運動器に関する疫学調査―南会津スタディ第5報：住民検診参加者における腰痛患者のRoland-Morris Disability Questionnaire（RDQ）得点からみた通院群と非通院群との比較

Epidemiologic Study of Musculoskeletal Disorders. Minami-Aizu Study. Part 5 : The Differences between Low Back Pain Patients with Treatment and Non-treatment Evaluated by Roland-Morris Disability Questionnaire

　腰椎検診参加者433名を対象にして，腰痛有訴者が整形外科で通院治療を受ける要因を検討した．「腰痛あり」と回答した263名のうち，通院治療中であったのは41名，15.6％であった．Roland-Morris Disability Questionnaire日本語版(以下RDQ)と腰痛のvisual analogue scale(VAS)を検討した結果，通院群は非通院群と比較して，腰痛によるQOLの障害が高度であり，痛みの程度が強かった．単純X線所見には有意差がなかった．RDQの各質問項目の検討により，通院群では，非通院群と比較して，家での仕事や移動に関する障害が多いことが判明した．

　The purpose of this study was to clarify the differences between low back pain patients who received and did not receive medical treatment, based on their responses to the Japanese version of the Roland-Morris Disability Questionnaire (RDQ).　A lumbar spine examination was included, in a general physical examination for local residents, and 433 people (135 male, 298 female；largest age group：60～69 years old) were included in this study.　We divided them into two groups, a treatment group and a non-treatment group, according to whether they were being treated.　The results of assessment by the visual analog scale (VAS) for low back pain, the X-ray findings, RDQ score, RDQ deviation score, and positive responses to questions on the RDQ were compared between the two groups.　The results suggested that low back pain patients receiving outpatient treatment have severer pain and disability than people with low back pain who are not receiving any treatment.　There were no significant differences in the X-ray findings between the two groups.　Disability to move and impairment of activities of daily living may lead low back pain patients request medical treatment at an outpatient clinic.