(443) Racial Differences in Appraisal of Physical Activity among Community-Dwelling Adults with Chronic Low Back Pain

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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Do patients with chronic low back pain have an altered level and/or pattern of physical activity compared to healthy individuals? A systematic review of the literature

Physiotherapy ◽

10.1016/j.physio.2011.04.350 ◽

2012 ◽

Vol 98 (1) ◽

pp. 13-23 ◽

Cited By ~ 50

Author(s):

D.W. Griffin ◽

D.C. Harmon ◽

N.M. Kennedy

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Low Back ◽

Healthy Individuals ◽

Review Of The Literature ◽

Altered Level

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A pilot study to determine the effect of one physical therapy session on physical activity levels for individuals with chronic low back pain

BMC Research Notes ◽

10.1186/s13104-017-3006-x ◽

2017 ◽

Vol 10 (1) ◽

Author(s):

Wayne Brewer ◽

Brian T. Swanson ◽

Toni S. Roddey ◽

Habeeblai Adewale ◽

Caleb Ashmore ◽

...

Keyword(s):

Physical Activity ◽

Low Back Pain ◽

Back Pain ◽

Pilot Study ◽

Physical Therapy ◽

Chronic Low Back Pain ◽

Activity Levels ◽

Low Back ◽

Physical Therapy Session ◽

Physical Activity Levels

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Advancing the screening of fibromyalgia in late-life depression: practical implications for psychiatric settings

International Psychogeriatrics ◽

10.1017/s1041610215000666 ◽

2015 ◽

Vol 27 (9) ◽

pp. 1513-1521 ◽

Cited By ~ 4

Author(s):

John R. Jochum ◽

Amy E. Begley ◽

Mary Amanda Dew ◽

Debra K. Weiner ◽

Jordan F. Karp

Keyword(s):

Older Adults ◽

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Late Life ◽

Community Dwelling ◽

Screening Tests ◽

Health Clinic ◽

Low Back ◽

Late Life Depression

ABSTRACTBackground:Fibromyalgia (FM) is common in older adults suffering from mood disorders. However, clinical diagnosis of FM is challenging, particularly in psychiatric settings. We examined the prevalence of FM and the sensitivity of three simple screeners for FM.Methods:Using cross-sectional data, we evaluated three tests against the American College of Rheumatology (ACR) 1990 Criteria for the Classification of FM: a “Do you often feel like you hurt all over?” question, a pain map score, and the Pope and Hudson (PH) interview for FM. Participants were 185 community-dwelling adults ≥ 60 years old with comorbid depression and chronic low back pain evaluated at a late-life mental health clinic.Results:Fifty three of 185 participants (29%) met the ACR 1990 FM criteria. Compared to those without FM, the FM group had more “yes” answers to the “hurt all over?” question and higher pain map scores. To reach a sensitivity of at least 0.90, the cut-off score for the pain map was 8. The sensitivity of the pain map, “hurt all over?” question, and PH criteria were 0.92 [95%CI 0.82–0.98], 0.91 [95%CI 0.79–0.97], and 0.94 [95%CI 0.843–0.99] respectively.Conclusions:Nearly one in three older adults suffering from depression and chronic low back pain met ACR 1990 FM criteria. Three short screening tests showed high sensitivity when compared to the ACR 1990 FM criteria. Implementation of one of the simple screeners for FM in geriatric psychiatry settings may guide the need for further diagnostic evaluation.

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Do depression and pain intensity interfere with physical activity in daily life in patients with Chronic Low Back Pain?

Pain ◽

10.1016/j.pain.2010.04.021 ◽

2010 ◽

Vol 150 (1) ◽

pp. 161-166 ◽

Cited By ~ 60

Author(s):

Ivan P.J. Huijnen ◽

Jeanine A. Verbunt ◽

Madelon L. Peters ◽

Philippe Delespaul ◽

Hanne P.J. Kindermans ◽

...

Keyword(s):

Physical Activity ◽

Low Back Pain ◽

Back Pain ◽

Pain Intensity ◽

Chronic Low Back Pain ◽

Daily Life ◽

Low Back

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Coping With Pain Produced by Physical Activity in Persons With Chronic Low Back Pain: Immediate Assessment Following a Specific Pain Event

Behavioral Medicine ◽

10.1080/08964289809596378 ◽

1998 ◽

Vol 24 (1) ◽

pp. 29-34 ◽

Cited By ~ 13

Author(s):

Lance M. McCracken ◽

Virginia L. Goetsch ◽

Elizabeth M. Semenchuk

Keyword(s):

Physical Activity ◽

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Low Back

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The Effect of Social Isolation During the COVID-19 Pandemic on Patients with Chronic Low Back Pain Who Underwent a Spine Intervention

