scholarly journals Lumbosacral Angle Variations in Middle Aged Patients with Chronic Low Back Pain - A Retrospective Study

2021 ◽  
Vol 8 (04) ◽  
pp. 208-212
Author(s):  
Ushnish Mukherjee ◽  
Sourav Kundu ◽  
Rachit Gulati ◽  
Prabir Mandal
Keyword(s):  
Body Mass Index ◽  
Low Back Pain ◽  
Back Pain ◽  
Retrospective Study ◽  
Chronic Low Back Pain ◽  
Significant Positive Correlation ◽  
P Value ◽  
Low Back ◽  
Middle Aged ◽  
Aged Patients

BACKGROUND Chronic low back pain (CLBP) is one of the common debilitating condition in middle-age population. Often the pain is "non-specific" or related to mechanical origin; so, often it is termed as chronic mechanical low back pain. Among the various predisposing factors, abnormal lumber lordosis is more often seen. Radiographic assessment of lumbar lordosis can be done by measuring lumbosacral angle (LSA). Therefore, study of variations in LSA among these patients can give important clues in both pathogenesis and management. The aim of the study is to determine different factors leading to the variations of lumbosacral angle amongst the middle-aged patients presenting with chronic mechanical low back pain. METHODS This retrospective study was conducted by analysing records of 105 CLBP patients of both sex (male = 32, female = 73) in the age group of 45 - 65 years. LSA was directly measured digitally by Ferguson technique from the selected patients’ lateral lumbosacral radiographs. Data was collected in Microsoft Excel 2016 and analysis was done with International Business Machines Statistical Package for the Social Sciences (IBM SPSS) Statistics version 23. RESULTS The difference in median of LSA of male [Median (IQR) = 37.00 (10.00)] and female [Median (IQR) = 45.00 (8.50)] patients was statistically significant (p-value 0.000). Significant positive correlation was also found between LSA and BMI for both sexes, but more in case of female (Spearman’s rho 0.806 p = 0.000) than male (Spearman’s rho 0.680 p-value 0.000). CONCLUSIONS Variation of LSA was found to have significant relations with sex and body mass index (BMI), but not with the age. Statistically significant positive correlation between LSA and BMI alongside higher BMI of the females in the study group suggested that they are more prone to develop CLBP. To formulate proper rehabilitation protocol for middle aged CLBP patients, LSA variations and related factors can be kept in mind. KEYWORDS Chronic Low Back Pain (CLBP), Lumbosacral Angle (LSA), Lordosis, Rehabilitation, Body Mass Index, Lordosis, Spine, Radiography, Rehabilitation

scholarly journals A Study from a Country with High Number Population: Risk Factors Associated with Low Back Pain among Middle-Aged Adults

2021 ◽  
Author(s):  
Tashya Anggraeni Sinaga ◽  
Feda Anisah Makkiyah ◽  
Namira Khairunnisa
Keyword(s):  
Risk Factors ◽  
Body Mass Index ◽  
Low Back Pain ◽  
Back Pain ◽  
Stress Level ◽  
P Value ◽  
Low Back ◽  
Middle Aged ◽  
Factors Associated ◽  
Middle Aged Adults

Abstract BACKGROUND: Low back pain is a global health problem that affects the productivity of the patients. Several factors such as individual, occupational, and psychosocial factors increase the risk of low back pain. However, only a few studies investigated those factors, especially in middle adulthood in Indonesia.AIM: This study was conducted to find out the factors associated with low back pain in middle adulthood. METHODS: This study is a cross sectional- observational analytic study using a convenience sampling method with a total sample of 3005 respondents. Data were collected using a questionnaire which was then analyzed using the Chi-square test, Kolmogorov Smirnov, Spearman’s Rank, and logistic regression test. RESULTS: From the result of this study, it was found that the 12-month prevalence of low back pain in middle-aged adults was 44,29%. Female (p-value=0,002; OR=1,3; 95% Cl=1,098–1,545), lack of physical exercises (p-value= 0,005; OR=0,87; 95% Cl=0,794–0,959), high body mass index (p-value=0,002; OR=1,09; 95% Cl= 1,009–1,187), stress level (p-value=0,002; OR=1,26; 95% Cl=1,088–1,458), and working time (p-value=0,047; OR=1,1; 95% Cl= 1,001–1,225) were determined as risk factors that significantly associated with low back pain.CONCLUSION: Middle-aged adults in Indonesia have a quite high prevalence of LBP. The possible risk factors associated with LBP among middle-aged adults were female gender, higher body mass index, lack of physical exercise, stress level and working time. Middle-aged adults in Indonesia should be aware of LBP by identifying risk factors that might potentially worsen LBP in the future and avoid disabilities.

scholarly journals Effectiveness of Maitland Grade I and II Spinal Mobilization for Chronic Low Back Pain

2018 ◽  
Vol 24 (1) ◽  
pp. 577-580
Author(s):  
Komal Mushtaq ◽  
Shoaib Waqas ◽  
Hafiz Muhammad Asim
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Standard Deviation ◽  
Chronic Low Back Pain ◽  
Rating Scale ◽  
P Value ◽  
Team Approach ◽  
Low Back ◽  
Treatment Frequency ◽  
Similar Treatment

Chronic low back pain (CLBP) can be managed by multidisciplinary team approach especially physiotherapy and rehabilitation. In this study, effectiveness of spinal manual therapy (maitland grade I and II mobilization) for CLBP management was assessed. Methods: All subjects in the study were provided maitland grade I and II spinal mobilization for 20 minutes each. A similar treatment frequency was applied and consisted on three sessions per week for 2 continuous weeks. Numeric pain rating scale (NPRS) was applied to assess the pain severity levels before treatment and after treatment. Data were normally distributed and therefore, change in pain intensity was measured by “t” test using SPSS version 23.0. Results: The calculated mean pain score on NPRS before treatment was 3.90 (standard deviation, 0.3038) and after treatment it was 1.65 (standard deviation, 0.8638). The calculated t-value was 12.08 (p value=0.000). Conclusion: These results clearly demonstrate that the maitland G1 and G2 spinal mobilization can be exploited as an effective treatment choice for chronic low back pain.

Body Mass Index as a Risk Factor for Developing Chronic Low Back Pain

Spine ◽  
2013 ◽  
Vol 38 (2) ◽  
pp. 133-139 ◽  
Author(s):  
Ingrid Heuch ◽  
Ivar Heuch ◽  
Knut Hagen ◽  
John-Anker Zwart
Keyword(s):  
Body Mass Index ◽  
Risk Factor ◽  
Low Back Pain ◽  
Back Pain ◽  
Body Mass ◽  
Chronic Low Back Pain ◽  
Low Back

scholarly journals Pain, Depression, Body Mass Index in Conscripts with Chronic Low Back Pain in South Korea

2014 ◽  
Vol 5 (1) ◽  
pp. 661-667
Author(s):  
Ju Hwan Lee ◽  
Ki Mai Um ◽  
Jung San Wang ◽  
Sa Gyeom Lee ◽  
Joo Hyun Park ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Low Back Pain ◽  
Back Pain ◽  
South Korea ◽  
Body Mass ◽  
Chronic Low Back Pain ◽  
Low Back

scholarly journals Effects of Lumbar Stability and Hip Joint Mobility Exercise with Pilates Devices on Pain Level and Muscle-Joint Function in Middle-Aged Women with Chronic Low Back Pain

2021 ◽  
Vol 30 (4) ◽  
pp. 547-555
Author(s):  
Da Eun Park ◽  
Seung Kil Lim
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
External Rotation ◽  
Low Back ◽  
Pain Level ◽  
Middle Aged ◽  
Joint Function ◽  
Oswestry Disability Index Score ◽  
Significant Difference

PURPOSE: This study aimed to compare the effects of 10 weeks of lumbar stability and hip mobility exercises using Pilates devices on pain level and muscle joint function in middle-aged women with chronic low back pain (CLBP). Further, we aimed to investigate the efficacy of Pilates hip mobility exercise (HME) as an exercise for improving CLBP in middle-aged women by comparing the effectiveness of lumbar stability exercise (LSE) and HME.METHODS: Thirty-two middle-aged women with CLBP were enrolled and randomly divided and placed into two groups: the LSE group (n=16) and HME group (n=16). Both groups performed Pilates exercises for 50 minutes twice a week for 10 weeks.RESULTS: The Korean Oswestry Disability Index score in both the LSE and HME groups decreased at 5 weeks (p<.05). Hip internal rotation range of motion (ROM) and external rotation ROM increased at 5 and 10 weeks in both the LSE and HME groups (p<.01). Lumbar mobility increased at 5 weeks in both the LSE (p<.01) and HME groups (p<.001). Lumbar stability in the prone plank test significantly increased at 5 weeks in the LSE group (p<.001) and at 5 and 10 weeks in the HME group (p<.001). Lumbar stability by the side plank test significantly increased at 5 and 10 weeks in both the LSE and HME groups (p<.001).CONCLUSIONS: We found that using Pilates to perform both LSE and HME helped relieve back pain and improve muscle joint function in middle-aged women with CLBP. There was no significant difference between LSE and HME in terms of efficacy. HME is a highly effective exercise for improving CLBP in middle-aged women.

scholarly journals Effects of implementing evidence-based appropriateness guidelines for epidural steroid injection in chronic low back pain: the EAGER (Esi Appropriateness GuidElines pRotocol) study

2019 ◽  
Vol 8 (4) ◽  
pp. e000772
Author(s):  
Scott M Johnson ◽  
Troy Hutchins ◽  
Miriam Peckham ◽  
Yoshimi Anzai ◽  
Elizabeth Ryals ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Low Back Pain ◽  
Back Pain ◽  
Body Mass ◽  
Chronic Low Back Pain ◽  
Evidence Based ◽  
Low Back ◽  
Patient Level ◽  
Epidural Steroid ◽  
Evidence Based Guidelines

ObjectiveChronic low back pain is very common and often treated with epidural steroid injections (ESIs). As ESI referrals had been rapidly increasing at our Veterans’ Administration hospital, we were concerned that they were supplanting more comprehensive care. The objective was to determine how referral patterns and multidisciplinary care might change with the implementation of evidence-based guidelines.MethodsIn this retrospective observational study, multidisciplinary evidence-based guidelines were implemented in 2014 (EAGER: Esi Appropriateness GuidElines pRotocol) as part of the ordering process for an ESI. Time series analysis was performed to assess the primary outcome of subspecialty referral pattern, that is, the number of patients receiving referrals to ancillary services which might serve to provide a more comprehensive approach to their back pain. Secondary outcomes included patient-level changes (ie, body mass index, number of injections, opioid use), which were compared before and after protocol implementation.ResultsComparing preimplementation and postimplementation protocol periods, referrals to physical medicine/rehabilitation increased 11.7% (p=0.003) per year and integrative health increased 2.1% (p<0.001) per year among the 2294 individual patients who received ESI through the neurointerventional radiology service. Of 100 randomly selected patients for patient-level analysis, the median body mass index decreased from 31.57 to 30.22 (p=<0.001) and the mean number of injections decreased from 1.76 to 0.73 (p<0.001). The percentage of patients using oral opioid analgesics decreased from 72% to 49% (p=<0.001).ConclusionImplementation of evidence-based guidelines for ESI referral helps guide patients into a more comprehensive care pathway for chronic low back pain and is correlated with patient-level changes such as decreased body mass index and decreased opioid usage.

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