scholarly journals Catastrophizing, Functional Disability and Pain Reports in Adults with Chronic Low Back Pain

1999 ◽  
Vol 4 (2) ◽  
pp. 93-96 ◽  
Author(s):  
Theresa L Vienneau ◽  
Alexander J Clark ◽  
Mary E Lynch ◽  
Michael JL Sullivan
Keyword(s):  
Chronic Pain ◽  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Chronic Low Back Pain ◽  
Significant Relationship ◽  
Functional Disability ◽  
Pain Severity ◽  
Mcgill Pain Questionnaire ◽  
Low Back

OBJECTIVE:To test the hypothesis that subjective reports of pain severity, pain intensity and functional disability correlate positively with catastrophizing.PATIENTS:Adults with chronic low back pain for six months or longer presenting to a tertiary care Pain Management Unit.METHODS:Catastrophizing was measured with the Pain Catastrophizing Scale (PCS) in 40 subjects (23 males, 17 females). Functional disability was measured with the Pain Disability Index and pain severity/intensity was quantified with the McGill Pain Questionnaire. Statistical analysis included Student'sttest and Pearson correlation analysis.RESULTS:Student'sttests on all dependent variables showed no significant sex differences. Correlational analysis revealed a significant relationship between catastrophizing and pain severity (r=0.35, P<0.05), between catastrophizing and pain intensity (r=0.39, P<0.05), and between catastrophizing and disability (r=0.55, P<0.001). Further analysis revealed the helplessness component of the PCS correlated most strongly with functional disability. Analysis of the relationship between pain intensity and disability revealed no significant relationship.CONCLUSIONS:These observations support the finding that disability in chronic pain results from various causes, and is not solely a function of pain or pathology. The helplessness component of catastrophizing is most strongly related to disability. The implication of this finding is that psychological variables need proper assessment when there is significant disability. The PCS appears to be a useful tool to delineate further psychological components of chronic pain.

scholarly journals Perceived Injustice Helps Explain the Association Between Chronic Pain Stigma and Movement-Evoked Pain in Adults with Nonspecific Chronic Low Back Pain

Pain Medicine ◽  
2020 ◽  
Vol 21 (11) ◽  
pp. 3161-3171
Author(s):  
Terence M Penn ◽  
Demario S Overstreet ◽  
Edwin N Aroke ◽  
Deanna D Rumble ◽  
Andrew M Sims ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Low Back Pain ◽  
Back Pain ◽  
Physical Function ◽  
Indirect Effect ◽  
Chronic Low Back Pain ◽  
Pain Severity ◽  
Low Back ◽  
Perceived Injustice ◽  
Objective Basis

Abstract Objective For most patients with chronic low back pain (cLBP), the cause is “nonspecific,” meaning there is no clear association between pain and identifiable pathology of the spine or associated tissues. Laypersons and providers alike are less inclined to help, feel less sympathy, dislike patients more, suspect deception, and attribute lower pain severity to patients whose pain does not have an objective basis in tissue pathology. Because of these stigmatizing responses from others, patients with cLBP may feel that their pain is particularly unjust and unfair. These pain-related injustice perceptions may subsequently contribute to greater cLBP severity. The purpose of this study was to examine whether perceived injustice helps explain the relationship between chronic pain stigma and movement-evoked pain severity among individuals with cLBP. Methods Participants included 105 patients with cLBP who completed questionnaires assessing chronic pain stigma and pain-related injustice perception, as well as a short physical performance battery for the assessment of movement-evoked pain and physical function. Results Findings revealed that perceived injustice significantly mediated the association between chronic pain stigma and cLBP severity (indirect effect = 6.64, 95% confidence interval [CI] = 2.041 to 14.913) and physical function (indirect effect = −0.401, 95% CI = −1.029 to −0.052). Greater chronic pain stigma was associated with greater perceived injustice (P = 0.001), which in turn was associated with greater movement-evoked pain severity (P = 0.003). Conclusions These results suggest that perceived injustice may be a means through which chronic pain stigma impacts nonspecific cLBP severity and physical function.

