Clinical Profiles of Patients with Chronic Pain Syndromes of Lumbosacral Localization

V.I. Romanenko, I.V. Romanenko, Yu.I. Romanenko


Objective of the study: to examine the clinical profiles of patients with low back pain according to The Quebec Task Force Classification for Spinal Disorders (QTFCSD). Materials and methods. 103 patients with chronic lumbosacral pain syndromes were examined. The study included clinical and neurological examination with a detailed sensory testing, qualitative and quantitative evaluation of pain by means of McGill pain questionnaire and visual analog scale (VAS). Finger-floor distance (FFD) and modified Schober’s test were estimated in order to determine flexibility in lumbar spine. All patients were divided into 4 groups according to QTFCSD. Results. Patients of group I were significantly younger compared to other groups, and pain intensity according to VAS was significantly higher in the group IV. Results of modified Schober’s test were significantly lower in group IV compared to group I, whereas the values of the FFD were significantly lower in group I compared to group IV. In group IV sensory deficit was present in 90 % of cases, electric shock-like (85.4 %), burning (70.7 %), hot (34.1 %), searing (31.7 %) and pricking (22.0 %) pain was more frequent. Conclusions. 1. Patients with chronic pain syndromes of lumbosacral localization have certain clinical features that are clear if patients are allocated into groups according to QTFCSD. 2. Doctors of different specialties should use QTFCSD in their clinical practice to assess the leading mechanism of pain, to make disease prognosis and to choose mechanism-oriented therapy.


low back pain; clinical profiles of patients; visual analog scale; McGill pain questionnaire


Deyo R.A. Low back pain / R.A. Deyo, J.N. Weinstein // N. Engl. J. Med. — 2001. — Vol. 344. — P. 363-370.

Andersson G.B.J. The epidemiology of spinal disorders // JW F, ed. The adult spine: principles and practice, 2nd ed. — New York: Raven Press. — 1997. — Р. 93-14.

Croft P. Back pain / P. Croft, H. Raspe // Baillieres Clin. Rheumatol. — 1995. — Vol. 9. — Р. 565-583.

Henschke N. Prevalence of and screening for serious spinal pathology in patients presenting to primary care settings with acute low back pain / C.G. Maher, K.M. Refshauge, R.D. Herbert, R.G. Cumming, J. Bleasel, J. York, A. Das, J.H. McAuley // Arthritis and Rheumatism. — 2009. — Vol. 60. — Р. 3072-3080.

Suri P. Longitudinal associations between incident lumbar spine MRI findings and chronic low back pain or radicular symptoms: retrospective analysis of data from the longitudinal assessment of imaging and disability of the back (LAIDBACK) / P. Suri, E.J. Boyko, J. Goldberg et al. // BMC Musculoskeletal Disorders. — 2014. — Vol. 15. — P. 52.

Jensen M.C. Magnetic resonance imaging of the lumbar spine in people without back pain / M.C. Jensen, M.N. Brant-Zawadzki, N. Obuchowski et al. // N. Engl. J. Med. — 1994. — Vol. 331(2). — P. 69-73.

Jensen M.C. Magnetic resonance imaging of the lumbar spine in people without back pain / M.C. Jensen, M.N. Brant-Zawadzki, N. Obuchowski et al. // New England Journal of Medicine. — 1994. — № 331. — P. 69-73.

Melzack R. The McGill Pain Questionnaire: major properties and scoring methods / R. Melzack // Pain. — 1975. — Vol. 1(3). — P. 277-299.

Кузьменко В.В. Психологические методы количественной оценки боли / В.В. Кузьменко, В.А. Фокин, Е.Л. Соков // Сов. мед. — 1986. — № 10. — С. 44-48.

Atlas S.J. The Quebec Task Force classification for Spinal Disorders and the severity, treatment, and outcomes of sciatica and lumbar spinal stenosis / S.J. Atlas, R.A. Deyo, D.L. Patrick et al. // Spine. — 1996. — Vol. 21. — P. 2885-2892.

Report of the Quebec Task Force on Spinal Disorders. Scientific approach to the assessment and management of activity-related spinal disorders. A monograph for clinicians. — Phyladelphia: Spine. — 1987. — P. 1-59.

Lewis R.A. Tackling neuropathic pain: different perspectives of clinicians and investigators / R.A. Lewis, G. Said // Neurology. — 2008. — Vol. 70(18). — P. 1582-1583.

Smart K.M. Clinical indicators of «nociceptive», «peripheral neuropathic» and «central» mechanisms of musculoskeletal pain. A Delphi survey of expert clinicians / K.M. Smart, C. Blake, A. Staines et al. // Man. Ther. — 2009. — Vol. 1. — P. 80-87.

Treede R.D. Neuropathic pain: redefinition and a grading system for clinical and research purposes / R.D. Treede, T.S. Jensen, J.N. Campbell et al. // Neurology. — 2008. — Vol. 70(18). — P. 1630-1635.

Copyright (c) 2016 TRAUMA

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.


© Publishing House Zaslavsky, 1997-2020


   Seo анализ сайта