The substantial clinical benefit of comprehensively considering low back pain and radiating pain caused by lumbar intervertebral disc herniation

Autor:	Young-Mo Yang, Eun-Jung Kim, Yoon Jae Lee, Me-riong Kim, Se Hwan Jeon, In-Hyuk Ha
Rok vydání:	2022
Předmět:	musculoskeletal diseases medicine.medical_specialty Physical Therapy Sports Therapy and Rehabilitation Intervertebral Disc Degeneration 03 medical and health sciences 0302 clinical medicine health services administration medicine Numeric Rating Scale Humans Orthopedics and Sports Medicine 030212 general & internal medicine Intervertebral Disc Lumbar intervertebral disc Retrospective Studies Lumbar Vertebrae Referred pain Receiver operating characteristic business.industry Rehabilitation Low back pain humanities nervous system diseases Oswestry Disability Index Treatment Outcome Concomitant Physical therapy Lumbar disc herniation medicine.symptom business Low Back Pain human activities Intervertebral Disc Displacement 030217 neurology & neurosurgery
Zdroj:	Journal of Back and Musculoskeletal Rehabilitation. 35:323-329
ISSN:	1878-6324 1053-8127
Popis:	BACKGROUND: Patients with lumbar disc herniation (LDH) may experience low back pain (LBP) and radiating pain (RP). Currently, there is no substantial clinical benefit (SCB) of assessing both LBP and RP due to LDH. OBJECTIVE: To determine enhanced SCB values by simultaneously assessing LBP and RP. METHODS: We retrospectively evaluated hospitalized LDH patients with concomitant LBP and RP between June 1, 2012, and May 31, 2013, and determined the numeric rating scale (NRS) and Oswestry Disability Index (ODI) scores at admission and discharge. Furthermore, the area under the receiver operating characteristic curve (AUC) was computed to assess diagnostic accuracy. RESULTS: SCB as per NRS for both LBP and RP was -2.50 in the 186 enrolled patients (AUC: 0.699 and 0.704, respectively). SCB as per ODI was -18.78 (AUC: 0.771). SCB for the mean of the two NRS scores for LBP and RP was -2.75 (AUC: 0.757). SCB for NRS score with a larger change in LBP and RP was -3.50 (AUC: 0.767). CONCLUSIONS: SCB may be determined by comprehensively considering LBP and RP and choosing the mean NRS or NRS score with a large change.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::69c5dffbc8b759039dec0ab338e33f81 https://doi.org/10.3233/bmr-200244 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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