The Visual Analogue Scale Versus Numerical Rating Scale in Measuring Pain Severity and Predicting Disability in Low Back Pain

Objectives: We evaluated the relationship between telecommuting environment and low back pain (LBP) among desk-based workers in Japan. Methods: This cross-sectional study included 3,663 desk-based, telecommuting workers. LBP was assessed using a 0 to 10 numerical rating scale. The telecommuting environment was evaluated using subjective questions. Mixed-effects logistic regression analysis was used. Results: Mixed-effects logistic model results revealed that not having a place or room to concentrate on work, desk not well-lit enough for work, not having enough space on the desk to work, not having enough legroom, and not having comfortable temperature and humidity conditions in the workspace were significantly associated with higher odds of LBP. Conclusions: Our findings suggest that telecommuting environment is associated with the prevalence of LBP.

Download Full-text

A study to assess the effectiveness of Acharya Technique on low back pain among women

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11i3.2395 ◽

2020 ◽

Vol 11 (3) ◽

pp. 3005-3008

Author(s):

KalaBarathi S ◽

Mohana S

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Rating Scale ◽

Demographic Variable ◽

Numerical Rating Scale ◽

Sampling Technique ◽

Low Back ◽

Medical Issues ◽

Age Related ◽

Numerical Rating

Back pain is the most widely recognised medical consultation in all the nations. It meddles with an individual’s satisfaction and general working. Back pain is a too fundamental issue that can extend from a dull, consistent pain to an unexpected, sharp pain that can leave individuals crippled. It can come on abruptly from a mishap, a fall, or lifting something extraordinary or it can grow gradually, maybe as the consequence of age-related changes to the Spine. Those instincts and behavioural patterns are now codified into Acharya technique for back pain and Spinal & Nervous rejuvenation. The Save India association is conducting camps week after week without involving any fee for every one of the individuals, who are experiencing Back pain. All the same, people with other medical issues can also learn them and help themselves to enjoy perfect health and that as well with no depressions, fatigues or strain. Those who are destitute and are worn out on running from pillar to post and have spent a ton in treating back pain would now be able to plan to appreciate ideal wellbeing through this nature fix treatment which can properly be known as a therapy beyond all therapies. Hence the study is aimed to assess the effectiveness of Acharya technique on low back pain among women. Quantitative approach with Experimental Research design was employed with 60 samples which matched the inclusion criteria were selected by purposive sampling technique. A demographic variable was collected by using multiplechoice questionnaires by structured questionnaires, and the level of pain was assessed by using the Numerical Rating Scale. The results of the study are out of 60 samples 37 [61.66%] had moderate pain, 23 [38.33%] had mild pain, and none had severe pain.

Download Full-text

Hubungan Intensitas Nyeri Dengan Status Fungsional Penderita Low Back Pain

Medica Hospitalia : Journal of Clinical Medicine ◽

10.36408/mhjcm.v8i3.649 ◽

2021 ◽

Vol 8 (3) ◽

pp. 369-373

Author(s):

