INTRODUCTION
There are many types of back pain questionnaires. There are at least 24 methods including regional or private1). However, most of the back pain questionnaires are used for post treatment follow up rather than for diagnostic purpose. Besides this, research regarding the relation between back pain questionnaires on the references and actual spinal disease are insufficient. Therefore the authors translated three types of back pain questionnaires into Korean and then undertook a survey targeting examinees of the physical examination for the military draft, to allow an evaluation of the relationship between the results of the three back pain questionnaires and actual spinal disease, particularly lumbar disc herniation, as well as its usefulness as a screening test for disc herniation.
MATERIALS AND METHODS
The Republic of Korea is one of the nations that have compulsory conscription. All 18 year old Korean males must undertake military duty if they do not have a serious mental or physical disability, so they have to do a physical examination for the military draft. The participants in this research are 223 young males who voluntarily participated after they had been informed of the purpose of this research among examinees of the physical examination for the military draft in Seoul Regional Military Manpower Administration between March 2010 and July 2011.
The participants got a basic questionnaire and three types of back pain questionnaire. The basic questionnaire includes an explanation that this survey does not have any influence on the military test result, whether they exercised when they were high school students, family history of back pain, whether they had had any accidents, thoughts about their own health, whether they smoke, whether they have back pain or radiating pain and how they think about their own waist health. The three types of back pain questionnaire were Oswestry Low Back Pain Score (Oswestry), Aberdeen Low Back Pain Scale (Aberdeen) and Acute Low Back Pain Screeing Questionnaire (ALBPSQ) translated into Korean, and they were randomly applied to the participants. The categories related to sexual activity were deleted due to the participants being 19 year old boys, and the some expressions were changed into terms that Koreans are familiar with, for example, mile into meter. The severity of lumbar disc herniation was categorized according to the guidelines issued by the Korean military directorate 702 and 728 (Table 1). Both directorates categorize Status of lumbar disc herniation by Normal disc, Mild disc bulging without compression of thecal sac, Disc protrusion or extrusion without compression of thecal sac, Disc protrusion or extrusion with compression of thecal sac, Disc protrusion or extrusion with spinal canal compromise more than 50%, and Disc protrusion or extrusion with positive cut-off sign. In this research, the severities of lumbar disc herniation were categorized by mild and sever as written in Table 1. lumbar plain radiograph was operated for basic test of imaging study, and Lumbar spine CT and lumbar spine MRI were confirmed by all of the examinees. All imaging studies were read primilily by one radiologist, and then were reread by another neurosurgeon. When there were disagreed in reading, then the radiologist and the neurosurgeon read after consultation. Yet if they do not come to an agreement, then electromyogram(EMG) was operated for checking thecal sac compression due to disc herniation.
For statistical analysis, SPSS 12.0 Korean version was used, and for analysis the relations between the basic questionnaires and back pain related questionnaires, statistical techniques such as the Student T-test and others were applied. The p-value level was set at under 0.05 for significance test.
RESULTS
The basic data of all 223 examinees were written in Table 2. The average age was 20, the spread was 18 to 29, and all examinees were male (67.7% were 18 years old).
Normal discs were found in 66, mild and severe disc herniation were found in 157, a family history of back pain was found in 43.5%, and Statistical significance was not found in the relationship between the normal disc group and disc herniation (p-value 0.052, 0.092). An accident which impacted on the back was found in 47.1%, and was found frequently in the disc herniation group (p=0.014). There was no statistical significance between the ideas about their own health and their smoking habits (p-value 0.158, 0.228). Statistically significant differences were shown between the normal disc group and disc herniation group regarding having back pain, radiating pain and the thoughts about their own back health (p<0.001). Oswestry, Aberdeen, and ALBPSQ questionnaires were applied to 76, 73 and 74 males respectively, and there were no statistical differences between the groups.
The standard points of Oswestry Low Back Pain were 0-45 (excluding sexual category), the points were spread from 0 to 42 (Fig. 1). In the normal disc group, the distribution of the points of Oswestry were 9.25±9.34, and this showed statistically significant differences from the distribution of the disc herniation group, 15.00±9.48 (p=0.016). There were no statistically significant differences between the normal disc group and mild disc herniation group (p=0.878), but the severe disc herniation group showed increasing point of view compared with all of the normal and mild disc herniation groups (p=0.004, 0.018). The Oswestry points were spread widely between the normal disc and Disc herniation group (Fig. 1B), and it was difficult to judge if there was disc herniation or not based on the mid-point of Oswestry (Table 3, peculiarity 16.4%, sensitiveness 95.2%).
The standard for the Aberdeen Low Back Pain Scale was 0-72 (excluding the sexual category), the points were spread from 0 to 49 (Fig. 2). In the normal disc group, the distribution was 12.39±10.24, and this showed statistically significant differences with the distribution of the disc herniation group, 24.12±13.36 (p<0.001). There were no statistically significant differences between the normal disc group and mild disc herniation group (p=0.076), although the severe disc herniation group showed increasing points compared with all of the normal and mild disc herniation groups (p<0.001, 0.034). Yet, as well as Oswestry, the Aberdeen scale were also spread widely according to disc herniation grade, so it was not easy to judge if there was disc herniation or not based on the points only (Fig. 2B). The sensitiveness was 50.0%, and peculiarity was 95.2% in a test which divided by the intermediate value of the minimum value of Aberdeen scale and the maximum scale (Table 4).
