Low back pain and psychosocial factors are not predictive of future pain impact in hip and knee osteoarthritis

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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Factors associating with disability of non-specific low back pain in different subgroups: A hierarchical linear regression analysis

Scientific Reports ◽

10.1038/s41598-021-97569-w ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Takahiro Miki ◽

Daisuke Higuchi ◽

Tsuneo Takebayashi ◽

Mina Samukawa

Keyword(s):

Regression Analysis ◽

Low Back Pain ◽

Back Pain ◽

Pain Intensity ◽

Psychosocial Factors ◽

Self Efficacy ◽

Explanatory Power ◽

Low Back ◽

Acute Group ◽

Pain Catastrophising

AbstractThis study aimed to explore factors associating with disability, which means physical impairment affecting a person’s mobility, capacity, stamina, or agility, of non-specific low back pain (NSLBP) of the acute and non-acute groups. Two hundred thirty-five patients with NSLBP of less than 8 weeks’ duration as acute groups (n = 124) and more than 8 weeks’ duration as non-acute group (n = 111) were recruited. It was collected data on pain intensity, disability and psychosocial factors, including pain catastrophising, fear of movement and pain self-efficacy. Disability was measured Roland Morris Disability Questionnaire. A hierarchical multiple regression analysis was performed to analyse factors associating with disability of the acute and non-acute groups. The Result was that explanatory power increased with each additional variable of the order of demographic characteristics, pain intensity and psychosocial factors for both groups. Pain intensity, pain catastrophising and pain self-efficacy had significant explanatory power, with pain self-efficacy having the most significant association on the acute group. Only pain self-efficacy having the most significant association on disability of the non-acute group. In conclusion, the factors associating with disability differed depending on the duration of the disease, and pain self-efficacy might be one of the factors associating with disability of patients with NSLBP.

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Efficacy and safety of two generic copies of nimesulide in patients with low back pain or knee osteoarthritis

Reumatismo ◽

10.4081/reumatismo.2009.27 ◽

2011 ◽

Vol 61 (1) ◽

Author(s):

K.V. Ilic ◽

M. Sefik-Bukilica ◽

S. Jankovic ◽

N. Vujasinovic-Stupar

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Knee Osteoarthritis ◽

Low Back ◽

Efficacy And Safety

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Causal mechanisms of a healthy lifestyle intervention for patients with musculoskeletal pain who are overweight or obese

Clinical Rehabilitation ◽

10.1177/0269215519831419 ◽

2019 ◽

Vol 33 (6) ◽

pp. 1088-1097 ◽

Cited By ~ 1

Author(s):

Amanda Williams ◽

Hopin Lee ◽

Steven J Kamper ◽

Kate M O’Brien ◽

John Wiggers ◽

...

Keyword(s):

Physical Activity ◽

Low Back Pain ◽

Back Pain ◽

Knee Osteoarthritis ◽

Lifestyle Intervention ◽

Chronic Low Back Pain ◽

Healthy Lifestyle ◽

Low Back ◽

Pain Beliefs ◽

Causal Mechanisms

Purpose: To assess the causal mechanisms of a healthy lifestyle intervention for patients with chronic low back pain and knee osteoarthritis, who are overweight or obese. Methods: We conducted causal mediation analyses of aggregated data from two randomized controlled trials (RCTs); which included 160 patients with chronic low back pain, and 120 patients with knee osteoarthritis. The intervention consisted of brief advice and referral to a six-month telephone-based healthy lifestyle coaching service. We used causal mediation to estimate the indirect, direct and path-specific effects of hypothesized mediators including: self-reported weight, diet, physical activity, and pain beliefs. Outcomes were pain intensity, disability, and quality of life (QoL). Results: The intervention did not reduce weight, improve diet or physical activity or change pain beliefs, and these mediators were not associated with the outcomes. Sensitivity analyses showed that our estimates were robust to the possible effects of unknown and unmeasured confounding. Conclusions: Our findings show that the intervention did not cause a meaningful change in the hypothesized mediators, and these mediators were not associated with patient-reported outcomes.

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