The Influence of Psychologic Factors on Diskography in Patients With Chronic Axial Low Back Pain

Richard Derby, Sang Heon Lee, Yung Chen, Byung Jo Kim, Chang Hyung Lee, Young Ki Hong, Jeong Eun Lee, Kwan Sik Seo

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Derby R, Lee S-H, Chen Y, Kim B-J, Lee C-H, Hong Y-K, Lee J-E, Seo K-S. The influence of psychologic factors on diskography in patients with chronic axial low back pain. Objective: To determine whether a patient's presenting psychometric scores affect the findings of a pressure and injection speed-controlled manometric lumbar diskography in patients with chronic low back pain (CLBP). Design: A prospective, correlation-based, investigative study. Setting: Free-standing ambulatory spine surgery center. Participants: Two hundred sixty-three disks from 81 patients (54 men, 27 women). Intervention: Diskography was performed using pressure and injection speed-controlled techniques. The patients were divided into psychometric subgroups (normal, at risk, abnormal) according to the Distress and Risk Assessment Method (DRAM). Main Outcome Measures: The diskography findings on each psychometric DRAM subgroup were evaluated. Results: Across the individual psychometric categories, the positive rates of diskography in the normal, at-risk, and abnormal subgroups were 75.0% (9/12), 59.5% (25/42), and 70.4% (19/27), respectively (P>.05). The mean numeric rating scores of pain at 15 and 50psi above the opening pressure were similar in the 3 psychometric subgroups. There was no correlation between the diskography results and the psychometric subgroupings. Conclusions: In patients with CLBP, there is no correlation between the presenting psychometric DRAM score and the findings from pressure and injection speed-controlled manometric lumbar diskography.

Original languageEnglish
Pages (from-to)1300-1304
Number of pages5
JournalArchives of Physical Medicine and Rehabilitation
Volume89
Issue number7
DOIs
Publication statusPublished - 2008 Jul 1

Fingerprint

Low Back Pain
Psychometrics
Pressure
Injections
Ambulatory Surgical Procedures
Spine
Outcome Assessment (Health Care)
Pain

Keywords

  • Intervertebral disk
  • Low back pain
  • Psychometrics
  • Rehabilitation

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

The Influence of Psychologic Factors on Diskography in Patients With Chronic Axial Low Back Pain. / Derby, Richard; Lee, Sang Heon; Chen, Yung; Kim, Byung Jo; Lee, Chang Hyung; Hong, Young Ki; Lee, Jeong Eun; Seo, Kwan Sik.

In: Archives of Physical Medicine and Rehabilitation, Vol. 89, No. 7, 01.07.2008, p. 1300-1304.

Research output: Contribution to journalArticle

Derby, Richard ; Lee, Sang Heon ; Chen, Yung ; Kim, Byung Jo ; Lee, Chang Hyung ; Hong, Young Ki ; Lee, Jeong Eun ; Seo, Kwan Sik. / The Influence of Psychologic Factors on Diskography in Patients With Chronic Axial Low Back Pain. In: Archives of Physical Medicine and Rehabilitation. 2008 ; Vol. 89, No. 7. pp. 1300-1304.
@article{3ff47c35a3ed4ac08354ad2ea9d5d262,
title = "The Influence of Psychologic Factors on Diskography in Patients With Chronic Axial Low Back Pain",
abstract = "Derby R, Lee S-H, Chen Y, Kim B-J, Lee C-H, Hong Y-K, Lee J-E, Seo K-S. The influence of psychologic factors on diskography in patients with chronic axial low back pain. Objective: To determine whether a patient's presenting psychometric scores affect the findings of a pressure and injection speed-controlled manometric lumbar diskography in patients with chronic low back pain (CLBP). Design: A prospective, correlation-based, investigative study. Setting: Free-standing ambulatory spine surgery center. Participants: Two hundred sixty-three disks from 81 patients (54 men, 27 women). Intervention: Diskography was performed using pressure and injection speed-controlled techniques. The patients were divided into psychometric subgroups (normal, at risk, abnormal) according to the Distress and Risk Assessment Method (DRAM). Main Outcome Measures: The diskography findings on each psychometric DRAM subgroup were evaluated. Results: Across the individual psychometric categories, the positive rates of diskography in the normal, at-risk, and abnormal subgroups were 75.0{\%} (9/12), 59.5{\%} (25/42), and 70.4{\%} (19/27), respectively (P>.05). The mean numeric rating scores of pain at 15 and 50psi above the opening pressure were similar in the 3 psychometric subgroups. There was no correlation between the diskography results and the psychometric subgroupings. Conclusions: In patients with CLBP, there is no correlation between the presenting psychometric DRAM score and the findings from pressure and injection speed-controlled manometric lumbar diskography.",
keywords = "Intervertebral disk, Low back pain, Psychometrics, Rehabilitation",
author = "Richard Derby and Lee, {Sang Heon} and Yung Chen and Kim, {Byung Jo} and Lee, {Chang Hyung} and Hong, {Young Ki} and Lee, {Jeong Eun} and Seo, {Kwan Sik}",
year = "2008",
month = "7",
day = "1",
doi = "10.1016/j.apmr.2007.11.043",
language = "English",
volume = "89",
pages = "1300--1304",
journal = "Archives of Physical Medicine and Rehabilitation",
issn = "0003-9993",
publisher = "W.B. Saunders Ltd",
number = "7",

