scholarly journals Psychometric evaluation of a brazilian portuguese version of the spitzer quality of life index in patients with low back pain

2008 ◽  
Vol 16 (6) ◽  
pp. 943-950 ◽  
Author(s):  
Rafaela Cunha Matheus Rodrigues Toledo ◽  
Neusa Maria Costa Alexandre ◽  
Roberta Cunha Matheus Rodrigues
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Correlation Coefficient ◽  
Low Back ◽  
Life Index ◽  
Sf 36 ◽  
Quality Of Life Index ◽  
Test Retest Reliability

The purpose of this study was to adapt the Spitzer Quality of Life Index and evaluate its reliability in patients with low back pain. The following steps were followed: translation, back-translation, evaluation by a committee, and pretest. The reliability was estimated through stability and homogeneity assessment. The validity was tested comparing scores of the Spitzer (QLI) with the SF-36 and the Roland-Morris. The psychometric properties were evaluated by the self-application on 120 patients. Results showed that the Cronbach's Alpha was 0.77. Intraclass correlation coefficient for test-retest reliability was 0.960 (p<0.001; IC95%: 0.943; 0.972). Spearman´s correlation coefficient for test-retest reliability was 0.937 (p<0.001). There was significant correlation between the Spitzer (QLI) scores and the dimensions of the SF-36. A significant negative correlation was found between the Spitzer (QLI) and the Roland-Morris scores (r = - 0.730). The adaptation process was conducted successfully and the questionnaire presented reliable psychometric measures.

Quality of life of osteoporotic patients attending rheumatology rehabilitation in-patient units

2012 ◽  
Vol 153 (33) ◽  
pp. 1314-1319
Author(s):  
Julianna Rozália Sallai ◽  
Gábor Héjj ◽  
István †Ratkó ◽  
Aniella Hunka ◽  
Ilona Márkus ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Rheumatoid Arthritis ◽  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Poor Quality ◽  
Low Back ◽  
Life Data ◽  
Sf 36

There has been no report on demographic, social and quality of life data of osteoporotic patients attending rheumatology rehabilitation in-patient units in Hungary. Aim: The authors analyzed the data of osteoporotic patients treated in rheumatology rehabilitation departments as in-patients in four hospitals in Hungary. Methods: Demographic and social data were obtained by using a questionnaire developed by the authors, and quality of life was assessed with the use of the SF-36 questionnaire. The quality of life data of osteoporotic patients were compared to that obtained from patients with rheumatoid arthritis, osteoarthrosis and chronic low back pain who were treated in the same department at the same time. Results: Of the 253 patients who were asked to participate in the study, 211 patients filled out the questionnaires. 25.6% of the patients were male. 58% of the patients were younger than 60 years of age, and 40% of them were heavy physical workers earlier. More than 50% of the patients did not complete secondary school education, and only 6.7% of the patients had a per capita monthly income higher than 100 000 HUF. The quality of life of the osteoporotic patients assessed by SF-36 scored 34.7, which was significantly lower than that of the mean of the Hungarian population scoring 70–90. The SF-36 scores of osteoporotic patients were lower in all domains compared to the scores of patients with rheumatoid arthritis, osteoarthritis and low back pain, although the difference was significant only in the domain of physical activity. The affective role of patients with osteoporosis was significantly lower than those with rheumatoid arthritis and osteoarthritis. Conclusions: Osteoporotic patients attending in-patient rheumatology in-patient rehabilitation units in Hungary have poor quality of life comparable, even worse than that found in patients with rheumatoid arthritis, osteoarthritis and chronic low back pain. Orv. Hetil., 2012, 153, 1314–1319.

scholarly journals Effects of circuit resistance training on the quality of life and disability of women with low back pain

2016 ◽  
Vol 30 (4) ◽  
pp. 17-28
Author(s):  
Hanna Krześniak ◽  
Aleksandra Truszczyńska-Baszak
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Resistance Training ◽  
Control Group ◽  
Low Back ◽  
Sf 36 ◽  
Circuit Resistance Training ◽  
Circuit Resistance

