Assessment of Clinical Symptoms in Lumbar Foraminal Stenosis Using the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire.
- Author:
Yawara EGUCHI
1
;
Munetaka SUZUKI
;
Hajime YAMANAKA
;
Hiroshi TAMAI
;
Tatsuya KOBAYASHI
;
Sumihisa ORITA
;
Kazuyo YAMAUCHI
;
Miyako SUZUKI
;
Kazuhide INAGE
;
Hirohito KANAMOTO
;
Koki ABE
;
Yasuchika AOKI
;
Masao KODA
;
Takeo FURUYA
;
Kazuhisa TAKAHASHI
;
Seiji OHTORI
Author Information
- Publication Type:Original Article
- Keywords: Lumbar foraminal stenosis; Clinical symptom; Diagnosis; Japanese Orthopaedic Association Back Pain Evaluation Questionnaire
- MeSH: Asian Continental Ancestry Group*; Back Pain*; Constriction, Pathologic*; Diagnosis; General Practice; Humans; Intermittent Claudication; Intervertebral Disc; Leg; Low Back Pain; Methods; Spinal Canal
- From:Korean Journal of Spine 2017;14(1):1-6
- CountryRepublic of Korea
- Language:English
- Abstract: OBJECTIVE: It is important to develop an easy means of diagnosing lumbar foraminal stenosis (LFS) in a general practice setting. We investigated the use of the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ) to diagnose LFS in symptomatic patients. METHODS: Subjects included 13 cases (mean age, 72 years) with LFS, and 30 cases (mean age, 73 years) with lumbar spinal canal stenosis (LSCS) involving one intervertebral disc. The visual analogue scale score for low back pain and leg pain, the JOABPEQ were evaluated. RESULTS: Those with LFS had a significantly lower JOA score (p<0.001), while JOABPEQ scores (p<0.05) for lumbar dysfunction and social functioning impairment (p<0.01) were both significantly lower than the scores in LSCS. The following JOABPEQ questionnaire items (LFS vs. LSCS, p-value) for difficulties in: sleeping (53.8% vs. 16.6%, p<0.05), getting up from a chair (53.8% vs. 6.6%, p<0.001), turning over (76.9% vs. 40%, p<0.05), and putting on socks (76.9% vs. 26.6%, p<0.01) such as pain during rest, and signs of intermittent claudication more than 15 minutes (61.5% vs. 26.6%, p<0.05) were all significantly more common with LFS than LSCS. CONCLUSION: Results suggest that of the items in the JOABPEQ, if pain during rest or intermittent claudication is noted, LFS should be kept in mind as a cause during subsequent diagnosis and treatment. LFS may be easily diagnosed from LSCS using this established patient-based assessment method.
