Author/Editor		Globokar, Daniel
Title		Ocenjevalne lestvice pri bolnikih z bolečino v križu
Type		članek
Source		Rehabilitacija
Vol. and No.		Letnik 4, št. 3-4
Publication year		2005
Volume		str. 32-7
Language		slo
Abstract		In this article, instruments and problems of the outcome measurement regarding chronic low back pain are presented. Need for the outcome measurement in the rehabilitation medicine is well known and recognised worldwide. Pain remains to be one of the most frequent symptoms and it is difficult to measure. Most frequent measurement tools for chronic low back pain in European countries are presented. For pain, most frequently VAS (7) is used and for measurement of disability and handicape Roland&Morris Disability Questionnaire-OPDQ (3,4,8), Rehabilitation Activities Profile-RAP (3,4,8) and Waddell Disability Index-WDI (4,18, 19). Most sensitive and accurate seems to be Roland&Morris Disability Questionnaire-RMDQ. Problems of lacking in standardisation and other conditions for accurate statistics in terms of evidence-based medicine are also stressed. The results of measurement with the Roland&Morris Disability Questionnaire-RMDQ and Backill on 98 patients with chronic low back pain in the outpatient rehabilitation clinic of Institute for rehabilitation of Slovenia are presented.
Summary		V prispevku so predstavljene najbolj uporabljane ocenjevalne lestvice v obravnavi bolnikov z kronično bolečino v križu v ambulanti splošne fizikalne in rehabilitacijske medicine. Kronična bolečina je eden najpogostejših simptomov v medicini nasploh. Sodobni pogledi ocenjevanja temeljijo na rehabilitacijskem modelu okvare, prizadetosti-funkcioniranja, ter oviranosti sodelovanja. Predstavljene so poglavitne smernice za ocenjevanje, kot jih navajajo posamični avtorji evropskih rehabilitacijskih institucij. Pri opredeljevanju bolečine v evropskih deželah največ uporabljajo VAS lestvico (7), za opredeljevanje prizadetosti bolnikov z bolečino v križu pa Roland&Morris Disability Questionnaire-RDQ (3,4,8), Oswestry Pain Disability Questionnaire-OPDQ (3,4,8), Rehabilitation Activities ProfileRAP (3,4,8) ter Waddell Disability Index-WDI (4,18, 19). Največ člankov, ki opredeljujejo občutljivost in zanesljivost pri statistični obdelavi je posvečenih lestvici po avtorjih Roland in Morris. V prispevku so predstavljeni rezultati uporabe lestvic za ocenjevanje prizadetosti Roland&Morris, ter za ocenjevanje bolečine-Backill pri bolnikih z kronično bolečino v križu, ter posredno ocena vpliva zdravljenja na ambulantnem nivoju.
Descriptors		LOW BACK PAIN PAIN MEASUREMENT