Presentation and analysis of the types of scales monitoring the progress of physical therapy in patients with low back pain

Joanna Adamska, Tomasz Maicki, Rafał Trąbka, Karolina Pawełkowska, Magdalena Wilk-Frańczuk

J. Adamska, T. Maicki, R. Trąbka, K. Pawełkowska, M. Wilk-Frańczuk – Presentation and analysis of the types of scales monitoring the progress of physical therapy in patients with low back pain. Fizjoterapia Polska 2020; 20(3); 6-17

Streszczenie
Background. LBP is a serious health problem in modern society. Epidemiological studies in many countries indicate that LBP occurs in 85% of the population and is the main cause of physical disability in people under 45 years of age. At the moment, there is a lack of standard of management and monitoring of the progress of physiotherapy in patients with lumbar spine pain. To assess the effectiveness of therapy, researchers use different scales, norms and tests.
Goal. The aim of the study was presentation and analysis various ways of assessing the progress of physiotherapy in people with low back pain.
Material and methods. Publications were searched in the PUBMED search engine by entering keywords low back pain, manual therapy, randomized trial. 98 publications were found meeting the criteria in which various scales were used to assess the progress of therapy in patients with LBP. These were the scales of pain, disability, quality of life, depression, sleep quality, and fear of moving. The inclusion criteria were: publications from the last 5 years, human studies. Publications in English from databases made available online by the Jagiellonian University Medical Library were taken into account. Review and meta-analysis articles, theoretical considerations, surgical and pharmacological treatment of LBP were rejected. The publication regarding coccidium and cervical and thoracic pain was also rejected. The duration of the discomfort was not significant in the search.
Results. The authors used the VAS scale (36 times), the NRS, NPRS scales (36 times) from the pain scales, the ODI scale (38 times) and the RMDQ scale (38 times) from the scales of disability. Quality of life scales SF36 (14 times), EQ-5D (10 times), depression scales CESD10 (2 times), BDI (2 times), sleep quality PSQIQ (4 times), fear avoidance FABQ (12 times), TSK (7 times).
Conclusions. The scales of pain and disability are most commonly used, but scales measuring quality of life, sleep quality, depression and kinesiophobia also appear in research.

Słowa kluczowe:
pain scales, VAS scale, NPRS scale, ODI scale

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