Analysis of a performance-based functional test in comparison with the visual analog scale for postoperative outcome assessment after lumbar spondylodesis

被引:12
作者
Hartmann, Sebastian [1 ]
Hegewald, Aldemar Andres [3 ]
Tschugg, Anja [1 ]
Neururer, Sabrina [2 ]
Abenhardt, Michael [1 ]
Thome, Claudius [1 ]
机构
[1] Med Univ Innsbruck, Dept Neurosurg, Anichstr 35, A-6020 Innsbruck, Austria
[2] Med Univ Innsbruck, Dept Med Stat Informat & Hlth Econ, A-6020 Innsbruck, Austria
[3] Heidelberg Univ, Univ Med Ctr Mannheim, Dept Neurosurg, Mannheim, Germany
关键词
Visual analog scale; Timed up and go test; Lumbar spondylodesis; Outcome assessment; Postoperative follow-up; LOW-BACK-PAIN; MINIMALLY INVASIVE APPROACH; TRADITIONAL OPEN APPROACH; DWELLING OLDER-ADULTS; GO TEST; PHYSICAL FUNCTION; INTERBODY FUSION; NATURAL-HISTORY; SPINE SURGERY; RATING-SCALES;
D O I
10.1007/s00586-015-4350-y
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Study design Prospective, non-blinded, non-randomization. Methods Pain scales are commonly used to assess the condition of spine patients, although the degree of correlation between different pain scores, and between the scores and the patients' functional status is, at best, variable. Pain usually limits physical activities, but there is a lack of a widely accepted tool for investigating pain-related physical impairment in everyday routine work. The purpose of this study was to evaluate and correlate the visual analog scale (VAS) and the "timed up and go" (TUG) test in patients after lumbar spondylodesis. Methods Thirty-eight patients with degenerative lumbar disease who were treated with monosegmental or bisegmental spondylodesis were included on a consecutive and prospective basis. The VAS and TUG were assessed preoperatively and during the first 12 weeks postoperatively. Special attention was paid to the early follow-up after surgical intervention. Correlations between the two tests were assessed. Results The VAS showed gradual reduction after surgery, reaching statistical significance on the sixth postoperative day, with significant changes over time from the first to third, third to sixth postoperative days and from the sixth postoperative day to 2 weeks after surgery. In contrast, the TUG demonstrated a significant deterioration in function on the first and third postoperative days, returning to baseline levels thereafter (at postoperative days 6 and 14). Significant improvement in function in comparison with the preoperative status was established after 4 weeks and continued until the last follow-up examination. The TUG showed significant differences between all visits along the timeline. A correlation between the two tests was only observed on the first day after surgery. Conclusion In summary, the TUG appeared to be significantly more sensitive for describing the course after spine surgery. The TUG represents an appropriate performance-based functional test that is not time-consuming. Assessment of both pain and functionality is, therefore, needed to evaluate patients adequately.
引用
收藏
页码:1620 / 1626
页数:7
相关论文
共 26 条
  • [1] Is the Timed Up and Go test a useful predictor of risk of falls in community dwelling older adults: a systematic review and meta- analysis
    Barry, Emma
    Galvin, Rose
    Keogh, Claire
    Horgan, Frances
    Fahey, Tom
    [J]. BMC GERIATRICS, 2014, 14
  • [2] TIMED UP AND GO TEST AND RISK OF FALLS IN OLDER ADULTS: A SYSTEMATIC REVIEW
    Beauchet, O.
    Fantino, B.
    Allali, G.
    Muir, S. W.
    Montero-Odasso, M.
    Annweiler, C.
    [J]. JOURNAL OF NUTRITION HEALTH & AGING, 2011, 15 (10) : 933 - 938
  • [3] Physical function measurements predict mortality in ambulatory older men
    De Buyser, Stefanie L.
    Petrovic, Mirko
    Taes, Youri E.
    Toye, Kaatje R. C.
    Kaufman, Jean-Marc
    Goemaere, Stefan
    [J]. EUROPEAN JOURNAL OF CLINICAL INVESTIGATION, 2013, 43 (04) : 379 - 386
  • [4] Spinal-fusion surgery - The case for restraint
    Deyo, RA
    Nachemson, A
    Mirza, SK
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2004, 350 (07) : 722 - 726
  • [5] Outcome measures for low back pain research - A proposal for standardized use
    Deyo, RA
    Battie, M
    Beurskens, AJHM
    Bombardier, C
    Croft, P
    Koes, B
    Malmivaara, A
    Roland, M
    Von Korff, M
    Waddell, G
    [J]. SPINE, 1998, 23 (18) : 2003 - 2013
  • [6] Comparing Quantification of Pain Severity by Verbal Rating and Numeric Rating Scales
    Dijkers, Marcel
    [J]. JOURNAL OF SPINAL CORD MEDICINE, 2010, 33 (03) : 232 - 242
  • [7] Measurement properties of performance-based measures to assess physical function in hip and knee osteoarthritis: a systematic review
    Dobson, F.
    Hinman, R. S.
    Hall, M.
    Terwee, C. B.
    Roos, E. M.
    Bennell, K. L.
    [J]. OSTEOARTHRITIS AND CARTILAGE, 2012, 20 (12) : 1548 - 1562
  • [8] Fairbank JC, 1980, PHYSIOTHERAPY, V66, P271
  • [9] The Oswestry Disability Index
    Fairbank, JCT
    Pynsent, PB
    [J]. SPINE, 2000, 25 (22) : 2940 - 2952
  • [10] The need for an objective outcome measurement in spine surgery-the timed-up-and-go test
    Gautschi, Oliver P.
    Corniola, Marco V.
    Schaller, Karl
    Smoll, Nicolas R.
    Stienen, Martin N.
    [J]. SPINE JOURNAL, 2014, 14 (10) : 2521 - 2522