scholarly journals Smartphone usage duration is not associated with increased pain or proprioception deficit in young adults with chronic mechanical low back pain: a cross-sectional study

2020 ◽  
Vol 25 (1) ◽  
Author(s):  
Mina Magdy Wahba ◽  
Dina Othman Shokri Morsi Galal ◽  
Aliaa Rehan Youssef
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Cross Sectional Study ◽  
Task Completion ◽  
Smartphone Addiction ◽  
Low Back ◽  
Cross Sectional ◽  
Pain Scores ◽  
Smartphone Use ◽  
Continuous Use

Abstract Background Smartphone use has been associated with pain in the upper quadrant; however, the relationship between usage duration and low back pain is still unclear. This study investigated the association between continuous smartphone use up to 30-min and back pain severity and proprioception acuity in patients with chronic low back pain. Fifty-eight patients with chronic mechanical LBP played a game for 10- and 30-min. In each session, pain and back repositioning errors were measured at baseline and immediately after task completion. Results Pain significantly but slightly increased following smartphone use, regardless to the duration (after 10 min: mean increase = 0.75 ± 1.17, P value < 0.001, 95% CI 0.44–1.06; after 30 min: mean increase = 0.96 ± 1.93, P value < 0.001, 95% CI 0.44–1.46). However, changes in perceived pain scores were not significantly different between the two tested durations (P value = 0.42). Proprioception repositioning error was not significantly different within the same testing session (mean change = 0.08 ± 1.83, 0.13 ± 1.77, P value = 0.73, 0.58, 95% CI − 0.40–0.56, − 0.60–0.33, for the 10 and 30 min, respectively). The changes in proprioception were not significant between the two-tested durations (P value = 0.56). Further, smartphone addiction did not significantly affect changes in pain and proprioception after game playing, regardless of the duration (P > 0.05). Conclusions These findings show that smartphone use slightly increases back pain immediately after continuous use; with no effect on back proprioception within the duration tested in this study. Changes in pain and proprioception were not influenced by smartphone addiction.

scholarly journals Low Back Pain and Substance Use: Diagnostic and Administrative Coding for Opioid Use and Dependence Increased in U.S. Older Adults with Low Back Pain

Pain Medicine ◽  
2021 ◽  
Author(s):  
Beth B Hogans ◽  
Bernadette C Siaton ◽  
Michelle N Taylor ◽  
Leslie I Katzel ◽  
John D Sorkin
Keyword(s):  
Older Adults ◽  
Substance Use ◽  
Low Back Pain ◽  
Back Pain ◽  
National Sample ◽  
Cross Sectional Study ◽  
Diagnostic Code ◽  
Low Back ◽  
Opioid Use ◽  
Cross Sectional

Abstract Objective Low back pain (LBP) is a leading cause of pain and disability. Substance use complicates the management of LBP, and potential risks increase with aging. Despite implications for an aging, diverse U.S. population, substance use and LBP comorbidity remain poorly defined. The objective of this study was to characterize LBP and substance use diagnoses in older U.S. adults by age, gender, and race. Design Cross-sectional study of a random national sample. Subjects Older adults including 1,477,594 U.S. Medicare Part B beneficiaries. Methods Bayesian analysis of 37,634,210 claims, with 10,775,869 administrative and 92,903,649 diagnostic code assignments. Results LBP was diagnosed in 14.8±0.06% of those more than 65 years of age, more in females than in males (15.8±0.08% vs. 13.4±0.09%), and slightly less in those more than 85 years of age (13.3±0.2%). Substance use diagnosis varied by substance: nicotine, 9.6±0.02%; opioid, 2.8±0.01%; and alcohol, 1.3±0.01%. Substance use diagnosis declined with advancing age cohort. Opioid use diagnosis was markedly higher for those in whom LBP was diagnosed (10.5%) than for those not diagnosed with LBP (1.5%). Most older adults (54.9%) with an opioid diagnosis were diagnosed with LBP. Gender differences were modest. Relative rates of substance use diagnoses in LBP were modest for nicotine and alcohol. Conclusions Older adults with LBP have high relative rates of opioid diagnoses, irrespective of gender or age. Most older adults with opioid-related diagnoses have LBP, compared with a minority of those not opioid diagnosed. In caring for older adults with LBP or opioid-related diagnoses, health systems must anticipate complexity and support clinicians, patients, and caregivers in managing pain comorbidities. Older adults may benefit from proactive incorporation of non-opioid pain treatments. Further study is needed.

