scholarly journals Therapeutic itinerary of patients with chronic low-back pain attending outpatient physiotherapy clinic

Rev Rene ◽  
2022 ◽  
Vol 23 ◽  
pp. e71393
Author(s):  
Chidozie Emmanuel Mbada ◽  
Samuel Olaniyi Oladapo ◽  
Chizoba Favour Igwe ◽  
Olufemi Oyeleye Oyewole ◽  
Clara Fatoye ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Tertiary Hospital ◽  
Medical Pluralism ◽  
Low Back ◽  
Structured Interviews ◽  
Hospital Data ◽  
Pain Symptoms ◽  
Physiotherapy Clinic

Objective: to assess therapeutic itinerary of patients with chronic low-back pain. Methods: qualitative study involving the use of an in-depth semi structured interviews were used to collect data on therapeutic itinerary among ten patients with chronic low-back pain who from physiotherapy clinic of a tertiary hospital. Data was analysed using thematic content analysis. Results: emerging themes were as follows: onset of low-back pain, symptoms that initiated the journey for care, steps taken to find pain relief, respondent’s perception on care received, interference of chronic low-back pain with normal life, family and relations, multiple practices in which chronic low-back pain patients are involved, perception of effectiveness of the multiple practices, and hurdles to seeking care. Conclusion: patients with chronic low-back pain take different routes in search of care. Chronic low-back pain markedly altered patients’ life and made them prone to practicing medical pluralism.

scholarly journals Custom-Made Foot Orthoses as Non-Specific Chronic Low Back Pain and Pronated Foot Treatment

2021 ◽  
Vol 18 (13) ◽  
pp. 6816
Author(s):  
Aurora Castro-Méndez ◽  
Inmaculada Concepción Palomo-Toucedo ◽  
Manuel Pabón-Carrasco ◽  
Javier Ramos-Ortega ◽  
Juan Antonio Díaz-Mancha ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Control Group ◽  
Foot Orthoses ◽  
Low Back ◽  
Custom Made ◽  
Foot Posture ◽  
Foot Pronation ◽  
Pain Symptoms

Excessive foot pronation has been reported as being related to chronic low back pain symptoms and risk factors in sports-specific pathologies. Compensating custom-made foot orthotics treatment has not been entirely explored as an effective therapy for chronic low back pain (CLBP). This study aims to observe the effects of custom-made foot orthoses, in subjects with foot pronation suffering from CLBP. A total of 101 patients with nonspecific CLBP and a pronated foot posture index (FPI) were studied. They were randomized in two groups: an experimental one (n = 53) used custom-made foot orthotics, and the control group (n = 48) were treated with non-biomechanical effect orthoses. The CLBP was measured using the Oswestry Disability Index (ODI) Questionnaire and a visual analogue scale (VAS), both for lower back pain. The symptoms were evaluated twice, at first when the subject was included in the study, and later, after 4 weeks of treatment. The analysis of outcomes showed a significant decrease in CLBP in the custom-made foot orthoses participants group (p < 0.001 ODI; p < 0.001 VAS). These findings suggest that controlling excessive foot pronation by using custom-made foot orthoses may significantly contribute to improving CLBP.

scholarly journals Deficits in the Star Excursion Balance Test and Golf Performance in Elite Golfers with Chronic Low Back Pain

2021 ◽  
pp. 229-236
Author(s):  
Yi-Chien Peng ◽  
Chung-Yuan Hsu ◽  
Wen-Tzu Tang
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Golf Swing ◽  
Control Group ◽  
Low Back ◽  
Balance Test ◽  
Star Excursion Balance Test ◽  
Pain Symptoms ◽  
The Right

The purpose of this study was to investigate whether low-handicap elite golfers with chronic low back pain (CLBP) exhibit deficits in dynamic postural control and whether CLBP affects golfers in terms of their golf swing parameters. A total of fifteen Division 1 college golfers were recruited as participants. Of these, six of whom experienced CLBP, while the remaining participants were healthy. In this study, CLBP was defined as experiencing chronic pain symptoms for more than six months. The Star Excursion Balance Test (SEBT) was administered to examine dynamic posture control in both groups. The TrackMan Golf Launch Monitor Simulator was used to collect data on the performance parameters of the swing of the participants. The results for both feet in the medial, lateral, posterior, posteromedial, and posterolateral directions indicated that the CLBP group scored lower than the control group. However, the CLBP group scored higher for the right foot in the anterolateral direction. The parameters for the club speed and ball carry of the CLBP group were lower than those of the control group. Further, the CLBP group exhibited a more upright swing plane relative to the control group. Taken together, our findings suggest that SEBT may be feasible and highly accessible to assess golf swing performance of elite players with CLBP.

