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Relationship between patient-based scoring systems and the activity level of patients measured by wearable activity trackers in lumbar spine disease

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Abstract

Purposes

To evaluate whether a relationship exists between patient-based scoring systems and the activity level of patients with low back pain (LBP) by using wearable activity trackers, and to determine whether activity level was affected by patient factors.

Methods

The subjects were 66 patients with LBP. The physical activity of participants was objectively evaluated using the Micro-Motion logger (Actigraph). The activity level was analyzed with the mean active count of the proportional-integrating mode (PMAC) and zero-crossing mode. Clinical symptoms were evaluated using the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ), Roland–Morris Disability Questionnaire, the Oswestry Disability Index, and visual analog scale (VAS). The relationships between each item of the patient-based questionnaire and activity level, and the influence of individual factors (age, sex, body mass index [BMI], low back pain, and muscle mass) on the activity level were evaluated.

Results

In each domain of the JOABPEQ, lumbar spine dysfunction and social life dysfunction were correlated with PMAC (r = 0.327 and 0.321, respectively). The low back pain VAS scores were correlated with PMAC (r = − 0.246). Multiple regression analysis shows that individual factors affecting the activity level of patients with LBP were sex, BMI, low back pain, and muscle mass in PMAC (p < 0.01).

Conclusions

Some domains of the questionnaires were correlated with activity level, but others were not. Additionally, the activity level of patients with LBP was affected by sex, BMI, LBP, and skeletal muscle mass index.

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Acknowledgements

This work was financially supported by the research grant funded by the Japanese Orthopaedic Association (#2016-1).

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8670, Japan

    Masahiro Inoue, Sumihisa Orita, Kazuhide Inage, Miyako Suzuki, Yasuhiro Shiga, Koki Abe, Masaki Norimoto, Tomotaka Umimura, Takashi Sato, Masashi Sato, Masahiro Suzuki, Keigo Enomoto & Seiji Ohtori

  2. Department of Orthopaedic Surgery, Saiseikai Narashino Hospital, 1-1-1 Izumi-cho, Narashino City, Chiba, 275-8580, Japan

    Kazuki Fujimoto

  3. Department of Orthopaedic Surgery, Kanamoto Orthopaedics Clinic, 740-7 Matunaga, Numazu City, Shizuoka, 410-0874, Japan

    Hirohito Kanamoto

  4. Department of Orthopaedic Surgery, Shimoshizu National Hospital, 934-5 Kawatari, Yotsukaido City, Chiba, 284-0003, Japan

    Hideyuki Kinoshita

  5. Department of Orthopaedic Surgery, Chiba Cancer Center, 666-2 Nitona-cho, Chuo-ku, Chiba, 260-0801, Japan

    Yawara Eguchi

  6. Department of Orthopaedic Surgery, Eastern Chiba Medical Center, 3-6-2 Okayamadai, Togane City, Chiba, 283-8686, Japan

    Yasuchika Aoki

  7. Department of Orthopaedic Surgery, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, Kanagawa, 216-8511, Japan

    Tsutomu Akazawa

  8. Biostatistics Section, Clinical Research Center, Chiba University Hospital, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8677, Japan

    Yohei Kawasaki

Authors
  1. Masahiro Inoue
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  2. Sumihisa Orita
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  3. Kazuhide Inage
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  5. Kazuki Fujimoto
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  7. Hirohito Kanamoto
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  10. Masaki Norimoto
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  11. Tomotaka Umimura
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  12. Takashi Sato
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  13. Masashi Sato
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  14. Masahiro Suzuki
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  16. Yawara Eguchi
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  17. Yasuchika Aoki
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  18. Tsutomu Akazawa
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  19. Yohei Kawasaki
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  20. Seiji Ohtori
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Corresponding author

Correspondence to Masahiro Inoue.

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Inoue, M., Orita, S., Inage, K. et al. Relationship between patient-based scoring systems and the activity level of patients measured by wearable activity trackers in lumbar spine disease. Eur Spine J 28, 1804–1810 (2019). https://doi.org/10.1007/s00586-019-06023-z

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