title: The Association of Each Disability Based on the Three Sub-Categories of the Roland-Morris Disability Questionnaire during Hospitalization with Itself at 1 Year Postoperatively in Patients with Degenerative Lumbar Spinal Stenosis.
abstract: METHODS
  A prospective study in a hospital.
  
  
  OBJECTIVE
  To investigate whether each disability based on the three sub-categories of the Roland-Morris disability questionnaire (RDQ) during hospitalization is associated with itself at 1 year postoperatively in patients with degenerative lumbar spinal stenosis (LSS).
  
  
  BACKGROUND
  Although the total score of the RDQ represents whole pain-related disabilities or health-related quality of life, it is a shortcoming that multi-dimensional changes in disabilities are difficult to understand when only using the RDQ.
  
  
  METHODS
  Fifty-seven patients with LSS (men, 28; women, 29; 63.0±12.1 years) were included. Disabilities, pain intensity and depressive feelings were assessed at preoperation, discharge and 1 year postoperatively.
  
  
  RESULTS
  The range of "mental and physical activities (MPA)," "functional movements on/around a bed (FM)" and "walking function (WF)" scores were 0 to 13 (median, 8), 0 to 6 (median, 6) and 0 to 4 (median, 3) at preoperation; 0 to 12 (median, 0), 0 to 6 (median, 0), and 0 to 4 (median, 0) at discharge; and 0 to 8 (median, 0), 0 to 5 (median, 0), and 0 to 4 (median, 0) at 1 year postoperatively, respectively. The following significant multiple regression equations were obtained: MPA at 1 year postoperatively=0.56 (MPA at discharge)-0.10 (depression at discharge)+0.90 (adjusted r (2)=0.41), FM at 1 year postoperatively=0.35 (MPA at discharge)-0.06 (depression at discharge)+0.40 (adjusted r (2)=0.45) and WF at 1 year postoperatively=0.59 (WF at discharge)-0.08 (depression at discharge)+0.63 (adjusted r (2)=0.29).
  
  
  CONCLUSIONS
  In our LSS population, each disability based on MPA and WF at discharge is associated with itself in the future. Therefore, disabilities excluding functional movements are longitudinally independent.
authors.affiliation: Department of Rehabilitation, Harunaso Hospital, Takasaki, Japan.
authors.forename: Daisuke
authors.initials: D
authors.lastname: Higuchi
authors.affiliation: Gunma Spine Center, Kamitoyooka, Takasaki, Japan.
authors.forename: Nodoka
authors.initials: N
authors.lastname: Manabe
authors.affiliation: Gunma Spine Center, Kamitoyooka, Takasaki, Japan.
authors.forename: Masatake
authors.initials: M
authors.lastname: Ino
keywords: Activities of daily living; Lumbar vertebrae; Roland-Morris disability questionnaire; Spinal stenosis