Dimensionality, Internal Consistency, and Item Analysis of the National Health and Nutrition Examination Surveys Activities of Daily Living Instrument Among Patients With Report of Low Back Pain

2006 ◽  
Vol 29 (3) ◽  
pp. 183-189 ◽  
Author(s):  
Chad E. Cook ◽  
Jan K. Richardson ◽  
Ricardo Pietrobon
2020 ◽  
Vol 7 (3) ◽  
Author(s):  
Adesola Ojo Ojoawo ◽  
Taiwo Oluwaseun Arasanmi ◽  
Chidozie Emmanuel Mbada

Background: Non-specific low-back pain (NSLBP) is a common health problem worldwide, but the perception and coping strategies used by patients are underreported. Objectives: The objectives of the study were to evaluate the perception of patients with NSLBP, the ways the pain interrfered with their basic life, and coping strategies employed by them. Methods: Twenty patients consisting of 10 males (50%) and 10 females (50%) participated in this study. A qualitative interview was conducted using a three-section modified structured interview guide by Gwenda. Section A contained sociodemographic information, section B was the numerical pain rating scale, and section C asked questions about the pain duration, the ways of pain interference with the patient’s life, and strategies used to cope with pain. The data were analyzed using thematic content analysis. Results: The results showed that 50% of the patients were within the age range of 58 years or above. Ten (50%) patients perceived that NSLBP was caused by work-related activities and 10% perceived that NSLBP was a spiritual problem. Fifty percent reported that the pain interfered with their activities of daily living, and four (20%) mentioned that NSLBP interfered with their sexual function and religious activities. Concerning the coping strategy, 40% used prayer, 15% usually ignored the pain, and 35% used the conventional approach. Conclusions: It can be concluded that half of the patients with NSLBP perceived NSLBP to be caused by work-related activities. Besides, NSLBP interfered with basic activities of daily living, and about 40% were coping with NSLBP with prayer and spiritual means.


2013 ◽  
Vol 23 (1) ◽  
pp. 159-165 ◽  
Author(s):  
Jacob H. Svendsen ◽  
Heine Svarrer ◽  
Uffe Laessoe ◽  
Miriam Vollenbroek-Hutten ◽  
Pascal Madeleine

Author(s):  
Sue A. Ferguson

Most low back pain recovery studies evaluate one outcome measure at one point in time. Return to work, symptoms, activities of daily living and functional performance have been commonly used outcome measures. The goal of this project was to evaluate all four previously used outcome measures at several points in time. The second goal of the project was to predict outcome as a function of time and recovery measure. The outcome measures of working status, symptoms, and activities of daily living were measured using questionnaires. Functional performance outcome was evaluated using the lumbar motion monitor. These outcome measures were evaluated every two weeks for three months. Psychological factors, psychosocial factors, physical job demands and personal factors that may influence recovery were also evaluated. Discriminant function analysis was used to predict outcome at a specific visit given the confounding factors and any previous conditions. The cross-validation error rate for the discriminant function results ranged from 0–15%. The results showed discrepancies among the four outcome measures in there indication of recovery. This is the first study to compare multiple outcome measures at several point in time after an LBP episode.


1979 ◽  
Vol 16 (1) ◽  
pp. 51-54
Author(s):  
Mitsuo HASUE ◽  
Yozo SAKUYAMA ◽  
Takahiko SAKAMOTO ◽  
Shinichi KIKUCHI ◽  
Hisashi NAKAMURA ◽  
...  

2021 ◽  
Author(s):  
Minji Oh ◽  
Jongyeon Kim ◽  
Seunghoon Lee ◽  
Jae-Dong Lee

Abstract Obesity is associated with chronic low back pain (CLBP), but the association between fat distribution and CLBP is currently unclear. We designed a cross-sectional study to evaluate the relationship between the two, including 10,606 people who participated in the Korean National Health and Nutrition Examination Survey. We estimated the regional fat distribution as well as waist circumference and body fat proportion, and compared the values in people with and without CLBP. We also stratified the estimates by sex and obesity status. The average waist circumference was not significantly different between the CLBP (80.8 cm) and non-CLBP groups (80.7 cm, p = 0.606). There were no statistically significant differences in the average fat proportion between the CLBP (26.5%) and non-CLBP groups (26.6%, p = 0.631). The average regional fat distribution in the lower limbs was significantly higher in the CLBP (31.9%, 95% confidence interval [CI]: [31.6, 32.2]) than in the CLBP groups (31.4%, 95% CI: [31.2, 31.6], p < 0.001); this pattern was more obvious in men with obesity. People, particularly men, with CLBP and obesity tend to have a higher fat mass distribution in the lower limbs than those without CLBP, suggesting that fat reductions in the lower body may aid in CLBP management.


Author(s):  
J Pilitisis ◽  
G Barolat ◽  
J Rosenow ◽  
J Brennan ◽  
A Bailey ◽  
...  

Background: Advances in surgical leads have been thought to potentially enable improved low-back pain relief using SCS. A recently introduced 32-contact surgical lead, which couples multiple independent current control and anatomically-based neural targeting stimulation algorithms, allows for patient-specific programming optimization. We present a real world study of this surgical lead. Methods: A multi-center, consecutive, observational study of a new 32-contact surgical lead was carried out, using the Precision Spectra SCS System (Boston Scientific) in 100 subjects out to 12 months post-implant. We examined procedural information, programming parameters, and clinical outcomes including pain reduction (NRS), activities of daily living, and change in pain medications. Results: Surgical lead placement distribution was between T7 and L2, with most at top of T9 (26%). A mean reduction of 5.1 points (SD 2.15, p<0.001) from 7.8 (baseline) to 2.6 in overall pain was observed. A subset of subjects reporting low-back pain only exhibited a mean decrease of 6.0 points (SD 2.12, p<0.001) from 8.3 (baseline) to 2.2. Of these, 83.1% of subjects showed ≥50% back pain reduction. Increases in activities of daily living and reduction in pain medication usage were also observed in majority of subjects. Conclusions: Subjects implanted with a 32-contact surgical lead using a neural targeting algorithm demonstrated significant low-back pain reduction.


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