Which area is referred to by the term “low back pain”? Questionnaire study

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  • 腰痛とはどの部位の痛みをいうか　　患者，整形外科医へのアンケートによる調査
  • ヨウツウ トワ ドノ ブイ ノ イタミ オ イウ カ カンジャ セイケイ ゲカイ エ ノ アンケート ニ ヨル チョウサ

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Abstract

We analyzed the result of a questionnaire that asked “Which area is referred to by the term low back pain?”. The study involved 270 outpatients with a history of low back pain and 62 orthopaedic surgeons. The display patterns of the posterior aspect were classified into 4 types by both patients and orthopaedic surgeons. Type 1 involved those who described the low back pain area as only the waist; this type was not above the iliac crest and did not include the buttocks. Type 2 was the area that contained the upper part of the buttocks. Type 3 contained the buttocks, and type 4 involved the area that extended to the lower extremity over the gluteal folds. By patients, 62% described type 1, 27% type 2,8% type 3 and 3% type 4. By orthopaedic surgeons 39% stated type 1, 48% type 2, 11% type 3, and 2% type 4. Some individuals of each group pointed out not only the posterior aspect but also the anterior aspect in the body, for example,the area of anterior superior iliac spine and groin (10% by patients and 3% by orthopaedic surgeons). Thus, the area where patients and orthopaedic surgeons thought of as described by the phrase “low back pain” varied, especially buttock pain, suggesting that the definition of low back area is needed when the low back pain and leg pain are evaluated by JOA score.

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