Measures for low back pain: a proposal for clinical use

Low back pain represents a serious public health problem. Therefore, great efforts have been made in order to improve and assess the efficacy of its treatment. Reports in international literature have presented important studies concerning instruments to assess pain and functional incapacity in patients with low back pain. This study presents a clinical protocol which was developed by a multidisciplinary team. This protocol consists of the evaluation and distribution of pain, The Spitzer Quality of Life, The Oswestry Low Back Pain Disability Questionnaire, and The Center for Epidemiological Studies Depression Scale. Instruments must be urgently developed or adapted in order to be used according to the Brazilian reality.

Download Full-text

Frequency of Work-related Low Back Pain and Disability Among Automobile Mechanics in Lahore

Pakistan Journal of Physical Therapy (PJPT) ◽

10.52229/pjpt.v3i3.906 ◽

2021 ◽

pp. 20-23

Author(s):

Sameed Liaqat ◽

Muhammad Jawad ◽

Wardah Rauf ◽

Mehak Hamna Zahra Gilani

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Low Back ◽

Cross Sectional ◽

Work Related ◽

Pain Disability ◽

Disability Questionnaire ◽

Number Of Individuals ◽

Ergonomic Risk Factors

Automobile mechanic work is an extensive and physically hard job. Consequently, the automobile workers suffer from ergonomic risk factors including Low Back Pain (LBP) as a major.Objective: To find out the prevalence of Low Back pain (LBP) and disability among automobile mechanics in Lahore.Methodology:The study was cross-sectional and included 180 automechanics of Lahore. Oswestry Low Back Pain Disability Questionnaire (OLBPDQ) was used to measure the disability caused by pain. Pain was measured by Visual Analog Scale (VAS). Data was collected from 180 auto mechanics from auto repair shops of Lahore.Results:Out of 180 individuals, 125 subjects reported LBP with average age of 30±5.3 years. 87 individuals (69.6%) were minimally disabled and 31 individuals (24.8%) experienced moderate disability, whereas only 7 individuals (5.6%) experienced severedisability in activities of daily living (ADLs).Conclusions:LBP is highly frequent among automobile mechanics. Majority of the individuals suffering from LBP had minimal disability. The rate of moderate disability was also noticeable but number of individuals with severe disability was very low. Overall, LBP disturbed the quality of life.

Download Full-text

Effect of Addition of Epidural Ketamine to Steroid in Lumbar Radiculitis: One-Year Follow-Up

January 2018 - Pain Physician ◽

10.36076/ppj.2011/14/475 ◽

2011 ◽

Vol 5;14 (5;9) ◽

pp. 475-481

Author(s):

Yasser Mohamed Amr

Keyword(s):

