An outcome measure for patients with cervical myelopathy: The Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire (JOACMEQ): An average score of healthy volunteers

Nobuhiro Tanaka, Shin Ichi Konno, Katsushi Takeshita, Mitsuru Fukui, Kazuhisa Takahashi, Kazuhiro Chiba, Masabumi Miyamoto, Morio Matsumoto, Yuichi Kasai, Masahiko Kanamori, Shunji Matsunaga, Noboru Hosono, Tsukasa Kanchiku, Hiroshi Taneichi, Hiroshi Hashizume, Masahiro Kanayama, Takachika Shimizu, Mamoru Kawakami

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: An outcome measure to evaluate the neurological function of patients with cervical myelopathy was proposed by the Japanese Orthopaedic Association (JOA score) and has been widely used in Japan. However, the JOA score does not include patients' satisfaction, disability, handicaps, or general health, which can be affected by cervical myelopathy. In 2007, a new outcome measure, the Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire (JOACMEQ), which is a self-administered questionnaire, was developed. However, the influence of age and gender on the scores has not been fully examined. The purpose of this study was to establish the standard value of the JOACMEQ by age using healthy volunteers. Methods: This study was conducted in 23 university hospitals and their affiliated hospitals from September to December 2011. The questionnaire included 24 questions for evaluation of physical function of the cervical spine and spinal cord. A total of 1,629 healthy volunteers were recruited for the study. The ages ranged from 20 to 89 years old. Results: The volunteers comprised 798 men and 831 women. In the elderly healthy volunteers, the JOACMEQ scores decreased with age. In general, the scores for cervical spine function and upper/lower extremity function were retained up to the 60s, then decreased in the 70s and 80s. The scores for quality of life were retained up to the 70s; however, the score for bladder function was retained up to the 40s, then declined with age from the 50s to 80s. Conclusion: The standard values of the JOACMEQ by age were established. Differences in the scores were found among different generations. Patients with cervical myelopathy should be evaluated with this new self-administered questionnaire taking into account the standard values according to different ages.

Original languageEnglish
Pages (from-to)33-48
Number of pages16
JournalJournal of Orthopaedic Science
Volume19
Issue number1
DOIs
Publication statusPublished - 2014

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Spinal Cord Diseases
Healthy Volunteers
Outcome Assessment (Health Care)
Orthopedics
Spine
Surveys and Questionnaires
Patient Satisfaction
Volunteers
Lower Extremity
Japan
Urinary Bladder
Quality of Life
Health

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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An outcome measure for patients with cervical myelopathy : The Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire (JOACMEQ): An average score of healthy volunteers. / Tanaka, Nobuhiro; Konno, Shin Ichi; Takeshita, Katsushi; Fukui, Mitsuru; Takahashi, Kazuhisa; Chiba, Kazuhiro; Miyamoto, Masabumi; Matsumoto, Morio; Kasai, Yuichi; Kanamori, Masahiko; Matsunaga, Shunji; Hosono, Noboru; Kanchiku, Tsukasa; Taneichi, Hiroshi; Hashizume, Hiroshi; Kanayama, Masahiro; Shimizu, Takachika; Kawakami, Mamoru.

In: Journal of Orthopaedic Science, Vol. 19, No. 1, 2014, p. 33-48.

Research output: Contribution to journalArticle

Tanaka, N, Konno, SI, Takeshita, K, Fukui, M, Takahashi, K, Chiba, K, Miyamoto, M, Matsumoto, M, Kasai, Y, Kanamori, M, Matsunaga, S, Hosono, N, Kanchiku, T, Taneichi, H, Hashizume, H, Kanayama, M, Shimizu, T & Kawakami, M 2014, 'An outcome measure for patients with cervical myelopathy: The Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire (JOACMEQ): An average score of healthy volunteers', Journal of Orthopaedic Science, vol. 19, no. 1, pp. 33-48. https://doi.org/10.1007/s00776-013-0494-y
Tanaka, Nobuhiro ; Konno, Shin Ichi ; Takeshita, Katsushi ; Fukui, Mitsuru ; Takahashi, Kazuhisa ; Chiba, Kazuhiro ; Miyamoto, Masabumi ; Matsumoto, Morio ; Kasai, Yuichi ; Kanamori, Masahiko ; Matsunaga, Shunji ; Hosono, Noboru ; Kanchiku, Tsukasa ; Taneichi, Hiroshi ; Hashizume, Hiroshi ; Kanayama, Masahiro ; Shimizu, Takachika ; Kawakami, Mamoru. / An outcome measure for patients with cervical myelopathy : The Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire (JOACMEQ): An average score of healthy volunteers. In: Journal of Orthopaedic Science. 2014 ; Vol. 19, No. 1. pp. 33-48.
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abstract = "Background: An outcome measure to evaluate the neurological function of patients with cervical myelopathy was proposed by the Japanese Orthopaedic Association (JOA score) and has been widely used in Japan. However, the JOA score does not include patients' satisfaction, disability, handicaps, or general health, which can be affected by cervical myelopathy. In 2007, a new outcome measure, the Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire (JOACMEQ), which is a self-administered questionnaire, was developed. However, the influence of age and gender on the scores has not been fully examined. The purpose of this study was to establish the standard value of the JOACMEQ by age using healthy volunteers. Methods: This study was conducted in 23 university hospitals and their affiliated hospitals from September to December 2011. The questionnaire included 24 questions for evaluation of physical function of the cervical spine and spinal cord. A total of 1,629 healthy volunteers were recruited for the study. The ages ranged from 20 to 89 years old. Results: The volunteers comprised 798 men and 831 women. In the elderly healthy volunteers, the JOACMEQ scores decreased with age. In general, the scores for cervical spine function and upper/lower extremity function were retained up to the 60s, then decreased in the 70s and 80s. The scores for quality of life were retained up to the 70s; however, the score for bladder function was retained up to the 40s, then declined with age from the 50s to 80s. Conclusion: The standard values of the JOACMEQ by age were established. Differences in the scores were found among different generations. Patients with cervical myelopathy should be evaluated with this new self-administered questionnaire taking into account the standard values according to different ages.",
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T2 - The Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire (JOACMEQ): An average score of healthy volunteers

AU - Tanaka, Nobuhiro

AU - Konno, Shin Ichi

AU - Takeshita, Katsushi

AU - Fukui, Mitsuru

AU - Takahashi, Kazuhisa

AU - Chiba, Kazuhiro

AU - Miyamoto, Masabumi

AU - Matsumoto, Morio

AU - Kasai, Yuichi

AU - Kanamori, Masahiko

AU - Matsunaga, Shunji

AU - Hosono, Noboru

AU - Kanchiku, Tsukasa

AU - Taneichi, Hiroshi

AU - Hashizume, Hiroshi

AU - Kanayama, Masahiro

AU - Shimizu, Takachika

AU - Kawakami, Mamoru

PY - 2014

Y1 - 2014

N2 - Background: An outcome measure to evaluate the neurological function of patients with cervical myelopathy was proposed by the Japanese Orthopaedic Association (JOA score) and has been widely used in Japan. However, the JOA score does not include patients' satisfaction, disability, handicaps, or general health, which can be affected by cervical myelopathy. In 2007, a new outcome measure, the Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire (JOACMEQ), which is a self-administered questionnaire, was developed. However, the influence of age and gender on the scores has not been fully examined. The purpose of this study was to establish the standard value of the JOACMEQ by age using healthy volunteers. Methods: This study was conducted in 23 university hospitals and their affiliated hospitals from September to December 2011. The questionnaire included 24 questions for evaluation of physical function of the cervical spine and spinal cord. A total of 1,629 healthy volunteers were recruited for the study. The ages ranged from 20 to 89 years old. Results: The volunteers comprised 798 men and 831 women. In the elderly healthy volunteers, the JOACMEQ scores decreased with age. In general, the scores for cervical spine function and upper/lower extremity function were retained up to the 60s, then decreased in the 70s and 80s. The scores for quality of life were retained up to the 70s; however, the score for bladder function was retained up to the 40s, then declined with age from the 50s to 80s. Conclusion: The standard values of the JOACMEQ by age were established. Differences in the scores were found among different generations. Patients with cervical myelopathy should be evaluated with this new self-administered questionnaire taking into account the standard values according to different ages.

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