scholarly journals Paradigm Shift in Geriatric Low Back Pain Management: Integrating Influences, Experiences, and Consequences

2018 ◽  
Vol 98 (5) ◽  
pp. 434-446 ◽  
Author(s):  
Corey B Simon ◽  
Gregory E Hicks
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Low Back Pain ◽  
Back Pain ◽  
Physical Function ◽  
Physical Therapist ◽  
Low Back ◽  
Younger Adults ◽  
Major Health ◽  
Spine Degeneration

AbstractGeriatric low back pain (LBP) can have a profound impact on physical activity and can cause a decline in physical function, which is a major health risk for older adults. Within the last decade, physical therapist management of LBP has shifted from an emphasis on pathoanatomical mechanisms, such as spine degeneration, to addressing psychological distress factors. Although this approach is promising, the complexity of LBP in older adults (including biological, psychological, cognitive, and social influences), which may differ from that in younger adults, must be considered. Further, outcome assessment should represent not only the LBP experience (eg, pain intensity, pain with movement) but also LBP consequences, such as physical activity decline and physical function decline. This perspective discusses influences on geriatric LBP, experiences, and consequences with the goal of facilitating standardized and comprehensive physical therapist management.

scholarly journals Effects of a 12-week workplace counseling program on physical activity and low back pain: a pilot randomized controlled study

2020 ◽  
Author(s):  
Kazuhiro Shimo ◽  
Mami Hasegawa ◽  
Seiko Mizutani ◽  
Tomomi Hasegawa ◽  
Takahiro Ushida
Keyword(s):  
Physical Activity ◽  
Low Back Pain ◽  
Back Pain ◽  
Physical Function ◽  
Physical Therapist ◽  
Intervention Group ◽  
Controlled Study ◽  
Control Group ◽  
Low Back ◽  
High Level

Abstract Background: Physical activity (PA) is essential in the management and rehabilitation of low back pain (LBP). However, it is not clear that PA interventions in the workplace can improve LBP. This study aimed to investigate the effects of workplace counseling on PA levels, and LBP and physical function among workers.Methods: We recruited 37 people with 12 weeks of LBP who worked as office staff or machinery mechanic in a manufacturing company in Aichi, Japan. Participants were randomly assigned to the intervention group (n = 20) or control group (n = 17). All participants of both groups were affixed with waist-worn accelerometers to monitor PA. The intervention group also received a program of face-to-face counseling with a physical therapist or nurse once a week for 12 weeks to reassure and encourage participants to maintain a high level of PA. PA, LBP severity and physical function were assessed at baseline, 3 and 6 months.Results: Baseline characteristics were similar in both groups. PA was significantly higher in the intervention group than in the control group at 3 and 6 months. In the intervention group, PA and physical function significantly increased at 3 and 6 months from baseline, and LBP severity at 6 months improved significantly from baseline. We calculated the effect size of the PA workplace counseling and found that it had a medium-to-large effect on PA, LBP severity and physical function.Conclusions: Our data suggest that workplace PA intervention can increase PA and improve LBP among workers.Trial registration: UMIN-CTR Clinical Trial UMIN000038864 (https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000044321). Registered 12 December 2019, retrospectively registered.

Effect of a 12-week workplace interview intervention on physical activity and low back pain: a single-center, randomized controlled study

2020 ◽  
Author(s):  
Kazuhiro Shimo ◽  
Mami Hasegawa ◽  
Seiko Mizutani ◽  
Tomomi Hasegawa ◽  
Takahiro Ushida
Keyword(s):  
Physical Activity ◽  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapist ◽  
Intervention Group ◽  
Office Workers ◽  
Controlled Study ◽  
Control Group ◽  
Low Back ◽  
Face To Face

Abstract Background Physical activity (PA) is essential in the management and rehabilitation of low back pain (LBP). However, it is not clear if workplace PA interventions can improve LBP. This study aimed to investigate the effects of workplace interview intervention on increasing PA and improving LBP among office workers. Methods We recruited 37 workers of a manufacturing company in Aichi, Japan. Participants were randomly assigned to the intervention group (n=20) or control group (n=17). We affixed waist-worn accelerometers to monitor PA in all participants, and provided face-to-face counseling with a physical therapist or nurse once a week for 12 weeks as workplace PA program to reassurance and encourage participants to keep high levels of PA. PA and LBP severity were assessed at baseline, 3 and 6 months. Results Baseline characteristics were similar in both groups, but PA was significantly higher in the intervention group than in the control group at 3 and 6 months. In the intervention group, was PA significantly increased at 3 and 6 months from baseline and LBP severity improved significantly at 6 months from baseline. We calculated the effect size of the interview intervention, and found that workplace interview intervention had a medium to large effect on PA and LBP severity. Conclusions Our data suggests that workplace PA intervention can increase PA and improve LBP among office workers. Trial registration UMIN-CTR Clinical Trial UMIN000038864 (https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000044321). Registered 12 December 2019, retrospectively registered.