Quality Of Life ◽

Low Back Pain ◽

Back Pain ◽

Low Back ◽

Pain Disability ◽

Group I ◽

Disability Questionnaire ◽

Group Ii ◽

One Year

Background: Treating sciatica with epidural steroid injection has been a common practice worldwide. N-methyl-D-aspartate (NMDA) receptors are an important component of pain pathways. Objectives: The aim of this study was to evaluate the safety and efficacy of epidurally administered NMDA receptor antagonists (ketamine) for the treatment of chronic low back pain secondary to radiculopathy and its effect on patients’ quality of life. Study Design: Randomized, double blind controlled trial. Setting: Hospital outpatient setting. Methods: Two hundred participants aged 25 to 50 years old with a diagnosis of lumbar radiculopathic pain secondary to disc herniation were randomized into 2 equal groups. Group I received 80 mg of triamcinolone (2 mL) and 0.25% bupivacaine (3 mL) plus 30 mg (3 mL) of preservative free ketamine. Group II received 80 mg of triamcinolone (2 mL) and 0.25% bupivacaine (3 mL) plus 3 mL of 0.9% saline. Pain scores were obtained before injection, immediately after injection, one week, one month, 3 months, 6 months , 9 months and one year post injection. The Oswestry Low Back Pain Disability Questionnaire was used at baseline and at one month, 3, 6, 9, and 12 months after injection for assessment of quality of life. Patients were asked to report any side effects, particularly those related to ketamine, including nausea, vomiting, visual or auditory hallucinations, and delirium. Results: Immediately after injection there was no statistically significant difference between Group I and II regarding pain scale scores. After one week of injection, pain relief was significantly better in Group I compared to Group II and then at all evaluation times. The Oswestry Low Back Pain Disability Questionnaire score decreased significantly (P < 0.05) from 72 (range 62- 83) and 70 (range 57- 82) to 8 (range 2 – 12) and 17 (range 9 – 27) at one month; 6 (range 4 – 12) and 18 (range 14 – 22) at 3 months; 12 (range 9 – 16) and 28 (range 22 – 34) at 6 months; 17 (range 9 – 24) and 31 (range 21 – 35) at 9 months; and 17 (range 8 – 22) and 33 (range 20 – 37) at 12 months in the groups, respectively. Six patients in the ketamine group showed short-lasting delusions lasting for 45 ± 12 minutes after injection. Limitations: The limitations include a lack of placebo control. Conclusion: Epidurally administrated ketamine seems to be a safe and useful adjunct to epidural corticosteroid therapy in chronic lumbar radicular pain. Key words: Ketamine, epidural, radiculopathic, pain, steroid

Download Full-text

Effect of Swiss Ball Exercise Combined with Taping on Pain, Disability, and Quality of Life in Women with Pregnancy-Related Low Back Pain

Journal of the Korea Entertainment Industry Association ◽

10.21184/jkeia.2020.8.14.6.301 ◽

2020 ◽

Vol 14 (6) ◽

pp. 301-309

Author(s):

Kyoung-Sim Jung ◽

Tae-Sung In

Keyword(s):

Quality Of Life ◽

Low Back Pain ◽

Back Pain ◽

Low Back ◽

Pain Disability ◽

Swiss Ball

Download Full-text

Comparison among different therapeutic techniques to treat low back pain: a monitored randomized study

Ozone Therapy ◽

10.4081/ozone.2016.5842 ◽

2016 ◽

Vol 1 (1) ◽

pp. 17

Author(s):

Luca Morelli ◽

Simona Carla Bramani ◽

Marco Cantaluppi ◽

Mara Pauletto ◽

Alessandro Scuotto

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Randomized Study ◽

Functional Limitation ◽

Low Back ◽

Ozone Therapy ◽

Pain Disability ◽

Treatment Data ◽

Disability Questionnaire

Idiopathic low back pain can be considered as a chronic condition, characterized by recurrent episodes of pain and functional limitation. The aim of this study is to compare two therapeutic methods to treat this chronic disease: the oxygen-ozone therapy and the diathermy through Tear® therapy. Two groups of 10 patients each who suffered from postural idiopathic low back pain due to different pathologies have been recruited. All selected patients have been evaluated through spinometry and have been given the Oswestry low back pain disability questionnaire to fill in at the beginning of the treatments and at the end of them with a three-month follow-up. The first group underwent a diathermy treatment through Tecar® therapy, whilst the second group received an oxygen-ozone therapy treatment through a paravertebral lumbar infiltration; both treatments have been associated with a standard physiokinesitherapy treatment. Data collected through Formetric spinometry show an improvement in both groups, but in the second group (treated with oxygen-ozone therapy+physiokinesitherapy), the improvement is greater (from 6% to 57%) against the first group (from 20% to 38%). In conclusion, the study has cor roborated the validity of both treatments leading to improvement of symptomatology, but while one treatment leads to some relapses after a few months, the second one has a greater healing effect, which preserves over time.