The standard of the Acute Low Back Pain Screening Questionnaire was 12-203 (excluding the sexual category), the points were spread from 29-169 (Fig. 3). In the normal disc group, the distribution was 83.37±42.77, and this showed statistically significant differences with the distribution of the disc herniation group, 109.09±36.45 (p<0.013). There were no statistically significant differences between the normal disc group and mild disc herniation group (p=0.321, 0.054), although the severe disc herniation group showed increasing points compared with the normal disc group (p=0.002). Yet, it was not easy to judge if there was disc herniation or not based on the ALBPSQ scale only (Fig. 3B). The peculiarity was 73.3%, and sensitiveness was 64.4% in a test which divided by the intermediate value (Table 5).
The ratio of the severity of lumbar disc herniation was calculated by bisection or trisection of scores. In all of the back pain questionnaires, as the scale increased, the ratio of normal discs decreased and severe discs increased. However, based on the trisection of the scores, the ratio of severe disc herniation (Oswestry 41.7%, Aberdeen 32.4%, ALBPSQ 22.7%) in the low scale was relatively high.
DISCUSSION
Back pain is caused by various diseases and the prognosis is affected a lot by socio-psychological factors5). The causes of back pain are various organic lesions in the patients, however disc herniation is the most common cause. Many types of back pain questionnaires are used regionally or privately, and most of the back pain questionnaires are used for post treatment follow up rather than for diagnostic purposes1). In this study, the Oswestry Low Back Pain Score, Aberdeen Low Back Pain Scale and Acute Low Back Pain Screening Questionnaire were applied to participants to check the relationship between the results of the back pain questionnaires and lumbar disc herniation.
The Oswestry Low Back Pain Score is composed of questions in 10 categories about daily activities which can be affected by back pain. In each category, people are made to choose one out of six options; from 0 points (no problem) to 5 points (cannot do it)8). The maximum point for each question is 5 points, and the result of the division of the summation of all 10 categories by 50 points can be expressed as a percentage. Therefore, Oswestry scores can be categorised from 0 points: no problem, to 100 points: most disabled state. However, in this study, the score was analyzed as it was. The Oswestry test is focused on evaluating physical activity such as standing, walking, lifting, sitting, lying and personal hygiene. This test is generally used for evaluation and improvement by the Medical Re- search Council group, and its usefulness is confirmed by other back pain disordered questionnaires11). It reacts sensitively with small clinical changes9,13), and is verified as good index for analyzing the result of an operation for the spinal fusion patient using the Short Form 362,3,7).
The Aberdeen lower back pain scale is used for early diagnosis and post treatment follow up12). It consists of categories of 19 disease-related questions (in this study, 18 excluding sexually related questions) such as taking analgesics, pain causing factors, dispersion of symptoms and the effect of pain on physical activity etc, and each group of questions are subdivided and calculated into several sets, such as left and right, area of pain and parts losing strength etc. The method of calculation is to get different points in each category and to get points double checked. The score is expressed as a percentage as well as the Oswestry, yet in this study, the score was analyzed as it was. Rocchi et al reported that the Aberdeen test has excellent credibility and sensitiveness10).
The Acute Low Back Pain Screening Questionnaire is made up of 3 basic questions and 21 score-based pain related questions. Unlike other questionnaires, this self back pain score questionnaire is composed of categories which have a plus and minus score. The surveyee answers questions on the severity of back pain from 1 to 10 in each category (each category can be double checked in 5 categories), and the total scores are distributed between 20 to 210 points. The questions are focused on daily life disorders rather than symptoms related to pain. ALBPSQ is confirmed as showing the relationship between pain and disabilities by Hurley et al6).
The 9 self questionnaires for evaluating disorders due to back pain (Oswestry, Quebec, Bournemouth, Aberdeen, Greenough-Fraser, Stratford, Wadell-Main, Roland-Morris, Von Korff) show excellent credibility and sensitiveness in the research of Rocchi et al10). The sensitiveness of Oswestry, Aberdeen, ALBPSQ were confirmed highly as well in this study (95.2, 88.2, 73.3%), but their peculiarity were shown to be low(16.4, 50.0, 64.4%). The score of pain showed increasing statistical significance as the severity of each disc increased, however, because the pain scores were distributed widely, it was impossible to confirm disc herniation or not based on the pain scales only (Fig. 1,2,3). This example is shown largely though literature reviews. Grotle et al researched 36 kinds of back pain questionnaires based on MEDLINE and only a few of them were confirmed as to their usefulness4). Moreover Davidson et al mentioned that back pain questionnaires in SF-36 lack credibility and sensitiveness when applied clinically.
CONCLUSION
Back pain related questionnaires: Oswestry Low Back Pain Score, Aberdeen Low Back Pain Scale, and Acute Low Back Pain Screening Questionnaires show meaningful increase in the disc herniation group compared to the normal disc group. However screening tests for disc herniation though back pain related questionnaires lacks credibility and peculiarity.
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