scholarly journals Visually Plastic Art Therapy in Reducing Anxiety of Chronic Low Back Pain Patients

2015 ◽  
Vol 3 ◽  
pp. 434
Author(s):  
Aloida Jurčenko
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Art Therapy ◽  
Research Group ◽  
Chronic Low Back Pain ◽  
Control Group ◽  
Low Back ◽  
Pain Symptoms ◽  
Pain Patients ◽  
Selection Of

The aim of the research is to check if Art therapy reduces anxiety and pain symptoms for chronic low back pain patients. The selection of the research members was made by using structured interview. For the selection of anxiety research – C.D. Spielberg anxiety position-feature self-assessment (STAI from Y-1). For the selection of pain symptom detection was used numerical analog (ranking) scale (NRS). There were patients from 30 to 60 years old, who made the selection, all with M47.2 diagnosis and anxiety pain symptoms. The capacity of the selection in the end of the research was 54 patients (26 in the research group and 28 in the control group). Research group took part in art therapy (8 sessions). There were used descriptive and conclusive statistics for data analysis. There are several conclusion verdicts. Art therapy reduces anxiety and pain symptoms in chronic low back pain patients.

scholarly journals Factors influencing disability in patients with chronic low back pain attending a tertiary hospital in sub-Saharan Africa

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Marie Doualla ◽  
Jeannine Aminde ◽  
Leopold Ndemnge Aminde ◽  
Fernando Kemta Lekpa ◽  
Felix Mangan Kwedi ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Tertiary Hospital ◽  
Sub Saharan Africa ◽  
Low Back ◽  
Factors Influencing ◽  
Sub Saharan

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 Fluoroscopic-guided sacroiliac joint injections for treatment of chronic axial low back pain in a tertiary Hospital in Nigeria: a preliminary study

2018 ◽  
Vol 52 (3) ◽  
pp. 153-157
Author(s):  
Zakari A. Suleiman ◽  
Israel K. Kolawole ◽  
Ajibade Okeyemi
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Relief ◽  
Chronic Low Back Pain ◽  
Sacroiliac Joint ◽  
Joint Pain ◽  
Steroid Injection ◽  
Tertiary Hospital ◽  
Low Back ◽  
Si Joint

Background: The injection of mixture of plain bupivacaine and triamcinolone acetonide into the sacroiliac joint (SIJ) to relieve chronic low back pain is uncommon in the West African sub-region. The objective of this study was to demonstrate the efficacy or otherwise of fluoroscopic-guided SI joint injection in the management of chronic axial low back pain in Nigeria.Design: This was a prospective observational interventional studySetting: The study was carried out at a tertiary hospital in NigeriaParticipants: Twenty-six patients with SI joint pain, based on IASP diagnostic criteria, who presented to our unit over 36 months from March 2012 to March 2015 and.Interventions: Fluoroscopic-guided injections of 5mls mixture of bupivacaine and triamcinolone acetonide into the sacro-iliac (SI) joints of 26 patients with SI joint pain out of 116 patients who were offered different interventions for chronic low back pain. The patients were followed up for year and pain intensity and functional status were assessed at 3-, 6- and 12 months post-intervention.Main outcome measures: Pain relief and functional improvement were the main outcome measures.Results: The mean numeric rating score (NRS) and Oswestry Disability index (ODI) score in 14 (53.9%) patients at 12 months post-interventions were significantly lower compared with baseline values; 3.19 ± 1.10 vs 8.54 ±1.14 p=0.000 and 25.35 ± 5.40 vs 37.54 ±8.41, p=0.000 respectively.Conclusion: Fluoroscopic-guided steroid injection into the SI joint resulted into reduction in pain intensity and improved physical function in the majority of patients with SI joint pain. Funding: Not declaredKeywords: Axial low back pain, sacroiliac joint, steroid injection, fluoroscopy, pain relief

scholarly journals Effects of Pilates and Classical Kinesiotherapy on chronic low back pain: a case study

