The ICC (3,1) was 0.88 for pain intensity and pain frequency, indicating good reliability, 0.68 for week prevalence and 0.60 for point prevalence, indicating moderate reliability. To assess responsiveness, the patients additionally filled in the Patient Global Impression of Change (PGIC) after three months and the area under the curve (AUC) of receiver operating curves was calculated. Construct validity was investigated testing a priori hypotheses. Test-retest reliability was determined calculating intraclass correlation coefficients using start and two week-data.
MethodsĬhildren and adolescents between 10 and 16 years ( N = 240, 166 females, mean age = 13.05 ± 1.70 years), recruited in chiropractic practices and schools, completed the G-YSQ (translated according to scientific guidelines) and the KIDSCREEN-10 (assessing health-related quality of life) at three time points. The aim of this study was to validate the Young Spine Questionnaire (YSQ) in a German version (G-YSQ) in children and adolescents. Over 14.Back pain in childhood and adolescence increases the risk for back pain in adulthood, but validated assessment tools are scarce. The number of cumulative cases on Saturday stood at more than 14.43 lakh in the National Capital.
The author is the Director of Neuro & Spine Surgery at Fortis Escorts Hospital Faridabadĭelhi records 249 new COVID cases, highest since 13 June positivity rate at 0.43%
Surgical remove- Microsurgery, Endoscopic surgery, Image-guided surgery, Biopsy, Decompression, and total microscopic excision.The most common treatment options available for a brain tumour are – With the advances in surgical and radiological techniques: Microsurgery, Endoscopic Surgery, Image-guided surgery, intraoperative monitoring it has become very safe to remove brain and spine tumours without causing much morbidity and mortality. Treatment options and recommendations depend on several factors: the size, type, and grade of the tumour, whether the tumour is putting pressure on vital parts of the brain if the tumour has spread to other parts of the CNS or body, the patient’s preferences, and overall health. This is critical information for planning treatment and predicting outcomes.įor most types of tumours, taking a sample of tumour tissue, either by biopsy or by surgically removing part of the total tumour, is the only way to make a definitive diagnosis of a brain tumour. The number is called the grade and it represents how fast the cells can grow and are likely o spread. Tumours are given a name based on the cells where they arise, and a number ranging from 1 to 4. The World Health Organization (WHO) has created a standard by which all tumours are classified. The most common imaging tests used for diagnosing a brain and spine tumour include MRI, MR Spectroscopy, Perfusion MRI, Functional MRI, CT Scan, PET Scan, cerebral angiogram, MR Myelogram, X Rays. Neurosurgeons use many tests to diagnose brain and spine tumours, find out the type of brain and spine tumour, and rarely, find out if it has spread to another part of the body, called metastasis. Spine tumours can give rise to neck or back pain, weakness of any limbs or urinary or bowel trouble-depending upon the part of the spine involved. The symptoms may be recurrent headaches, issues with vision, seizures, changes in personality, memory loss, poor coordination, difficulty speaking or comprehending. Specific symptoms are caused when a specific part of the brain is not working well because of the tumour. Symptoms of brain tumour can be general or specific.Ī general symptom is caused by the pressure of the tumour on the brain or spinal cord. Neuro and spine surgeons refer to a tumour based on where the tumour cells originated, and whether they are cancerous (malignant) or not (benign) and Primary (originate from brain cells) or Metastatic (begin in other parts of the body and spread to the brain). A nervous system tumour is an abnormal growth of tissue in the brain or spine that can disrupt proper neural function.