Patient classification, a key to evaluate pain treatment: a psychological study in chronic low back pain patients.

Abstract:

:It has been proposed that pain treatment evaluation is hindered by heterogeneous properties of patient samples. Therefore, to facilitate pain treatment evaluation in this psychological study, a heterogeneous group of chronic low back pain patients was classified into more homogeneous subgroups. Two designs were used to compare the outcome by the "functioning activation" and the "spa resort" type of rehabilitation. In the first design, the outcome was compared in groups, clinically homogenized by sociodemographic variables and in respect to contraindications for heavy physical training. In the second design, the pain patient subgroups, homogenized by cluster analysis technique in accordance with the psychological profiles of functioning, were compared in their response to treatments. The results indicated that the outcome evaluation was facilitated by the latter design releasing more specific information about the effects of the program quality, the patient characteristics, and their interaction on the improvement by rehabilitation. It was concluded that in treatment outcome analysis, the subgroup's homogeneity must be considered.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Talo S,Rytökoski U,Puukka P

doi

10.1097/00007632-199209000-00001

keywords:

subject

Has Abstract

pub_date

1992-09-01 00:00:00

pages

998-1011

issue

9

eissn

0362-2436

issn

1528-1159

journal_volume

17

pub_type

杂志文章

相关文献

SPINE文献大全
  • Geographic variations in the cost of spine surgery.

    abstract:STUDY DESIGN:Retrospective review. OBJECTIVE:To define the geographic variation in costs of anterior cervical discectomy and fusion (ACDF) and posterolateral fusion (PLF). SUMMARY OF BACKGROUND DATA:ACDF and lumbar PLF are common procedures that are used in the treatment of spinal pathologies. To optimize value, both...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001022

    authors: Goz V,Rane A,Abtahi AM,Lawrence BD,Brodke DS,Spiker WR

    更新日期:2015-09-01 00:00:00

  • Metastatic pancreatic endocrine tumor presenting as thoracic spinal cord compression.

    abstract:STUDY DESIGN:A case report. OBJECTIVE:The authors present a rare case of metastatic nonfunctioning neuroendocrine tumor of the pancreas presenting as thoracic spinal cord compression. SUMMARY OF BACKGROUND DATA:Pancreatic endocrine tumors (PETs) are a slow-growing subset of pancreatic tumors. They can be classified a...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181cb4730

    authors: Eads TA,Hattab EM,Rodgers RB

    更新日期:2010-05-15 00:00:00

  • Tortuous course of the vertebral artery and anterior cervical decompression: a cadaveric and clinical case study.

    abstract:STUDY DESIGN:Both the cadaveric and clinical examples of anomalous vertebral artery courses are described. The incidence of this anomaly in the general population and recognition, complications, and treatment options for these patients when undergoing anterior cervical decompression are discussed. OBJECTIVES:Cadaveric...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200011150-00004

    authors: Curylo LJ,Mason HC,Bohlman HH,Yoo JU

    更新日期:2000-11-15 00:00:00

  • Occupational low-back injury in a hospital employee population: an epidemiologic analysis of multiple risk factors of a high-risk occupational group.

    abstract::A case-control study was carried out using 84 cases of employee back injuries and 168 controls (matched triplets) at Children's Hospital and Health Center, San Diego. The objective was to examine the impact of multiple individual and work-related risk factors for low-back injury from hospital employee health records. ...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/00007632-198903000-00012

    authors: Ryden LA,Molgaard CA,Bobbitt S,Conway J

    更新日期:1989-03-01 00:00:00

  • The functional rating index: reliability and validity of the Persian language version in patients with neck pain.

    abstract:STUDY DESIGN:Psychometric testing of the Persian Functional Rating Index (PFRI). OBJECTIVE:To determine the reliability and validity of the PFRI in Persian-speaking subjects with neck pain (NP). SUMMARY OF BACKGROUND DATA:The Functional Rating Index is a self-report questionnaire that can be used for patients with ba...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31824b5bde

    authors: Ansari NN,Feise RJ,Naghdi S,Mohseni A,Rezazadeh M

    更新日期:2012-06-15 00:00:00

  • Prevalence of vertebral pars defects (spondylolysis) in a population with osteogenesis imperfecta.

    abstract:STUDY DESIGN:We performed a retrospective study of spinal roentgenograms of a large cohort of patients suffering from osteogenesis imperfecta. OBJECTIVE:To determine the prevalence of vertebral pars defects (spondylolysis) in patients with osteogenesis imperfecta. SUMMARY OF BACKGROUND DATA:Patients suffering from os...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181a39646

    authors: Verra WC,Pruijs HJ,Beek EJ,Castelein RM

    更新日期:2009-06-01 00:00:00

  • Tandem interbody fusion grafting after cervical vertebrectomy.

