Assessment of Clinical Symptoms in Lumbar Foraminal Stenosis Using the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire

Yawara Eguchi; Munetaka Suzuki; Hajime Yamanaka; Hiroshi Tamai; Tatsuya Kobayashi; Sumihisa Orita; Kazuyo Yamauchi; Miyako Suzuki; Kazuhide Inage; Hirohito Kanamoto; Koki Abe; Yasuchika Aoki; Masao Koda; Takeo Furuya; Kazuhisa Takahashi; Seiji Ohtori

추천

검색

자료유형: 학술저널

저자정보: Yawara Eguchi (Shimoshizu National Hospital) Munetaka Suzuki (Shimoshizu National Hospital) Hajime Yamanaka (Shimoshizu National Hospital) Hiroshi Tamai (Shimoshizu National Hospital) Tatsuya Kobayashi (Shimoshizu National Hospital) Sumihisa Orita (Chiba University) Kazuyo Yamauchi (Chiba University) Miyako Suzuki (Chiba University) Kazuhide Inage (Eastern Chiba Medical Center) Hirohito Kanamoto (Eastern Chiba Medical Center) Koki Abe (Chiba University) Yasuchika Aoki (Eastern Chiba Medical Center) Masao Koda (Chiba University) Takeo Furuya (Chiba University) Kazuhisa Takahashi (Chiba University) Seiji Ohtori (Chiba University)

저널정보: 대한척추신경외과학회 Neurospine 대한척추신경외과학회지 제14권 제1호

발행연도: 2017.1

수록면: 1 - 6 (6page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Objective: It is important to develop an easy means of diagnosing lumbar foraminal stenosis (LFS) in a general practice setting. We investigated the use of the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ) to diagnose LFS in symptomatic patients. Methods: Subjects included 13 cases (mean age, 72 years) with LFS, and 30 cases (mean age, 73 years) with lumbar spinal canal stenosis (LSCS) involving one intervertebral disc. The visual analogue scale score for low back pain and leg pain, the JOABPEQ were evaluated. Results: Those with LFS had a significantly lower JOA score (p<0.001), while JOABPEQ scores (p<0.05) for lumbar dysfunction and social functioning impairment (p<0.01) were both significantly lower than the scores in LSCS. The following JOABPEQ questionnaire items (LFS vs. LSCS, p-value) for difficulties in: sleeping (53.8% vs. 16.6%, p<0.05), getting up from a chair (53.8% vs. 6.6%, p<0.001), turning over (76.9% vs. 40%, p<0.05), and putting on socks (76.9% vs. 26.6%, p<0.01) such as pain during rest, and signs of intermittent claudication more than 15 minutes (61.5% vs. 26.6%, p<0.05) were all significantly more common with LFS than LSCS. Conclusion: Results suggest that of the items in the JOABPEQ, if pain during rest or intermittent claudication is noted, LFS should be kept in mind as a cause during subsequent diagnosis and treatment. LFS may be easily diagnosed from LSCS using this established patient-based assessment method.

참고문헌 (20)

참고문헌 신청

Ando M / 2013 / Electrophysiological diagnosis using sensory nerve action potential for the intraforaminal and extraforaminal L5 nerve root entrapment / Eur Spine J 22:833~839

Aota Y / 2007 / Magnetic resonance imaging and magnetic resonance myelography in the presurgical diagnosis of lumbar foraminal stenosis / Spine (Phila Pa 1976) 32:896~903

Baba H / 1996 / Microsurgical nerve root canal widening without fusion for lumbosacral intervertebral foraminal stenosis: technical notes and early results / Spinal Cord 34:644~650

Burton CV / 1981 / Causes of failure of surgery on the lumbar spine / Clin Orthop Relat Res (157):191~199

Eguchi Y / 2011 / Quantitative evaluation and visualization of lumbar foraminal nerve root entrapment by using diffusion tensor imaging: preliminary results / AJNR Am J Neuroradiol 32:1824~1829