Examination of the regression model to quantify the degree of low back pain and lower limb symptoms in patients with lumbar disc herniation by the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ)

Hayato Ishitani, Toshiyo Tamura, Shigehiko Kanaya, Hiroshi Fujimoto, Hayato Ishitani, Toshiyo Tamura, Shigehiko Kanaya, Hiroshi Fujimoto

Abstract

The Japanese Orthopedic Association Back Pain Evaluation Questionnaire (JOABPEQ) was created to evaluate specific treatment outcomes in terms of physical functioning, social ability, and mental health in patients with back pain-related diseases. In this study, we investigated whether the JOABPEQ could be used to construct a regression model to quantify low back pain and lower limb symptoms in patients with lumbar disc herniation (LDH). We reviewed 114 patients with LDH scheduled to undergo surgery at our hospital. We measured the degrees of 1) lower back pain, 2) lower limb pain, and 3) lower limb numbness using the visual analog scale before the surgery. All answers and physical function data were subjected to partial least squares regression analysis. The degrees of lower back and lower limb pain could be used as a regression model from the JOABPEQ and had a significant causal relationship with them. However, the degree of lower limb numbness could not be used for the same. Based on our results, the questions of the JOABPEQ can be used to multilaterally understand the degree of lower back pain and lower limb pain in patients with LDH. However, the degree of lower limb numbness has no causal relationship, so actual measurement is essential.

Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1. Visual analog scale; VAS.
Fig 1. Visual analog scale; VAS.
Assessment of the degree of low back pain, limb pain, and limb numbness.
Fig 2. Regression coefficients of each JOABPEQ…
Fig 2. Regression coefficients of each JOABPEQ item for the degree of lower back pain.
Fig 3. Regression coefficients of each JOABPEQ…
Fig 3. Regression coefficients of each JOABPEQ item for the degree of lower limb pain.
Fig 4. An informative description tree of…
Fig 4. An informative description tree of treatment guidelines for physical therapy in patients with LDH.

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Source: PubMed

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