Download Full-text

The effects of the number of physical therapy sessions on pain, disability,and quality of life in patients with chronic low back pain

TURKISH JOURNAL OF MEDICAL SCIENCES ◽

10.3906/sag-1607-78 ◽

2017 ◽

Vol 47 ◽

pp. 1425-1431 ◽

Cited By ~ 1

Author(s):

Burcu METİN ÖKMEN ◽

Engin KOYUNCU ◽

Bilal UYSAL ◽

Neşe ÖZGİRGİN

Keyword(s):

Quality Of Life ◽

Low Back Pain ◽

Back Pain ◽

Physical Therapy ◽

Chronic Low Back Pain ◽

Low Back ◽

Pain Disability ◽

Therapy Sessions

Download Full-text

A félelem és elkerülési hiedelmek krónikus fájdalomban. A FABQ kérdőív magyar változatának fordítása és validálása

Orvosi Hetilap ◽

10.1556/650.2017.30764 ◽

2017 ◽

Vol 158 (24) ◽

pp. 949-955 ◽

Cited By ~ 1

Author(s):

Eszter Simoncsics ◽

Adrienne Stauder

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Depression Scale ◽

Low Back ◽

Emotional States ◽

Fear Avoidance Beliefs ◽

Somatic Pain ◽

Pain Catastrophising ◽

Disability Questionnaire ◽

Zung Depression Scale

Abstract: Introduction: Chronic low back pain is one of the top reasons for seeking medical advice. In the background of the dysfunction besides the somatic pain dysfunctional thinking, negative emotional states, or interpersonal problems can be identified as well. One of the most important factors making the rehabilitation difficult is the fear and avoidance of physical activity. Aim: The aim of the study was to adapt and validate the Fear Avoidance Beliefs Questionnaire (FABQ-H) in Hungarian. Methods: The FABQ (16 items) was translated into Hungarian and filled in by 90 patients suffering from low back pain for at least three months. For cross validation the FABQ-H results of 43 patients were compared with pain intensity the Oswestry Low Back Pain Questionnaire (ODI), the Roland–Morris Disability Questionnaire (RDQ), the Zung Depression Scale (Zung) and the Pain Catastrophising Scale (PCS). Results: The internal consistency of the FABQ-H was good: the Cronbach’s alpha was 0.8. Correlation analysis revealed that the FABQ showed significant correlation only with the Pain Catastrophising Scale (r = 0.373, p = 0.014). Conclusion: Our results confirm that the FABQ-H is a valid questionnaire that can be well implemented. Orv Hetil. 2017; 158(24): 949–955.

Download Full-text

A cross-sectional study of associations between kinesiophobia, pain, disability, and quality of life in patients with chronic low back pain

Advances in Rheumatology ◽

10.1186/s42358-018-0011-2 ◽

2018 ◽

Vol 58 (1) ◽

Cited By ~ 3

Author(s):

Josielli Comachio ◽

Mauricio Oliveira Magalhães ◽

Ana Paula de Moura Campos Carvalho e Silva ◽

Amélia Pasqual Marques

Keyword(s):

Quality Of Life ◽

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Cross Sectional Study ◽

Low Back ◽

Sectional Study ◽

Cross Sectional ◽

Pain Disability

Download Full-text

Deep-water running training at moderate intensity and high intensity improves pain, disability, and quality of life in patients with chronic low back pain: a randomized clinical trial

Archivos de Medicina del Deporte ◽

10.18176/archmeddeporte.00023 ◽

2021 ◽

Vol 38 (1) ◽

pp. 28-35

Author(s):

AC Kanitz ◽

B Machado ◽

D Rodrigues ◽

G Zambelli ◽

A Ivaniski ◽

...

