Is There a Correlation Between Objective Measurement Tools and Self-Reporting Questionnaires To Evaluate Physical Activity and Health Status in Patients With Persistent Spinal Pain Syndrome Type 2 Before and After Spinal Cord Stimulation? Outcomes of a Feasibility Study.

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Tác giả: Inge Arnts, Ewald Bronkhorst, Yvonne Engels, Ismail Gültuna, Tanja E Hamm-Faber, Dylan J H A Henssen, Frank G A M van Haren, Kris C P Vissers, Carin A G L Wensing

Ngôn ngữ: eng

Ký hiệu phân loại: 627.12 Rivers and streams

Thông tin xuất bản: United States : Neuromodulation : journal of the International Neuromodulation Society , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 148908

INTRODUCTION: The effect of spinal cord stimulation (SCS) on physical activity in patients with persistent spinal pain syndrome (PSPS) type 2 is commonly evaluated with standardized, validated self-reporting questionnaires. However, questionnaires are susceptible to subjective bias and may not align with objective data. OBJECTIVE: We investigated the correlation among objective measurement devices, the Oswestry Disability Index (ODI), and patient's health status regarding physical activity in patients with PSPS type 2 receiving SCS. MATERIALS AND METHODS: Alongside the ODI, we used an activity tracker to objectively measure physical activity and a neurostimulator device to objectively measure body positions at baseline and three-month follow-up. In addition, health status was measured using the positive model of health. RESULTS: We included 20 patients, of whom 17 completed the three-month follow-up period. At three months follow-up, we found a significant correlation between the activity tracker's steps (r = -0.636, p = 0.006) and distance per day (r = -0.649, p = 0.005) with the ODI and a significant correlation of the neurostimulator's mobile position with the ODI (r = -0.497, p = 0.043). Furthermore, the activity tracker showed a significant increase in strenuous physical activity at three-month follow-up (p = 0.039). We also observed a substantial improvement across the domains of bodily function, social and societal participation, and daily functioning of the positive model of health. CONCLUSIONS: This study showed significant correlations among objective measurement devices, the ODI, and health status, which could contribute to a more holistic approach to evaluating the effect of SCS. Prospective powered studies with a control group are needed to better understand this area. CLINICAL TRIAL REGISTRATION: The protocol was registered in the Dutch Trial Register (NTR) on March 13, 2021 under registration number NL 9301 (number NL-OMON21829).
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