January 2018 - Pain Physician ◽

10.36076/ppj.2021.24.319 ◽

2021 ◽

pp. 319-325

Keyword(s):

Physical Activity ◽

Low Back Pain ◽

Back Pain ◽

Social Isolation ◽

Chronic Low Back Pain ◽

Activity Levels ◽

Low Back ◽

Spine Intervention ◽

Vas Scores ◽

Spinal Injections

BACKGROUND: The COVID-19 infection poses a serious threat to global health for millions of people. In addition to therapeutic treatment methods, preventive measures are also important in controlling the pandemic. As a result, billions of people are quarantined in their homes to prevent the spread of coronavirus. However, social isolation may result in immobility, which can lead to musculoskeletal problems and an increased level of pain, depending on the weakness of the muscles. OBJECTIVES: To examine the effect of social isolation during the recent COVID-19 pandemic on patients with chronic low back pain. STUDY DESIGN: A total of 145 patients who underwent a spine intervention within the past year were enrolled in this prospective and cross-sectional study. SETTING: The study was performed in the interventional pain unit of a tertiary rehabilitation center in Turkey. METHODS: Patient data were obtained by telephone interview and included information pertaining to demographics, pain history, an assessment of pain, analgesic use, activity levels, and an evaluation of stress and sleep habits. Additionally, the International Physical Activity Questionnaire (IPAQ) was used to evaluate patient activity levels. RESULTS: It was detected that social isolation has increased the intensity of low back pain experienced by patients during the COVID-19 pandemic. We also found that patients who benefited from spinal injections administered in the prepandemic period experience less severe low back pain (P = 0.000) and took fewer analgesics (P = 0.000) during the pandemic. The findings of our study revealed that there was a significant reverse correlation between IPAQ walking scores and the prepandemic Visual Analog Scale (VAS) scores (P = 0.015, r = -0.201) and the pandemic VAS scores (P = 0.000, r = -0.313).By contrast, the level of benefit from injections decreased (P < 0.05) and the duration of spinal intervention was shortened in patients with high IPAQ sitting scores (P < 0.05). LIMITATIONS: The limitations of the study are the small number of patients and the fact that our results are based on patients’ self-reported data. CONCLUSIONS: Social isolation has had an increasing effect on low back pain during the COVID-19 pandemic. The results of our study showed a significant relationship between activity level and pain intensity. We also found that patients who have benefited from spinal injections administered in the prepandemic period experience less severe low back pain during the pandemic. KEY WORDS: COVID-19, spine intervention, physical activity, low back pain, social isolation

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The Effect of Pain Relief on Daily Physical Activity: In-Home Objective Physical Activity Assessment in Chronic Low Back Pain Patients after Paravertebral Spinal Block

Sensors ◽

10.3390/s18093048 ◽

2018 ◽

Vol 18 (9) ◽

pp. 3048 ◽

Cited By ~ 4

Author(s):

Tzu Chuan Yen ◽

Jane Mohler ◽

Michael Dohm ◽

Kaveh Laksari ◽

Bijan Najafi ◽

...

Keyword(s):

Physical Activity ◽

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Facet Joint ◽

Conditioned Fear ◽

Daily Physical Activity ◽

Psychological State ◽

Spinal Block ◽

Low Back

This study evaluates the effect of paravertebral spinal injection (PSI), utilizing both subjective and objective assessments in chronic low back pain (LBP) associated with facet joint arthrosis over a one-month duration. Subjective questionnaires included the visual analogue scale (VAS) for pain, the Oswestry Disability Index, the Health Survey SF-12, and the short Falls Efficacy Scale International (FES-I). Objective assessments included in-clinic gait and Timed Up and Go (TUG) tests using wearable sensors, as well as 48 h daily physical activity (DPA) monitored using a chest-worn triaxial accelerometer. Subjective and objective measures were performed prior to treatment, immediately after the treatment, and one month after the treatment. Eight LBP patients were recruited for this study (mean age = 54 ± 13 years, body mass index = 31.41 ± 6.52 kg/m2, 50% males). Results show significant decrease in pain (~55%, p < 0.05) and disability (Oswestry scores, ~21%, p < 0.05). In-clinic gait and TUG were also significantly improved (~16% and ~18% faster walking and shorter TUG, p < 0.05); however, DPA, including the percentage of physical activities (walking and standing) and the number of steps, showed no significant change after PSI (p > 0.25; effect size ≤ 0.44). We hypothesize that DPA may continue to be truncated to an extent by conditioned fear-avoidance, a psychological state that may prevent increase in daily physical activity to avoid pain.

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