臨床整形外科44巻1号

2009年01月発行

調査報告

運動器に関する疫学調査―南会津スタディ第3報：Roland-Morris Disability Questionnaire日本語版を用いた腰痛による日常生活への支障度の検討

著者： 大谷晃司¹ 菊地臣一¹ 紺野慎一¹ 矢吹省司¹ 五十嵐環¹ 恩田啓¹ 山内一矢¹ 二階堂琢也¹ 竹谷内克彰¹ 高橋一朗¹ 立原久義¹ 高山文治¹ 渡辺和之¹

所属機関： ¹福島県立医科大学医学部整形外科

ページ範囲：P.49 - P.54

　本報告では，地域住民において，どのような腰痛が日常生活動作(ADL)に影響を与えているのかについて検討した．対象は，同年代の人口の21.5％に当たる地域住民1,862名である(最多年代層は70歳代)．腰痛によるADLへの支障の程度は，「全く支障ない」，「少し支障がある」，および「大いに支障がある」の3段階に分類した．腰痛の内容は，Roland-Morris Disability Questionnaire日本語版(以下，RDQ)の24項目の質問で評価した．その結果，日常生活に影響を来す腰痛とは，移動能力や腰椎の運動機能へ影響を及ぼす腰痛であることが明らかになった．この事実は，腰痛治療におけるADL障害の改善とは，疼痛管理のみでなく，移動や腰椎の運動機能の改善にあることを示唆している．

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