Trajectories of pain and disability in older adults with acute low back pain: Longitudinal data of the BACE-Brazil cohort

ABSTRACT A cross-sectional analysis was conducted using data from a prospective cohort study to investigate whether frailty is associated with pain intensity, disability caused by low back pain (LBP), and quality of life in an older population with acute non-specific LBP. Six hundred and two individuals with a mean age of 67.6 (standard deviation [SD] 7.0) years were included in the analysis. In relation to frailty status, 21.3 per cent of the sample were classified as robust, 59.2 per cent were classified as pre-frail, and 19.5 per cent were classified as frail. In the unadjusted analysis, pre-frail and frail groups showed significantly higher pain and disability scores than the robust group. Moreover, the same two groups exhibited lower scores in both physical and mental domains of quality of life than the robust group. After adjusting for socio-demographic and clinical variables, disability scores and the physical component of quality of life were significantly associated with frailty. In older adults with acute LBP, frailty is associated with more disability and worse scores in the physical component of quality of life.

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Disability in older adults with acute low back pain: the study Back Complaints in the Elderly – (Brazil)

Brazilian Journal of Physical Therapy ◽

10.1016/j.bjpt.2017.06.008 ◽

2017 ◽

Vol 21 (5) ◽

pp. 365-371 ◽

Cited By ~ 3

Author(s):

Alessandra Regina Silva Araujo Aguiar ◽

Giane Amorim Ribeiro-Samora ◽

Leani Souza Maximo Pereira ◽

Larissa Birro Godinho ◽

Marcella Guimarães Assis

Keyword(s):

Older Adults ◽

Low Back Pain ◽

Back Pain ◽

The Elderly ◽

Low Back ◽

Acute Low Back Pain

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Influence of the number and severity of comorbidities in the course of acute non-specific low back pain in older adults: longitudinal results from the Back Complaints in the Elders (BACE-Brazil)

Age and Ageing ◽

10.1093/ageing/afz134 ◽

2019 ◽

Vol 49 (1) ◽

pp. 96-101

Author(s):

Amanda Aparecida Oliveira Leopoldino ◽

Rodrigo Zunzarren Megale ◽

Juliano Bergamaschine Mata Diz ◽

Bruno de Souza Moreira ◽

Lygia Paccini Lustosa ◽

...

Keyword(s):

Older Adults ◽

Low Back Pain ◽

Back Pain ◽

Rating Scale ◽

Linear Regression Analysis ◽

Numeric Rating Scale ◽

Community Dwelling ◽

Low Back ◽

Acute Low Back Pain ◽

Disability Questionnaire

Abstract Background The presence of comorbidities is quite common in older adults. However, the effects of comorbidities on the course of acute low back pain (LBP) are not fully understood. Objective To investigate the effects of the number and severity of comorbidities on the severity of pain and disability 3 months from baseline in people with an acute episode of non-specific LBP. Methods Data from the Back Complaints in the Elders study, a cohort that enrolled 602 community-dwelling older adults with acute LBP at baseline, were used in these analyses. Comorbidities, pain intensity and disability were assessed using the Self-Administered Comorbidities Questionnaire (SCQ), the Numeric Rating Scale (NRS) and the Roland–Morris Disability Questionnaire (RMDQ), respectively. Age, sex, marital status, education, income and body mass index were covariates. Results The mean age of participants was 67.6 ± 7.0 years. Both pain and disability scores decreased from 7.2 (95% confidence interval [95% CI] 7.0–7.4) to 5.8 (95% CI 5.5–6.1) in NRS and from 13.5 (95% CI 13.0–14.1) to 12.0 (95% CI 11.4–12.7) in RMDQ 3 months from baseline. The linear regression analysis showed a significant association between SCQ scores at baseline and pain (coefficient = 0.16, 95% CI 0.08–0.24; P < 0.001) or disability (coefficient = 0.29, 95% CI 0.16–0.41; P < 0.001) scores at the 3-month follow-up, after adjusting for confounders. Participants with highest SCQ scores were less likely to report improvement of at least 30% in pain (OR: 0.41, 95% CI 0.22–0.79; P = 0.008) and disability (OR: 0.42, 95% CI 0.28–0.85; P = 0.015). Conclusion The presence and severity of comorbidities were independently associated with the prognosis of acute non-specific LBP in older adults.

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MRIs Done for Acute Low Back Pain Rarely Show New Changes

Rheumatology News ◽

10.1016/s1541-9800(06)71574-5 ◽

2006 ◽

Vol 5 (12) ◽

pp. 33

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Low Back ◽

Acute Low Back Pain

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Acute low back pain: Diagnostics and treatment

Clinical Excellence for Nurse Practitioners ◽

10.1054/xc.2001.19730 ◽

2001 ◽

Vol 5 (2) ◽

pp. 80-84 ◽

Cited By ~ 1

Author(s):

Faith Coleman Becker

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Low Back ◽

Acute Low Back Pain

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Practitioner Self-confidence and Patient Outcomes in Acute Low Back Pain

Archives of Family Medicine ◽

10.1001/archfami.7.3.223 ◽

1998 ◽

Vol 7 (3) ◽

pp. 223-228 ◽

Cited By ~ 20

Author(s):

D. R. Smucker

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Patient Outcomes ◽

Low Back ◽

Acute Low Back Pain ◽

Self Confidence

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Low Back Pain in Commercial Airline Pilots

Aerospace Medicine and Human Performance ◽

10.3357/amhp.5656.2020 ◽

2020 ◽

Vol 91 (12) ◽

pp. 940-947

Author(s):

Matthias Albermann ◽

Maria Lehmann ◽

Christian Eiche ◽

Joachim Schmidt ◽

Johannes Prottengeier

Keyword(s):

Risk Factors ◽

Low Back Pain ◽

Back Pain ◽

Online Survey ◽

German Population ◽

Low Back ◽

Airline Pilots ◽

Acute Low Back Pain ◽

Commercial Airline ◽

Negative Effect

BACKGROUND: In their working life, airline pilots are exposed to particular risk factors that promote nonspecific low back pain (LBP). Because of the varying incidence internationally, we evaluated the point prevalences of acute, subacute, and chronic nonspecific LBP, as well as the current prevalences in German airline pilots. Furthermore, we compared the prevalence to the general German population and to European counterparts.METHODS: An anonymous online survey of 698 participating German airline pilots was evaluated. The impairment between groups was analyzed. Prevalences from our data were compared to existing data.RESULTS: The following point prevalences were found: 8.2% acute, 2.4% subacute, 82.7% chronic LBP; 74.1% of all individuals were suffering from current LBP when answered the questionnaire. A total time spent flying greater than 600 h within the last 12 mo was significantly related to acute nonspecific LBP. Individuals with any type of LBP were significantly impaired compared to those unaffected. It was found that German airline pilots suffer more often from current LBP than the general population and have a higher point prevalence of total LBP than their European counterparts.CONCLUSIONS: The evaluation showed a surprisingly high, previously unidentified, prevalence of nonspecific LBP in German airline pilots. Why German airline pilots suffer more often from LBP remains uncertain. The number of flying hours appears to have a negative effect on developing acute low back pain, but causation cannot be concluded. Other risk factors could not be confirmed.Albermann M, Lehmann M, Eiche C, Schmidt J, Prottengeier J. Low back pain in commercial airline pilots. Aerosp Med Hum Perform. 2020; 91(12):940947.

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