scholarly journals Multifidi Muscle Characteristics and Physical Function Among Older Adults With and Without Chronic Low Back Pain

2017 ◽  
Vol 98 (1) ◽  
pp. 51-57 ◽  
Author(s):  
J. Megan Sions ◽  
Peter C. Coyle ◽  
Teonette O. Velasco ◽  
James M. Elliott ◽  
Gregory E. Hicks
Keyword(s):  
Older Adults ◽  
Low Back Pain ◽  
Back Pain ◽  
Physical Function ◽  
Chronic Low Back Pain ◽  
Low Back

Relationship Between Physical Activity, Depressive Symptoms and Low Back Pain Related Disability in Older Adults With Low Back Pain: A Cross-Sectional Mediation Analysis

2020 ◽  
Vol 28 (5) ◽  
pp. 686-691
Author(s):  
Fabianna R. de Jesus-Moraleida ◽  
Paulo H. Ferreira ◽  
Juscelio P. Silva ◽  
André G.P. Andrade ◽  
Rosangela C. Dias ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Low Back Pain ◽  
Back Pain ◽  
Depressive Symptoms ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Short Version ◽  
Low Back ◽  
Cross Sectional

Low back pain (LBP) can be less disabling in those who are physically active. This study analyzed the association between physical activity (PA)- and LBP-related disability in older people with LBP, exploring if this association was mediated by depressive symptoms. The authors analyzed the relationship between PA levels and disability using the short version of the International Physical Activity Questionnaire and the Roland–Morris Disability Questionnaire, respectively, collected at baseline from the Brazilian Back Complaints in the Elders study. The authors investigated depressive symptoms as a mediator of this association using the Center of Epidemiologic Studies Depression scale. PA was inversely associated with disability. This association was smaller when considering the indirect effect through depressive symptoms. Thus, depressive symptoms partially mediated the association between PA and disability in older adults with LBP, and higher levels of PA were associated with less depressive symptoms and disability.

Poster 140 Sex Differences in Associations of Physical Function, Gait Parameters and Fear Avoidance in Older Adults with Low Back Pain

PM&R ◽  
2012 ◽  
Vol 4 ◽  
pp. S238-S238
Author(s):  
Heather K. Vincent ◽  
Bryan Conrad ◽  
Clarissa Lomonaco ◽  
Matthew Martenson ◽  
Cindy Montero ◽  
...  
Keyword(s):  
Older Adults ◽  
Sex Differences ◽  
Low Back Pain ◽  
Back Pain ◽  
Physical Function ◽  
Low Back ◽  
Fear Avoidance ◽  
Gait Parameters

scholarly journals How Does Low Back Pain Impact Physical Function in Independent, Well-Functioning Older Adults? Evidence from the Health ABC Cohort and Implications for the Future

Pain Medicine ◽  
2003 ◽  
Vol 4 (4) ◽  
pp. 311-320 ◽  
Author(s):  
Debra K. Weiner ◽  
Catherine L. Haggerty ◽  
Stephen B. Kritchevsky ◽  
Tamara Harris ◽  
Eleanor M. Simonsick ◽  
...  
Keyword(s):  
Older Adults ◽  
Low Back Pain ◽  
Back Pain ◽  
Physical Function ◽  
Low Back ◽  
The Future

Low Back Pain in a Nova Scotian Emergency Department: Prevalence and Patient Characteristics in the Older Adult Patient Population

2021 ◽  
pp. 1-9
Author(s):  
Lucy Federico ◽  
Melissa K Andrew ◽  
Rachel Ogilvie ◽  
Maria Wilson ◽  
Kirk Magee ◽  
...  
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Low Back Pain ◽  
Back Pain ◽  
Resource Planning ◽  
Patient Characteristics ◽  
Emergency Department Visits ◽  
Low Back ◽  
Younger Adults ◽  
Nova Scotian

