만성 요통 임상연구에 사용된 설문지 현황 고찰

Abstract

Objectives The aim of this review is to provide fundamental data for low back painscales which can be used in clinical trial. Methods We investigated the latest studies on chronic low back pain via PubMed. Andwe also investigated domestic studies through “http://oasis.kiom.re.kr”. 95 research paperswere analyzed. Scales were classified into pain scale, function scale, generic healthstatus scale and psychological scale. Results 1) According to foreign clinical studies, Visual Analog Scale (VAS) and NumericalRating Scale (NRS) were used 18 times as pain scale. Oswestry Disability Index (ODI) wasused 20 times as function scale, Roland-Morris Disability Questionnaire (RMDQ) was 17,and Hannover Functional Ability Questionnaire (HFAQ) was used 3 times. 36-item ShortForm Health Survey (SF-36) was used 13 times as generic health status scale, Euroqol-5Dimentions Questionnaire (EQ-5D) was 11, and 12-item Short Form Health Survey (SF-12)was used 3 times. Fear-Avoidance Beliefs Questionnaire (FABQ) was used 9 times as psychologicalscale, Pain Catastrophizing Scale (PCS) and Tampa Scale for Kinesiophobia(TSK-R) both were used 3 times. 2) According to domestic clinical studies, VAS was used37 times as pain scale, NRS was 11, and Short Form McGill Pain Questionnaire (SF-MPQ)was used 6 times. ODI was used 30 times as function scale, RMDQ was 2 times only. SF-36 was used once as generic health status scale and Beck’s Depression Inventory(BDI) was used 3 times as psychological scale. Conclusions We recommend VAS or NRS as a measure to evaluate pain, and ODI as ameasure to evaluate functional disability. And we also recommend SF-36 or SF-12 andEQ-5D as a measure to evaluate generic health status. Finally, we recommend FABQ foruse in measuring psychological scale.