scholarly journals Sensorimotor and body perception assessments of nonspecific chronic low back pain: a cross-sectional study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
R. Meier ◽  
C. Emch ◽  
C. Gross-Wolf ◽  
F. Pfeiffer ◽  
A. Meichtry ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Cross Sectional Study ◽  
Sensorimotor System ◽  
Healthy Controls ◽  
Low Back ◽  
Sectional Study ◽  
Clinical Tests ◽  
Body Perception ◽  
Cross Sectional

Abstract Background Low back pain (LBP) is one of the most common musculoskeletal disorders, causing significant personal and social burden. Current research is focused on the processes of the central nervous system (particularly the sensorimotor system) and body perception, with a view to developing new and more efficient ways to treat chronic low back pain (CLBP). Several clinical tests have been suggested that might have the ability to detect alterations in the sensorimotor system. These include back-photo assessment (BPA), two-point discrimination (TPD), and the movement control tests (MCT). The aim of this study was to determine whether the simple clinical tests of BPA, TPD or MCT are able to discriminate between nonspecific CLBP subjects with altered body perception and healthy controls. Methods A cross-sectional study was conducted. At one point in time, 30 subjects with CLBP and 30 healthy controls were investigated through using BPA, TPD and MCT on the lower back. Correlations among the main covariates and odds ratios for group differences were calculated. Results MCT showed an odds ratio for the presence of CLBP of 1.92, with a statistically significant p-value (0.049) and 95%CI. The TPD and BPA tests were unable to determine significant differences between the groups. Conclusions Of the three tests investigated, MCT was found to be the only suitable assessment to discriminate between nonspecific CLBP subjects and healthy controls. The MCT can be recommended as a simple clinical tool to detect alterations in the sensorimotor system of nonspecific CLBP subjects. This could facilitate the development of tailored management strategies for this challenging LBP subgroup. However, further research is necessary to elucidate the potential of all the tests to detect alterations in the sensorimotor system of CLBP subjects. Trial registration No trial registration was needed as the study contains no intervention. The study was approved by the Swiss Ethics Commission of Northwest and Central Switzerland (EKNZ) reference number 2015–243.

scholarly journals Association between chronic low back pain and degree of stress: a nationwide cross-sectional study

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Sungwoo Choi ◽  
Sangun Nah ◽  
Hae-Dong Jang ◽  
Ji Eun Moon ◽  
Sangsoo Han
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Multiple Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
Low Back ◽  
Sectional Study ◽  
Severe Stress ◽  
Cross Sectional ◽  
Korean People ◽  
Using Data

AbstractLow back pain (LBP) is a very common health problem worldwide, and has a major impact on quality of life. This is a cross-sectional study using data obtained from the Korea National Health and Nutrition Examination Survey (KNHANES) to investigate the health and nutritional status of Korean people, conducted in 2013, 2014, and 2015. The total of 8,473 patients included in the analysis. A 357 (19.34%) subjects in the chronic LBP group and 1,697 (25.61%) subjects in the no chronic LBP group reported no stress (P < 0.001). The numbers of subjects reporting mild, moderate, and severe stress in the two groups were 934 (50.6%) vs. 3,785 (57.11%), 432 (23.4%) vs. 910 (13.73%), and 123 (6.66%) and 235 (3.55%), respectively (all P < 0.001). Multiple logistic regression analysis with full adjustment for other variables indicated higher OR for severe stress (OR 2.82, P < 0.001) than moderate (OR 2.54, P < 0.001) and mild (OR 1.55, P < 0.001) stress. We confirmed that there was a significant association between chronic LBP and degree of stress. Therefore, the degree of stress should be assessed in clinical treatment of chronic LBP patients.

scholarly journals Low back pain in physiotherapy students: Prevalence and the association with neuromuscular findings

2013 ◽  
Vol 69 (4) ◽  
Author(s):  
E. Burger ◽  
H. Myezwa ◽  
V. Naidoo ◽  
B. Olivier ◽  
A. Rothberg
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Cross Sectional Study ◽  
Transversus Abdominis ◽  
Low Back ◽  
Cross Sectional ◽  
Active Involvement ◽  
Optimal Function ◽  
The Stability ◽  
Physiotherapy Students