Abstract Low back pain is a major cause of disability in older adults, and results in many emergency department visits each year. Characteristics of the older back pain population are largely unknown. We conducted a retrospective study to examine the prevalence and patient characteristics for older (≥ 65 years of age) and younger (16–64 years of age) adults presenting with back pain. Study objectives were to describe the characteristics of older adults with back pain presenting to an emergency department and to identify age-group based differences in management. Older adults were most commonly diagnosed with non-specific low back pain (49%). For older adults with this diagnosis, the length of stay was 2.1 times longer (p < 0.001), and odds of being admitted to the hospital were 5.1 times higher (p < 0.001) than for younger adults. Patterns of management are different for younger and older adults with low back pain; this information can be used to direct future resource planning.

scholarly journals Correlation between Pain, Kinesiophobia and Physical Activity Level in Patients with Chronic Low Back Pain Aged between 30 to 50 Years

2021 ◽  
Vol 6 (3) ◽  
pp. 359-365
Author(s):  
Mrunal R. Malewar ◽  
Kartik D. Shah
Keyword(s):  
Physical Activity ◽  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Physical Activity Level ◽  
Rating Scale ◽  
Physical Therapist ◽  
Activity Level ◽  
Short Version ◽  
Low Back

Background: Low back pain is one of the most common conditions encountered by a physical therapist in their clinical practice. Chronic low back pain is difficult to treat due to various environmental and psychological factors such as kinesiophobia, which may possibly lead to altered or reduced physical activity level producing various effects on musculoskeletal system. In addition to this, little is known about the relation between these factors, especially in Indian population. Therefore, it is important to find out if any correlation exists between these factors. Methods: This Correlational study included 53 patients of both gender suffering from chronic low back pain. Numerical Pain Rating Scale (NPRS), Marathi version of Tampa Scale of Kinesiophobia (TSK) and short version of International Physical Activity Questionnaire (IPAQ) were administered in the patients after obtaining their consent. The responses were collected and then analyzed using Pearson’s coefficient. Results: The mean pain intensity was found to be 3.11±2.24 and 6.86±1.91 at rest and on activity respectively. Mean score of kinesiophobia was 29.11±5.00. Mean score of physical activity level was 5466.62±5362. Significant correlation was found between pain during activity and kinesiophobia (p<0.05). Conclusion: This study demonstrates significantly positive correlation between pain during activity and kinesiophobia in patients with chronic low back pain aged between 30-50 years. However, no significant correlation was obtained between pain and physical activity level, kinesiophobia and physical activity level. Keywords: Chronic low back pain, Kinesiophobia, Physical activity level, TSK, IPAQ.

scholarly journals Effects of a 12-week workplace counseling program on physical activity and low back pain: A pilot randomized controlled study

2021 ◽  
pp. 1-8
Author(s):  
Kazuhiro Shimo ◽  
Mami Hasegawa ◽  
Seiko Mizutani ◽  
Tomomi Hasegawa ◽  
Takahiro Ushida
Keyword(s):  
Physical Activity ◽  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapist ◽  
Intervention Group ◽  
Controlled Study ◽  
Control Group ◽  
Low Back ◽  
Face To Face ◽  
High Level

BACKGROUND: Physical activity (PA) is essential in the management and rehabilitation of low back pain (LBP). However, it is not clear that PA interventions in the workplace can improve LBP. OBJECTIVE: This study aimed to investigate the effects of workplace counseling on PA and LBP among workers. METHODS: We recruited 37 people with 12 weeks of LBP who worked in a manufacturing company in Aichi, Japan. Participants were randomly assigned to the intervention (n= 20) or control group (n= 17). All participants of both groups were affixed with waist-worn accelerometers to monitor PA. The intervention group also received a program of face-to-face counseling with a physical therapist or nurse once a week for 12 weeks to reassure and encourage participants to maintain a high level of PA. PA and LBP severity were assessed at baseline, 3 and 6 months. RESULTS: PA was significantly higher in the intervention group than in the control group at 3 and 6 months. In the intervention group, PA significantly increased at 3 and 6 months from baseline, and LBP severity at 6 months improved significantly from baseline. CONCLUSIONS: Our data suggest that workplace PA intervention can increase PA and improve LBP among workers.

Sign in / Sign up

Export Citation Format

Share Document