scholarly journals Short-term effect of kinesiology taping on pain, functional disability and lumbar proprioception in individuals with nonspecific chronic low back pain: a double-blinded, randomized trial

2020 ◽  
Vol 28 (1) ◽  
Author(s):  
Soheila Abbasi ◽  
Mohammad-Reza Hadian Rasanani ◽  
Nastaran Ghotbi ◽  
Gholam Reza Olyaei ◽  
Ali Bozorgmehr ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Functional Disability ◽  
Short Form ◽  
Mcgill Pain Questionnaire ◽  
Low Back ◽  
Upright Standing ◽  
Double Blinded ◽  
Lumbar Proprioception

Abstract Background This study aimed to evaluate the effect of kinesiology taping (KT) on lumbar proprioception, pain, and functional disability in individuals with nonspecific chronic low back pain (CLBP). Methods Thirty individuals with nonspecific CLBP participated in this double-blinded, randomized clinical trial from July 2017 to September 2018. The participants were randomized into two groups: KT (n = 15) and placebo group (n = 15). KT was applied with 15–25% tension for 72 h, and placebo taping was used without tension. Lumbar repositioning error was measured by a bubble inclinometer at three different angles (45° and 60° flexion, and 15° extension) in upright standing. Pain and disability were assessed by the Short-Form McGill Pain Questionnaire and Oswestry Disability Index, respectively. All measurements were recorded at baseline and 3 days after taping. Results Pain and disability scores reduced 3 days after taping in the KT group with large effect sizes (p < 0.05). Only the total score of pain was significantly different between the groups 3 days after taping and improved more in the KT group with a large effect size (p < 0.05). However, lumbar repositioning errors were similar between the groups after 3 days (p > 0.05). Also, only constant error of 15° extension showed a moderate correlation with disability (r = 0.39, p = 0.02). Conclusion KT can decrease pain and disability scores after 3 days of application. Although placebo taping can reduce pain, the effect of KT is higher than placebo taping. The findings do not support the therapeutic effect of KT and placebo taping as a tool to enhance lumbar proprioception in patients with nonspecific CLBP. Trial registration The study prospectively registered on 21.05.2018 at the Iranian Registry of Clinical Trials: IRCT20090301001722N20.

scholarly journals Evaluation of functional disability and pain in patients with chronic low back pain submitted to physiotherapy

2020 ◽  
pp. 1-6
Author(s):  
Andrei Luiz Sales Teixeira ◽  
Noberto Fernandes da Silva ◽  
Edson Meneses da Silva Filho
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Chronic Low Back Pain ◽  
Functional Disability ◽  
Therapy Group ◽  
Public Health Problem ◽  
Control Group ◽  
Low Back ◽  
Mobility Limitations

Introduction: Chronic low back pain (CLBP) is one of the causes that usually result in mobility limitations in the economically active population due to musculo-skeletal disorders. It has, as main symptoms, pain and disability and should be seen as a public health problem. Objective: This study aimed to evaluate the Functional Disability (FD) and pain intensity in patients with CLBP, underwent to manipulative therapy and conventional physiotherapy at Getulio Vargas Hospital. Method: This was a randomized trial study with a control group, with a sample, participants with CLBP, who were divided into two groups: those who underwent manipulative physiotherapy (group 1) and those who underwent conventional therapy (group 2), and the both groups were subjected to two treatments at different times. The program lasted five weeks, and 2 weeks for each intervention, performing two weekly sessions, which average duration was 30 minutes and one week interval between treatments. There were collected sociodemographic data, data related to FD using the Disability questionnaire Roland-Morris (RMDQ) and data related to pain intensity using the Visual Analogue Scale (VAS). Results: The study included 14 patients with mean age of 51 + 9 years. They showed significant improvement in RMDQ (p <0.001) and VAS (p <0.001), after being subjected to manipulative group, also showing a significant treatment effect over conventional treatment in both RMDQ (p = 0.004) and EVA (p = 0.006). Conclusion: Through this study, it can be shown that patients with CLBP showed significant improvements in functional capacity, by reducing the FD and reduction of painful symptoms, after being subjected to a five-week-program of manipulative physiotherapy.

scholarly journals Associations of pain severity and mobility with age in chronic low back pain: does the type of assessment matter?