Muhammad Naufal Zuhair ◽

Jumraini Tammasse ◽

Susi Aulina ◽

Muhammad Yunus Amran

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Random Sampling ◽

Rating Scale ◽

Numerical Rating Scale ◽

Simple Random Sampling ◽

Low Back ◽

Kendall’S Tau ◽

Cross Sectional ◽

Numerical Rating

LATAR BELAKANG : Selama masa pandemi, pemerintah menetapkan Pembatasan Sosial Berskala Besar (PSBB) untuk menurunkan kasus infeksi COVID-19 sehingga intensitas kejadian LBP lebih meningkat daripada sebelum karantina yang mencerminkan efek negatif dari peraturan tersebut. Hal tersebut disebabkan karena adanya perubahan gaya hidup yang signifikan seperti waktu yang dihabiskan untuk duduk meningkat, waktu berolahraga yang berkurang, dan persentase individu melaporkan lebih banyak mengalami stress selama karantina daripada sebelum ditetapkan PSBB. Studi saat ini melaporkan dampak nyeri punggung bawah yang mengakibatkan terganggunya status fungsional penderita disebabkan oleh kebutuhan biaya pengobatan setiap tahun dan keterbatasan kunjungan penderita ke layanan kesehatan, sehingga hal tersebut mengindikasikan penderita nyeri punggung bawah perlu dilakukan evaluasi seberapa besar ketidakmampuan fungsional yang terjadi dan faktor yang mempengaruhinya. TUJUAN : Untuk mengetahui hubungan intensitas nyeri dengan status fungsional penderita LBP di Poliklinik Saraf RSUP Dr. Wahidin Sudirohosudo. METODE : Observasi analitik dengan pendekatan cross sectional dan teknik pengambilan sampel adalah simple random sampling. Data menggunakan kuesioner Numerical Rating Scale dan Indeks Barthel. Penelitian dilakukan di RSUP Dr. Wahidin Sudirohusodo selama dua bulan yang dimulai dari Maret 2021 hingga April 2021. HASIL : Pada hasil analisis data sampel menggunakan uji korelasi kendall's tau-b , didapatkan nilai korelasi (-0,644) dengan nilai kemaknaan hubungan ( p.sig 0,000) menunjukkan korelasi antara intensitas nyeri dengan status fungsional. KESIMPULAN : Intensitas nyeri memiliki hubungan dengan status fungsional penderita Low Back Pain (LBP) di RSUP Dr. Wahidin Sudirohusodo. KATA KUNCI : Nyeri Punggung Bawah , NRS, Indeks Barthel

Download Full-text

Role of fasciae in nonspecific low back pain

European Journal of Translational Myology ◽

10.4081/ejtm.2019.8330 ◽

2019 ◽

Vol 29 (3) ◽

Cited By ~ 5

Author(s):

Giulia Casato ◽

Carla Stecco ◽

Riccardo Busin

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Rating Scale ◽

Numerical Rating Scale ◽

The Body ◽

Deep Fascia ◽

Low Back ◽

Thoracolumbar Fascia ◽

Patient Reported ◽

Numerical Rating

More and more evidences show how the thoracolumbar fascia is involved with nonspecific low back pain. Additionally, recent studies about anatomy have shown the presence of a continuity between the thoracolumbar fascia and the deep fascia of the limbs; but actually, a dysfunction of just the thoracolumbar fascia or of the tightly contiguous myofascial tissue is generally recognized as possible cause of nonspecific low back pain. Five patients among those affected by nonspecific low back pain were manipulated just on those fascial spots that were painful, when palpated, and located in other areas of the body than the low back one. Each patient reported a clinically significant reduction of the painful symptoms (a Pain Numerical Rating Scale score difference ≥ 2) straight after the manipulation. A dysfunction of the myofascial tissue that is not tightly contiguous with the symptomatic area is then suggested to be taken into consideration among the causes of nonspecific low back-pain.

Download Full-text

Clinically significant changes in pain along the Pain Intensity Numerical Rating Scale in patients with chronic low back pain

PLoS ONE ◽

10.1371/journal.pone.0229228 ◽

2020 ◽

Vol 15 (3) ◽

pp. e0229228 ◽

Cited By ~ 3

Author(s):

Hidenori Suzuki ◽

Shuichi Aono ◽

Shinsuke Inoue ◽

Yasuaki Imajo ◽

Norihiro Nishida ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Pain Intensity ◽

Chronic Low Back Pain ◽

Rating Scale ◽

Numerical Rating Scale ◽

Low Back ◽

Numerical Rating ◽

Clinically Significant

Download Full-text

Efficacy of the McKenzie Method in Patients With Chronic Nonspecific Low Back Pain: A Protocol of Randomized Placebo-Controlled Trial

Physical Therapy ◽

10.2522/ptj.20140208 ◽

2015 ◽

Vol 95 (2) ◽

pp. 267-273 ◽

Cited By ~ 8

Author(s):

