck disability index,patient-specific functional scale,and numeric pain rating scale in patients with cervical radiculopathy.Am J Phys Med Rehabil,2010,89(10):831-839.
45.	Jensen MP,McFarland CA.Increasing the reliability and validity of pain intensity measurement in chronic pain patients.Pain,1993,55(2):195-203.

1. 陳凱.曲馬多對復發性腰椎間盤突出癥患者SF-36問卷評分影響.中國民康醫學,2010,22(10):1221,1279.
2. Fujita T,Ohue M,Nakajima M,et al.Comparison of the effects of elcatonin and risedronate on back and knee pain by electroalgometry using fall of skin impedance and quality of life assessment using SF-36.J Bone Miner Metab,2011,29(5):588-597.
3. Ware JE Jr,Sherbourne CD.The MOS 36-item short-form health survey (SF-36).I.Conceptual framework and item selection.Med Care,1992,30(6):473-483.
4. Johnsen LG,Hellum C,Nygaard OP,et al.Comparison of the SF6D,the EQ5D,and the oswestry disability index in patients with chronic low back pain and degenerative disc disease.BMC Musculoskelet Disord,2013,14:148.
5. Mansourian M,Mahdiyeh Z,Park JJ,et al.Skew-symmetric random effect models with application to a preventive cohort study:Improving outcomes in low back pain patients.Int J Prev Med,2013,4(3):279-285.
6. Monticone M,Baiardi P,Vanti C,et al.Responsiveness of the Oswestry Disability Index and the Roland Morris Disability Questionnaire in Italian subjects with sub-acute and chronic low back pain.Eur Spine J,2012,21(1):122-129.
7. Fairbank JC,Pynsent PB.The Oswestry Disability Index.Spine (Phila Pa 1976),2000,25(22):2940-2952.
8. Fritz J M,Irrgang JJ.A comparison of a modified Oswestry Low Back Pain Disability Questionnaire and the Quebec Back Pain Disability Scale.Phys Ther,2001,81(2):776-788.
9. 鄭光新,趙曉鷗,劉廣林,等.Oswestry功能障礙指數評定腰痛患者的可信性.中國脊柱脊髓雜志,2002,12(1):13-15.
10. 許斌,王與榮,趙建寧,等.ODI在腰椎間盤突出癥手術療效評價中的應用.頸腰痛雜志,2004,25(1):31-34.
11. Sánchez-Zuriaga D,López-Pascual J,Garrido-Jaén D,et al.Reliability and validity of a new objective tool for low back pain functional assessment.Spine (Phila Pa 1976),2011,36(16):1279-1288.
12. Gr?nblad M,Hupli M,Wennerstrand P,et al.Intercorrelation and test-retest reliability of the Pain Disability Index (PDI) and the Oswestry Disability Questionnaire (ODQ) and their correlation with pain intensity in low back pain patients.Clin J Pain,1993,9(3):189-195.
13. Jacobs WC,van der Gaag NA,Kruyt MC,et al.Total disc replacement for chronic discogenic low back pain:a cochrane review.Spine (Phila Pa 1976),2013,38(1):24-36.
14. Yu Y,Liu W,Song D,et al.Diagnosis of discogenic low back pain in patients with probable symptoms but negative discography.Arch Orthop Trauma Surg,2012,132(5):627-632.
15. Roland M,Fairbank J.The Roland-Morris Disability Questionnaire and the Oswestry Disability Questionnaire.Spine (Phila Pa 1976),2000,25(24):3115-3124.
16. Roland M.Back Pain:New Approaches to Rehabilitation and Education.Manchester:Manchester University Press,1989:174-186.
17. Roland M,Morris R.A study of the natural history of back pain.Part I:development of a reliable and sensitive measure of disability in low-back pain.Spine (Phila Pa 1976),1983,8(2):141-144.
18. 姜宏.日本腰痛評定新標準介紹.中醫正骨,1998,10(3):60.
19. Laguerre D,Wavasseur T,Vital JM,et al.A disabling cervical compressive myelopathy with normal JOA score.Clin Neurol Neurosurg,2013,115(7):1147-1149.
20. Azimi P,Mohammadi HR,Montazeri A.An outcome measure of functionality and pain in patients with lumbar disc herniation:a validation study of the Japanese Orthopedic Association (JOA) score.J Orthop Sci,2012,17(4):341-345.
21. 徐衛國,陳圣華,魯光錢,等.三維牽引治療腰椎間盤突出癥的療效及JOA對其預測價值.實用醫學雜志,2008,24(21):3679-3680.
22. Fukui M,Chiba K,Kawakami M,et al.JOA Back Pain Evaluation Questionnaire (JOABPEQ)/JOA Cervical Myelopathy Evaluation Questionnaire (JOACMEQ).The report on the development of revised versions.April 16,2007.The Subcommittee of the Clinical Outcome Committee of the Japanese Orthopaedic Association on Low Back Pain and Cervical Myelopathy Evaluation.J Orthop Sci,2009,14(3):348-365.