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 893-893
Author(s):  
Taylor Buchanan ◽  
Deanna Rumble ◽  
Kristen Allen-Watts ◽  
Katie O'Neal ◽  
Tammie Quinn ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Chronic Low Back Pain ◽  
Pain Severity ◽  
Future Research ◽  
Low Back ◽  
Chi Square ◽  
Clinical Pain ◽  
Pain Symptoms

Abstract Chronic low back pain (cLBP) can lead to severe pain symptoms as well as disability in adults. As individuals age, pain symptoms and mobility outcomes can become increasingly debilitating. However, current findings regarding the influence of age on symptoms and outcomes are mixed and may be attributed to the assessment methodologies for pain and mobility. Therefore, we sought to examine the association of age with broad and specific assessments of pain severity and mobility commonly implemented in adults with cLBP. cLBP participants (n = 158) completed questionnaires regarding pain intensity and disability including demographics, Clinical Pain Assessment (CPA) and the Oswestry Low Back Pain questionnaire (OLBP). Participants also completed assessments of movement-evoked pain and difficulty by performing the Short Physical Performance Battery (SPPB). Pearson’s chi-square tests and regression-based analyses were conducted using SPSS version 26.0. Among cLBP participants, age was associated with pain-related disability indexed by section one of the OLBPS regarding pain intensity (F= 5.0, p&lt;.05), and mobility via total SPPB score (F= 11.7, p&lt;.05). Interestingly, age predicted greater self-reported difficulty climbing stairs (F= 21.7, p&lt;.05), performing chores (F= 17.0, p&lt;.05), walking (F= 14.0, p&lt;.05), and running errands (F= 13.4, p&lt;.05) from the CPA. Further, age predicted total balance (F= 3.2, p&lt;.05), gait speed (F= 7.8, p&lt;.05), and chair stand (F= 6.5, p&lt;.05) scores of SPPB. Age is associated with questionnaires assessing cLBP pain severity and is also associated with mobility outcomes. Future research should seek to understand the influence of age on movement-evoked pain in cLBP.

scholarly journals The Effect of Classical Massage with Different Oils on Nonspecific Chronic Low Back Pain and Function

2019 ◽  
Vol 1 (20) ◽  
Author(s):  
Kristina Venckūnienė ◽  
Vaida Pokvytytė ◽  
Vida Ostasevičienė ◽  
Gerda Kazlauskaitė ◽  
Jūratė Požėrienė ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Range Of Motion ◽  
Chronic Low Back Pain ◽  
Functional Disability ◽  
Modern Society ◽  
Control Group ◽  
Low Back ◽  
Natural Components

Research background. Chronic nonspecifc low back pain is one of the most widespread health problems in modern society. Massage together with oils is commonly used for low back pain. However, no studies are available on the effect of classical massage with different oils on functional state and pain in patients with chronic low back pain. The aim of this research was to determine the effects of classical massage with different oils on patients with chronic nonspecifc low back pain. Methods. This study included 14 women. They were randomly assigned into two groups. The experimental group received classical massage using oil of natural components and the control group received massage with Vaseline oil. All participants received seven massage sessions, one session lasted 20 min. Pain intensity (VAS scale), functional disability level (Oswestry Low Back Disability Questionnaire) and measurement of spine flexion range of motion (Modifed Shober test) were evaluated before and after intervention. Results. Both groups showed signifcant improvements in pain intensity (p < 0.05). Massage with oil of natural components was more effective then massage with Vaseline oil in reducing pain (p < 0.05). Functional disability decreased in both groups (p < 0.05), but no signifcant difference was found between groups. The range of motion changes were not signifcant after intervention in two groups. Conclusions. Classical massage with oil of natural components and classical massage with Vaseline oil were found to be effective in relieving pain and decreasing functional disability in patients with chronic low back pain. Massage with oil of natural components was more effective than massage with Vaseline oil in reducing pain.Keywords: chronic nonspecifc low back pain, classical massage, oil.

