The influence of psychologic factors on diskography in patients with chronic axial low back pain
- Authors
- Derby, Richard; Lee, Sang-Heon; Chen, Yung; Kim, Byung-Jo; Lee, Chang-Hyung; Hong, Young-Ki; Lee, Jeong-Eun; Seo, Kwan-Sik
- Issue Date
- 7월-2008
- Publisher
- W B SAUNDERS CO-ELSEVIER INC
- Keywords
- intervertebral disk; low back pain; psychometrics; rehabilitation
- Citation
- ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, v.89, no.7, pp.1300 - 1304
- Indexed
- SCIE
SCOPUS
- Journal Title
- ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
- Volume
- 89
- Number
- 7
- Start Page
- 1300
- End Page
- 1304
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/123280
- DOI
- 10.1016/j.apmr.2007.11.043
- ISSN
- 0003-9993
- Abstract
- 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 50psi 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.
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Collections - College of Medicine > Department of Medical Science > 1. Journal Articles
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