Predictors of self-reported disability in community dwelling adults with non-specific chronic low back pain in rural Nigeria

Physiotherapy ◽  
2015 ◽  
Vol 101 ◽  
pp. e637-e638 ◽  
Author(s):  
C.N. Igwesi-Chidobe ◽  
F. Ezeonu ◽  
C. Onwasigwe ◽  
S. Kitchen ◽  
I.O. Sorinola ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Community Dwelling ◽  
Low Back ◽  
Rural Nigeria

scholarly journals Unconventional Practitioners’ Causal Beliefs and Treatment Strategies for Chronic Low Back Pain in Rural Nigeria

2018 ◽  
Vol 11 ◽  
pp. 117863291880878 ◽  
Author(s):  
Chinonso N Igwesi-Chidobe ◽  
Isaac O Sorinola ◽  
Sheila Kitchen ◽  
Emma L Godfrey
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Treatment Strategies ◽  
Causal Beliefs ◽  
Low Back ◽  
Rural Nigeria

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

2015 ◽  
Vol 27 (9) ◽  
pp. 1513-1521 ◽  
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.

scholarly journals Prevalence, Spinal Alignment, and Mobility of Lumbar Spinal Stenosis with or without Chronic Low Back Pain: A Community-Dwelling Study

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Naohisa Miyakoshi ◽  
Michio Hongo ◽  
Yuji Kasukawa ◽  
Yoshinori Ishikawa ◽  
Yoichi Shimada
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Chronic Low Back Pain ◽  
Community Dwelling ◽  
Computer Assisted ◽  
Low Back ◽  
Spinal Alignment ◽  
Lumbar Spinal

Although lumbar spinal stenosis (LSS) occurs almost universally with aging, little is known regarding its actual prevalence and relationships to chronic low back pain (CLBP) in the general population. The presence of CLBP in subjects with LSS may have negative impacts on spinal alignment and mobility. This study evaluated the prevalence of LSS using a self-administered, self-reported history questionnaire in 630 community-dwelling individuals ≥50 years old. Subjects with LSS were further divided into LSS+CLBP and LSS alone groups, and spinal alignment and mobility were compared using a computer-assisted device. Prevalence of LSS was 10.8% in this cohort. Subjects in the LSS+CLBP group () showed a significantly more kyphotic lumbar spinal alignment with limited lumbar extension (), resulting in a stooped trunk compared to subjects in the LSS alone group (). However, no significant difference in spinal mobility was seen between groups.

scholarly journals “A life of living death”: the experiences of people living with chronic low back pain in rural Nigeria

2016 ◽  
Vol 39 (8) ◽  
pp. 779-790 ◽  
Author(s):  
Chinonso N. Igwesi-Chidobe ◽  
Sheila Kitchen ◽  
Isaac O. Sorinola ◽  
Emma L. Godfrey
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Low Back ◽  
Rural Nigeria

scholarly journals Biopsychosocial Profiles and Functional Correlates in Older Adults with Chronic Low Back Pain: A Preliminary Study

Pain Medicine ◽  
2018 ◽  
Vol 20 (7) ◽  
pp. 1300-1310 ◽  
Author(s):  
Debra K Weiner ◽  
Angela Gentili ◽  
Katherine Coffey-Vega ◽  
Natalia Morone ◽  
Michelle Rossi ◽  
...  
Keyword(s):  
Older Adults ◽  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Gait Speed ◽  
Cognitive Strategies ◽  
Community Dwelling ◽  
Pain Severity ◽  
Low Back ◽  
And Performance

Abstract Objective To describe key peripheral and central nervous system (CNS) conditions in a group of older adults with chronic low back pain (CLBP) and their association with pain severity and self-reported and performance-based physical function. Design Cross-sectional. Setting Outpatient VA clinics. Subjects Forty-seven community-dwelling veterans with CLBP (age 68.0 ± 6.5 years, range = 60–88 years, 12.8% female, 66% white) participated. Methods Data were collected on peripheral pain generators—body mass index, American College of Rheumatology hip osteoarthritis criteria, neurogenic claudication (i.e., spinal stenosis), sacroiliac joint (SIJ) pain, myofascial pain, leg length discrepancy (LLD), and iliotibial band pain; and CNS pain generators—anxiety (GAD-7), depression (PHQ-9), insomnia (Insomnia Severity Index), maladaptive coping (Fear Avoidance Beliefs Questionnaire, Cognitive Strategies Questionnaire), and fibromyalgia (fibromyalgia survey). Outcomes were pain severity (0 to 10 scale, seven-day average and worst), self-reported pain interference (Roland Morris [RM] questionnaire), and gait speed. Results Approximately 96% had at least one peripheral CLBP contributor, 83% had at least one CNS contributor, and 80.9% had both peripheral and CNS contributors. Of the peripheral conditions, only SIJ pain and LLD were associated with outcomes. All of the CNS conditions and SIJ pain were related to RM score. Only depression/anxiety and LLD were associated with gait speed. Conclusions In this sample of older veterans, CLBP was a multifaceted condition. Both CNS and peripheral conditions were associated with self-reported and performance-based function. Additional investigation is required to determine the impact of treating these conditions on patient outcomes and health care utilization.

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