23. Kopec JA,Esdaile JM,Abrahamowicz M,et al.The Quebec Back Pain Disability Scale.Measurement properties.Spine (Phila Pa 1976),1995,20(3):341-352.
24. Müller U,R?der C,Greenough CG.Back related outcome assessment instruments.Eur Spine J,2006,15 Suppl 1:S25-31.
25. Ahsan K,Najmus-Sakeb,Hossain A,et al.Discectomy for primary and recurrent prolapse of lumbar intervertebral discs.J Orthop Surg (Hong Kong),2012,20(1):7-10.
26. Lee SH,Kang HS.Percutaneous endoscopic laser annuloplasty for discogenic low back pain.World Neurosurg,2010,73(3):198-206.
27. Daltroy LH,Cats-Baril WL,Katz JN,et al.The North American spine society lumbar spine outcome assessment instrument:reliability and validity tests.Spine (Phila Pa 1976),1996,21(6):741-749.
28. Greenough CG,Fraser RD.Assessment of outcome in patients with low-back pain.Spine (Phila Pa 1976),1992,17(1):36-41.
29. Manniche C,Asmussen K,Lauritsen B,et al.Low Back Pain Rating scale:validation of a tool for assessment of low back pain.Pain,1994,57(3):317-326.
30. Ruta DA,Garratt AM,Wardlaw D,et al.Developing a valid and reliable measure of health outcome for patients with low back pain.Spine (Phila Pa 1976),1994,19(17):1887-1896.
31. Williams RM,Myers AM.A new approach to measuring recovery in injured workers with acute low back pain:Resumption of Activities of Daily Living Scale.Phys Ther,1998,78(6):613-623.
32. Feise RJ,Michael Menke J.Functional rating index:a new valid and reliable instrument to measure the magnitude of clinical change in spinal conditions.Spine (Phila Pa 1976),2001,26(1):78-87.
33. 胡有谷.腰椎間盤突出癥.北京:人民衛生出版社,1985:283-284.
34. Spengler DM,Ouellette EA,Battié M,et al.Elective discectomy for herniation of a lumbar disc.Additional experience with an objective method.J Bone Joint Surg (Am),1990,72(2):230-237.
35. Spengler DM,Freeman CW.Patient selection for lumbar discectomy.An objective approach.Spine (Phila Pa 1976),1979,4(2):129-134.
36. 張余,劉景發,夏虹,等.腰椎間盤突出癥的綜合評分法.廣東醫學,1999,20(4):278-279.
37. 楊占輝,孫建華,丁浩.腰椎間盤突出癥的評分法療效評定標準.頸腰痛雜志,1999,20(1):20-21.
38. 張巖,王歡,段景柱,等.自制腰椎間盤突出癥評估系統對外科治療患者術前病情程度及術后功能恢復的預測.中國臨床康復,2005,9(30):1-3.
39. 莊子齊,王敦建.癥狀體征量化評分法評價腰椎間盤突出癥的臨床療效.遼寧中醫雜志,2005,32(12):1225-1226.
40. Huskisson EC.Measurement of pain.Lancet,1974,2(7889):1127-1131.
41. ten Klooster PM,Vlaar AP,Taal E,et al.The validity and reliability of the graphic rating scale and verbal rating scale for measuring pain across cultures:a study in Egyptian and Dutch women with rheumatoid arthritis.Clin J Pain,2006,22(9):827-830.
42. Phan NQ,Blome C,Fritz F,et al.Assessment of pruritus intensity:prospective study on validity and reliability of the visual analogue scale,numerical rating scale and verbal rating scale in 471 patients with chronic pruritus.Acta Derm Venereol,2012,92(5):502-507.
43. Joos E,Peretz A,Beguin S,et al.Reliability and reproducibility of visual analogue scale and numeric rating scale for therapeutic evaluation of pain in rheumatic patients.J Rheumatol,1991,18(8):1269-1270.
44. Young IA,Cleland JA,Michener LA,et al.Reliability,construct validity,and responsiveness of the neck disability index,patient-specific functional scale,and numeric pain rating scale in patients with cervical radiculopathy.Am J Phys Med Rehabil,2010,89(10):831-839.
45. Jensen MP,McFarland CA.Increasing the reliability and validity of pain intensity measurement in chronic pain patients.Pain,1993,55(2):195-203.

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Chinese Journal of Reparative and Reconstructive Surgery

EVALUATION OF TREATMENT FOR CHRONIC LOW BACK PAIN

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