Longitudinal study of housing for the promotion of health and well‐being using a covariance structure model to identify the causal relationships between satisfaction with living environment, stress, and chronic low back pain

Abstract Background: Back pains, such as low and upper back pains are among the most common musculoskeletal conditions that can cause major public health and socioeconomic problems. Back pain is one of the leading causes of disability that reduces worker performance and well-being and increases absence from work, which can cause an enormous economic burden. In developing countries, particularly in Ethiopia, there is no adequate evidence on the overall prevalence of occupational-related low and upper back pains and remain less prioritized and empirically unrepresented. Therefore, this study aimed to determine the prevalence of occupational-related low and upper back pains among the working population of Ethiopia.Methods: This systematic review and meta-analysis considered studies conducted in Ethiopia, written in English, and published from 2017-2020. Articles were searched from nine electronic databases (Web of Science, SCOPUS, PubMed, Google Scholar, CINAHL, Cochrane Library, African Index Medicus, African Journals Online database and Science Direct) using a combination of Boolean logic operators, Medical Subject Headings and main keywords. The quality assessment of the articles was performed using Joanna Briggs Institute Critical Appraisal tools to determine the relevance of the articles to the study. A random effects model was used to estimate the pooled prevalence, the 95% confidence interval, and the degree of heterogeneity among the included studies. Sensitivity analyzes were performed to identify the influence of outliers and to identify sources of heterogeneity.Results: Of the 1,114 studies identified from the included databases, 20 studies were included in the systematic review and meta-analysis. The pooled prevalence of occupational-related upper and low back pain in the previous year was 27.1% [95% CI: 18.4, 37.9] and 54.2% [95% CI: 48.2, 60.0], respectively. Based on a subgroup analysis by publication year, study population and countries where the studies are conducted, the prevalence of upper back pain was 43.8% [95% CI: 39.3, 47.7], 34.7% [95% CI: 33.1, 36.2], and 36.2% [95% CI: 33.6, 39.0], respectively, while the prevalence of low back pain was 61.8% [95% CI: 58.9, 64.6], 52.8% [95% CI: 51.3, 54.3] and 55.2% [95% CI: 51.4, 59.0], respectively.Conclusions: This systematic review and meta-analysis found that 54.2% of the included study participants experienced low back pain in the previous year, while 27.1% experienced upper back pain. These problems may be reduced by considering proper observation of the principles of ergonomics in the workplace, and performing physical exercises on a regular basis.

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Pregnancy-Related Low Back Pain and The Quality of Life among Pregnant Women : A Narrative Literature Review

Journal of Public Health for Tropical and Coastal Region ◽

10.14710/jphtcr.v4i3.10795 ◽

2021 ◽

Vol 4 (3) ◽

pp. 108-116

Author(s):

Tiara Fatmarizka ◽

Raudhatus Shofy Ramadanty ◽

Dini Afriani Khasanah

Keyword(s):

Quality Of Life ◽

Low Back Pain ◽

Back Pain ◽

Pregnant Women ◽

Well Being ◽

Low Back ◽

Cross Sectional ◽

Cross Sectional Studies ◽

In Pregnancy

Introduction: Around 50-70% of pregnant women have reported pregnancy-related back pain during the second and third trimesters of pregnancy. Physical and physiological aspects during pregnancy might affect the quality of life (QoL) of pregnant women, and the problems due to the alteration can be seen in how they run their daily activities. The effect of LBP in pregnancy on the QoL among pregnant women must be known to avoid the pain that affects pregnant women’s activities and well-being. The aim of this study is to review the relationship between low back pain and the QoL during pregnancy.Methods: Using the search terms via PubMed and Google Scholar, seven cross-sectional studies have met the inclusion criteria and included for further analysis. The appraisal tool for Cross-Sectional Studies (AXIS) is used to assess the quality of the included studies including the risk of bias.Results: The findings show that LBP in pregnancy affects the level of quality of life such as sleep quality and sexual activity, limits the activities and productivities, and even make physical disability among pregnant women. The 75-90% was of the range score obtained from the AXIS critical appraisal.Conclusions: This review mentioned those pregnant women with PRBP had decreased QoL during and after childbirth, so the awareness of health professionals needs to be improved.