2015 ◽  
Vol 28 (4) ◽  
pp. 759-765
Author(s):  
Ivanna Avila Ribeiro ◽  
Tiago Damé de Oliveira ◽  
Cleci Redin Blois
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Functional Disability ◽  
Low Back ◽  
Therapeutic Exercise ◽  
Significance Level ◽  
Significant Difference ◽  
Group B ◽  
Pain Symptoms

Abstract Introduction : Chronic low back pain (LBP) is characterized by daily lower back pain lasting more than three consecutive months. It may lead to functional disability and can be treated by several physical therapy techniques, including therapeutic exercise. The aim of this study was to investigate the effects of pilates and classical kinesiotherapy on the treatment of pain and functional disability in patients with chronic low back pain. Materials and methods : The study sample consisted of five patients with a diagnosis of chronic low back pain and a mean age of 32.4 ± 15.6 years. A Visual Analogue Scale (VAS) was used for pain assessment, and the Oswestry Disability Index was used to assess functional disability at the beginning and at the end of the intervention. Patients were divided into two groups and received 20 individual sessions of therapeutic exercise at a frequency of two sessions per week. Group A was treated with classical kinesiotherapy and group B was treated with pilates exercises. Statistical analysis was performed using Wilcoxon's test. The significance level was set at 5%. Results : There was a significant reduction in pain (p = 043) and functional disability (p = 042) in both groups. We found no significant differences between the effects of pilates and classical kinesiotherapy on pain and functional disability. Conclusions : We conclude that, in the population studied here, both pilates and classical kinesiotherapy were effective in treating chronic low back pain symptoms, with no significant difference between them.

scholarly journals Clinical Examination Procedures to Determine the Effect of Axial Decompression on Low Back Pain Symptoms in People With Chronic Low Back Pain

2012 ◽  
Vol 42 (2) ◽  
pp. 105-113 ◽  
Author(s):  
Gregory Holtzman ◽  
Marcie Harris-Hayes ◽  
Shannon L. Hoffman ◽  
Dequan Zou ◽  
Rebecca A. Edgeworth ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Clinical Examination ◽  
Chronic Low Back Pain ◽  
Low Back ◽  
Pain Symptoms

scholarly journals A qualitative analysis of barriers and facilitators to reducing sedentary time in adults with chronic low back pain

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jeni E. Lansing ◽  
Laura D. Ellingson ◽  
Kathryn J. DeShaw ◽  
Gabriel Cruz-Maldonado ◽  
Tera R. Hurt ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Depressive Symptoms ◽  
Behavior Change ◽  
Social Norms ◽  
Chronic Low Back Pain ◽  
Sedentary Time ◽  
Low Back ◽  
Structured Interviews ◽  
Specific Patient

Abstract Background Sedentary time (SED) is associated with many detrimental health outcomes, yet little is known about what factors influence one’s ability to reduce SED. Even less is known about these factors in specific patient populations for whom high levels of SED may influence symptoms, such as those with chronic low back pain (cLBP). The purpose of this study was to qualitatively explore participants’ perceptions of factors that influenced their ability to reduce SED across an 8-week intervention to reduce SED in adults with cLBP and elevated depressive symptoms. Methods Three months after a theory-based intervention to break up and reduce sitting, semi-structured interviews explored factors that influenced reducing SED. Three researchers independently coded each conversation. Codes were charted and mapped with participants reviewing their own transcripts and the merged codes. The research team then defined key themes. Factors that were perceived to either facilitate behavior change or acted as barriers were identified and thematized as positive or negative determinants. Results Common barriers for reducing SED included environmental constraints, opposing social norms, and productivity; these barriers were frequently encountered in the workplace. Common facilitators for reducing SED included habit development, self-monitoring tools, restructuring the physical environment, and social accountability. Notably, back pain was not a frequently reported barrier or facilitator for reducing SED. Conclusion This sample of patients with cLBP and elevated depressive symptoms had similar determinants for reducing SED as previously reported in non-patient populations and did not appear to need strategies specific to dealing with chronic pain. Since work-related social norms and environmental factors were perceived as significant barriers to sitting less, workplace interventions that provide standing desks, offer standing meetings rooms, and/or institution-wide standing breaks may help reduce SED at work. The use of an activity monitor with sitting reminders and education regarding how to use the reminders as external cues to develop new sitting habits may also aid in adoption and adherence to this behavior change across settings. Developing coping plans and restructuring physical environments were perceived as successful strategies for overcoming social and environmental barriers. Future interventions targeting SED reductions may benefit from incorporating these strategies.

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