Self-reported assessment of disability and performance-based assessment of disability are influenced by different patient characteristics in acute low back pain |
| |
Authors: | Benedict Martin Wand Lara A Chiffelle Neil Edward O’Connell James Henry McAuley Lorraine Hilary DeSouza |
| |
Institution: | (1) School of Health Sciences, The University of Notre Dame Australia, 19 Mouat St, Fremantle, WA, 6959, Australia;(2) Progress Physiotherapy Services, 22 Harvey St, Collie, WA, 6225, Australia;(3) Department of Health Sciences and Social Care, Brunel University, Kingston Lane, Uxbridge, Middlesex, UB8-3PH, UK;(4) Musculoskeletal Division, The George Institute for International Health, PO Box M201, Missenden Rd, Sydney, NSW, 2050, Australia |
| |
Abstract: | For an individual, the functional consequences of an episode of low back pain is a key measure of their clinical status. Self-reported
disability measures are commonly used to capture this component of the back pain experience. In non-acute low back pain there
is some uncertainty of the validity of this approach. It appears that self-reported assessment of disability and direct measurements
of functional status are only moderately related. In this cross-sectional study, we investigated this relationship in a sample
of 94 acute low back pain patients. Both self-reported disability and a performance-based assessment of disability were assessed,
along with extensive profiling of patient characteristics. Scale consistency of the performance-based assessment was investigated
using Cronbach’s alpha, the relationship between self-reported and performance-based assessment of disability was investigated
using Pearson’s correlation. The relationship between clinical profile and each of the disability measures were examined using
Pearson’s correlations and multivariate linear regression. Our results demonstrate that the battery of tests used are internally
reliable (Cronbach’s alpha = 0.86). We found only moderate correlations between the two disability measures (r = 0.471, p < 0.001). Self-reported disability was significantly correlated with symptom distribution, medication use, physical well-being,
pain intensity, depression, somatic distress and anxiety. The only significant correlations with the performance-based measure
were symptom distribution, physical well-being and pain intensity. In the multivariate analyses no psychological measure made
a significant unique contribution to the prediction of the performance-based measure, whereas depression made a unique contribution
to the prediction of the self-reported measure. Our results suggest that self-reported and performance-based assessments of
disability are influenced by different patient characteristics. In particular, it appears self-reported measures of disability
are more influenced by the patient’s psychological status than performance-based measures of disability. |
| |
Keywords: | Low back pain Disability Functional performance Validity Outcome |
本文献已被 SpringerLink 等数据库收录! |
|