Abstract Introduction: Back pain is a serious social problem which frequently affects women. So far, the effectiveness and safety of physical activities recommended to them have not been confirmed scientifically. The aim of the work was to determine the influence of circuit resistance training on the quality of life and disability of women with back pain. Materials and methods: The study included 25 women (mean age 52.81 ± 13.83 years) with back pain in the course of degenerative changes in the lumbar spine. Circuit resistance training was done on the machines with hydraulic resistance. Prior to the training, each participant was diagnosed on the basis of the McKenzie functional assessment. The quality of life was evaluated with the use of SF-36 survey, while pain intensity was assessed with visual analogue scale (VAS). The level of disability was examined with Roland-Morris disability questionnaire (RMDQ). The examinations were repeated after a three-month period of training and compared with a control group including 31 women (mean age 43.43 ± 14.64 years) who did not take up any physical activity in this period. Results: In the research group, 73.68% of the subjects improved their quality of life assessed with SF-36 survey, mainly in the category of physical functioning (p=0.006). Moreover, their disability decreased significantly (p=0.01) and pain subsided (p=0.003) compared to the control group. Conclusions: Circuit resistance training decreased low back pain, reduced disability and improved the quality of life of the subjects. This type of training may be recommended to individuals with non-specific low back pain.

scholarly journals Effects of Wuqinxi in the Patients with Chronic Low Back Pain: A Randomized Controlled Trial

2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
Chongjie Yao ◽  
Zhenrui Li ◽  
Shuaipan Zhang ◽  
Zhiwei Wu ◽  
Qingguang Zhu ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Sleep Quality ◽  
Pain Intensity ◽  
Short Form ◽  
Low Back ◽  
Sf 36 ◽  
General Exercise

Low back pain (LBP) is one of the major concerns of the current health care. The guidelines for chronic LBP recommend traditional Chinese exercise as an effective treatment. As one of the representatives of traditional Chinese exercise, Wuqinxi has been famous in China for its effects on improving health and treating chronic diseases for thousands of years. The objectives of the study were to assess the effects of Wuqinxi in the patients with chronic LBP on pain intensity, trunk muscle strength, and quality of life. The primary outcome measure was assessed by the Short-Form McGill Pain Questionnaire (SF-MPQ), including the Visual Analog Scale (VAS) and Present Pain Intensity (PPI) as the subtables. The effects of Wuqinxi on the quality of life were also assessed by the Short-Form Health Survey (SF-36) and the Pittsburgh Sleep Quality Index (PSQI) from physical component summary (PCS), mental component summary (MCS), and sleep quality. Besides, the electrical activities of the rectus abdominis (RA), obliquus externus abdominis (OEA), lumbar erector spinae (ES), and multifidus (MF) were assessed by integrated electromyogram (iEMG) after the end of the intervention. Both the groups showed statistically significant improvement in SF-MPQ, SF-36, PSQI, and iEMG at 12 weeks and 24 weeks when compared with baseline (P<0.05). However, Wuqinxi demonstrated better effects in SF-MPQ and MCS after 24 weeks of intervention compared with the general exercise (P<0.05). The patients in the Wuqinxi group (WQXG) also showed a significantly higher iEMG on OEA than the general exercise group (GEG) in 30°/s and 90°/s (P<0.05). Our results showed that Wuqinxi had better effects on chronic LBP for a long time compared with general exercise, including pain intensity and quality of life. Thus, Wuqinxi should be recognized as a possible standalone therapy and self-management skill in chronic LBP, which is suitable for long-term practice.

Acupuncture for Acute Non-Specific Low Back Pain: A Randomised, Controlled, Double-Blind, Placebo Trial

2014 ◽  
Vol 32 (2) ◽  
pp. 109-115 ◽  
Author(s):  
Tatiana Molinas Hasegawa ◽  
Andréia Salvador Baptista ◽  
Marcelo Cardoso de Souza ◽  
Alexandre Massao Yoshizumi ◽  
Jamil Natour
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Double Blind ◽  
Double Blind Placebo ◽  
Sf 36 ◽  
Anti Inflammatory ◽  
Improvement Rating