Keyword(s):

Quality Of Life ◽

Low Back Pain ◽

Back Pain ◽

Deep Water ◽

Chronic Low Back Pain ◽

High Intensity ◽

Low Back ◽

Running Training ◽

Pain Disability

Objective: The present study aimed to verify the influence of training intensity in the aquatic environment on pain, disability, physical capacity, and quality of life in patients with chronic low back pain. Design/Setting: A randomized clinical trial. Subjects: Twenty-two patients with chronic low back pain of both sexes (13 women and 9 men) participated in the study. Material and method: One group performed deep-water walking/running training at moderate intensity (MIT) and a second group performed deep-water walking/running training at high intensity (HIT). Pain, disability, peak oxygen uptake (VO2peak), and quality of life were assessed before and after an intervention. Results: Decreases in pain and disability were observed within both groups, without differences in these parameters between training groups. VO2peak did not change in either group after the training intervention. The results of the HIT group showed more significant improvements in quality of life than that of the MIT group, highlighting the social domain, psychological domain, and general quality of life. Both groups presented significant improvements in the physical and environmental domains of quality of life. Conclusions: Deep-water aerobic exercise training seems to be effective for improving pain symptoms and reducing the disability of people with chronic low back pain. These improvements seem to be independent of the intensity at which the training is performed. In addition, improving pain and disability does not directly reflect all areas of quality of life. In this case, the group that performed the intervention at high intensity achieved more significant improvements in quality of life.

Download Full-text

Effectiveness of kinesiotherapy in chronic non-specific low back pain

Annals of Clinical and Experimental Neurology ◽

10.54101/acen.2021.3.4 ◽

2021 ◽

Vol 15 (3) ◽

pp. 35-42

Author(s):

Vladimir A. Parfenov ◽

Irina A. Lamkova

Keyword(s):

Physical Activity ◽

Low Back Pain ◽

Back Pain ◽

Patient Group ◽

Rating Scale ◽

Emotional State ◽

Low Back ◽

Pain Disability ◽

Long Term Treatment ◽

Disability Questionnaire

The aim of this study was to evaluate the effectiveness of physical therapy (kinesiotherapy or KT) for chronic non-specific low back pain (CNSLBP) in managing pain, improving functional and emotional state, and overall physical activity. Materials and methods. The study included 71 patients (17 men and 54 women) aged 1875 years (mean age 55.09 13.0 years) with CNSLBP, of whom 34 patients received standard KT and 37 patients received enhanced KT. Patients were asked to complete the Numeric Pain Rating Scale (NPRS), the Oswestry Low Back Pain Disability Questionnaire, the Hospital Anxiety and Depression Scale (HADS), and the International Physical Activity Questionnaire (IPAQ-SF) at baseline, after 7 days and 90 days. Results. In patients who received treatment, we observed a reduction in pain intensity as measured by the NPRS, from a score of 8 at baseline (68) to 3 (24) points after 7 days and down to 2 (04) after 3 months (p 0.0001). Depression severity decreased from 7 (59) points to 5 (37) after 7 days (p = 0.002) and 4 (36) points after 90 days (p = 0.002). Anxiety decreased from 7 (510) to 6 (48) after 7 days (p = 0.0003) and 5 (37) points after 90 days (p = 0.0003). The Oswestry Low Back Pain Disability Questionnaire score decreased from 46% (3457.77) to 28% (1235.55) after 7 days (p 0.0001), and then to 11.11% (4.4426) after 90 days (p 0.0001). Physical activity as measured by the IPAQ-SF increased from 11 (716) to 16 (1319) points after 7 days (p = 0.001) and to 23 (1526) points after 90 days (p = 0.0002). The patient group receiving enhanced KT had a more significant reduction in pain as measured by the NPRS after 7 days and 3 months (p = 0.02 and p = 0.055, respectively), depression as measured by the HADS (p 0.05), and disability as measured by the Oswestry Questionnaire (p = 0.015), accompanied by an increase in physical activity as measured by the IPAQ-SF after 90 days (p = 0.0002), as compared to the patient group receiving standard KT. Conclusion. KT not only reduces pain but also improves the functional and emotional state, and increases physical activity in patients with CNSLBP. Enhancing KT by using a personalized approach and educational programmes improves long-term treatment outcomes.

Download Full-text