The use of Repty Functional Index and Oswestry Disability Questionnaire for the Functional Evaluation of the Patients Treated Surgically Because of Intervertebral Disc Damage

Abstract

Introduction. Complex image of the patients with spine discopathy makes it difficult to evaluate objectively and unequivocally the treatment effects. An analysis of functional condition, frequently used as an objective method of therapeutic proceedings efficiency is an integral part of this evaluation.Aim. The aim of the work is to evaluate the condition of patients after neurosurgical treatment of disc herniation with the usage of Reply Functional Index (RFI) and Oswestry Questionnaire (ODINDI).Material and Methods. Evaluations relied on triple estimation; before operation (first assessment), on the day of discharge from hospital (second assessment) and 6 months after the surgery (third assessment). For the first and second assessment 188 patients were evaluated and in the third one 140. Oswestry Questionnaire (ODI/NDI) and Repty Functional Index (RFI) were applied.Results. The evaluation of the functional efficiency according to RFI proved that the majority of the patient could be qualified to group IV, which shows that the patients are self-reliant. While evaluating the patients according to ODI/NDI it was noticed that in particular assessments the number of people who are slightly disabled increased — an increase by 6.4% compared with evaluation 1 and then by another 41.3%.Conclusions. The functional efficiency of the researched patients improved significantly, what was observed using ODI/NDI questionnaire. The correlation between ODI/NDI and RFI scales in the functional evaluation of the patients surgically treated because of discopathy is low. (JNNN 2014;3(2):64–74)