Spinal Sagittal Alignment, Hospital Anxiety and Depression Scale Scores, and Patient-Reported Outcome among People with Sporting Activity

Study Design Retrospective cohort study. Purpose This study aimed to investigate how participation in sporting activity affects patient-reported outcome (PRO), including Neck Disability Index (NDI), in males and females. Overview of Literature Previously, our study reported that factors with a negat...

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Main Authors: Shin Oe, Yu Yamato, Tomohiko Hasegawa, Go Yoshida, Sho Kobayashi, Tatsuya Yasuda, Tomohiro Banno, Hideyuki Arima, Yuki Mihara, Hiroki Ushirozako, Tomohiro Yamada, Koichiro Ide, Yuh Watanabe, Haruo Niwa, Yukihiro Matsuyama
Format: Article
Language:English
Published: Korean Spine Society 2020-06-01
Series:Asian Spine Journal
Subjects:
Online Access:http://www.asianspinejournal.org/upload/pdf/asj-2019-0212.pdf
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author Shin Oe
Yu Yamato
Tomohiko Hasegawa
Go Yoshida
Sho Kobayashi
Tatsuya Yasuda
Tomohiro Banno
Hideyuki Arima
Yuki Mihara
Hiroki Ushirozako
Tomohiro Yamada
Koichiro Ide
Yuh Watanabe
Haruo Niwa
Yukihiro Matsuyama
author_facet Shin Oe
Yu Yamato
Tomohiko Hasegawa
Go Yoshida
Sho Kobayashi
Tatsuya Yasuda
Tomohiro Banno
Hideyuki Arima
Yuki Mihara
Hiroki Ushirozako
Tomohiro Yamada
Koichiro Ide
Yuh Watanabe
Haruo Niwa
Yukihiro Matsuyama
author_sort Shin Oe
collection DOAJ
description Study Design Retrospective cohort study. Purpose This study aimed to investigate how participation in sporting activity affects patient-reported outcome (PRO), including Neck Disability Index (NDI), in males and females. Overview of Literature Previously, our study reported that factors with a negative influence on the NDI in females were a lack of sporting activities. However, it was still unclear why it affected poor scores of NDI. Methods The subjects were 473 volunteers. They were divided into two groups (activity and non-activity) according to participation or non-participation in sporting activities using a self-filled questionnaire. The evaluation items were height, weight, grip strength, bone density, Hospital Anxiety and Depression Scale (HADS) score, standing radiographic parameters, PRO (evaluated by EuroQol-5 dimension [EQ-5D], Oswestry Disability Index [ODI]), and NDI. Results There were 101 males in the non-activity group and 69 in the activity group and 178 females in the non-activity group and 125 in the activity group. For the males, the evaluation items with significant influence were cervical lordosis (non-activity group:activity group, 17°:22°) and T1 slope minus cervical lordosis (10°:6°, p<0.05). For the females, the evaluation items with significant influence were sagittal vertical axis (28:14 mm), HADS (10.4:8.4), EQ-5D (0.79:0.86), ODI (17:12), and NDI (12:9, p<0.01). HADS and PRO in the females were significantly correlated with the EQ-5D (−0.40), ODI (0.43), and NDI (0.55). Conclusions Males who participated in sporting activities had better cervical spine alignment but no effect on PRO. Females with sporting activities had better spinal global alignment and less mental stress. It is suggested that sporting activity in females might be associated with PRO because HADS highly correlates with PRO.