}

TY - JOUR

T1 - The Influence of Psychologic Factors on Diskography in Patients With Chronic Axial Low Back Pain

AU - Derby, Richard

AU - Lee, Sang Heon

AU - Chen, Yung

AU - Kim, Byung Jo

AU - Lee, Chang Hyung

AU - Hong, Young Ki

AU - Lee, Jeong Eun

AU - Seo, Kwan Sik

PY - 2008/7/1

Y1 - 2008/7/1

N2 - Derby R, Lee S-H, Chen Y, Kim B-J, Lee C-H, Hong Y-K, Lee J-E, Seo K-S. The influence of psychologic factors on diskography in patients with chronic axial low back pain. Objective: To determine whether a patient's presenting psychometric scores affect the findings of a pressure and injection speed-controlled manometric lumbar diskography in patients with chronic low back pain (CLBP). Design: A prospective, correlation-based, investigative study. Setting: Free-standing ambulatory spine surgery center. Participants: Two hundred sixty-three disks from 81 patients (54 men, 27 women). Intervention: Diskography was performed using pressure and injection speed-controlled techniques. The patients were divided into psychometric subgroups (normal, at risk, abnormal) according to the Distress and Risk Assessment Method (DRAM). Main Outcome Measures: The diskography findings on each psychometric DRAM subgroup were evaluated. Results: Across the individual psychometric categories, the positive rates of diskography in the normal, at-risk, and abnormal subgroups were 75.0% (9/12), 59.5% (25/42), and 70.4% (19/27), respectively (P>.05). The mean numeric rating scores of pain at 15 and 50psi above the opening pressure were similar in the 3 psychometric subgroups. There was no correlation between the diskography results and the psychometric subgroupings. Conclusions: In patients with CLBP, there is no correlation between the presenting psychometric DRAM score and the findings from pressure and injection speed-controlled manometric lumbar diskography.

AB - Derby R, Lee S-H, Chen Y, Kim B-J, Lee C-H, Hong Y-K, Lee J-E, Seo K-S. The influence of psychologic factors on diskography in patients with chronic axial low back pain. Objective: To determine whether a patient's presenting psychometric scores affect the findings of a pressure and injection speed-controlled manometric lumbar diskography in patients with chronic low back pain (CLBP). Design: A prospective, correlation-based, investigative study. Setting: Free-standing ambulatory spine surgery center. Participants: Two hundred sixty-three disks from 81 patients (54 men, 27 women). Intervention: Diskography was performed using pressure and injection speed-controlled techniques. The patients were divided into psychometric subgroups (normal, at risk, abnormal) according to the Distress and Risk Assessment Method (DRAM). Main Outcome Measures: The diskography findings on each psychometric DRAM subgroup were evaluated. Results: Across the individual psychometric categories, the positive rates of diskography in the normal, at-risk, and abnormal subgroups were 75.0% (9/12), 59.5% (25/42), and 70.4% (19/27), respectively (P>.05). The mean numeric rating scores of pain at 15 and 50psi above the opening pressure were similar in the 3 psychometric subgroups. There was no correlation between the diskography results and the psychometric subgroupings. Conclusions: In patients with CLBP, there is no correlation between the presenting psychometric DRAM score and the findings from pressure and injection speed-controlled manometric lumbar diskography.

KW - Intervertebral disk

KW - Low back pain

KW - Psychometrics

KW - Rehabilitation

UR - http://www.scopus.com/inward/record.url?scp=45849151765&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=45849151765&partnerID=8YFLogxK

U2 - 10.1016/j.apmr.2007.11.043

DO - 10.1016/j.apmr.2007.11.043

M3 - Article

VL - 89

SP - 1300

EP - 1304

JO - Archives of Physical Medicine and Rehabilitation

JF - Archives of Physical Medicine and Rehabilitation

SN - 0003-9993

IS - 7

ER -