Oswestry Disability Index. Section 1 – Pain Intensity. ❑ I have no pain at the moment. ❑ The pain is very mild at the moment. ❑ The pain is moderate at the. with the usage of Reply Functional Index (RFI) and Oswestry Questionnaire (ODI\ NDI). Wskaźnik Funkcjonalny Repty (WFR) oraz Kwestionariusz Oswestry. Oswestry Disability Index (Q). No description defined Wikipedia(2 entries). edit. enwiki Oswestry Disability Index; plwiki Kwestionariusz Oswestry.
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The Oswestry Disability ndex is the most commonly used scale to determine the agility of patients with intervertebral disk discopathy of the spinal column.
This tool includes daily-life problems, important during near-surgical times to individual functioning of the patients. To carry out an estimation of agility of the examined patients after performing operational treatment of lumbar or cervical discopathy.
Evaluations have been performed on a group of patients, operated on because of lumbar or cervical discopathy of the spinal column, by the Neurosurgery Department of University Hospital number 2 in Bydgoszcz. A prospective plan of examination with a three-time estimation was carried out using the Oswestry Disability ndex. The greatest improvement was seen in the extent of pain decreased by 1.
After the surgery, in the first estimation, there were 8 patients 2. Oswesry surgery, the majority of the examined shows a moderate handicap of functional competence. After oswesstry, on the day of discharge, the functional state had minimally improved.
Statistically significant improvement happened long after the treatment. The definition of intervertebral disc hernia is a broad notion covering various kinds and degrees of its dislocation and most often defined as a complex of structural changes as a consequence of disorders of the common element system oswestfy is made up of intervertebral discs and the spinal canal [1, 2].
Two factors have a constant influence on the destruction of an intervertebral disc: The first one consists of biomechanical and tissular disc decomposition and it is mainly connected with water loss and disequilibrium in the synthesis of proteoglycans, with predominance of their decomposition.
An intervertebral disc, along with age, gradually loses elasticity, springiness and resistance to burdens. The starting process of degeneration of collage fibers weakens the structures of the annulus fibrosus as well. As a result, the shock-absorbing and adaptive abilities of the disc become greatly reduced. The aging process of the intervertebral disc is often caused by an excessive spine burden, congenital defects and also spine injuries which result from past diseases and trauma.
Spine ailments, including those caused by intervertebral disc hernia, owing to the universality of its occurrence, have taken on the characteristics of an epidemic [6 8].
An exploration of the problems connected with a dominating symptom of discopathy like pain should not concentrate only on the views kwestionatiusz with diagnosis and treatment.
With osqestry long oswsstry of spine disease processes, psychomotor disorders are connected in the form of the deterioration of control keeping correct posture as well as a decrease in the level of physical and social functioning [9 11].
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Thus, a significant problem, often omitted in the specialist literature, is the issue of the patients disability or ability. The term disability covers many functional limitations with particular consideration of barriers in performing basic everyday-life activities such as: The assessment scale most often used for the ability of patients with intervertebral disc hernia is the Oswestry Disability ndex.
This tool, which takes into account everydaylife problems, is crucial in the perioperative period for the self-reliant functioning of patients. The aim of this study was to assess the agility of the examined after operational treatment of lumbar or cervical discopathy was conducted. Material and Methods The study was conducted at the Neurosurgery Department of University Hospital number 2 in Bydgoszcz on a group of patients. A prospective plan of examination with a three-time assessment was used assessment 1, assessment 2, and assessment.
Only patients with a diagnosis of lumbar and spinal or cervical discopathy were qualified for the studies. The next criterion involving patients in the research was the performance of one procedure of discectomy in each of them. The research did not include patients who were discharged from the department earlier or later than the 7th day after the operation and those who were subjected to conservative therapy.
On this basis, patients were included in the study and subjected to assessment 1 and 2. People qualified to the study were characterized by taking into account the following features: Detailed data is presented in Table1. For assessment of the limitation of agility disability caused by pain ailments of the lumbar part of the spine, the OD scale Oswestry Disabillity ndex is used, whereas for determining disability due to. Characteristics of the examined group Tabela 1.
The questions included in the survey concern the performing of everyday activities and were selected from a few experimental surveys as the most significant for problems of people suffering from spinalgia.
