Psychometric Characteristics and Clinical Usefulness of Physical Performance Tests in Patients With Low Back Pain

Simmonds, Maureen J.; Olson, Sharon L.; Jones, Scott; Hussein, Tarek; Lee, C. Ellen; Novy, Diane M.; Radwan, Hamdy

doi:10.1097/00007632-199811150-00011

Cited by 326 publications

(289 citation statements)

References 21 publications

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“…This is where validated outcome scores come in useful. The SF36 and the Oswestry index have proven their merit in the assessment of common health problems including low back pain [4,7,23]. In our study there was no statistically significant difference between the fusion group and the non-fusion group in the results of the SF36 (Table 1) and Oswestry Disability Index questionnaires.…”

Section: Discussionmentioning

confidence: 50%

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Long-term follow-up of functional outcomes and radiographic changes at adjacent levels following lumbar spine fusion for degenerative disc disease

2000

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Section: Discussionmentioning

confidence: 50%

“…Many previous studies have used self-reported outcomes by the patients which are now known to be influenced by 'perceptual mismatch' (difference between how patients function and how they believe they function) and 'symptom sincerity' problems [5,23]. Comparison of different series is also difficult with self-reported measures.…”

Section: Discussionmentioning

confidence: 99%

Long-term follow-up of functional outcomes and radiographic changes at adjacent levels following lumbar spine fusion for degenerative disc disease

2000

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“…Although the majority of assessment protocols aim to evaluate the physical parameters classified in the Body Functions and Structures component, there are instruments that allow the assessment of functional status of patients with LBP 22,23 . The impact caused by LBP on the functionality of individuals that suffer from this health condition is a consensus among health professionals, which reinforces the importance to consider the specific functional profile of each patient in assessment and intervention procedures 10 .…”

Section: Introductionmentioning

confidence: 99%

“…Thus, capacity reflects the individual's ability adjusted to the environment 9 . To evaluate the physical capacity of LBP patients, some specific instruments for these aspects of functioning can be used, such as the sit-to-stand test, the 50-foot (15.24 m) walk test, lumbar flexion, five-minute walking test, timed up and go, loaded reach, among others 23 .…”

Section: Introductionmentioning

confidence: 99%

Correlação entre um questionário de desempenho funcional e capacidade física em pacientes com lombalgia

Ocarino¹,

Ggp²,

Vaz³

et al. 2009

Rev. bras. fisioter.

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© Revista Brasileira de FisioterapiaCorrelation between a functional performance questionnaire and physical capability tests among patients with low back pain Correlação entre um questionário de desempenho funcional e testes de capacidade física em pacientes com lombalgia Ocarino JM 1,2 , Gonçalves GGP 2 , Vaz DV 2 , Cabral AAV 3 , Porto JV 3 , Silva MT 3 AbstractContextualization: Low back pain is a set of painful manifestations that may cause limitations to several aspects of an individual's life. The model of the International Classification of Functioning, Disability and Health (ICF) proposed by the World Health Organization provides a structure for understanding the functioning and disability associated with health conditions, thus enabling significant descriptions of an individual's health. The ICF uses the terms "capacity" and "performance" to refer to different aspects of function and to differentiate between patients' functional status. In clinical practice, it is necessary to determine whether there is any association between these different aspects. Objectives: To analyze the correlation between the Roland Morris functional performance questionnaire and physical capacity tests (sit-to-stand and 50-foot walk) among patients with low back pain. Methods: Thirty patients of mean age 43.16 years, with a diagnosis of low back pain, were assessed using the Roland Morris questionnaire and the capacity tests. Results: Analysis using Pearson's correlation showed a significant but weak correlation between the Roland Morris score and the sit-to-stand test (r=0.38; p=0.0388). No significant correlation was observed between the questionnaire score and the 50-foot walk test (r=0.24; p=0.1862). Conclusion:The results indicate the need to use instruments that evaluate both aspects of function (capacity and performance) among patients with low back pain, so that a more complete functional profile of such individuals can be defined. Palavras-chave: lombalgia; Classificação Internacional de Funcionalidade; incapacidade e saúde; função.

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“…After 15 s of usual sitting, the participants were asked to perform five STSTS movements, as fast as possible and with a full range of motion. The duration of this task, determined by the center of pressure displacement (Arcelus et al, 2009), was calculated (Simmonds, 1998).…”

Section: Primary Outcome Measuresmentioning

confidence: 99%

Proprioceptive use and sit-to-stand-to-sit after lumbar microdiscectomy: The effect of surgical approach and early physiotherapy

Janssens

Brumagne

Claeys

et al. 2016

Clinical Biomechanics

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Background: Individuals with non-specific low back pain show decreased reliance on lumbosacral proprioceptive signals and slower sit-to-stand-to-sit performance. However, little is known in patients after lumbar microdiscectomy. Methods: Patients were randomly assigned into transmuscular (n = 12) or paramedian lumbar surgery (n = 13). After surgery, the same patients were randomly assigned into individualized active physiotherapy starting 2 weeks after surgery (n = 12) or usual care (n = 13). Primary outcomes were center of pressure displacement during ankle and back muscles vibration (to evaluate proprioceptive use), and the duration of five sit-to-stand-to-sit movements, evaluated at 2 (baseline), 8 and 24 weeks after surgery. Findings: Two weeks after surgery, all patients showed smaller responses to back compared to ankle muscles vibration (P b 0.05). Patients that underwent a transmuscular surgical procedure and patients that received physiotherapy switched to larger responses to back muscles vibration at 24 weeks, compared to 2 weeks after surgery (P b 0.005), although not seen in the paramedian group and usual care group (P N 0.05). Already 8 weeks after surgery, the physiotherapy group needed significantly less time to perform five sit-to-stand-to-sit movements compared to the usual care group (P b 0.05). Interpretation: Shortly after lumbar microdiscectomy, patients favor reliance on ankle proprioceptive signals over lumbosacral proprioceptive reliance to maintain posture, which resembles the behavior of patients with non-specific low back pain. However, early active physiotherapy after lumbar microdiscectomy facilitated higher reliance on lumbosacral proprioceptive signals and early improvement of sit-to-stand-to-sit performance. Transmuscular lumbar surgery favoured recovery of lumbosacral proprioception 6 months after surgery. Clinical Trial Number: NCT01505595

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Psychometric Characteristics and Clinical Usefulness of Physical Performance Tests in Patients With Low Back Pain

Abstract: The results provide support for the use of these physical performance measures as a complement to patient self-report.

Cited by 326 publications

References 21 publications

Long-term follow-up of functional outcomes and radiographic changes at adjacent levels following lumbar spine fusion for degenerative disc disease

Long-term follow-up of functional outcomes and radiographic changes at adjacent levels following lumbar spine fusion for degenerative disc disease

Correlação entre um questionário de desempenho funcional e capacidade física em pacientes com lombalgia

Proprioceptive use and sit-to-stand-to-sit after lumbar microdiscectomy: The effect of surgical approach and early physiotherapy

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