    abstract:STUDY DESIGN:A case is presented with clinical and radiologic follow-up assessment to evaluate the possible effectiveness of tandem interbody fusion grafting. OBJECTIVE:To design a technique for rescuing a long iliac crest bone autograft that is too short or must be shortened because of the undesirable shape some long...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200106010-00023

    authors: Telfeian AE,Marcotte P

    更新日期:2001-06-01 00:00:00

  • Indications for surgical fusion of the cervical and lumbar motion segment.

    abstract:STUDY DESIGN:A literature review and the authors' clinical experience for the indication of fusion in the degenerative lumbar and cervical spine is provided. OBJECTIVE:To establish absolute and relative criteria for the indication for fusion in the degenerative cervical and lumbar spine. SUMMARY OF BACKGROUND DATA:Fu...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/01.brs.0000174509.31291.26

    authors: Bambakidis NC,Feiz-Erfan I,Klopfenstein JD,Sonntag VK

    更新日期:2005-08-15 00:00:00

  • Progressive scoliosis following chest wall resection in children.

    abstract::The effect of partial chest wall resection on subsequent production of spinal deformity was studied in six pediatric patients. The following observations are made: Scoliosis secondary to chest wall resection in the pediatric age group is progressive. The degree of curvature is related to the number of ribs resected. A...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198509000-00005

    authors: DeRosa GP

    更新日期:1985-09-01 00:00:00

  • Correction of thoracic adolescent idiopathic scoliosis with segmental hooks, rods, and Wisconsin wires posteriorly: it's bad and obsolete, correct?

    abstract:STUDY DESIGN:Forty-four consecutive thoracic idiopathic adolescent curves surgically treated between 1995 and 1999 at one institution were analyzed. All were thoracic curves; there were no lumbar curves, double major curves, or triple major curves. OBJECTIVES:To study the clinical and radiographic results for these 44...

    journal_title:Spine

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007632-200209150-00018

    authors: Bridwell KH,Hanson DS,Rhee JM,Lenke LG,Baldus C,Blanke K

    更新日期:2002-09-15 00:00:00

  • Quantification of intradiscal pressures below thoracolumbar spinal fusion constructs: is there evidence to support "saving a level"?

    abstract:STUDY DESIGN:In vitro cadaveric study. OBJECTIVE:The purpose of this study was to quantify the relative biomechanical protection resulting from "saving a level" in long spinal fusions. SUMMARY OF BACKGROUND DATA:"Saving levels" in spinal deformity surgery is desirable. Constructs with lowest instrumented vertebra (LI...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31821e1106

    authors: Auerbach JD,Lonner BS,Errico TJ,Freeman A,Goerke D,Beaubien BP

    更新日期:2012-03-01 00:00:00

  • Tussive presentation in cervicomedullary junction malformations.

    abstract::Two adult patients with craniocervical junction malformations presented with tussive symptom onset. These patients had acute onset of permanent neurologic symptoms. One patient had basilar invagination with tonsilar herniation and the second, a Type 1 Arnold-Chiari malformation with cord widening. Possible mechanisms ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199006000-00001

    authors: Kramer LD,Locke GE,Rasmus SC

    更新日期:1990-06-01 00:00:00

  • The Effect of Substance P on an Intervertebral Disc Rat Organ Culture Model.

    abstract:STUDY DESIGN:Laboratory study. OBJECTIVE:Evaluate the effect of substance P (SP) on an intervertebral disc rat organ culture model. SUMMARY OF BACKGROUND DATA:Monolayer cell experiments have demonstrated that exposure intervertebral disc tissue cells to SP leads to upregulation in inflammatory cytokine expression; ho...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001676

    authors: Koerner JD,Markova DZ,Schroeder GD,Rihn JA,Hilibrand AS,Vaccaro AR,Anderson DG,Kepler CK

    更新日期:2016-12-15 00:00:00

  • Correlation of scoliosis curve correction with the number and type of fixation anchors.

    abstract:STUDY DESIGN:Clinical and radiologic assessment derived from a prospective multicenter data base of adolescent idiopathic scoliosis (AIS) patients. OBJECTIVE:We investigated if "implant density" or the number of screws correlated with the major curve (thoracic or lumbar) correction at 2 years in patients with AIS. We ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181adb35d

    authors: Clements DH,Betz RR,Newton PO,Rohmiller M,Marks MC,Bastrom T

    更新日期:2009-09-15 00:00:00

  • Use and outcome of MRI in the surgical treatment of adolescent idiopathic scoliosis.

    abstract:STUDY DESIGN:Multicenter, prospective, consecutive clinical series. OBJECTIVE.: To report on the use and outcomes of preoperative magnetic resonance imaging (MRI) in a prospective cohort study of 2206 children undergoing posterior spinal fusion and instrumentation for adolescent idiopathic scoliosis. SUMMARY OF BACKGR...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BRS.0b013e3181da218c

    authors: Diab M,Landman Z,Lubicky J,Dormans J,Erickson M,Richards BS,members of the Spinal Deformity Study Group.

    更新日期:2011-04-15 00:00:00

  • The value of lumbar spine magnetic resonance imaging in the demonstration of anular tears.

    abstract:STUDY DESIGN:Retrospective review of magnetic resonance imaging and discography in patients investigated for low back pain before spinal fusion. OBJECTIVE:To determine the sensitivity of magnetic resonance imaging in the detection of painful anular tears manifested by the high-intensity zone. SUMMARY OF BACKGROUND DA...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199802150-00009

    authors: Saifuddin A,Braithwaite I,White J,Taylor BA,Renton P

    更新日期:1998-02-15 00:00:00

  • A new approach to the failed, failed back syndrome.

    abstract::A new screening test and operative technique for the relief of intractable pain in the failed back syndrome has been devised and has yielded a 72% success rate on short-term follow-up (9--30 months) in 26 patients. This syndrome is thought to represent pain emanating from permanently damaged nerve roots and not from t...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198007000-00011

    authors: Hoppenstein R

    更新日期:1980-07-01 00:00:00

  • Bone biomarkers as tools in osteoporosis management.

    abstract::Biochemical tests that can index bone turnover rate in the patient are increasingly being used in the study and management of osteoporosis. Markers of bone formation and resorption are reviewed here, including their molecular basis, relative strengths and weaknesses in clinical performance, and future potential. A bon...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/00007632-199712151-00004

    authors: Eyre DR

    更新日期:1997-12-15 00:00:00

  • MMPI disability profile: the least known, most useful screen for psychopathology in chronic occupational spinal disorders.

    abstract:STUDY DESIGN:Prospective study on predicting psychopathology in chronic occupational spinal disorders (COSDs). OBJECTIVE:To assess prevalence of specific profiles on the Minnesota Multiphasic Personality Inventory (MMPI) and their ability to predict psychopathology in a COSD cohort. SUMMARY OF BACKGROUND DATA:In the ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000247807.10305.5d

    authors: Gatchel RJ,Mayer TG,Eddington A

    更新日期:2006-12-01 00:00:00

  • Does plate fixation prevent disc degeneration after a lateral anulus tear?

    abstract:STUDY DESIGN:The sheep model was used to investigate the development of disc degeneration after outer anular tearing. OBJECTIVES:The authors determined whether plate fixation promotes healing of peripheral anular tears and thereby minimizes disc degeneration. SUMMARY OF BACKGROUND DATA:A limited outer anular tear (si...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199412150-00010

    authors: Moore RJ,Latham JM,Vernon-Roberts B,Fraser RD

    更新日期:1994-12-15 00:00:00

  • Adaptation of the Oswestry Disability Index to Kannada Language and Evaluation of Its Validity and Reliability.

    abstract:STUDY DESIGN:A translation, cross-cultural adaptation, and validation study. OBJECTIVE:The aim of this study was to translate, adapt cross-culturally, and validate the Kannada version of the Oswestry Disability Index (ODI). SUMMARY OF BACKGROUND DATA:Low back pain is recognized as an important public health problem. ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001368

    authors: Mohan V,G S P,Meravanigi G,N R,Yerramshetty J

    更新日期:2016-06-01 00:00:00

  • The role of inflammation in lumbar pain.

    abstract::The clinical features of many cases of low back pain is inadequately explained by anatomic abnormalities alone. A pathophysiologic mechanism that includes a combination of mechanical and biochemical factors is an alternative explanation that is accompanied by less paradox than a purely structural paradigm. A potential...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/00007632-199508150-00013

    authors: Saal JS

    更新日期:1995-08-15 00:00:00

  • A method for assessing axial vertebral rotation based on differential rod curvature on the lateral radiograph.

