scholarly journals Chronic Low Back Pain in Individuals with Lower-limb Amputation

2006 ◽  
Vol 6 (2) ◽  
pp. 67-70 ◽  
Author(s):  
Ademir Kušljugić ◽  
Suada Kapidžić-Duraković ◽  
Zijada Kudumović ◽  
Amela Čičkušić
Keyword(s):  
Chronic Pain ◽  
Low Back Pain ◽  
Back Pain ◽  
Lower Limb ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Low Back ◽  
Social Disorder ◽  
War Veterans ◽  
Knee Amputation

Low back pain (LBP) is a common condition in individuals which experienced psychology and physical trauma. LBP is usually found in persons with lower-limb amputation (LLA), as the most common sign of somatisation or inappropriately made prostheses. Our goal was to investigate cases of chronic pain syndrome in persons with LLA and to determine factors, which influence their functional inability due to LBP. Pain after LLA has been studied. 37 persons, including 26 war veterans (70.2 %) and 11 (29.8 %) civilians with LLA due to an illness, were examined. All participants gave their informed consent and filled Oswestry index of disability due to chronic LBP, divided into 10 sections with 6 questions each, with marks in the range 0-5. The average age of 37 analyzed participants with LLA was 46.2+-10.92 years. 30 participants (81.1 %) were married, 4 (10.8 %) were single and 3 (8.1 %) were widows. 27 (73.0 %) participants had below the knee amputation, 5 (13.5 %) had above the knee amputation and 5 (13.5 %) had foot amputation. 33 (89.6 %) participants experienced chronic LBP in the last 2-10 years and 4 (10.8 %) did not have pains. According to Oswestry index for chronic pain higher level of social functionality was found in civilian amputees than in war veterans (p<0.05). Married civilian amputees have higher level of disability during seating (p<0.01), sleeping (p<0.01) and traveling (p<0.05). Higher level of social disorder among civilian amputees is due to the fact that they belong to older group of participants which usually have social integration at the lower degree. More serious problems during seating, traveling and sleeping among this group are probably due to co morbidity. Chronic LBP was found among 89.6 % of the participants. Higher level of social disorder, problems during seating, traveling and sleeping were identified in the civilian amputees and the married participants.

Prevalence of Low Back Pain and Relationship to Mental Health Symptoms and Quality of Life After a Deployment-related Lower Limb Amputation

Spine ◽  
2020 ◽  
Vol 45 (19) ◽  
pp. 1368-1375
Author(s):  
Brittney Mazzone ◽  
Shawn Farrokhi ◽  
Brad D. Hendershot ◽  
Cameron T. McCabe ◽  
Jessica R. Watrous
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Low Back Pain ◽  
Back Pain ◽  
Lower Limb ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Low Back ◽  
Health Symptoms

Perceptions of low back pain in people with lower limb amputation: a focus group study

2014 ◽  
Vol 37 (10) ◽  
pp. 873-883 ◽  
Author(s):  
Hemakumar Devan ◽  
Allan B. Carman ◽  
Paul A. Hendrick ◽  
Daniel Cury Ribeiro ◽  
Leigh A. Hale
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Focus Group ◽  
Lower Limb ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Low Back ◽  
Focus Group Study

Perceptions of low back pain in people with lower limb amputation: a focus group study

Physiotherapy ◽  
2015 ◽  
Vol 101 ◽  
pp. e314
Author(s):  
H. Devan ◽  
A. Carman ◽  
P. Hendrick ◽  
D. Ribeiro ◽  
L. Hale
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Focus Group ◽  
Lower Limb ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Low Back ◽  
Focus Group Study

Asymmetrical movements of the lumbopelvic region: Is this a potential mechanism for low back pain in people with lower limb amputation?

2014 ◽  
Vol 82 (1) ◽  
pp. 77-85 ◽  
Author(s):  
Hemakumar Devan ◽  
Paul Hendrick ◽  
Daniel Cury Ribeiro ◽  
Leigh A Hale ◽  
Allan Carman
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lower Limb ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Low Back ◽  
Potential Mechanism

Spinal and Pelvic Kinematics During Gait in People with Lower-Limb Amputation, with and without Low Back Pain

2017 ◽  
Vol 29 (3) ◽  
pp. 121-129 ◽  
Author(s):  
Hemakumar Devan ◽  
Michael P. Dillon ◽  
Allan B. Carman ◽  
Paul Hendrick ◽  
Leigh Hale ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lower Limb ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Low Back

scholarly journals The Study of Prevalence of Low Back Pain and Its Correlation with Functional Disability in Patients with Lower Limb Amputation

2021 ◽  
Vol 10 (30) ◽  
pp. 2233-2238
Author(s):  
Arya Shirish Ashtaputre ◽  
Ayman Shaad Gondekar ◽  
Govinda Varadharajulu
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lower Limb ◽  
Functional Disability ◽  
Study Data ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Low Back ◽  
Pain Disability ◽  
Lower Limb Amputees

BACKGROUND Low back pain (LBP) is a very common and disabling condition experienced by individuals during their lifetime. However, the causes of low back pain may vary and include musculoskeletal impairments, biomechanical abnormalities, gait deviations, primary medical causes, and deleterious or excessive activity.1 The different levels at which amputation is done in the lower limb are hip disarticulation, transfemoral amputation (above knee), knee disarticulation, transtibial amputation (below knee), ankle disarticulation and transmetatarsal amputation. Lower limb amputation (LLA) is known to cause LBP and may result in functional disability in lower limb amputees. Different parameters such as level of amputation, use of prosthesis etc. affect low back pain in amputees. The purpose of this study was to find out the prevalence of low back pain and its correlation with functional disability in patients with lower limb amputation. METHODS This is a community based observational study. 41 participants were included in the study. Data was collected using a questionnaire including the demographic information of each participant, pain assessment and revised Oswestry low back pain disability (RODQ) questionnaire to assess functional disability. RESULTS The study revealed that the prevalence of the reported back pain in the studied sample was 60.9 %. In 60 % of the patients, the Oswestry disability index depicted moderate disability. CONCLUSIONS The study concludes that low back pain is a significant problem in lower limb amputees. Several factors such as level of amputation, age, time since amputation put the lower limb amputees at a risk of developing back pain. Back pain intensity is important to assess the back pain related functional disability. KEY WORDS Amputation, Low Back Pain, Disability, Prosthesis

scholarly journals Exploring Factors Influencing Low Back Pain in People With Nondysvascular Lower Limb Amputation: A National Survey

PM&R ◽  
2017 ◽  
Vol 9 (10) ◽  
pp. 949-959 ◽  
Author(s):  
Hemakumar Devan ◽  
Paul Hendrick ◽  
Leigh Hale ◽  
Allan Carman ◽  
Michael P. Dillon ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
National Survey ◽  
Lower Limb ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Low Back ◽  
Factors Influencing

Biopsychosocial risk factors associated with chronic low back pain after lower limb amputation

2017 ◽  
Vol 108 ◽  
pp. 1-9 ◽  
Author(s):  
Shawn Farrokhi ◽  
Brittney Mazzone ◽  
Michael Schneider ◽  
Sara Gombatto ◽  
John Mayer ◽  
...  
Keyword(s):  
Risk Factors ◽  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Lower Limb ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Low Back ◽  
Factors Associated ◽  
Biopsychosocial Risk

scholarly journals Brain-Derived Neurotrophic Factor and Immune Cells in Osteoarthritis, Chronic Low Back Pain, and Chronic Widespread Pain Patients: Association with Anxiety and Depression

Medicina ◽  
2021 ◽  
Vol 57 (4) ◽  
pp. 327
Author(s):  
Dominique Josephine Dimmek ◽  
Christoph Korallus ◽  
Sabine Buyny ◽  
Gutenbrunner Christoph ◽  
Ralf Lichtinghagen ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Low Back Pain ◽  
Back Pain ◽  
Immune Cells ◽  
Chronic Widespread Pain ◽  
Anxiety And Depression ◽  
Low Back ◽  
Widespread Pain ◽  
Chronic Pain Patients ◽  
Pain Patients

Background and Objectives: Musculoskeletal dysfunction can induce several types of chronic pain syndromes. It is of particular interest to elucidate the pathomechanism of different forms of chronic pain. It is possible that patients who have developed chronic widespread pain (CWP) may endure different pathomechanisms as compared to those who suffer from local pain (osteoarthritis, OA) and regional pain (chronic low back pain, cLBP), especially with regard to pain regulation and its related biomediators. The aim of this study was to determine the differences in pathomechanisms among these patients by measuring pain-related biomediators, particularly brain-derived neurotrophic factor (BDNF). Additionally, subpopulations of immune cells were determined in parallel. Materials and Methods: Patients and healthy subjects (HSs) were recruited (age and gender-matched). BDNF was measured from serum samples of patients and HSs and the data of body composition parameters were recorded. Additionally, both patients and HSs were asked to fill in questionnaires related to pain intensity, anxiety, and depression. Results: Our results highlight that the levels of both free and total BDNF are significantly lower in pain patients compared to HSs, with p values of 0.041 and 0.024, respectively. The number of CD3− CD56bright natural killer (NK) cells shows significant differences between the groups. Comparing all chronic pain patients with HSs reveals a significantly lower number of CD4+ CD8+ T cells (p = 0.031), CD3− CD56bright NK cells (p = 0.049) and CD20+ CD3− cells (p = 0.007). Conclusions: To conclude, it seems that a general conformity between the pathomechanisms of different chronic pain diseases exists, although there are unique findings only in specific chronic pain patients.

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