Alessandra Narciso Garcia ◽

Lucíola da Cunha Menezes Costa ◽

Mark J. Hancock ◽

Matheus Oliveira de Almeida ◽

Fabrício Soares de Souza ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Pain Intensity ◽

Rating Scale ◽

Numerical Rating Scale ◽

Controlled Trial ◽

Low Back ◽

Numerical Rating ◽

Mckenzie Method ◽

And Function

Background The McKenzie method is widely used as an active intervention in the treatment of patients with nonspecific low back pain. Although the McKenzie method has been compared with several other interventions, it is not yet known whether this method is superior to placebo in patients with chronic low back pain. Objective The purpose of this trial is to assess the efficacy of the McKenzie method in patients with chronic nonspecific low back pain. Design An assessor-blinded, 2-arm, randomized placebo-controlled trial will be conducted. Setting This study will be conducted in physical therapy clinics in São Paulo, Brazil. Participants The participants will be 148 patients seeking care for chronic nonspecific low back pain. Intervention Participants will be randomly allocated to 1 of 2 treatment groups: (1) McKenzie method or (2) placebo therapy (detuned ultrasound and shortwave therapy). Each group will receive 10 sessions of 30 minutes each (2 sessions per week over 5 weeks). Measurements The clinical outcomes will be obtained at the completion of treatment (5 weeks) and at 3, 6, and 12 months after randomization. The primary outcomes will be pain intensity (measured with the Pain Numerical Rating Scale) and disability (measured with the Roland-Morris Disability Questionnaire) at the completion of treatment. The secondary outcomes will be pain intensity; disability and function; kinesiophobia and global perceived effect at 3, 6, and 12 months after randomization; and kinesiophobia and global perceived effect at completion of treatment. The data will be collected by a blinded assessor. Limitations Therapists will not be blinded. Conclusions This will be the first trial to compare the McKenzie method with placebo therapy in patients with chronic nonspecific low back pain. The results of this study will contribute to better management of this population.

Download Full-text

Evaluation of the Effectiveness of Physiotherapy in Health Resort in the Treatment of Lumbosacral Spine Pain

Acta Balneologica ◽

10.36740/abal201903106 ◽

2019 ◽

Vol 61 (3) ◽

pp. 189-194

Author(s):

Jolanta Matusiak ◽

Antonina Kaczorowska ◽

Aleksandra Katan

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Rating Scale ◽

Numerical Rating Scale ◽

Pain Syndrome ◽

Roland Morris Disability Questionnaire ◽

Low Back ◽

Spine Mobility ◽

Numerical Rating ◽

Disability Questionnaire

Introduction: Diseases of the spine are the most common health problem in all population tested, regardless of the country. Pain syndrome of the spine is a major issue because it leads to disability progression and consequently to the deterioration of the quality of life. Physical therapy takes an important place in treating pain syndrome of the spine. The main focus of comprehensive physiotherapy is on dealing with pain and regaining normal range of movement of the spine, as well as obtaining proper stabilization. The aim of this study is to evaluate the effectiveness of spa physiotherapy on treating patients with low back pain. Material and Methods: The study included 50 patients of the “Malwa” Sanatorium in Polanica Zdrój participating in three-week spa therapy because of low back pain. The evaluation was based on the Numerical Rating Scale, Jackson-Moskowitz Scale, the Roland-Morris Disability Questionnaire, and the fingertip-to-floor test. Results: After three weeks of physiotherapy, an average level of pain measured by the Numerical Rating Scale decreased. The range of spine mobility measured by the fingertip-to-floor test improved. The differences between the averages are statistically significant. The patients’ disability concerning everyday tasks, measured by the Roland-Morris Disability Questionnaire decreased. Conclusions: A comprehensive physiotherapy used in health resorts has improved spine mobility among patients with low back pain; it also helped to decrease pain and disability. It seems that a period of three weeks is enough to provide improvement in low back pain.

