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Journal of the Korean Academy of Rehabilitation Medicine 2004;28(4):371-378.
Correlations of the Clinical Factors and Gait Parameters in Failed Back Surgery Syndrome.
Yang, Hee Seung , Lee, Seung Hwa , Ryu, Chung Ho , Lee, Joo Young , Bae, Jin Hyun
Department of Rehabilitation Medicine, Seoul Verterans Hospital, Korea. yang7310@freechal.com
요추수술실패 증후군 환자의 보행지표와 임상양상과의 상관관계
양희승, 이승화, 류청호, 이주영, 배진현
서울보훈병원 재활의학과
Abstract
Objective
To analyze the relationship of clinical factors and gait parameters of patients with failed back surgery syndrome.
Method
We investigated 25 male patients with back and /or lower limb pain who underwent lumbar spine operation. The following data were evaluated: clinical symptoms, physical examination, duration from operation to the gait analysis, number and level of operation, Visual Analogue Scales (VAS), modified Dallas pain questionnaire, psychological evaluations (Beck Depression Inventory, BDI) and gait parameters through 3 dimensional gait analysis.
Results
Walking velocity was inversely correlated withscores of modified Dallas pain questionnaire and BDI. Stride length was inversely correlated with scores of return to work, neurogenic claudication, VAS, modified Dallas pain questionnaire and BDI. Range of pelvic obliquity was inversely correlated with scores of modified Dallas pain questionnaire and BDI. There was no significant differences between findings of physical exam and gait parameters.
Conclusion

Results
of the gait analysis of patients with failed back surgery syndrome showed significant relationship with clinical factors reflecting psychosocial background of patients. (J Korean Acad Rehab Med 2004; 28: 371-378)
Key Words: Failed back surgery syndrome, Gait analysis, Modified Dallas pain questionnaire, Beck Depression Inventory


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