Objective To assess the efficacy of Yamamoto's acupuncture method on pain, drug intake, functional capacity and quality of life for the treatment of acute non-specific low back pain (ANLBP). Methods A prospective, randomised, parallel-group, double-blind, placebo-controlled trial was performed in 80 men and women with ANLBP who were randomly assigned to five acupuncture sessions (intervention group (IG), n=40) and to five non-penetrating acupuncture sessions (sham group (SG), n=40). Patients were evaluated at baseline and at 3, 7, 14, 21 and 28 days. The measurements used were: visual analogue scale (VAS) for cumulative pain (before intervention, VAS1) and immediate pain (after intervention, VAS2); function (Roland–Morris Disability Questionnaire (RM)); quality of life (SF-36); improvement rating; and number of anti-inflammatory tablets taken. The primary endpoint was a decrease of at least 2 cm in VAS1. Results Pain VAS improved significantly in the IG from day 14 onwards compared with the SG, but the difference did not reach the prespecified clinically relevant value of 2 cm. The IG was significantly superior to the SG in the following outcomes: cumulative pain, function, pain (SF-36) and vitality (SF-36) at days 14, 21 and 28 (p<0.05); limitation in physical aspects (SF-36) at all times (p=0.007 and p=0.02); and functional capacity (SF-36) at days 21 and 28 (p<0.05). The IG also took significantly fewer anti-inflammatory tablets than the SG (p=0.004) at all evaluation times and the improvement rating was better than the SG (p<0.001). Conclusions Yamamoto's new scalp acupuncture was more effective than sham treatment with regard to decrease in pain and anti-inflammatory intake as well as improving functional status and quality of life for patients with ANLBP. ClinicalTrials.gov NCT 01124955.

scholarly journals Assessment of health-related quality of life and patient’s knowledge in chronic non-specific low back pain

2021 ◽  
Vol 21 (S1) ◽  
Author(s):  
Melinda Járomi ◽  
Brigitta Szilágyi ◽  
Anita Velényi ◽  
Eleonóra Leidecker ◽  
Bence László Raposa ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Health Related Quality ◽  
Cronbach's Alpha ◽  
Sf 36 ◽  
Related Quality ◽  
Health Related

Abstract Background Chronic non-specific low back pain syndrome (cnsLBP) is a severe health problem in developed countries, which has an important effect on patients’ quality of life and is highly determined by socio-demographic factors and low back pain specific knowledge. We examined patients’ health-related quality of life according to the results of the Short Form Health Survey (SF-36), low back pain knowledge (LBPKQ) and the social determinants of the participants. Methods We carried out our research in the first half of 2015 in Southern Transdanubia, Hungary. The examination included 1155 respondents living with chronic non-specific low back pain. The confidence interval of 95% was used, and the level of. significance was p < 0.05 using SPSS 22.0 software. Results The SF-36 questionnaire is suitable for the examination of patients’ health-related quality of life (Cronbach’s Alpha> 0.76), as the LBPKQ’s Cronbach’s Alpha was 0.726 also, which showed good validity. Longer-term disease meant a lower health-related quality of life (p < 0.05). A greater decrease of function (Roland Morris scores (RM)) accounts for a lower HRQoL and higher knowledge level. We found significant differences in LBPKQ scores according to sociodemographic parameters. The general health status was positively correlated with LBPKQ (p = 0.024) adjusted for demographic and pain and functional status. Conclusion The negative effect of the symptoms on patients’ quality of life is proved, which is determined by different socio-demographic parameters furthermore by knowledge. Above all could be useful information for professionals to adopt the right interventions.

scholarly journals The Efficiency of Dynamic vs General Exercise for Posture Control Dealing with Low Back Pain

2021 ◽  
Vol 2 (1) ◽  
pp. 5-6
Author(s):  
Michael Mendoza ◽  
MinHyuk Kwon
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Sample Size ◽  
Reporting Quality ◽  
Low Back ◽  
Sf 36 ◽  
Before And After ◽  
General Exercise