Download Full-text

Association of Serum Serotonin and Pain in Patients with Chronic Low Back Pain before and after Spinal Surgery

Pain Research and Treatment ◽

10.1155/2018/4901242 ◽

2018 ◽

Vol 2018 ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

Afshin Farhanchi ◽

Behrouz Karkhanei ◽

Negar Amani ◽

Mashhood Aghajanloo ◽

Elham Khanlarzadeh ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Rating Scale ◽

Numerical Rating Scale ◽

Low Back ◽

Significant Difference ◽

Before And After ◽

Postoperative Serum ◽

Serum Serotonin

Introduction. In this study we are aiming to evaluate the changes of serum serotonin and its association with pain in patients suffering from chronic low back pain before and after lumbar discectomy surgery. Patients and Methods. A prospective study was performed on the patients referring to the outpatient clinic in Besat hospital, Hamadan University of Medical Sciences, Hamadan, Iran, during 2016. A 2 mL fasting blood sample was collected from each patient at preoperative day 1 and postoperative day 14 and they were measured for level of serum serotonin. Besides, all patients were asked for severity of their low back pain in preoperative day 1 and postoperative day 14 and scored their pain from zero to ten using a Numerical Rating Scale. Results. Forty patients with the mean age of 47 ± 13 yrs/old (range 25–77) including 15 (37.5%) males were enrolled into the study. The overall mean score of preoperative pain was significantly decreased from 7.4 ± 2.18 (range 4–10) to the postoperative pain score 3.87 ± 2.92 (range 0–10) (P < .001). The overall levels of pre- and postoperative serum serotonin were 3.37 ± 1.27 (range 1.1–6.4) and 3.58 ± 1.32 (range .94–7.1) ng/mL, respectively, with no significant difference (P = .09). The levels of pre- and postoperative serum serotonin were significantly higher in males and patients older than 50 yrs/old compared to the females and patients younger than 50 yrs/old, respectively (P = .03 and .005, respectively). A significant inverse correlation between the postoperative levels of pain and serum serotonin was observed (r = -.36 and P = .02). Conclusion. A negative medium strength linear relationship may exist between the postoperative serum serotonin and low back pain.

Download Full-text

Comparison of post-spinal back pain after midline versus paramedian approaches for urologic surgeries

Ain-Shams Journal of Anesthesiology ◽

10.1186/s42077-020-00088-5 ◽

2020 ◽

Vol 12 (1) ◽

Author(s):

Payman Dadkhah ◽

Masoud Hashemi ◽

Babak Gharaei ◽

Mohammad Hassan Bigdeli ◽

Ali Solhpour

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Spinal Anesthesia ◽

Rating Scale ◽

Numerical Rating Scale ◽

Spinous Process ◽

Lithotomy Position ◽

Significant Variable ◽

Low Back ◽

Increased Risk

Abstract Introduction Low back pain after spinal anesthesia is of concern in lithotomy position. During our study, low back pain in both midline and paramedian approaches after spinal anesthesia in lithotomy position was compared. Material and methods Spinal anesthesia was performed by two approaches of midline and paramedian by an expert. The midline at middle line and paramedian at 1 cm inferior and 1 cm lateral to the spinous process performed with the needle type of Quincke 25G. The severity of back pain in patients was measured with numerical rating scale method by an anesthesiology assistant 24 and 72 h and a week after surgery. Results A total of 139 patients were studied. After 24 h, back pain in the midline group was 21% and in the paramedian group was 25.4%, respectively. There were no significant differences between them. In the first 24 h, the only significant variable was the number of tries. In patients with ≥ 2 times of tries for performing spinal anesthesia, multivariate analysis of patients showed back pain to be 4.7 times more common compared to single try (OR 4.70, CI 1.79–10.18; p = 0.001). Conclusion There were no significant differences between the two methods of midline and paramedian approaches after spinal anesthesia in the incidence of back pain. However, two or more times of tries compared with one time try had increased risk of low back pain.

Download Full-text