scholarly journals The Effect of Kinesio Taping on Pain, Functional Disability, and Trunk Range of Motion in People With Nonspecific Chronic Low Back Pain: A Single-group Pretest-Posttest Trial

2020 ◽  
Vol 14 (1) ◽  
pp. 47-54
Author(s):  
Soheila Abbasi ◽  
Mohammad Reza Hadian Rasanani ◽  
Nastaran Ghotbi ◽  
Gholam Reza Olyaei ◽  
Omid Rasouli
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Range Of Motion ◽  
Chronic Low Back Pain ◽  
Functional Disability ◽  
Low Back ◽  
Kinesio Taping ◽  
Pain Disability ◽  
Disability Questionnaire

Introduction: This study aimed to evaluate the effect of Kinesio Taping (KT) on low back/pelvis pain, disability, and trunk Range of Motion (ROM) in individuals with nonspecific chronic low back pain (CLBP) after 72 h.Materials and Methods: Eighteen patients with nonspecific CLBP participated in this study. Pain intensity, Oswestry low back pain disability questionnaire, and lumbar ROM were evaluated once before the intervention (KT with 50% tension) and then 72 h after. For statistical analysis, we used the paired sample t-test. Results: Pain intensity was significantly reduced (P<0.01). But KT did not improve disability and lumbar ROM (P>0.05).Conclusion: Based on the results, 72 h KT over the lumbopelvic area did not improve disability and lumbar ROM in people with nonspecific CLBP while there was a significant reduction in pain intensity. The proposed mechanism of the KT effects is inconsistent with these results.

scholarly journals An Observational Study Comparing Fibromyalgia and Chronic Low Back Pain in Somatosensory Sensitivity, Motor Function and Balance

Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1533
Author(s):  
José Antonio Mingorance ◽  
Pedro Montoya ◽  
José García Vivas Miranda ◽  
Inmaculada Riquelme
Keyword(s):  
Chronic Pain ◽  
Low Back Pain ◽  
Back Pain ◽  
Observational Study ◽  
Motor Function ◽  
Chronic Low Back Pain ◽  
Functional Performance ◽  
Low Back ◽  
Somatosensory Sensitivity ◽  
Chronic Pain Conditions

Fibromyalgia (FM) and chronic low back pain (CLBP) have shared pathophysiology and have a considerable impact on patients’ daily activities and quality of life. The main objective of this study was to compare pain impact, somatosensory sensitivity, motor functionality, and balance among 60 patients with FM, 60 patients with CLBP, and 60 pain-free controls aged between 30 and 65 years. It is essential to know the possible differences existing in symptomatology of two of the major chronic pain processes that most affect the population, such as FM and CLBP. The fact of establishing possible differences in sensory thresholds, motor function, and proprioceptive measures among patients with FM and CLBP could bring us closer to a greater knowledge of the chronic pain process. Through an observational study, a comparison was made between the three groups (FM, CLBP, and pain-free controls) evaluating functional performance, postural balance, kinematic gait parameters, strength, depression, fatigue, and sensitivity to pain and vibration. Patients with chronic pain showed worse somatosensory sensitivity (p < 0.001) and motor function (p < 0.001) than pain-free controls. Moreover, patients with FM showed greater pain impact (p < 0.001) and bigger somatosensory (p < 0.001) and motor deficiencies (p < 0.001) than patients with CLBP. Further research should explore the possible reasons for the greater deterioration in patients with FM in comparison with other chronic pain conditions. Our results, showing the multiple areas susceptible of deterioration, make it necessary to adopt interdisciplinary interventions focused both on physical and emotional dysfunction.

scholarly journals Effect of the duration of chronic low back pain on pain sensitivity of patients undergoing lumbar fusion surgery

Pain medicine ◽  
2021 ◽  
Vol 5 (4) ◽  
pp. 8-15
Author(s):  
Mei-ping Qian ◽  
Mei-rong Dong ◽  
Fang Kang ◽  
Juan Li
Keyword(s):  
Chronic Pain ◽  
Low Back Pain ◽  
Back Pain ◽  
Hospital Stay ◽  
Chronic Low Back Pain ◽  
Pain Sensitivity ◽  
Lumbar Fusion ◽  
Low Back ◽  
Fusion Surgery ◽  
Lumbar Fusion Surgery