Mechanical low back pain is brought on by associated factors, such as muscular imbalances, excess muscular stress, and improper posture. Proper posture is vital for treating low back pain because of its unloading effects on the spine. Thus, the purpose of this critiqued article is to explore which is an effective and functional exercise that can be done at any time for posture. Thirty adults (20-30 years old, 14 males and 16 females) with chronic as opposed to acute or surgery, mechanical low back pain were splitted into Dynamic Sitting Exercise (DSE) and Spinal Extension Exercise (SEE). DSE subject is unloading the spine using the arms while sitting in an upright position. SEE subject is laying prone in elbow position doing a press up with straight arms. Testing was conducted 3 days per week for 6 weeks. Back pain was measured by Visual Analogue Scale (VAS), lumbar mobility by Modified-Modified Schober Test (MMST), and quality of life through subject self-reporting using the (SF-36) health survey before and after the examination. Data were analyzed using paired t-test and Mann-Whitney U-test. A greater improvement has been shown in pain (VAS; z = 3.81, p < .05) with DSE in comparison to SEE. Greater lumbar mobility (MMST; z = 1.99, p < 0.05) increase with DSE in comparison to SEE. A higher quality of life (SF-36; z = 4.16, p < 0.05) with DSE in comparison to SEE was reported. Overall, the DSE proved more effective (see Table 1). DSE works better because of its decompressing action unloading the disc in the spine without straining the lumbar muscles through excess abdominal activation compared to SEE. 6 weeks of DSE training is more efficient for adults with mechanical low back pain compared to SEE. DSE relieves more pressure off the mechanoreceptors leading to greater reduction in pain while also increasing blood flow to the lumbar muscles. The study demonstrates the efficiency advantage of DSE in comparison to SEE with their improvements in pain, lumbar mobility, and quality of life. Defining comparisons were made between the two methods allowing us to understand DSE’s decompression effect on intervertebral disc as opposed to SEE’s strain on lumbar muscles. The results can be interpreted and used by anyone with mechanical low back pain so they may implement the DSE routine into their daily life. The only limitations include self-reporting quality of life with SF-36 survey and sample size. Adding a different means of measuring quality of life and larger sample size (100+) would improve experiment for a follow up study.

scholarly journals Effects of craniosacral therapy and sensorimotor training on pain, disability, depression and quality of life of patients with nonspecific chronic low back pain: a randomized clinical trial

2021 ◽  
Vol 25 (2) ◽  
Author(s):  
Cobra Ghasemi ◽  
Ali Amiri ◽  
Javad Sarrafzadeh ◽  
Mehdi Dadgoo
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Low Back ◽  
Sensorimotor Training ◽  
Pain Disability ◽  
Craniosacral Therapy ◽  
Sf 36

Background: Craniosacral therapy (CST) and sensorimotor training (SMT) are two recommended interventions for nonspecific chronic low back pain (NCLBP). This study compares the effects of CST and SMT on pain, functional disability, depression and quality of life in patients with NCLBP. Methodology: A total of 31 patients with NCLBP were randomly assigned to the CST group (n=16) and SMT (n=15). The study patients received 10 sessions of interventions during 5 weeks. Visual analogue scale (VAS), Oswestry disability index (ODI), Beck depression inventory-II (BDI-II), and Short Form-36 (SF-36) questionnaires were used at baseline (before the treatment), after the treatment, and 2 months after the last intervention session. Results were compared and analyzed statistically. Results: Both groups showed significant improvement from baseline to after treatment (p < 0.05). In the CST group, this improvement continued during the follow-up period in all outcomes (p < 0.05), except role emotional domain of SF-36. In the SMT group, VAS, ODI and BDI-II increased during follow-up. Also, all domains of SF-36 decreased over this period. Results of group analysis indicate a significant difference between groups at the end of treatment phase (p < 0.05), except social functioning. Conclusions: Results of our research confirm that 10 sessions of craniosacral therapy (CST) or sensorimotor training (SMT) can significantly control pain, disability, depression, and quality of life in patients with NCLBP; but the efficacy of CST is significantly better than SMT. Key words: Craniosacral therapy; Sensorimotor training; Nonspecific chronic low back pain; Quality of life Citation: Ghasemi C, Amiri A, Sarrafzadeh J, Dadgoo M. Effects of craniosacral therapy and sensorimotor training on pain, disability, depression and quality of life of patients with nonspecific chronic low back pain: a randomized clinical trial. Anaesth. pain intensive care 2021;25(2):189-198. DOI: 10.35975/apic.v25i2.1458 Abbreviations: CST=Craniosacral therapy; SMT=Sensorimotor training; NCLBP=Nonspecific chronic low back pain; VAS=Visual analogue scale; ODI=Oswestry disability index, BDI-II=Beck depression inventory-II, and SF-36=Short Form-36; CSF=cerebral spinal fluid; CSS=craniosacral system; PRM=primary respiratory movements Received: 27 June 2020, Reviewed: 24 July 2020, Accepted: 27 July 2020

scholarly journals Prevalence of low back pain and its effect on health-related quality of life in 409 scholar adolescents from the Veneto region

Reumatismo ◽  
2019 ◽  
Vol 71 (3) ◽  
pp. 132-140 ◽  
Author(s):  
P. Galozzi ◽  
I. Maghini ◽  
L. Bakdounes ◽  
E. Ferlito ◽  
V. Lazzari ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Well Being ◽  
Self Report ◽  
Low Back ◽  
Veneto Region ◽  
Sf 36 ◽  
Related Quality

Low back pain (LBP) is a common condition with profound effects on well-being. We aimed to define the prevalence and the characteristics of LBP and to investigate its impact on the quality of life (QoL) of 409 students (265 females and 144 males), all high-school adolescents from the Veneto region. LBP was measured with a structured, self-report questionnaire, while the SF-36 questionnaire was used to measure physical and mental QoL. 253 students (61.3%) reported one or more episodes of LBP, with female predominance. Adolescents with LBP treated with drugs and rehabilitation cares have significantly poor belief in pain resolution (p=0.005), but more belief in a prevention program (p=0.006) than the others. After adjustment for sex, a significant association between the SF-36 dimension of vitality and the presence of LBP in males was observed. All SF-36 domains except mental health were significantly higher in females with LBP. Our study confirmed that LBP is frequent in Italian scholar adolescents and has an impact on QoL. Strategies for reducing the effects of LBP on QoL should be an important purpose for clinicians and health policy makers.

Role of patient-based health status outcome measurements in opioid management for low back pain

2018 ◽  
Vol 4 (3) ◽  
pp. 153 ◽  
Author(s):  
Vinod K. Podichetty, MD, MS ◽  
Eric S. Varley, DO ◽  
Michelle Secic, MS
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Short Form ◽  
Symptom Relief ◽  
Low Back ◽  
Opioid Use ◽  
Strong Response ◽  
Sf 36

Objective: The aim of the study was to identify patient factors that correlate with a strong response to opioid pain medications in low back pain patients.Design: Prospective analysis.Setting: Tertiary Institutional Spine Care Center.Patients, Participants: All patients visiting a tertiary referral spine center with primary diagnosis of low back pain (n = 486) and minimum duration of 6 months.Interventions: Opioid medication.Main Outcome Measures: Analysis factors included visual analog pain scale (VAS), symptom relief scores, and results on 36-item Short Form Health Survey (SF-36). A longitudinal descriptive analysis and a multivariable logistic regression were performed on the results of the VAS and SF-36 scores.Results: The average age of opioid and nonopioid treated patients was 62 years versus 64 years, (p = 0.13) and gender distributions at 53 percent versus 50 percent female (p = 0.43). SF-36 scores were statistically significant and associated with the opioid categorization. For every unit increase in symptom relief score, the likelihood of opioid use is doubled (OR = 2.1, 95 percent CI = 1.5-2.8, p < 0.001); and increased by 25 percent with each 10-point decrease in the social functioning quality of life score (OR = 0.98, 95 percent CI = 0.96-0.99, p = 0.006).Conclusions: Social quality of life and symptom relief measurements comprise the optimal set of independent factors that correlate most strongly with a response to opioid use in low back pain patients.

Anxiety and Depression as a Factor of Disability in People with Chronic Low Back Pain Referred to the Orthopedic Clinic of Touba Clinic, Sari in 2018

2021 ◽  
Author(s):  
Shahrzad Khosravifar ◽  
Mohammadmoein Maddah ◽  
Mahdi Abounoori ◽  
Shaghayegh Khosravifar ◽  
Hamed Jafarpour ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Sf 36 ◽  
Disability Questionnaire ◽  
The Mean ◽  
Assess Quality ◽  
Anxiety Questionnaire

Introduction: Chronic pain is one of the most common diseases in today's world, which has a serious influence on the quality of life. Low back pain (LBP) is very common in developed and developing countries. This study aimed to investigate anxiety & depression as a disability factor in chronic LBP in patients referred to the Orthopedic Clinic of Touba Clinic in Sari, Iran in 2018. Material and Methods: The Ronald-Morris Disability Questionnaire was used to assess disability, the Beck Anxiety Questionnaire was used to assess anxiety, the Beck Depression Questionnaire was used to assess depression, the SF-36 was used to assess quality of life, and the Visual Analog Scale was used to assess pain.    Results: In this study, 100 patients were studied. Seventy were female and 30 were male. The mean age of patients was 45.05 ± 11.45 years. Sixty five patients suffered from depression and 35 patients had normal depression. The mean score for disability was 14.05, and the mean and standard deviation from the pain score of patients was 36.2 ± 2.7. Conclusion: Depression is one of the disability factors in people with chronic LBP in patients referring to the orthopedic clinic of Touba Clinic in Sari city in 2018.

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