Studying the Effect of Relaxation Training on Chronic Low Back Pain Intensity and Daily Functioning in the Elderly

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.

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Pain Intensity and Fear Avoidance Explain Disability Related to Chronic Low Back Pain in a Saudi Arabian Population

Spine ◽

10.1097/brs.0000000000003002 ◽

2019 ◽

Vol 44 (15) ◽

pp. E889-E898 ◽

Cited By ~ 2

Author(s):

Dalyah M. Alamam ◽

Niamh Moloney ◽

Andrew Leaver ◽

Hana I. Alsobayel ◽

Martin G. Mackey

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Pain Intensity ◽

Chronic Low Back Pain ◽

Saudi Arabian ◽

Low Back ◽

Fear Avoidance ◽

Arabian Population

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Comparative Associations of Working Memory and Pain Catastrophizing With Chronic Low Back Pain Intensity

Physical Therapy ◽

10.2522/ptj.20150335 ◽

2016 ◽

Vol 96 (7) ◽

pp. 1049-1056 ◽

Cited By ~ 10

Author(s):

Corey B. Simon ◽

Trevor A. Lentz ◽

Mark D. Bishop ◽

Joseph L. Riley ◽

Roger B. Fillingim ◽

...

Keyword(s):

Working Memory ◽

Low Back Pain ◽

Back Pain ◽

Pain Intensity ◽

Chronic Low Back Pain ◽

Pain Catastrophizing ◽

Future Research ◽

Low Back ◽

Cross Sectional ◽

Daily Pain

Abstract Background Because of its high global burden, determining biopsychosocial influences of chronic low back pain (CLBP) is a research priority. Psychological factors such as pain catastrophizing are well established. However, cognitive factors such as working memory warrant further investigation to be clinically useful. Objective The purpose of this study was to determine how working memory and pain catastrophizing are associated with CLBP measures of daily pain intensity and movement-evoked pain intensity. Design This study was a cross-sectional analysis of individuals with ≥3 months of CLBP (n=60) compared with pain-free controls (n=30). Method Participants completed measures of working memory, pain catastrophizing, and daily pain intensity. Movement-evoked pain intensity was assessed using the Back Performance Scale. Outcome measures were compared between individuals with CLBP and those who were pain-free using nonparametric testing. Associations were determined using multivariate regression analyses. Results Participants with CLBP (mean age=47.7 years, 68% female) had lower working memory performance (P=.008) and higher pain catastrophizing (P<.001) compared with pain-free controls (mean age=47.6 years, 63% female). For individuals with CLBP, only working memory remained associated with daily pain intensity (R2=.07, standardized beta=−.308, P=.041) and movement-evoked pain intensity (R2=.14, standardized beta=−.502, P=.001) after accounting for age, sex, education, and interactions between pain catastrophizing and working memory. Limitations The cross-sectional design prevented prospective analysis. Findings also are not indicative of overall working memory (eg, spatial) or cognitive performance. Conclusion Working memory demonstrated the strongest association with daily pain and movement-evoked pain intensity compared with (and after accounting for) established CLBP factors. Future research will elucidate the prognostic value of working memory on prevention and recovery of CLBP.

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Electronic diary assessment of pain-related fear, attention to pain, and pain intensity in chronic low back pain patients

Pain ◽

10.1016/j.pain.2004.09.016 ◽

2004 ◽

Vol 112 (3) ◽

pp. 335-342 ◽

Cited By ~ 52

Author(s):

Jeffrey Roelofs ◽

Madelon L. Peters ◽

Jacob Patijn ◽

Erik G.W. Schouten ◽

Johan W.S. Vlaeyen

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Pain Intensity ◽

Chronic Low Back Pain ◽

Low Back ◽

Electronic Diary ◽

Pain Patients ◽

Attention To Pain

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Relationship of Subjective Disability with Pain Intensity, Pain Duration, Pain Location, and Work-Related Factors in Nonoperated Patients with Chronic Low Back Pain

Clinical Journal of Pain ◽

10.1097/00002508-199609000-00007 ◽

1996 ◽

Vol 12 (3) ◽

pp. 194-200 ◽

Cited By ~ 23

Author(s):

Mats Grönblad ◽

Erkki Järvinen ◽

Olavi Airaksinen ◽

Martti Ruuskanen ◽

Harri Hämäläinen ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Pain Intensity ◽

Chronic Low Back Pain ◽

Low Back ◽

Related Factors ◽

Work Related ◽

Pain Location ◽

Pain Duration ◽

Relationship Of

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A Randomized Clinical Trial of Auricular Point Acupressure for Chronic Low Back Pain: A Feasibility Study

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2013/196978 ◽

2013 ◽

Vol 2013 ◽

pp. 1-9 ◽

Cited By ~ 12

Author(s):

Chao Hsing Yeh ◽

Lung Chang Chien ◽

Devora Balaban ◽

Rebecca Sponberg ◽

Jaclyn Primavera ◽

...

Keyword(s):

Clinical Trial ◽

Low Back Pain ◽

Back Pain ◽

Pain Intensity ◽

Randomized Clinical Trial ◽

Feasibility Study ◽

Chronic Low Back Pain ◽

Low Back ◽

Duration Of Treatment ◽

Auricular Point

Objectives. This prospective, randomized clinical trial (RCT) was designed to investigate the feasibility and effects of a 4-week auricular point acupressure (APA) for chronic low back pain (CLBP).Methods. Participants were randomized to either true APA (true acupoints with taped seeds on the designated ear points for CLBP) or sham APA (sham acupoints with taped seeds but on different locations than those designated for CLBP). The duration of treatment was four weeks. Participants were assessed before treatment, weekly during treatment, and 1 month following treatment.Results. Participants in the true APA group who completed the 4-week APA treatment had a 70% reduction in worst pain intensity, a 75% reduction in overall pain intensity, and a 42% improvement in disability due to back pain from baseline assessment. The reductions of worst pain and overall pain intensity in the true APA group were statistically greater than participants in the sham group(P<0.01)at the completion of a 4-week APA and 1 month followup.Discussion. The preliminary findings of this feasibility study showed a reduction in pain intensity and improvement in physical function suggesting that APA may be a promising treatment for patients with CLBP.

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