COMPARISON OF DIFFERENT METHOD OF ANALGESIA IN AGED PATIENTSWITH CHRONIC LOW BACK PAIN

Effectiveness of different methods of analgesia was studied in 34 aged patients suffering chronic low back pain. All patients were at age 60 to 86 and were randomized into N-group in which nefopam (60 mg rectally) was administrated and K-group that included patients who received ketoprofen (100 mg rectally). The end-points of this prospective study were decrease of pain intensity after analgesics administration, contentment of therapy, and characteristics of side effects of medications taking (twice daily for three days). We found that pain intensity decreases by 6,3±1,6 in N-group and 6,1±1,3 in K- group (p<0.05 in the both cases) and achieves 0,9±1,4 and 0,9±1,6 in N- and in K-group, respectively (p>0.05 in comparison between groups). No significant differences between groups were in estimation of therapy contentment. No side effects were registered. Thus, our data proved the equal effectiveness of central nonopioid analgesic nefopam and nonselective cyclooxygenise inhibitor ketoprofen for achievement of good analgesia in aged patients with chronic low back pain.

Download Full-text

Preoperative Elevated Levels for Depression, Anxiety, and Subjective Mental Stress Have No Influence on Outcome Measures of Peripheral Nerve Field Stimulation for Chronic Low Back Pain—A Prospective Study

Neuromodulation Technology at the Neural Interface ◽

10.1111/ner.13368 ◽

2021 ◽

Author(s):

Frank P. Schwarm ◽

Marc Ott ◽

Jasmin Nagl ◽

Frank Leweke ◽

Marco Stein ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Peripheral Nerve ◽

Prospective Study ◽

Chronic Low Back Pain ◽

Mental Stress ◽

Field Stimulation ◽

Low Back ◽

A Prospective Study ◽

Peripheral Nerve Field Stimulation

Download Full-text

A prospective study predicting the outcome of chronic low back pain and physical therapy: the role of fear-avoidance beliefs and extraspinal pain

Revista Brasileira de Reumatologia (English Edition) ◽

10.1016/j.rbre.2016.03.002 ◽

2016 ◽

Vol 56 (5) ◽

pp. 384-390 ◽

Cited By ~ 1

Author(s):

Aloma S.A. Feitosa ◽

Jaqueline Barros Lopes ◽

Eloisa Bonfa ◽

Ari S.R. Halpern

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Physical Therapy ◽

Prospective Study ◽

Chronic Low Back Pain ◽

Low Back ◽

Fear Avoidance ◽

Fear Avoidance Beliefs ◽

A Prospective Study

Download Full-text

Multidisciplinary intensive treatment for chronic low back pain: a randomized, prospective study

Cleveland Clinic Journal of Medicine ◽

10.3949/ccjm.63.1.62 ◽

1996 ◽

Vol 63 (1) ◽

pp. 62-69 ◽

Cited By ~ 92

Author(s):

A. F. BENDIX ◽

T. BENDIX ◽

K. VAeGTER ◽

C. LUND ◽

L. FROLUND ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Prospective Study ◽

Chronic Low Back Pain ◽

Intensive Treatment ◽

Low Back

Download Full-text

An Evaluation of an Innovative Exercise to Relieve Chronic Low Back Pain in Sedentary Workers

Human Factors The Journal of the Human Factors and Ergonomics Society ◽

10.1177/0018720820966082 ◽

2020 ◽

pp. 001872082096608

Author(s):

Pongsatorn Saiklang ◽

Rungthip Puntumetakul ◽

James Selfe ◽

Gillian Yeowell

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Pain Intensity ◽

Muscle Fatigue ◽

Chronic Low Back Pain ◽

Muscle Activity ◽

Trunk Muscle ◽

Low Back ◽

Prolonged Sitting ◽

Lumbar Extension

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.

Download Full-text

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

Download Full-text

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.

Download Full-text