Each question contains six responses. Each subsequent response corresponds to a larger degree of disability. The responses to the questions made it possible to classify how limited the patient s functioning is while performing particular activities. The responses are arranged from to. The overall result is presented on a point scale.
The results obtained make it possible to distinguish five groups of disability [1, 1]: Patients tend to be periodically unfit for work. Pain disrupts all aspects of the patient s life. Patients are immobilized in bed. Their objective state can only be estimated by a detailed and exact clinical examination.
The calculations were made with the use of the computer program called Microsoft Excel, a part of Microsoft Office, and the program Statistica A condition for completing the study was the obtaining of a positive opinion from the Biotic Commission at Collegium Medicum in Bydgoszcz on the concept of the presented study.
Pain intensification at first a definite, favorable decrease of the mean by 2. General pain intensification favorably fell by an average of 1. Self-dependence at first an unfavorable increase of.
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General self-dependence favorably fell by. Lifting objects at first an unfavorable increase of. Walking a decrease of. Sitting at first the mean remains unchanged, but less favorable due to standard deviation. Next, a kwesttionariusz of. A total decrease of. Standing at first a decrease of. Sleeping at first a decrease of.
Social life at first a decrease of. Sexual activity at first a decrease of.
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Travel at first an increase of. A total decrease of 1. The means in the categories of pain intensification, lifting objects and travel fell in the most favorable way.
The differences turned out to be statistically significant. Another issue analyzed was the determination of the influence of clinical diagnosis on the assessment of functional efficiency obtained in the three measurements Table.
After the procedure, in assessment 1, there were 8 patients 2. A reclassification occurred which proves the improvement of functional efficiency of the examined in assessment. Among the examined with this diagnosis, there was no one in group V. Analyzing the results obtained from the examined with a diagnosis of cervical discopathy, a similar dependence was noticed: As after operations, in assessment 2, a similar number of respondents belonged to group 1.
Like in the case of L-S discopathy in the group mentioned above, there were no people from group V. Discussion Maintenance of functional efficiency is the main task in the care of patients with discopathy .
Moreover, disability is an important component of the assessment of a patient s condition, coming directly from him and being a valuable supplement of the assessment of disease activity by a doctor [16, 17]. Assessment of patients functional state is often used as an objective efficiency method of therapeutic processes [1, 17 2]. Some examples may be as follows: They have received a positive review due to their usefulness in the assessment of patients with rachialgia since they take into account objective and subjective factors characteristic for this affection .
This state significantly improved after the kwfstionariusz in particular assessments, the number of people who had a minimal kwestiobariusz increased by 6.
This improvement concerned both patients with L-S and C discopathy. This data corresponds to results found in the literature. An average OD indicator for the group of the examined with L-S discopathy was: Whereas the average ND indicator for the group of the examined with C discopathy was: Before the operation the largest percentage of replies showing a significant limitation in the scope of the assessed function was obtained in the questions concerning pain intensification and lifting objects.
After 1 week following the procedure, from the estimated everyday-life activities, the biggest influence on the decrease in general comfort was given as a handicap in the scope of lifting objects and self-dependence. On the other hand, after a 6-month period, the examined also associated the decrease in life comfort with lifting objects and the occurrence of spinalgia during the states of standing and concentration.
However, it is worth noting that in the late period after the procedure conducted, a significant improvement occurred in every discussed activity, firstly in the scope of considerable weakening of pain ailments.
A significant improvement of functional efficiency, observed after the operative procedure in a direct and brief study, was decreased in a remote study. Similar data has also been presented by other authors [2 2, 27]. The authors concluded that before the operative procedure, most of the examined showed a moderate handicap of functional efficiency. After neurosurgical treatment, on the day of discharge from the hospital, the functional state underwent a minimal improvement. Statistically significant improvement occurred in the late period after the conducted treatment.
Patients efficiency improved the most in the category of pain intensification. The problem is still the issue of lifting objects and standing or concentration. References  Morton M: Przew Lek 28, 2. The lumbar degenerative disc: Pol Merk Lek 26, 21, 12,  Dziak A: Low back pain relation to lumbar disc degeneration. Neck and low back pain: