The impact of physician attitudes on patient satisfaction with care for low back pain

Abstract Background and purpose: Professional drivers as a group are exposed to high risk of developing low back pain due to ergonomic factors and work conditions. The purpose of the study was to examine to what extent the low back pain occurs among Slovene professional drivers as a result of the development of various psychosocial factors. Methodology: The study involved 275 respondents (professional bus drivers, car/van drivers, international truck/lorry drivers, and ambulance car drivers). Hypotheses were tested using multivariate statistical method (regression analysis) and analysis of variance. Data were collected by structured questionnaire comprised of three parts: socio-demographic data, basic psychosocial factors causing low back pain, and incidence, duration and severity of low back pain as a result of psychosocial risk factors, was implemented. Results: The results of quantitative survey suggest that low back pain is mostly caused by lifting and carrying heavy loads, inadequate working conditions, poor physical fitness, regular nights out, shift work, and stress. Only the impact of gender on low back pain distress among professional drivers was confirmed, predominantly among bus drivers and lorry drivers on international routes. Low back pain occurrence was less common, albeit not statistically significant, among professional drivers of vans and passenger cars. Conclusion: Our study suggests that psychosocial factors are also important cause for the development of low back pain among professional drivers and can limit the quality of their social and professional lives.

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The Impact of Buprenorphine Transdermal Delivery System on Activities of Daily Living Among Patients With Chronic Low Back Pain

Clinical Journal of Pain ◽

10.1097/ajp.0000000000000068 ◽

2014 ◽

Vol 30 (12) ◽

pp. 1015-1022 ◽

Cited By ~ 5

Author(s):

Kate Miller ◽

Aaron Yarlas ◽

Warren Wen ◽

Bradley Dain ◽

Shau Yu Lynch ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Activities Of Daily Living ◽

Delivery System ◽

Chronic Low Back Pain ◽

Transdermal Delivery ◽

Daily Living ◽

Low Back ◽

Transdermal Delivery System ◽

The Impact

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The impact of income support systems on healthcare quality and functional capacity in workers with low back pain: a realist review

Pain ◽

10.1097/j.pain.0000000000001978 ◽

2020 ◽

Vol 161 (12) ◽

pp. 2690-2709

Author(s):

Michael Di Donato ◽

Ross Iles ◽

Tyler Lane ◽

Rachelle Buchbinder ◽

Alex Collie

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Functional Capacity ◽

Support Systems ◽

Healthcare Quality ◽

Realist Review ◽

Low Back ◽

Income Support ◽

The Impact

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Associations between the severity of disability level and fear of movement and pain beliefs in patients with chronic low back pain

Journal of Back and Musculoskeletal Rehabilitation ◽

10.3233/bmr-171039 ◽

2020 ◽

Vol 33 (5) ◽

pp. 785-791 ◽

Cited By ~ 1

Author(s):

Nuray Alaca ◽

Hande Kaba ◽

Ayce Atalay

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Behavioral Therapy ◽

Short Form ◽

Low Back ◽

Pain Beliefs ◽

Fear Of Movement ◽

Severity Of Disability ◽

The Impact

BACKGROUND AND OBJECTIVES: Low back pain (LBP) is one of the leading forms of chronic pain and is among the leading causes of pain and disability. In this study, we investigated the associations between the severity of disability and fear of movement and pain beliefs as well as the impact of the fear of movement and pain beliefs on the quality of life in patients with chronic LBP. METHODS: A total of 89 patients (42.29 ± 16.05 years) with chronic low back pain were included in the study. The instruments used in the assessments include the Visual Analogue Scale (VAS), the Oswestry Disability Index (ODI), the Tampa Kinesiophobia Scale (TKS), the Pain Belief Questionnaire (PBQ), and the SF 36-Short Form. Patients were assigned into three groups by disability severity based on ODI scores. Statistical analysis was performed using SPSS 15. RESULTS: No statistically significant intergroup differences were found in TKS and PBQ scores (p> 0.05). A positive correlation was found between TKS scores, age (r: 0.227/p< 0.05), PBQ organic (r: -0.250/p< 0.05) scores. CONCLUSIONS: Our study revealed high levels of kinesiophobia and similar pain beliefs, independent of the severity level of disability. We believe that cognitive-behavioral therapy that may reduce fear-avoidance behaviors and convert negative pain beliefs into positive ones should be added to rehabilitation procedures for LBP.

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Sagittal spinal-pelvic alignment in patients with Crowe type IV developmental dysplasia of the hip

BMC Musculoskeletal Disorders ◽

10.1186/s12891-020-03717-0 ◽

2020 ◽

Vol 21 (1) ◽

Author(s):

Peng Ren ◽

Xiangpeng Kong ◽

Wei Chai ◽

Yan Wang

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Vertical Axis ◽

Developmental Dysplasia ◽

Sacral Slope ◽

Low Back ◽

Sagittal Vertical Axis ◽

Type Iv ◽

The Impact ◽

Dysplasia Of The Hip

Abstract Background The impact of high dislocated dysplastic hips on spinal-pelvic alignment has not been well described. This study aims to evaluate compensatory spinal radiographic changes and presence of back pain in patients with Crowe type IV developmental dysplasia of the hip (DDH). Methods An observational study was conducted from July 2016 to December 2017, and 49 consecutive patients with Crowe IV DDH were enrolled. Forty-nine sex- and age-matched asymptomatic healthy adults were recruited as the controls. The sacral slope (SS), lumbar lordosis (LL), spino-sacral angle (SSA), C7 tilt (C7T), and sagittal vertical axis (SVA [C7]) were measured on lateral whole spine radiographs. The presence of low back pain and visual analogue scale (VAS) scores were recorded. Results The patients with Crowe IV DDH showed significantly greater SS (47.5 ± 7.5° vs. 40.4 ± 6.7°, p < 0.05), LL (− 63.7 ± 9.2° vs. − 53.3 ± 11.5°, P < 0.05), SSA (141.8° ± 7.2° vs. 130.6 ± 7.9°, p < 0.05), C7T (93.9 ± 3.6° vs. 91.1 ± 3.7°, P < 0.05), and lower SVA(C7) (− 16 mm[− 95–45] vs. 6.4 mm[− 52–47], p < 0.05) compared to the controls. The patients with bilateral Crowe IV DDH also exhibited larger SS, LL, SSA, and C7T and a smaller SVA (C7) than those with unilateral Crowe IV DDH. Sixty-three percent of the patients with Crowe IV DDH reported low back pain. Conclusion The patients with Crowe IV DDH exhibited abnormal spinal-pelvic alignment characterized by anterior pelvic tilt, lumbar hyperlordosis, and a backward-leaning trunk. Bilateral Crowe IV DDH had a greater impact on spinal-pelvic alignment than unilateral Crowe IV DDH.

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Age- and sex-specific effects in paravertebral surface electromyographic back extensor muscle fatigue in chronic low back pain

GeroScience ◽

10.1007/s11357-019-00134-7 ◽

2019 ◽

Vol 42 (1) ◽

pp. 251-269 ◽

Cited By ~ 1

Author(s):

Gerold Ebenbichler ◽

Richard Habenicht ◽

Sara Ziegelbecker ◽

Josef Kollmitzer ◽

Patrick Mair ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Muscle Fatigue ◽

Chronic Low Back Pain ◽

Median Frequency ◽

Low Back ◽

Back Muscle ◽

The Impact ◽

Back Extensor ◽

Age And Sex

AbstractThe impact of aging on the back muscles is not well understood, yet may hold clues to both normal aging and chronic low back pain (cLBP). This study sought to investigate whether the median frequency (MF) surface electromyographic (SEMG) back muscle fatigue method—a proxy for glycolytic muscle metabolism—would be able to detect age- and sex-specific differences in neuromuscular and muscle metabolic functions in individuals with cLBP in a reliable way, and whether it would be as sensitive as when used on healthy individuals. With participants seated on a dynamometer (20° trunk anteflexion), paraspinal SEMG activity was recorded bilaterally from the multifidus (L5), longissimus (L2), and iliolumbalis (L1) muscles during isometric, sustained back extensions loaded at 80% of maximum from 117 younger (58 females) and 112 older (56 female) cLBP individuals. Tests were repeated after 1–2 days and 6 weeks. Median frequency, the SEMG variable indicating neuromuscular fatigue, was analyzed. Maximum back extensor strength was comparable between younger and older participants. Significantly less MF-SEMG back muscle fatigue was observed in older as compared to younger, and in older female as compared to older male cLBP individuals. Relative reliability was excellent, but absolute reliability appeared large for this SEMG-fatigue measure. Findings suggest that cLBP likely does not mask the age-specific diagnostic potential of the MF-SEMG back extensor fatigue method. Thus, this method possesses a great potential to be further developed into a valuable biomarker capable of detecting back muscle function at risk of sarcopenia at very early stages.

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Low Back Pain among Medical Students in Belgrade (Serbia): A Cross-Sectional Study

Pain Research and Management ◽

10.1155/2018/8317906 ◽

2018 ◽

Vol 2018 ◽

pp. 1-6 ◽

Cited By ~ 3

Author(s):

Isidora Vujcic ◽

Nemanja Stojilovic ◽

Eleonora Dubljanin ◽

Nebojsa Ladjevic ◽

Ivana Ladjevic ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Medical Students ◽

Cross Sectional Study ◽

Low Back ◽

Sectional Study ◽

Everyday Functioning ◽

Chi Square ◽

Cross Sectional ◽

The Impact

Aim. To examine the prevalence of low back pain, to identify self-perceived triggers of low back pain, and to investigate the impact of perceived pain on the daily activities and mood among medical students. Methods. This cross-sectional study enrolled 459 fourth year students at the Faculty of Medicine in Belgrade during December 2014. The anonymous questionnaire was used for data collection. In data analysis, the chi-square test and t-test were used. Results. The lifetime prevalence of low back pain was 75.8%, 12-month prevalence 59.5%, and point prevalence 17.2%. Chronic low back pain was experienced by 12.4% of the students. Both the lifetime (p=0.001) and the 12-month (p=0.001) low back pain prevalence rates were significantly higher among female medical students. Mental stress during an exam period (p=0.001), sitting at the university (p=0.002), fatigue (p=0.043), improper body posture (p=0.005), and lack of exercise (p=0.001) as self-perceived triggers of low back pain were significantly more often reported by female students, compared to males. Regarding daily functioning, the experience of low back pain mostly affects students sleeping (14.6%) and walking (12.0%). Conclusions. The prevalence of LBP is high among Belgrade medical students and significantly affects their everyday functioning.

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