Background: Physiotherapy students are prone to low back pain (LBP) due to studying and their active involvement in clinical treatment of patients. As a result of pathology, muscle activity is influenced, affecting optimal function of the spine. Method: Physiotherapy students enrolled for 2010 at the University of the Witwatersrand participated in a cross-sectional study. A questionnaire and physical assessment were completed. Results: The study revealed that the lifetime LBP prevalence was 36% among physiotherapy students. Associations with LBP were hours of practical exposure, posterior-anterior mobilisations on L4 (p=0.003) and L5 (p≤0.001) centrally and unilaterally, left lumbar multifidus (LM) cross-sectional area (p=0.02), right obliquus internusabdominis (OI) (p=0.02) and right transversus abdominis (TrA) thickness at rest (p=0.02), as well as the pull of the TrA during contraction on the left (p=0.03). Discussion: Hours of practical exposure may play a role in lumbar pathology. Due to pathology, muscle imbalances of LM, TrA and OI affect the stability of the spine which may lead to recurrences. Conclusion: Practical exposure as well as LM, TrA and OI muscle imbalances were associated with LBP in physiotherapy students. Awareness of the factors associated with LBP while studying at an undergraduate level may lead to better prevention of LBP.

scholarly journals Prevalence of Low Back Pain and Dorsalgia and Associated Factors among Casual Dockworkers

2018 ◽  
Vol 15 (10) ◽  
pp. 2310
Author(s):  
Marta Cezar-Vaz ◽  
Clarice Bonow ◽  
Daiani Xavier ◽  
Joana Vaz ◽  
Letícia Cardoso ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Musculoskeletal Disorders ◽  
Illicit Drugs ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Occupational Risk ◽  
Low Back ◽  
Cross Sectional ◽  
Convenience Sample

This study’s aim was to analyse the relationship between musculoskeletal disorders (low back pain and dorsalgia) and sociodemographic characteristics, workload and occupational hazards among casual dockworkers. This cross-sectional study addressed casual dockworkers from the state of Rio Grande do Sul, Brazil. The convenience sample was composed of 232 casual dockworkers. Data were collected using a structured interview and observation. Poisson regression analysis was used. Association between low back pain and physiological occupational risk (p = 0.006), total exertion levels (p = 0.014) and frustration (p = 0.020) remained statistically significant, while the use of illicit drugs (p = 0.023), being a quayside worker (p = 0.021) and physiological occupational risk (p = 0.040) remained associated with dorsalgia. Decreasing these variables in the workplace may also reduce the prevalence of musculoskeletal disorders such as low back pain and dorsalgia.

scholarly journals Prevalence and Associated Factors of Depressive Symptoms Among Patients With Chronic Low Back Pain: A Cross-Sectional Study

2022 ◽  
Vol 12 ◽  
Author(s):  
Yueming Hu ◽  
Zechuan Yang ◽  
Yong Li ◽  
Yong Xu ◽  
Mengge Tian ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Depressive Symptoms ◽  
Chronic Low Back Pain ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Low Back ◽  
Sectional Study ◽  
Cross Sectional ◽  
Family Function

Background: Few studies have focused on depressive symptoms among patients with chronic low back pain in China. The aim of this cross-sectional study was to assess the prevalence and associated factors of depressive symptoms in patients with chronic low back pain.Methods: From May to August 2021, 1,172 patients with chronic low back pain were recruited in China. Depressive symptoms were assessed through the Patient Health Questionnaire. Associations of demographic characteristics, clinical characters and social-psychological factors with depressive symptoms were investigated among patients with chronic low back pain.Results: The prevalence of depressive symptoms was 25.00%. Logistic regression analysis found that duration of pain in 1-5 years (1-3 years: OR = 2.91, 95%CI: 1.65-5.14, 3-5 years: OR = 3.09, 95%CI: 1.55-6.15) and more severe pain (OR = 1.13, 95%CI: 1.10-1.17) were associated with higher risks of depressive symptoms. Better family function (good family function: OR = 0.25, 95%CI: 0.15-0.41, moderate family dysfunction: OR = 0.47, 95%CI: 0.29-0.77) and higher pain self-efficacy (OR = 0.94, 95%CI: 0.93-0.95) were associated with lower risks of depressive symptoms.Conclusion: Patients with chronic low back pain have a high prevalence of depressive symptoms in China. Duration of pain, pain severity, family function and pain self-efficacy were predictors of depressive symptoms among chronic low back pain patients in China. Early identification of the associated factors may be helpful for the timely management of depressive symptoms.

