Document Detail


The influence of psychologic factors on diskography in patients with chronic axial low back pain.
MedLine Citation:
PMID:  18586131     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine whether a patient's presenting psychometric scores affect the findings of a pressure and injection speed-controlled manometric lumbar diskography in patients with chronic low back pain (CLBP). DESIGN: A prospective, correlation-based, investigative study. SETTING: Free-standing ambulatory spine surgery center. PARTICIPANTS: Two hundred sixty-three disks from 81 patients (54 men, 27 women). INTERVENTION: Diskography was performed using pressure and injection speed-controlled techniques. The patients were divided into psychometric subgroups (normal, at risk, abnormal) according to the Distress and Risk Assessment Method (DRAM). MAIN OUTCOME MEASURES: The diskography findings on each psychometric DRAM subgroup were evaluated. RESULTS: Across the individual psychometric categories, the positive rates of diskography in the normal, at-risk, and abnormal subgroups were 75.0% (9/12), 59.5% (25/42), and 70.4% (19/27), respectively (P>.05). The mean numeric rating scores of pain at 15 and 50 psi above the opening pressure were similar in the 3 psychometric subgroups. There was no correlation between the diskography results and the psychometric subgroupings. CONCLUSIONS: In patients with CLBP, there is no correlation between the presenting psychometric DRAM score and the findings from pressure and injection speed-controlled manometric lumbar diskography.
Authors:
Richard Derby; Sang-Heon Lee; Yung Chen; Byung-Jo Kim; Chang-Hyung Lee; Young-Ki Hong; Jeong-Eun Lee; Kwan-Sik Seo
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  89     ISSN:  1532-821X     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-06-30     Completed Date:  2008-07-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1300-4     Citation Subset:  AIM; IM    
Affiliation:
Spinal Diagnostics and Treatment Center, Daly City, CA, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Female
Humans
Low Back Pain / psychology*,  radiography*,  rehabilitation
Male
Manometry
Middle Aged
Prospective Studies
Psychometrics
Risk Assessment

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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