Quantification of Lumbar Function

Gatchel, Robert J.; Mayer, Tom G.; Capra, Patricia; Diamond, Pamela; Barnett, Jim

doi:10.1097/00007632-198601000-00010

Cited by 75 publications

(4 citation statements)

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“…Previous studies have shown that the PD score can reflect the response to the treatment in patients with low back pain. Gatchel et al demonstrated that trunk and leg PD scores in patients with low back pain who completed the therapeutic rehabilitation program significantly improved in accordance with other psychological and physical parameters (Gatchel et al 1986). Ohnmeiss et al showed that PD score assessed for the leg decreased after spinal cord stimulation in patients with chronic low back and leg pain (Ohnmeiss 2000).…”

Section: Discussionmentioning

confidence: 99%

“…In order to quantitatively evaluate the severity of symptoms based on the PD results, GS was applied to the PD drawing (Fig. 2) (Gatchel et al 1986). Boxes that are bilaterally symmetric and of approximately equal area cover the pain drawing, but also the quantitate pain extending outside the body, allows for differentiation of localized mechanical and referred/radicular pain patterns.…”

Section: Methodsmentioning

confidence: 99%

“…2The grid score. The transparent overlay used to establish scores for patient’s pain drawing (Gatchel et al 1986)…”

Section: Methodsmentioning

confidence: 99%

“…To date, there have been a number of studies examining the significance of PD in the diagnosis and evaluation of patients with various low back disorders. However, these previous reports mostly examined the efficacy of PD in psychological assessments (Dzioba and Doxey 1984; Gatchel et al 1986; McNeill et al 1986; Ohlund et al 1996; Ohnmeiss et al 1996; Ransford et al 1976; Taylor et al 1984; Uden et al 1988), and there have been no studies that have specifically analyzed the efficacy of the use of PD in the clinical evaluation of patients with sciatica. Therefore, in this study, we analyzed the significance of PD in the diagnosis and assessment of patients with sciatica.…”

Section: Introductionmentioning

confidence: 99%

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Use of pain drawing as an assessment tool of sciatica for patients with single level lumbar disc herniation

et al. 2016

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The objectives of this study were to examine the diagnostic accuracy of pain drawing (PD) in determining the level of involvement and to investigate how the quantitative evaluation results of PD using a grid score (GS) correlates with the results of other clinical evaluation measures in diagnosis and assessment of patients with lumber disc herniation (LDH) involving a single nerve root. Thirty-one patients with single level LDH who were diagnosed and conservatively treated by the first author constituted the study population. In order to assess the diagnostic accuracy of PD, the level of involvement as determined by PD was compared to the final diagnosis. In 26 of the 31 patients who could be followed for more than 6 months of conservative treatment, the GS in PD evaluation was compared to the score assessed by the Japanese Orthopaedic Association scoring system for low back pain (JOA score) and the visual analog scale (VAS) both before and after the treatment. The overall diagnostic accuracy of PD for the determination of the affected level averaged 68.8 %, and the accuracy was higher at the L4/5 and L5/S levels than the L2/3 and L3/4 levels. The average values of VAS and GS significantly decreased and the JOA score significantly improved after the treatment. Moreover, a significant correlation was demonstrated between the scores derived from these three evaluation measures. The present study indicated the potential usefulness of PD in clinical assessment during the treatment course.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

“…2The grid score. The transparent overlay used to establish scores for patient’s pain drawing (Gatchel et al 1986)…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Use of pain drawing as an assessment tool of sciatica for patients with single level lumbar disc herniation

et al. 2016

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A Prospective Two-Year Study of Functional Restoration in Industrial Low Back Injury

Mayer

Gatchel²,

Mayer

et al. 1987

JAMA

383

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One hundred sixteen consecutive patients entered a functional restoration treatment program for chronic low back pain and were compared with 72 patients not treated. A two-year follow-up survey reached more than 85% of both groups; its findings were compared with earlier results of a five-month and one-year follow-up. Analysis demonstrated that 87% of the treatment group was actively working after two years, as compared with only 41% of the nontreatment comparison group. Moreover, about twice as many of the comparison group patients had additional spine surgery relative to the treatment group. The comparison group continued with an approximately five times higher rate of patient visits to health professionals in the second year as the treatment group. Also, treatment group reinjury rates were no higher than those expected in the general population, while nontreatment subjects had a higher incidence of reinjury. Finally, a small treatment "dropout" group did poorest of all, with results in almost all areas even worse than those of the comparison group patients.

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