Back pain trajectories from midlife to retirement as a predictor of old age mobility and disability

Abstract Background Low back pain (LBP) is a leading cause for mobility limitations and disability at older age. However, little is known about the developmental pathways of LBP and its associations with old age mobility and disability. We studied trajectories of LBP from midlife to retirement (16-years follow-up) and assessed the association after 12 years with mobility limitations and disability in activities of daily living (ADL) at old age. Methods Finnish municipal employees were studied at baseline in 1981 and followed for 28 years. A total of 6257 persons aged 44-58 years, answered a questionnaire on health, work ability, and working conditions. Follow-up data on frequency of LBP (never, occasionally, consistently) was collected similarly at four waves. The study population consisted of persons who answered questions about LBP at baseline and at least in one of the follow-up waves and had information about ADL disability (n = 2787) and mobility limitations (n = 2723) at the 28-year follow-up. Latent class growth curve analysis was used to study LBP trajectories. Odds ratios (OR) with their 95% confidence intervals (CIs) for associations of LBP trajectory with ADL disability and mobility limitations were estimated using multivariable logistic regression. Results We identified two trajectories of LBP: high (77%) and low (23%). People in the high trajectory group had 2.35 times higher odds (95% CI 1.88- 2.97) of ADL disability and 1.86 times higher odds (95% CI 1.56-2.22) of mobility limitations as compared to the low trajectory group. Effects were attenuated by adjustment for lifestyle factors and chronic conditions but remained statistically significant for both outcomes [OR 1.74 (95% CI 1.37-2.24) and 1.44 (1.18-1.77), respectively]. Conclusions High LBP experienced during midlife may have far reached consequences on well-being at old age. Prevention of LBP during mid-life could reduce mobility limitations and disability at old age and promote a healthy ageing. Key messages Our results show that low back pain experienced during midlife is associated with mobility limitations and disability in activities of daily living at old age. Our results suggest that emphasis should be put on promotion of musculoskeletal health in midlife as this may help to reduce disability and mobility limitations at old age.

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The Impact of Buprenorphine Transdermal Delivery System on Activities of Daily Living Among Patients With Chronic Low Back Pain

Clinical Journal of Pain ◽

10.1097/ajp.0000000000000068 ◽

2014 ◽

Vol 30 (12) ◽

pp. 1015-1022 ◽

Cited By ~ 5

Author(s):

Kate Miller ◽

Aaron Yarlas ◽

Warren Wen ◽

Bradley Dain ◽

Shau Yu Lynch ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Activities Of Daily Living ◽

Delivery System ◽

Chronic Low Back Pain ◽

Transdermal Delivery ◽

Daily Living ◽

Low Back ◽

Transdermal Delivery System ◽

The Impact

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A Qualitative Study on Coping Strategies Among Patients with Non-Specific Low-Back Pain

Middle East Journal of Rehabilitation and Health ◽

10.5812/mejrh.103387 ◽

2020 ◽

Vol 7 (3) ◽

Author(s):

Adesola Ojo Ojoawo ◽

Taiwo Oluwaseun Arasanmi ◽

Chidozie Emmanuel Mbada

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Activities Of Daily Living ◽

Coping Strategies ◽

Daily Living ◽

Rating Scale ◽

Low Back ◽

Religious Activities ◽

Work Related ◽

And Coping

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.

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Standardized activities of daily living in presence of sub-acute low-back pain: A pilot study

Journal of Electromyography and Kinesiology ◽

10.1016/j.jelekin.2012.08.006 ◽

2013 ◽

Vol 23 (1) ◽

pp. 159-165 ◽

Cited By ~ 10

Author(s):

Jacob H. Svendsen ◽

Heine Svarrer ◽

Uffe Laessoe ◽

Miriam Vollenbroek-Hutten ◽

Pascal Madeleine

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Pilot Study ◽

Activities Of Daily Living ◽

Daily Living ◽

Low Back ◽

Acute Low Back Pain

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Longitudinal Observations of Low Back Pain Recovery

Proceedings of the Human Factors and Ergonomics Society Annual Meeting ◽

10.1177/154193129804201402 ◽

1998 ◽

Vol 42 (14) ◽

pp. 1013-1017

Author(s):

Sue A. Ferguson

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Activities Of Daily Living ◽

Outcome Measures ◽

Discriminant Function ◽

Daily Living ◽

Functional Performance ◽

Function Analysis ◽

Low Back ◽

Personal Factors

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.

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LOW BACK PAIN AND SCIATICA AS CAUSES FOR DISTURBED ACTIVITIES OF DAILY LIVING

The Japanese Journal of Rehabilitation Medicine ◽

10.2490/jjrm1963.16.51 ◽

1979 ◽

Vol 16 (1) ◽

pp. 51-54

Author(s):

Mitsuo HASUE ◽

Yozo SAKUYAMA ◽

Takahiko SAKAMOTO ◽

Shinichi KIKUCHI ◽

Hisashi NAKAMURA ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Activities Of Daily Living ◽

Daily Living ◽

Low Back

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P.087 Low back pain relief with a new 32-contact surgical lead and neural targeting algorithm

Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques ◽

10.1017/cjn.2016.189 ◽

2016 ◽

Vol 43 (S2) ◽

pp. S40-S40 ◽

Cited By ~ 1

Author(s):

J Pilitisis ◽

G Barolat ◽

J Rosenow ◽

J Brennan ◽

A Bailey ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Pain Relief ◽

Activities Of Daily Living ◽

Daily Living ◽

Pain Reduction ◽

Current Control ◽

Patient Specific ◽

Low Back ◽

Procedural Information

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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