Background: chronic low back pain is a serious social problem. In recent years, patients who choose lumbar fusion surgery due to chronic low back pain has been increasing. Pre-existing chronic pain has been associated with severe postoperative pain. In this study, we have sought to prospectively analyze the association between the duration of chronic low back pain and pain sensitivity after lumbar fusion surgery. Methods: 400 patients who underwent lumbar fusion surgery were divided into three groups based on the duration of chronic pain. During the first postoperative day, the maximum pain scores of each patient day and night, the pain scores at the day of discharge, the consumption of postoperative analgesics and the length of hospital stay were recorded. Results: of 400 patients recruited, 369 patients completed the experiment. There was no significant difference in gender, age, height, weight, pre-operative pain at rest, and operation time in the three groups. During the day, the pain sensitivity of the three groups were 1.71 ± 0.66, 2.40 ± 0.74, 2.90 ± 0.80. During the night, the pain sensitivity of the three groups were 3.45 ± 0.81, 4.31 ± 1.06, 4.86 ± 1.05. At the day of discharge, the pain sensitivity of three groups were 1.26 ± 0.46, 1.47 ± 0.58, 1.96 ± 0.64. There were significant differences in pain sensitivity among the three groups during the day and night on the first postoperative day and at the day of discharge (p < 0.05). The length of hospital stay (7.31 ± 1.36 days, 8.82 ± 1.48 days, 9.60 ± 1.61 days) and analgesic consumption (25.04 ± 36.56 mg, 33.52 ± 24.04 mg, 45.15 ± 24.89 mg, morphine equivalent) were also significant differences (p < 0.05). Conclusion: we found the duration of chronic low back pain before lumbar fusion surgery affects patient’ postoperative pain sensitivity, consumption of analgesic drugs and hospital stay. The longer the preoperative chronic pain lasts, the higher the postoperative VAS score is, the more analgesic drugs were consumed, and the longer hospital stay is.

scholarly journals An Evaluation of an Innovative Exercise to Relieve Chronic Low Back Pain in Sedentary Workers

2020 ◽  
pp. 001872082096608
Author(s):  
Pongsatorn Saiklang ◽  
Rungthip Puntumetakul ◽  
James Selfe ◽  
Gillian Yeowell
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Muscle Fatigue ◽  
Chronic Low Back Pain ◽  
Muscle Activity ◽  
Trunk Muscle ◽  
Low Back ◽  
Prolonged Sitting ◽  
Lumbar Extension

Objective The purpose of the study was to examine the effectiveness of a novel supported dynamic lumbar extension with the abdominal drawing-in maneuver (ADIM) technique on stature change, deep abdominal muscle activity, trunk muscle fatigue, and pain intensity during prolonged sitting in chronic low back pain (CLBP) participants. Background Prolonged sitting can cause trunk muscle fatigue from continuous contraction of deep trunk muscles in seated postures. Deficiency of activity of deep muscles can reduce muscular support of the spine, causing stress on spinal structures, which could result in pain. Method Thirty participants with CLBP were randomly allocated: (a) control—sitting without exercise, and (b) intervention—supported dynamic lumbar extension with the ADIM technique. Results Compared to the intervention condition, the control condition demonstrated significantly greater deterioration in stature change, increased levels of deep trunk muscle fatigue, and an increase in pain during prolonged sitting. Conclusion The supported dynamic lumbar extension with the ADIM technique appears to provide a protective effect on detrimental stature change and deep trunk muscle fatigue. In addition, it prevented an increase in pain intensity during prolonged sitting in people with CLBP. Application Sedentary behavior harms health, particularly affecting the lower back. Clinicians can use the intervention to induce dynamic lumbar movement, and this exercise can maintain deep trunk muscle activity during prolonged sitting, thereby helping to prevent low back pain (LBP) problems.

Sign in / Sign up

Export Citation Format

Share Document