The Research On The Rehabilitation Assessment On Patients With Protrusion Of Intervertebral Disc

ObjectiveTo observe and compare the effects in the rehabilitative management of patients with Protrusion of intervertebral dise ( PID ) by FABQ(The Fear-avoidance beliefs questionnaire) and IDEEA( intelligent device for energy expenditure and activity) and to study the correlation of the evaluation above.MethodsForty-two Patients (n=42 male 22, female 20) of PID were recruited. Their mentality,pain,function and quality of life were evaluated with FABQ, visual analogue scale (VAS),ODI, and SF-36.IDEEA software was used to record gait data of patients with PID. Use these measures to evaluate patients with Protrusion of intervertebral dise on the first day of hospitalization,and after four week's treatment to evaluate again. And analyze the correlation of datas by Person correlation analysis. The focal point is the correlation between the scores of FABQ and the dadts of IDEEA by Person correlation analysis.ResultsBefore treatment, the scores of FABQ,SF-36,ODI,VAS were 75.78±4.60,277.61±114.89,92.12±9.42,7.50±0.83. After treatment,there were 49.55±3.34,654.87±77.04,45.61±5.69,3.00±0.73.FABQ,SF-36,ODI,VAS were significant different after the treatment(P<0.05). Before treatment, the correlation coefficients between FABQ and VAS is r=0.43(P<0.01), between FABQ and ODI is r=0.37(P<0.05),between FABQ and SF-36 is r=0.47(P<0.01).After treatment, the correlation coefficients bteween FABQ and VAS, ODI and SF-36 are r=0.19 (P<0.01),0.25(P<0.05),0.32(P<0.05).6-min walking test show that single support time, double support time, ground recoil, walking speed in gait period after the treatment are statistically significant(P<0.05). There is moderate correlation between FABQ and walking speed.Conclusion1 There is moderate correlation between FABQ and fear-avoidance beliefs of patients with Protrusion of intervertebral dise.2 The validated Fear-avoidance Belief Questionnaire is a good special quality of mentation tool suitable for using psychological assessment with Protrusion of intervertebral dis.And this questionnaire can reflet the change of fear-avoidance beliefs.3 FABQ, VAS,ODI, SF-36,IDEEA could be evaluatet of pain,health,fear-avoidance beliefs and gait cycle of patients with Protrusion of intervertebral dise , it is useful for changing of clinical therapeutic schedule.4 The comprehensive evaluation of FABQ,VAS,ODI,SF-36and IDEEA are good method of evaluating the curative effect of PID disease,they can better reflect the relationship between physiological state of patient and function, having good clinical value of application.