M. Gronblad et al., RELATIONSHIPS BETWEEN SPINAL MOBILITY, PHYSICAL PERFORMANCE TESTS, PAIN INTENSITY AND DISABILITY ASSESSMENTS IN CHRONIC LOW-BACK-PAIN PATIENTS, Scandinavian journal of rehabilitation medicine, 29(1), 1997, pp. 17-24
Correlations between the Oswestry Disability Questionnaire (ODQ), the
Pain Disability Index (PDI), PDI subscales PDI factor 1 (PDI 1), PDI f
actor 2 (PDI 2) and visual analogue scale (VAS) pain intensity on the
one hand and spine range of motion measures and static and dynamic fun
ctional performance tests on the other,were studied in 52 chronic low
back pain patients. Comparable groups of male and female patients were
studied. A moderately significant (p < 0.01) inverse correlation was
observed between the ODQ and rotation to the left even after correctio
n for age, but not when men and women were studied separately. A signi
ficant (r = -0.480, p < 0.001) inverse correlation was observed betwee
n the repeated squatting test and pain intensity and in men both pain
intensity and disability correlated (r = -0.607, p < 0.001) with this
particular test. Only for the women were there moderately significant
(p < 0.01) inverse correlations between disability assessments and all
the physical performance tests with the exception of the static back
muscle test. In the women only the isometric lifting test showed a mod
erately significant inverse correlation (r = -0.504, p < 0.01) with pa
in intensity. Such apparent gender differences in the overlap between
physical performance tests and self-report disability assessments and
pain intensity may be clinically relevant. The results will, however,
require confirmation on larger groups of chronic low back pain patient
s.