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Development and Feasibility Testing of an Animated Cartoon-Based Self-Care Application for Low-Back Pain – a Pilot Study

Rehabilitacja Medyczna ◽

10.5604/01.3001.0015.2527 ◽

2021 ◽

Vol 25 (1) ◽

Author(s):

Chidozie Emmanuel Mbada ◽

Tobiloba Samuel Isatayo ◽

John Oluwatosin Omole ◽

Adesola Christiana Odole ◽

Olusola Ayanniyi ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Self Care ◽

Well Being ◽

Mobile App ◽

Low Back ◽

Animated Cartoon ◽

System Usability Scale ◽

Quality Rating ◽

Feasibility Testing

Objectives: Use of animated cartoon for pain management is an emerging area, however, no study have explored it as a digital platform for rehabilitation of low-back pain (LBP). This study was aimed to develop and evaluate the feasibility of an animated cartoon-based self-care (ACBSC) app for LBP, and to examine the correlation between the app rating parameters and patients’ pain. Methods: This two-phase study comprised a development and feasibility testing components. Development of the ACBSC app was based on Mckenzie’s Mechanical Diagnosis and Therapy (MDT) extension protocolplus back hygiene following standard iteration and prototyping process. Twenty-eight consecutive patients with chronic non-specific LBP with 'direction Preference’ for extension based on the MDT screening algorithm participated in the feasibility phase. The participants utilized the cartoon-based app thrice weekly for two weeks. Outcomes were assessed in terms of usability, satisfaction and user’s experience using the system usability scale and mobile application rating scale. Quadruple visual analogue scale was used to assess pain intensity of the participants. Results: On a unified scale of 20, functionality (15.4 ± 2.41) and aesthetics 14 ± 2.00 had highest and least objective quality rating on the app parameters. Total objective and subjective quality rating of the app was 16.9 ± 1.97 and 15.6 ± 2.42 respectively. Total impact and usability score was 24.1 ± 3.39 (out of 30) and 27.8 ± 3.09 (out of 50). Participants reported that back care cartoon app mostly affect mindfulness/meditation/relaxation (42.9%), increases happiness/well-being (46.4%), leads to behavioural change (60.7%) and targets physical health (100%). There was no significant correlation between participants’ pain characteristics and app rating parameters (p>0.05). Conclusion: The animated cartoon-based self-care LBP app has moderate to high usability, functionality, aesthetics and quality rating, and may serve as an effective mobile-app for self-management of long-term LBP.

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Evaluating the Relationship between Well-Being and Living with a Dog for People with Chronic Low Back Pain: A Feasibility Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16081472 ◽

2019 ◽

Vol 16 (8) ◽

pp. 1472 ◽

Cited By ~ 7

Author(s):

Eloise C.J. Carr ◽

Jean E. Wallace ◽

Rianne Pater ◽

Douglas P. Gross

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Social Ties ◽

Well Being ◽

Low Back ◽

Dog Ownership ◽

Dog Owners ◽

The Relationship

Chronic low back pain is a significant societal and personal burden that negatively impacts quality of life. Dog ownership has been associated with health benefits. This study evaluated the feasibility of surveying people with chronic low back pain to assess the relationship between dog ownership and well-being. A mail-out survey was sent to 210 adult patients with chronic low back pain. Measures of quality of life, pain, physical activity, emotional health, social ties and dog ownership were included. Feasibility was assessed by examining survey response rate, responses to established and newly developed measures, and the potential relationships between dog ownership and a number of key well-being variables in this patient population. There were 56 completed surveys returned (n = 36 non-dog owners and n = 20 dog owners). Established, adapted and newly developed scales revealed promising results. Dog owners reported fewer depression and anxiety symptoms, and more social ties than non-dog owners. Living with a dog may be associated with improved well-being for people with chronic pain. The findings from this feasibility study will inform a general population survey, to be conducted with a larger, more representative sample of people living with chronic pain.

