Chronic low back pain in individuals with lower-limb amputation.
Chronic low back pain in individuals with lower-limb amputation.
复制标题
下肢截肢者的慢性腰痛。
DOI：
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发表时间：
2006
影响因子：
3.4
通讯作者：
A. Čičkušić
中科院分区：
文献类型：
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作者：
Ademir Kusljugić;Suada Kapidžić;Zijada Kudumović;A. Čičkušić
腰背痛(LBP)是经历过心理和生理创伤的个体的常见症状。LBP通常出现在下肢截肢(LLA)患者身上，是躯体化或假体制作不当的最常见征兆。我们的目标是调查LLA患者的慢性疼痛综合征病例，并确定影响他们因LBP而导致的功能障碍的因素。LLA后的疼痛已被研究。共检查37人，其中退伍军人26人(70.2%)，因病患LLA平民11人(29.8%)。所有参与者都表示知情同意，并填写了OSwestry慢性下腰痛致残指数，分为10个部分，每部分6个问题，分数在0-5之间。37名LLA受试者的平均年龄为46.2±10.92岁。已婚30人(81.1%)，单身4人(10.8%)，寡妇3人(8.1%)。膝关节以下截肢27例(73.0%)，膝上截肢5例(13.5%)，足部截肢5例(13.5%)。33例(89.6%)患者在最近2~10年经历过慢性腰背痛，4例(10.8%)患者无疼痛症状。根据奥斯维斯特里慢性疼痛指数，平民截肢者的社会功能水平高于退伍军人(p<；0.05)。已婚平民截肢者在坐姿(p<；0.01)、睡眠(p<；0.01)和旅行(p<；0.05)方面的残疾程度较高。平民截肢者的社会混乱程度较高，是因为他们属于社会融合程度较低的老年参与者群体。这一群体在就座、旅行和睡觉方面出现的更严重的问题可能是由于共病。89.6%的受试者存在慢性腰背痛。在平民截肢者和已婚参与者中，社会障碍程度较高，在座位、旅行和睡眠方面存在问题。
Low back pain (LBP) is a common condition in individuals which experienced psychology and physical trauma. LBP is usually found in persons with lower-limb amputation (LLA), as the most common sign of somatisation or inappropriately made prostheses. Our goal was to investigate cases of chronic pain syndrome in persons with LLA and to determine factors, which influence their functional inability due to LBP. Pain after LLA has been studied. 37 persons, including 26 war veterans (70.2 %) and 11 (29.8 %) civilians with LLA due to an illness, were examined. All participants gave their informed consent and filled Oswestry index of disability due to chronic LBP, divided into 10 sections with 6 questions each, with marks in the range 0-5. The average age of 37 analyzed participants with LLA was 46.2+-10.92 years. 30 participants (81.1 %) were married, 4 (10.8 %) were single and 3 (8.1 %) were widows. 27 (73.0 %) participants had below the knee amputation, 5 (13.5 %) had above the knee amputation and 5 (13.5 %) had foot amputation. 33 (89.6 %) participants experienced chronic LBP in the last 2-10 years and 4 (10.8 %) did not have pains. According to Oswestry index for chronic pain higher level of social functionality was found in civilian amputees than in war veterans (p<0.05). Married civilian amputees have higher level of disability during seating (p<0.01), sleeping (p<0.01) and traveling (p<0.05). Higher level of social disorder among civilian amputees is due to the fact that they belong to older group of participants which usually have social integration at the lower degree. More serious problems during seating, traveling and sleeping among this group are probably due to co morbidity. Chronic LBP was found among 89.6 % of the participants. Higher level of social disorder, problems during seating, traveling and sleeping were identified in the civilian amputees and the married participants.
影响因子：
4.3
作者：
Ehde, DM;Czerniecki, JM;Robinson, LR
通讯作者：
Robinson, LR