| 刘 绮,麦明泉,肖灵君,伍少玲.中文版Oswestry功能障碍指数评定慢性腰痛患者的反应度研究[J].中国康复医学杂志,2010,25(7):521~524 |
| 中文版Oswestry功能障碍指数评定慢性腰痛患者的反应度研究 点此下载全文 |
| 刘 绮 麦明泉 肖灵君 伍少玲 |
| 中山大学附属孙逸仙纪念医院康复科，广州，510120 |
| 基金项目： |
| DOI： |
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| 摘要： |
| 摘要
目的：探讨中文版Oswestry功能障碍指数（ODI）评定慢性腰痛患者的反应度，为临床应用提供客观依据。
方法：87例慢性腰痛患者参与了本研究，患者根据自己情况独立完成ODI、视觉模拟评分法（VAS）和日本骨科学会（JOA）下腰痛评分3个量表。每一种量表评定2次，分别在治疗前和治疗后2周。应用配对t检验比较患者治疗前后的ODI总分和各领域评分；应用效应大小（ES）和标准化反应均数（SRM）来比较3个量表的内部反应度；应用Spearman相关系数来检验ODI总分的变化值与患者自我疗效评估得分的相关性，分析ODI的外部反应度。
结果：患者治疗前后的ODI总分和各领域评分比较，两者间差异均有显著性意义（P＜0.01）；ODI的ES=1.63，SRM=1.46；ODI总分的变化值与患者自我疗效评估得分的Spearman相关系数为0.68（P＜0.01）。
结论：中文版ODI评定慢性腰痛患者具有良好的反应度。 |
| 关键词：慢性腰痛 Oswestry功能障碍指数 评定 反应度 |
| Responsiveness of Chinese version of Oswestry disability index in subjects with chronic low back pain/ Download Fulltext |
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| Department of Rehabilitation Medicine,the Sun Yat-sen Memorial Hospital,Sun Yat-sen University,Guangzhou,510120 |
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| Abstract: |
| Abstract
Objective:To study responsiveness of Chinese version of Oswestry Disability Index (ODI) for patients with chronic low back pain(LBP) so as to guide clinical application.
Method:Eighty-seven patients with chronic LBP participated in the study. Patients were assessed with ODI, visual analogue scale(VAS) and Japanese orthopedic association(JOA). LBP scale before and 2 weeks after treatment. Responsiveness was determined using pair t-test, effect size(ES), standardized response mean(SRM) and Spearman correlation coefficient.
Result:There was significant difference between the score of ODI before and 2 weeks after treatment(P＜0.01).The ES and SRM of ODI were 1.63 and 1.46 respectively. The scores of ODI were midrange correlated with self therapeutic effects(r=0.68,P＜0.01).
Conclusion:The Chinese version of ODI has good responsiveness. It is an appropriate tool to assess function of Chinese patients with chronic LBP. |
| Keywords:chronic low back pain Oswestry disability index assessment responsiveness |
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