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ASSESSMENT OF SOFT TISSUE INJURIES OF THE CERVICAL AND LUMBAR SPINE USING FASTRAK



Abstract

The aim of this study was to demonstrate a correlation between FASTRAK readings of spinal movement and established disability scores in-patients undergoing litigation.

A retrospective, blind study was conducted on patients who had been evaluated clinically between January 1994-October 1998. Statistical regression analysis between evaluated Oswestry Disability Score (ODS) and MSPQ/Zung questionnaires and the mean ROM was obtained. 49 patients with soft tissue injuries of the cervical (n = 14) and lumbar (n = 34) spine were assessed. All of them were undergoing litigation.

A standardised Fastrak trace measuring flexion, extension, right and left bending and rotation of the cervical and lumbar spine was recorded. An ODS and MSPQ/Zung questionnaire was filled in under the supervision of a senior physiotherapist.

There was no correlation between the ODS and MSPQ/Zung and mean ROM for the cervical spine. In the lumbar spine, flexion and ODS correlated statistically significantly (p< 0.01) and right rotation with the combined MSPQ/Zung score (p< 0.014).

This preliminary study is encouraging in that it demonstrates a direct correlation between FASTRAK measurements and recognised disability scores in the lumbar spine. Further analysis of non- litigation cohorts will contribute to establish these correlations.

The abstracts were prepared by Dr C Pither. Correspondence should be addressed to him at the British Orthopaedic Association, Royal College of Surgeons, 35–43 Lincoln’s Inn Fields, London WC2A 3PN