Relationship Between Performance on Lumbar Dynamometry and Waddell Score in a Population with Low-Back Pain
作者:
GABRIEL HIRSCH,
GREGG BEACH,
CHRISTOPHER COOKE,
MICHAEL MENARD,
SHELAGH LOCKE,
期刊:
Spine
(OVID Available online 1991)
卷期:
Volume 16,
issue 9
页码: 1039-1043
ISSN:0362-2436
年代: 1991
出版商: OVID
关键词: low-back pain;Waddell score;psychosocial factors;lumbar dynamometry
数据来源: OVID
摘要:
A prospective, blinded cohort study was performed to investigate the relationship between biomechanical variables measured during lumbar dynamometry and several psychological tests and measures of nonorganic pain behavior. Eighty-five men, aged 18-60 years, who had had low-back pain for longer than 5 weeks participated in the study. Nonorganic pain behavior was measured with the Waddell score, and lumbar function was measured with the Isostation B-200 Lumbar Dynamometer. Two brief psychological tests, the Coopersmith Self-Esteem Inventory and an analog self-rating of wellness, were also administered. Relationships between biomechanical variables and psychological tests were calculated with thet-test, the Pearsonrcorrelation, analysis of variance, and multiple step-wise logistic regression. Patients who exhibited excessive illness behavior (Waddell Scores 3-5) performed significantly worse (P< .01) on almost all biomechanical variables. The Coopersmith Self-Esteem Score and “feelings” score had a slightly weaker but still significant correlation with motor performance. The results suggest that poor performance on biomechanical testing in this population may be a form of abnormal illness behavior and thus may not accurately reflect organic alterations of neuromusculoskeletal function.
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