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Comparison of lumbopelvic stability, low back pain and well-being of women who have overactive bladder syndrome to asymptomatic controls: cut-off points

Somatosensory & Motor Research ◽

10.1080/08990220.2021.1961722 ◽

2021 ◽

pp. 1-8

Author(s):

Basak Kavalci Kol ◽

Kemal Oskay ◽

Seyda Toprak Celenay

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Overactive Bladder ◽

Well Being ◽

Overactive Bladder Syndrome ◽

Low Back

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Low Back Pain during Pregnancy and Delivery Outcomes

Zeitschrift für Geburtshilfe und Neonatologie ◽

10.1055/a-1553-4856 ◽

2021 ◽

Author(s):

Arrigo Frusclazo ◽

Paolo Cocco ◽

Ambrogio P. Londero ◽

Markus Gantert

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Cesarean Section ◽

Functional Disability ◽

Mode Of Delivery ◽

Well Being ◽

Low Back ◽

Cross Sectional ◽

Delivery Outcomes ◽

Pregnancy And Delivery

Abstract Aim To evaluate low back pain (LBP) incidence and impact throughout pregnancy in terms of women’s well-being and delivery outcomes. Material and methods Cross-sectional prospective study conducted on singleton pregnancies at ≥37th gestational age admitted for delivery. Localization of LBP, intensity and frequency as well as derived functional disability status were assessed with a self-reported questionnaire. Main delivery outcomes including mode of delivery, and maternal or neonatal complications were recorded. Results A total of 229 women participated in the study. LBP prevalence amounted to 55.9%, with the pain already present before pregnancy in 14.0% of the cases. The pain was mostly localized in the lower back (40.6%), symphysis (23.3%), and coccyx (20.5%). Both the frequency and intensity of pain gradually increased significantly during pregnancy, reaching 20 days/month (IQR=10–30) and 6/10 points (IQR=5–8) on a visual analog scale in the 3rd trimester (p<0.05). The extent of functional impairment also progressively increased up to 39/100 points (IQR=25–55, p<0.05). Women affected by LBP during pregnancy had a higher cesarean section rate during labor than women without LBP (11.9% vs. 28.9%, p<0.05). The risk was also significant in the multivariate analysis (OR=4.0, 95%CI=1.1–15.0, p<0.05). There was no difference in the rate of operative vaginal births or in the other outcomes considered. Conclusions LBP is a common issue in pregnant women, accounting for increasing morbidity and invalidity, and leading to an increased cesarean section risk during labor.

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COVARIANCE STRUCTURAL MODELING-BASED MULTI-GROUP ANALYSIS AMONG LIVING ENVIRONMENT, HOUSEWORK AND CHRONIC LOW BACK PAIN

Journal of Environmental Engineering (Transactions of AIJ) ◽

10.3130/aije.78.655 ◽

2013 ◽

Vol 78 (690) ◽

pp. 655-660 ◽

Cited By ~ 2

Author(s):

Natsuko NAGASAWA ◽

Hitomi TSUTSUMI ◽

Yukiko MATSUOKA ◽

Ryuichi KATO ◽

Takashi AKIMOTO ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Group Analysis ◽

Structural Modeling ◽

Living Environment ◽

Low Back

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The Experience of Acupuncture Care from the Perspective of People with Chronic Low Back Pain: A Grounded Theory Study

Acupuncture in Medicine ◽

10.1136/acupmed-2013-010477 ◽

2014 ◽

Vol 32 (4) ◽

pp. 333-339 ◽

Cited By ~ 4

Author(s):

N J Stomski ◽

S F Mackintosh ◽

M Stanley

Keyword(s):

