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

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.

Download Full-text

Associations between the severity of disability level and fear of movement and pain beliefs in patients with chronic low back pain

Journal of Back and Musculoskeletal Rehabilitation ◽

10.3233/bmr-171039 ◽

2020 ◽

Vol 33 (5) ◽

pp. 785-791 ◽

Cited By ~ 1

Author(s):

Nuray Alaca ◽

Hande Kaba ◽

Ayce Atalay

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Behavioral Therapy ◽

Short Form ◽

Low Back ◽

Pain Beliefs ◽

Fear Of Movement ◽

Severity Of Disability ◽

The Impact

BACKGROUND AND OBJECTIVES: Low back pain (LBP) is one of the leading forms of chronic pain and is among the leading causes of pain and disability. In this study, we investigated the associations between the severity of disability and fear of movement and pain beliefs as well as the impact of the fear of movement and pain beliefs on the quality of life in patients with chronic LBP. METHODS: A total of 89 patients (42.29 ± 16.05 years) with chronic low back pain were included in the study. The instruments used in the assessments include the Visual Analogue Scale (VAS), the Oswestry Disability Index (ODI), the Tampa Kinesiophobia Scale (TKS), the Pain Belief Questionnaire (PBQ), and the SF 36-Short Form. Patients were assigned into three groups by disability severity based on ODI scores. Statistical analysis was performed using SPSS 15. RESULTS: No statistically significant intergroup differences were found in TKS and PBQ scores (p> 0.05). A positive correlation was found between TKS scores, age (r: 0.227/p< 0.05), PBQ organic (r: -0.250/p< 0.05) scores. CONCLUSIONS: Our study revealed high levels of kinesiophobia and similar pain beliefs, independent of the severity level of disability. We believe that cognitive-behavioral therapy that may reduce fear-avoidance behaviors and convert negative pain beliefs into positive ones should be added to rehabilitation procedures for LBP.

Download Full-text

Age- and sex-specific effects in paravertebral surface electromyographic back extensor muscle fatigue in chronic low back pain

GeroScience ◽

10.1007/s11357-019-00134-7 ◽

2019 ◽

Vol 42 (1) ◽

pp. 251-269 ◽

Cited By ~ 1

Author(s):

Gerold Ebenbichler ◽

Richard Habenicht ◽

Sara Ziegelbecker ◽

Josef Kollmitzer ◽

Patrick Mair ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Muscle Fatigue ◽

Chronic Low Back Pain ◽

Median Frequency ◽

Low Back ◽

Back Muscle ◽

The Impact ◽

Back Extensor ◽

Age And Sex

AbstractThe impact of aging on the back muscles is not well understood, yet may hold clues to both normal aging and chronic low back pain (cLBP). This study sought to investigate whether the median frequency (MF) surface electromyographic (SEMG) back muscle fatigue method—a proxy for glycolytic muscle metabolism—would be able to detect age- and sex-specific differences in neuromuscular and muscle metabolic functions in individuals with cLBP in a reliable way, and whether it would be as sensitive as when used on healthy individuals. With participants seated on a dynamometer (20° trunk anteflexion), paraspinal SEMG activity was recorded bilaterally from the multifidus (L5), longissimus (L2), and iliolumbalis (L1) muscles during isometric, sustained back extensions loaded at 80% of maximum from 117 younger (58 females) and 112 older (56 female) cLBP individuals. Tests were repeated after 1–2 days and 6 weeks. Median frequency, the SEMG variable indicating neuromuscular fatigue, was analyzed. Maximum back extensor strength was comparable between younger and older participants. Significantly less MF-SEMG back muscle fatigue was observed in older as compared to younger, and in older female as compared to older male cLBP individuals. Relative reliability was excellent, but absolute reliability appeared large for this SEMG-fatigue measure. Findings suggest that cLBP likely does not mask the age-specific diagnostic potential of the MF-SEMG back extensor fatigue method. Thus, this method possesses a great potential to be further developed into a valuable biomarker capable of detecting back muscle function at risk of sarcopenia at very early stages.

Download Full-text

FRI0208 The Impact of A Referral Model for Axial Spondyloarthritis in Young Patients with Chronic Low Back Pain, the Design of an Impact Study

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2014-eular.4179 ◽

2014 ◽

Vol 73 (Suppl 2) ◽

pp. 458.1-458

Author(s):

L. Van Hoeven ◽

Y. Vergouwe ◽

M. Hazes ◽

A. Weel

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Axial Spondyloarthritis ◽

Young Patients ◽

Low Back ◽

Impact Study ◽

The Impact

Download Full-text

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

Download Full-text

The impact of depression among chronic low back pain patients in Japan

BMC Musculoskeletal Disorders ◽

10.1186/s12891-016-1304-4 ◽

2016 ◽

Vol 17 (1) ◽

Cited By ~ 34

Author(s):

Toshinaga Tsuji ◽

Ko Matsudaira ◽

Hiroki Sato ◽

Jeffrey Vietri

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Low Back ◽

The Impact ◽

Pain Patients

Download Full-text

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.

Download Full-text