scholarly journals Dor e adoecimento entre a equipe de enfermagem

2020 ◽  
Vol 14 ◽  
Author(s):  
Vitória De Barros Siqueira ◽  
Aislany Warlla Nunes Luna ◽  
Danielly Coelho De Melo ◽  
Lana Quele Pereira Da Silva ◽  
Mariana Pereira Gama ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Varicose Veins ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
Low Back ◽  
Chi Square ◽  
Cross Sectional ◽  
Work Activity ◽  
Nursing Team

Objetivo: verificar a prevalência de dor e adoecimento relacionados à atividade laboral e referidos pela equipe de enfermagem. Método: trata-se de um estudo quantitativo, analítico, de corte transversal realizado com 202 técnicos de enfermagem e enfermeiros assistenciais. Coletaram-se os dados por meio de questionário semiestruturado auto aplicado. Realizou-se a análise bivariada dos dados. Avaliou-se a significância estatística por meio do IC 95% e do teste Qui-quadrado. Resultados: identificou-se prevalência de 69,3% de relato de dor e de 34,2% de adoecimento relacionado à atividade laboral, destacando-se a lombalgia crônica e as varizes; houve prevalência de 19,3% de ansiedade entre os entrevistados e estes apresentaram 20 vezes mais chances de relatar dores. Conclusão: conclui-se que dor e adoecimento são muito prevalentes nos profissionais de enfermagem e parecem ser inerentes às características da atividade exercida e do processo de trabalho, e a discussão desses problemas é de grande relevância para a Enfermagem e para os gestores de serviços de saúde. Descritores: Equipe de Enfermagem; Saúde do Trabalhador; Morbidade; Ansiedade; Prevalência; Dor Lombar.AbstractObjective: to verify the prevalence of pain and illness related to work activity and referred by the nursing team. Method: this is a quantitative, analytical, cross-sectional study conducted with 202 nursing technicians and nursing assistants. Data was collected using a self-administered semi-structured questionnaire. Bivariate data analysis was performed. Statistical significance was assessed using the 95% CI and the chi-square test. Results: a prevalence of 69.3% of reports of pain and 34.2% of illness related to work activity was identified, with emphasis on chronic low back pain and varicose veins; there was a 19.3% prevalence of anxiety among the interviewees and they were 20 times more likely to report pain. Conclusion: it is concluded that pain and illness are very prevalent in Nursing professionals and seem to be inherent to the characteristics of the activity performed and the work process, and the discussion of these problems is of great relevance for Nursing and healthcare service managers. Descriptors: Nursing, Team; Ocupational Health; Morbidity; Anxiety; Prevalence; Low Back Pain.                                                                                           ResumenObjetivo: verificar la prevalencia de dolor y enfermedad relacionados con la actividad laboral y referidos por el equipo de enfermería. Método: se trata de un estudio cuantitativo, analítico, transversal realizado con 202 técnicos de enfermería y auxiliares de enfermería. Los datos fueron recolectados usando un cuestionario semiestructurado autoadministrado. Se realizó un análisis de datos bivariados. La significación estadística se evaluó utilizando el IC del 95% y la prueba de chi-cuadrado. Resultados: se identificó una prevalencia del 69,3% de los informes de dolor y del 34,2% de enfermedades relacionadas con la actividad laboral, con énfasis en el dolor lumbar crónico y las venas varicosas; hubo una prevalencia de ansiedad del 19,3% entre los entrevistados y tenían 20 veces más probabilidades de informar el dolor. Conclusión: se concluye que el dolor y la enfermedad son muy frecuentes en los profesionales de enfermería y parecen ser inherentes a las características de la actividad realizada y el proceso de trabajo, y la discusión de estos problemas es de gran relevancia para la enfermería y los gerentes de servicios de salud. Descriptores: Grupo de Enfermeira; Salud Laboral; Morbilidad; Ansiedad; Prevalencia; Dor de la Región Lumbar.

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