Decision Making ◽

Low Back Pain ◽

Grounded Theory ◽

Back Pain ◽

Shared Decision Making ◽

Chronic Low Back Pain ◽

Well Being ◽

Low Back ◽

Shared Decision ◽

Core Category

Objectives To explore the experience of acupuncture care from the perspective of people with chronic low back pain. Methods A grounded theory, qualitative study using indepth interviews was undertaken with 11 people who had received acupuncture care for chronic low back pain. Interviews were audio-recorded and transcribed verbatim. Initial, focused and theoretical coding were used to identify a core category and several other categories. Results The core category, Reclaiming Control, was related to the sense of well-being experienced by most of the participants as a result of undergoing acupuncture care. The other categories were Gaining Sanctuary, Gaining Trust and Working Together. These categories reflected the processes of participants entering an aesthetically appealing, calm and relaxing space; developing confidence in the acupuncturists’ ability to care for them; and negotiating strategies and sharing decision-making with acupuncturists about their care. Conclusions Clinicians using acupuncture as a management strategy for low back pain may elicit an immediate sense of calmness in patients with subsequent well-being benefits. A sense of calmness may also be enhanced through providing a relaxing physical environment. The transactional and interpersonal processes of establishing trust and rapport, and shared decision-making are important for clients. Shared decision-making can be improved by clinicians carefully considering the explanation of issues and plans to a particular patient, especially by developing an understanding of each patient's worldview and using language that the suits each individual's healthcare orientation. Our findings should be interpreted cautiously as the results may be generalisable only to private practice in affluent countries, and whether the findings are representative beyond this setting remains unclear.

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Are low levels of low back pain intensity and disability associated with reduced well-being in community-based women?

Climacteric ◽

10.1080/13697130802635645 ◽

2009 ◽

Vol 12 (3) ◽

pp. 266-275 ◽

Cited By ~ 9

Author(s):

D. M. Urquhart ◽

S. Shortreed ◽

S. R. Davis ◽

F. M. Cicuttini ◽

R. J. Bell

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Pain Intensity ◽

Well Being ◽

Low Back ◽

Community Based ◽

Low Levels

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Pain chronification and the important role of non-disease-specific symptoms in patients with systemic sclerosis

Arthritis Research & Therapy ◽

10.1186/s13075-021-02421-1 ◽

2021 ◽

Vol 23 (1) ◽

Author(s):

Caroline Evers ◽

Suzana Jordan ◽

Britta Maurer ◽

Mike Oliver Becker ◽

Carina Mihai ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Systemic Sclerosis ◽

Rating Scale ◽

Well Being ◽

Anxiety And Depression ◽

Low Back ◽

Pain Chronification ◽

Specific Symptoms ◽

Disease Specific

Abstract Background Pain is a frequent, yet inadequately explored challenge in patients with systemic sclerosis (SSc). This study aimed to conduct an extensive pain assessment, examining pain chronification and its association with disease manifestations. Methods Consecutive SSc patients attending their annual assessment were included. SSc-specific features were addressed as defined by the European Scleroderma Trials and Research (EUSTAR) guidelines. Pain analysis included intensity, localization, treatment, chronification grade according to the Mainz Pain Staging System (MPSS), general well-being using the Marburg questionnaire on habitual health findings (MFHW) and symptoms of anxiety and depression using the Hospital Anxiety and Depression Scale (HADS). Results One hundred forty-seven SSc patients completed a pain questionnaire, and 118/147 patients reporting pain were included in the analysis. Median pain intensity was 4/10 on a numeric rating scale (NRS). The most frequent major pain localizations were hand and lower back. Low back pain as the main pain manifestation was significantly more frequent in patients with very early SSc (p = 0.01); those patients also showed worse HADS and MFHW scores. Regarding pain chronification, 34.8% were in stage I according to the MPSS, 45.2% in stage II and 20.0% in stage III. There was no significant correlation between chronification grade and disease severity, but advanced chronification was significantly more frequent in patients with low back pain (p = 0.024). It was also significantly associated with pathological HADS scores (p < 0.0001) and linked with decreased well-being and higher use of analgesics. Conclusions Our study implies that also non-disease-specific symptoms such as low back pain need to be considered in SSc patients, especially in early disease. Since low back pain seems to be associated with higher grades of pain chronification and psychological problems, our study underlines the importance of preventing pain chronification in order to enhance the quality of life.

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