The Association Between Clinical Findings on Physical Examination and Self-Reported Severity in Back Pain

Michel, Alexander; Kohlmann, Thomas; Raspe, Heiner

doi:10.1097/00007632-199702010-00013

Cited by 109 publications

(55 citation statements)

References 16 publications

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“…In the present group of disc herniation patients, the baseline scores for self-rated disability correlated with the objective ROM measures to a greater extent than has been shown in previous studies [21,33,38,39,40,50,58]. However, disability also showed a significant association with certain cognitive and affective factors.…”

Section: Generalsupporting

confidence: 61%

A prospective study of the interrelationship between subjective and objective measures of disability before and 2 months after lumbar decompression surgery for disc herniation

et al. 2005

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Section: Generalsupporting

confidence: 61%

A prospective study of the interrelationship between subjective and objective measures of disability before and 2 months after lumbar decompression surgery for disc herniation

et al. 2005

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“…The above-mentioned results of the t test and nonparametric analysis were confirmed by correlation analysis ( Measurements of forward bending demonstrated good reliability and validity to asses trunk mobility in the past [25][26][27][28][29].…”

Section: Correlation Analysismentioning

confidence: 89%

“…The hardening of the paravertebral muscles of the thoracolumbar spine were compared to the region of the cervicothoracal spine. A comparable method was used by Michel et al [25].…”

Section: Clinical Parameters and Clinical Scoresmentioning

confidence: 99%

Association of clinical parameters of operatively treated thoracolumbar fractures with quality of life parameters

Thormann

Erli

Brügmann³

et al. 2013

Eur Spine J

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Purpose The intention of the current work was to assess the association between clinical parameters and seven different quality of life (QoL) instruments after surgical treatment of thoracolumbar spinal fractures after an average follow-up of 4.2 years. Methods The following human-related quality of life and PRO measures of 66 patients were correlated to clinical parameters such as fingertip-to-floor distance (FFD), Schober measurement, pressure and percussion pain in the lumbopelvine area (PPP), and paravertebral muscle tension: reALOS, SF-36, VAS, VAS spine score, BDI, the GBB-24, and the IES-R. Results Overall, there was a significant association between the clinical parameters of the thoracolumbar spine such as PPP, paravertebral muscle tension, FFD and Schober's sign on one side, and the seven tested instruments on the other side.Conclusions PPP and FFD as well as a small Schober measurement are clinical parameters which significantly influence QoL after surgical treatment of thoracolumbar fractures.

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“…Considering the socioeconomic burden of low back pain [1], there is a pervasive need to improve clinical assessments for treatment decisions, evaluation of outcome and compensation awards [2]. While range of motion, strength or endurance are widely used in clinical practice, they may not necessarily address physical impairments related to specific neuromuscular dysfunction often observed in chronic low-back pain patients [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Precision of estimates of local stability of repetitive trunk movements

et al. 2013

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Purpose Local dynamic stability of trunk movements quantified by means of the maximum Lyapunov exponent (k max ) can provide information on trunk motor control and might offer a measure of trunk control in low-back pain patients. It is unknown how many repetitions are necessary to obtain sufficiently precise estimates of k max and whether fatigue effects on k max can be avoided while increasing the number of repetitions. Method Ten healthy subjects performed 100 repetitions of trunk movements in flexion, of trunk rotation and of a task combining these movement directions. k max was calculated from thorax, pelvis and trunk (thorax relative to pelvis) kinematics. Data series were analyzed using a bootstrap procedure; ICC and coefficient of variation were used to quantify precision as a function of the number of cycles analyzed. ANOVA was used to compare movement tasks and to test for effects of time.Results Trunk local stability reached acceptable precision level after 30 repetitions. k max was higher (indicating lower stability) in flexion, compared to rotation and combined tasks. There was no time effect (fatigue). k max of trunk movement was lower and less variable than that of thorax and pelvis movements. Conclusions The data provided allow for an informed choice of the number of repetitions in assessing local dynamic stability of trunk movements, weighting the gain in precision against the increase in measurement effort. Within the 100 repetitions tested, fatigue did not affect results. We suggest that increased stability during asymmetric movement may be explained by higher co-activation of trunk muscles.

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The Association Between Clinical Findings on Physical Examination and Self-Reported Severity in Back Pain

Abstract: Assessment of severity in back pain can only partly be based on the clinical findings of a physical examination. There is a relatively weak agreement between the results of physical examination and the subjective reporting of pain and disability.

Cited by 109 publications

References 16 publications

A prospective study of the interrelationship between subjective and objective measures of disability before and 2 months after lumbar decompression surgery for disc herniation

A prospective study of the interrelationship between subjective and objective measures of disability before and 2 months after lumbar decompression surgery for disc herniation

Association of clinical parameters of operatively treated thoracolumbar fractures with quality of life parameters

Precision of estimates of local stability of repetitive trunk movements

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