    abstract:STUDY DESIGN:Bench-top and retrospective radiographical analyses to determine apical vertebral rotation based on differential rod curvature on the postoperative lateral radiograph. OBJECTIVE:To develop a clinically relevant methodology for measuring apical vertebral rotation on postoperative lateral radiographs in pat...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318258aa17

    authors: Liu RW,Yaszay B,Glaser D,Bastrom TP,Newton PO

    更新日期:2012-08-15 00:00:00

  • Can infant malnutrition cause adult vertebral stenosis?

    abstract::Does infant malnutrition produce smaller adult spinal canals? Lumbar and thoracic vertebrae (n X 1073), from a prehistoric American Indian population (15-55 yrs of age), were measured for anteroposterior (AP) and transverse (TR) vertebral canal sizes, nerve root tunnel (intervertebral foramen) widths (NRT), vertebral ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198503000-00012

    authors: Clark GA,Panjabi MM,Wetzel FT

    更新日期:1985-03-01 00:00:00

  • Efficacy of hemivertebra resection for congenital scoliosis: a multicenter retrospective comparison of three surgical techniques.

    abstract:STUDY DESIGN:Multicenter, retrospective study. OBJECTIVE:To compare the outcomes of three surgical treatments for congenital spinal deformity due to a hemivertebra. SUMMARY OF BACKGROUND DATA:Congenital anomalies of the spine can cause significant and progressive scoliosis and kyphosis. Their management may be challe...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BRS.0b013e318233f4bb

    authors: Yaszay B,O'Brien M,Shufflebarger HL,Betz RR,Lonner B,Shah SA,Boachie-Adjei O,Crawford A,Letko L,Harms J,Gupta MC,Sponseller PD,Abel MF,Flynn J,Macagno A,Newton PO

    更新日期:2011-11-15 00:00:00

  • Surgical anatomy of the vertebral arteries.

    abstract:STUDY DESIGN:This study compared direct measurements of the distances between the vertebral arteries in the cervical spines of human cadaver specimens with data obtained from axial computed tomography images of these specimens. OBJECTIVE:To determine whether the information obtained from a computed tomography scan can...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199609150-00004

    authors: Heary RF,Albert TJ,Ludwig SC,Vaccaro AR,Wolansky LJ,Leddy TP,Schmidt RR

    更新日期:1996-09-15 00:00:00

  • A prospective study of centralization of lumbar and referred pain. A predictor of symptomatic discs and anular competence.

    abstract:STUDY DESIGN:The presence or absence of rapidly centralizing, peripheralizing, or abolishing low back and radiating pain, as identified during a McKenzie mechanical lumbar assessment of patients with chronic lumbar pain, was compared prospectively with discographic pain provocation and anular competency. OBJECTIVES:To...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199705150-00011

    authors: Donelson R,Aprill C,Medcalf R,Grant W

    更新日期:1997-05-15 00:00:00

  • Simian immunodeficiency virus (human HIV-II) transmission in allograft bone procedures.

    abstract:STUDY DESIGN:Infection of rhesus monkeys (Macaca mulatta) with simian immunodeficiency virus (SIV, HIV-II) was used to study disease transmission in allograft bone. Four allograft bone processing techniques--fresh, fresh frozen, double freeze-thaw, and double freeze-thaw with chemical decontamination--were evaluated. ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:

    authors: Cook SD,Salkeld SL,Prewett AB

    更新日期:1995-06-15 00:00:00

  • Bodysurfing accidents resulting in cervical spinal injuries.

    abstract::During the summers of 1987 and 1988, 14 cervical spine injuries sustained during bodysurfing accidents at the beaches around Ocean City, Maryland presented to our Neurotrauma service. All the patients were men, predominantly in their middle years (mean age = 40), and otherwise healthy. Likely mechanisms of injury sugg...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199203000-00002

    authors: Cheng CL,Wolf AL,Mirvis S,Robinson WL

    更新日期:1992-03-01 00:00:00

  • Radiologic evaluation of adjacent superior segment facet joint violation following transpedicular instrumentation of the lumbar spine.

    abstract:STUDY DESIGN:The location of pedicle screws in relation to adjacent superior segment facet joints in 106 patients after lumbar spinal fusion was assessed using computed tomography and plain radiographs. OBJECTIVES:To document the incidence of adjacent superior segment facet joint violation following transpedicular ins...

    journal_title:Spine

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.BRS.0000042361.93572.74

    authors: Shah RR,Mohammed S,Saifuddin A,Taylor BA

    更新日期:2003-02-01 00:00:00