Neck disability index, Visual analog scale, and Likert scale in patients receiving pharmacotherapy for neck pain: How good do they correlate?
Journal Title: National Journal of Physiology, Pharmacy and Pharmacology - Year 2017, Vol 7, Issue 3
Abstract
Background: Neck disability index (NDI) is a patient self-assessed outcome measurement tool to assess disability due to neck pain. Improvement in pain severity score by a pain intensity numerical rating scale may not necessarily produce a significant change in NDI after treatment. Aims and Objectives: This study was undertaken to study the correlation between the pain status rated by the patient using qualitative scales with the NDI in patients with neck related problems. Materials and Methods: It was prospective observational study conducted in Physical Medicine and Rehabilitation Department of Tertiary care Teaching Hospital in Kerala for duration of 6 months. 170 patients, with M: F ratio-1:2.9, having neck pain were included and treated with centrally acting muscle relaxants and analgesics for 2 weeks. Patients were assessed on their initial visit and followed up after 2 weeks. Patient rating of pain status was measured using visual analog scale (VAS) and a 5-item Likert scale varying from excellent to bad. Disability level due to neck pain was determined using NDI. Analysis was done with correlation coefficient, paired t-test and Wilcoxon signed ranks test using SPSS 20. Results: VAS and Likert scale rating showed a positive correlation with NDI, both before (correlation coefficient = 0.663, 0.589) and after (correlation coefficient = 0.845, 0.776) pharmacotherapy. Significant changes in NDI (t = 28.199, P < 0.001), Likert scale (Z value = 11.03, P < 0.001), and VAS (t = 28, P < 0.001) were observed after pharmacotherapy. Conclusions: Study correlated patients rating of pain status themselves and NDI, and NDI can be used as an effective tool to evaluate pharmacotherapy
Authors and Affiliations
Liya Roslin Joseph, Dhanya Sasidharan Palappallil
Keywords
Related Articles
- EP ID EP289231
- DOI 10.5455/njppp.2017.7.1233917122016
- Views 76
- Downloads 0
Gender differences in cardiovascular autonomic milieu and its association with academic performance in young adults
Background: Initiated by biological plausibility and supported by the pilot study, we observed possibility of associations between cardiovascular autonomic milieu and academic performances. As there are established cogni...
A study to analyze the prevalence of nervous anastomosis (Martin–Gruber) in medical students
Background: In nerve conduction laboratory, various types of case s are encountered. These are generally referred for electrophysiological investigation of the most common s yndromes such as carpel tunnel syndrome wh...
Biochemical assessment of the hepatic functions of the petrol pump workers of Jaipur city
Background: In recent years, occupational health hazards have grown as one of the major public health issues worldwide. In this context, petrol pump workers were studied who by virtue of their occupation is continuously...
Comparative study of pulmonary functions in swimmers and badminton players of Indore city
Background: Exercise performed regularly is beneficial to the body. The previous studies in this field have shown that sportspersons have higher values of lung volumes in comparison to their control counterparts who are...
Effect of coenzyme Q10 on depression paradigms in male Wistar rats and Swiss albino mice
Background: Depression is a major public health concern. Inflammation and oxidative stress have emerged as major contributors to the neuroprogression of depression. There is evidence that there are reduced antioxidant (A...