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spelling doaj.art-cdee29e0a9c541b5a14de7dcc61ca04c2022-12-22T01:46:18ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462020-06-0114334134910.31616/asj.2019.02121151Spinal Sagittal Alignment, Hospital Anxiety and Depression Scale Scores, and Patient-Reported Outcome among People with Sporting ActivityShin Oe0Yu Yamato1Tomohiko Hasegawa2Go Yoshida3Sho Kobayashi4Tatsuya Yasuda5Tomohiro Banno6Hideyuki Arima7Yuki Mihara8Hiroki Ushirozako9Tomohiro Yamada10Koichiro Ide11Yuh Watanabe12Haruo Niwa13Yukihiro Matsuyama14 Division of Geriatric Musculoskeletal Health, Department of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan Division of Geriatric Musculoskeletal Health, Department of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan Department of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan Department of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan Department of Orthopedic Surgery, Hamamatsu Medical Center, Hamamatsu, Japan Department of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan Department of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan Department of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan Department of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan Department of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan Department of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan Department of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan Department of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan Department of General Medicine, Toei Hospital, Toei, Japan Department of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, JapanStudy Design Retrospective cohort study. Purpose This study aimed to investigate how participation in sporting activity affects patient-reported outcome (PRO), including Neck Disability Index (NDI), in males and females. Overview of Literature Previously, our study reported that factors with a negative influence on the NDI in females were a lack of sporting activities. However, it was still unclear why it affected poor scores of NDI. Methods The subjects were 473 volunteers. They were divided into two groups (activity and non-activity) according to participation or non-participation in sporting activities using a self-filled questionnaire. The evaluation items were height, weight, grip strength, bone density, Hospital Anxiety and Depression Scale (HADS) score, standing radiographic parameters, PRO (evaluated by EuroQol-5 dimension [EQ-5D], Oswestry Disability Index [ODI]), and NDI. Results There were 101 males in the non-activity group and 69 in the activity group and 178 females in the non-activity group and 125 in the activity group. For the males, the evaluation items with significant influence were cervical lordosis (non-activity group:activity group, 17°:22°) and T1 slope minus cervical lordosis (10°:6°, p<0.05). For the females, the evaluation items with significant influence were sagittal vertical axis (28:14 mm), HADS (10.4:8.4), EQ-5D (0.79:0.86), ODI (17:12), and NDI (12:9, p<0.01). HADS and PRO in the females were significantly correlated with the EQ-5D (−0.40), ODI (0.43), and NDI (0.55). Conclusions Males who participated in sporting activities had better cervical spine alignment but no effect on PRO. Females with sporting activities had better spinal global alignment and less mental stress. It is suggested that sporting activity in females might be associated with PRO because HADS highly correlates with PRO.http://www.asianspinejournal.org/upload/pdf/asj-2019-0212.pdfsporting activitypatients reported outcomespinal sagittal alignmenthospital anxiety and depression scale scores
spellingShingle Shin Oe
Yu Yamato
Tomohiko Hasegawa
Go Yoshida
Sho Kobayashi
Tatsuya Yasuda
Tomohiro Banno
Hideyuki Arima
Yuki Mihara
Hiroki Ushirozako
Tomohiro Yamada
Koichiro Ide
Yuh Watanabe
Haruo Niwa
Yukihiro Matsuyama
Spinal Sagittal Alignment, Hospital Anxiety and Depression Scale Scores, and Patient-Reported Outcome among People with Sporting Activity
Asian Spine Journal
sporting activity
patients reported outcome
spinal sagittal alignment
hospital anxiety and depression scale scores
title Spinal Sagittal Alignment, Hospital Anxiety and Depression Scale Scores, and Patient-Reported Outcome among People with Sporting Activity
title_full Spinal Sagittal Alignment, Hospital Anxiety and Depression Scale Scores, and Patient-Reported Outcome among People with Sporting Activity
title_fullStr Spinal Sagittal Alignment, Hospital Anxiety and Depression Scale Scores, and Patient-Reported Outcome among People with Sporting Activity
title_full_unstemmed Spinal Sagittal Alignment, Hospital Anxiety and Depression Scale Scores, and Patient-Reported Outcome among People with Sporting Activity
title_short Spinal Sagittal Alignment, Hospital Anxiety and Depression Scale Scores, and Patient-Reported Outcome among People with Sporting Activity
title_sort spinal sagittal alignment hospital anxiety and depression scale scores and patient reported outcome among people with sporting activity
topic sporting activity
patients reported outcome
spinal sagittal alignment
hospital anxiety and depression scale scores
url http://www.asianspinejournal.org/upload/pdf/asj-2019-0212.pdf
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