Back pain as a secondary disability in persons with lower limb amputations

Back pain as a secondary disability in persons with lower limb amputations
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DOI:
10.1053/apmr.2001.21962
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发表时间:
2001-06-01
影响因子:
4.3
通讯作者:
Robinson, RLR
Robinson, RLR
中科院分区:
医学1区
文献类型:
--
作者:
Ehde, DM;Smith, DG;Robinson, RLR

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目的:评估下肢截肢患者中背痛的频率、持续时间、强度和干扰。设计:回顾性横断面调查。设置:临床数据库中基于社区的调查。参与者:下肢截肢后6个月或更长时间的参与者(n = 255)。干预:截肢疼痛调查,包括几个标准化疼痛测量。主要结果测量:频率,持续时间,强度,和干扰的背痛。结果:参与者谁完成了调查(返回率,56%),52%的报告经历了持续的,令人烦恼的背痛。其中,43%的患者报告平均背痛强度在轻度范围内(0-10级评分为1-4),25%的患者报告中度疼痛(0-10级评分为5-6)。大多数背部疼痛的受访者认为他们的疼痛对功能的干扰为零到最小。然而,近25%的背痛患者将其描述为频繁,严重的强度(大于或等于7的0-10级),并严重干扰日常活动,包括社会,娱乐,家庭和工作activity.Conclusions:背痛可能是令人惊讶的常见的人下肢截肢,并为一些谁的经验,可能会大大干扰功能。(C)2001年由美国康复医学大会和美国物理医学和康复学会。
Objective: To evaluate the frequency, duration, intensity, and interference of back pain in a sample of persons with lower limb amputations.Design: Retrospective, cross-sectional survey.Setting: Community-based survey from clinical databases.Participants: Participants who were 6 or more months post-lower limb amputation (n = 255).Intervention: An amputation pain survey that included several standardized pain measures.Main Outcome Measures: Frequency, duration, intensity, and interference of back pain.Results: Of the participants who completed the survey (return rate, 56%), 52% reported experiencing persistent, bothersome back pain. Of these, 43% reported average back pain intensity in the mild range (1-4 on 0-10 rating scale) and 25% reported pain of moderate intensity (5-6 on 0-10 scale). Most respondents with back pain rated the interference of their pain on function as none to minimal. However, nearly 25% of those with back pain described it as frequent, of severe intensity (greater than or equal to7 on 0-10 scale), and as severely interfering with daily activities including social, recreational, family, and work activities.Conclusions: Back pain may be surprisingly common in persons with lower limb amputations, and, for some who experience it, may greatly interfere with function.(C) 2001 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation.