scholarly journals An Investigation of the Relationship between Anthropometry (Height, Weight, and Body Mass Index) and Incidence of Low Back Pain Following Spinal Anesthesia in Elective and Emergency Surgical Procedures

2020 ◽  
Author(s):  
Reza Gharedaghi ◽  
Mastaneh Rajabian Tabesh ◽  
Farsad Imani ◽  
Maryam Abolhasani
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Spinal Anesthesia ◽  
Exact Nature ◽  
Muscular Tissue ◽  
Low Back ◽  
History Of ◽  
The Mean ◽  
The Relationship

Background: The incidence of low back pain in adults after spinal anesthesia is rather similar to that of general anesthesia. The pain is often mild with an increased incidence of low back pain that rarely spreads to the lower extremities but persists for several days after surgery. Fear of complications of back pain after neuraxial injection is one the main reason for patient’s refusal of neuraxial anesthesia. Some studies repoted obesity and BMI above 32 as risk factors for low back pain after surgery. In this study, we aimed to investigate the relationship between selected parameters of body composition, including the amount of total body fat and muscular tissue, and the incidence of low back pain after spinal anesthesia. Methods: A cross-sectional study was carried out on 100 patients who were candidates for elective or emergency surgery under spinal anesthesia. At first demographic data, a history of back pain and assessment and anthropometric assessment was asked. The history of back pain and intensity of pain were asked after one day, one month and 4 months after surgery. Then the relationship between pain intensity and anthropometric data were assessed. Results: The mean pain intensity in the normal weight group was 1.3 ± 0.63. In the overweight group, the mean pain intensity was 1.1 ± 0.41. In the obese group, the mean pain intensity was 2.2± 1.2. Regarding the relationship between mean pain intensity and weight, BMI, and anthropometry, the incidence of pain was not related to patients' anthropometry; the mean pain intensity of these groups were compared; and the incidence of pain was not dependent on weight, BMI, and anthropometry (p-value= 0.4). Conclusion: Based on the obtained results, it can be concluded that no correlation exists between the incidence of low back pain and mean severity of pain and anthropometric indicators such as BMI, however, low back pain lasted longer in obese patients, which requires further study to investigate the exact nature of such a relationship.

scholarly journals Clinical Examination Variables Discriminate Among Treatment-Based Classification Groups: A Study of Construct Validity in Patients With Acute Low Back Pain

2005 ◽  
Vol 85 (4) ◽  
pp. 306-314 ◽  
Author(s):  
Steven Z George ◽  
Anthony Delitto
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Discriminant Validity ◽  
Group Membership ◽  
Low Back ◽  
Specific Exercise ◽  
Acute Low Back Pain ◽  
Present Pain Intensity ◽  
History Of

Abstract Background and Purpose. Treatment-based classification (TBC) provides matched interventions for patients with acute low back pain (LBP) through key history and clinical findings. This study investigated the discriminant validity of TBC by determining whether commonly used clinical examination variables discriminated among TBC groups. Subjects. The mean age of the 131 participants was 37.7 years (SD=10.1), 66 participants (50.4%) were female, mean duration of LBP was 16.5 days (SD=16.1), and 60 participants (45.8%) had a prior history of LBP. Fifty-one study participants (38.9%) were classified for specific exercise, 42 (32.1%) for mobilization, 28 (21.4%) for immobilization, and 10 (7.6%) for traction. Methods. One-way analyses of variance and Kruskal-Wallis tests were used to investigate differences in clinical variables by TBC group. Then, discriminant function analysis (DFA) predicted TBC group membership. Results. The TBC groups differed on present pain intensity, duration of LBP, and history of LBP. Present pain intensity, duration of LBP, total lumbar flexion, presence of leg pain, and history of LBP produced 2 statistically significant discriminant functions that predicted TBC group membership. These functions correctly classified (cross-validation value in parentheses) 65% (65%) for specific exercise, 45% (40%) for mobilization, and 32% (32%) for immobilization. Discussion and Conclusion. This study provided evidence supporting the discriminant validity of TBC. Additional diagnostic information related to TBC groups was generated.

TEST-RETEST RELIABILITY OF POSTURAL STABILITY MEASURES DURING QUIET STANDING IN PATIENTS WITH A HISTORY OF NONSPECIFIC LOW BACK PAIN

2010 ◽  
Vol 22 (03) ◽  
pp. 255-262
Author(s):  
Masood Mazaheri ◽  
Mahyar Salavati ◽  
Hossein Negahban ◽  
Mohamad Parnianpour
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Standard Deviation ◽  
Low Back ◽  
Rigid Surface ◽  
Eyes Closed ◽  
History Of ◽  
The Mean ◽  
Test Retest Reliability ◽  
Total Velocity

As balance is the foundation for all voluntary motor skills, considerable research has been conducted to evaluate postural control in patients with low back pain (LBP). Although reliability is a population-specific property, to the authors' knowledge, there has been no study to determine the test-retest reliability of the center of pressure (COP) measures in the general population of LBP patients. As many as 11 patients with a history of nonspecific LBP randomly completed postural measurements with three levels of difficulty (rigid surface-eyes open, rigid surface-eyes closed, and foam surface-eyes closed) in two sessions. The COP data were used to calculate standard deviation of amplitude, phase plane portrait, standard deviation of velocity, mean total velocity, and area (95% confidence ellipse). Relative reliability of these measures was assessed using intraclass correlation coefficient (ICC) and absolute reliability using standard error of measurement (SEM), and coefficient of variation (CV). Among different COP parameters, the mean total velocity in all conditions of postural difficulty showed the highest reliability, with the ICC range of 0.73–0.80, SEM range of 0.09–0.32 cm/s, and CV range of 5.7–8.2%. Therefore, the mean total velocity may be an optimal COP parameter to be used for quantification and assessment of balance performance in LBP patients.

scholarly journals Elastic adhesive bandage in low back pain in active and sedentary pregnant women living in Coari, Amazonas

2020 ◽  
pp. 1-5
Author(s):  
Emanuela Moraes Silva Fernandes ◽  
Gabrielle Silveira Rocha Matos ◽  
Ercília de Souza Andrade ◽  
Cleuzenir Melo Nunes ◽  
Maria Luciana Moura de Matos ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pregnant Women ◽  
Pain Intensity ◽  
Wilcoxon Test ◽  
Moderate Intensity ◽  
Low Back ◽  
Application Procedure ◽  
The Mean ◽  
Adhesive Bandage

Background: Gestational low back pain is a limiting symptom, which interferes in the activities of daily living and quality of life. There are several scientific findings on the effectiveness and benefits of banding for low back pain, making it necessary to investigate effective and inexpensive non-pharmacological technologies. Objectives: The objective of this study was to compare the effect of elastic adhesive bandage (EAB) in low back pain in active and sedentary pregnant women. Method: Study quasi-experimental, analytical with 33 pregnant women living in the city of Coari (AM). Socio-demographic, obstetrical data on health and low back pain were collected. The bandage was applied like “I”, with two bands in the paravertebral region of the lumbar spine and should remain for 3 days. Pain intensity was assessed by visual analogue pain scale (VAS) during the initial evaluation and after 3 days of the application procedure. For purposes of analysis, the sample was divided into 2 groups: active and sedentary. The Wilcoxon test was used to compare the mean of the low back pain intensity before and after the application of the intra-group bandage. The mean intensity of low back pain after the application of bandaging between groups was analyzed by the Mann-Whitney U test. Significance was accepted for p≤0,05. Results: The mean age was 24.24 (±6.39) and 75.8% reported low back pain at moderate intensity. The pain intensity after application of the EAB was lower in both the active (p=0.039) and the sedentary (p=0.000). There was no difference in pain intensity on day 3 in intragroup analysis (p=0.691). Conclusion: EAB reduced the intensity of low back pain in both active and sedentary pregnant women, however, there was no difference in its effect when the groups were compared.

scholarly journals Comparison of STarT Back Screening Tool and Simmonds Physical Performance Based Test Battery in Prediction of Disability Risks Among Patients with Chronic Low-Back Pain

2019 ◽  
Vol 22 (4) ◽  
pp. 4-17
Author(s):  
Chidozie Emmanuel Mbada (PhD PT) ◽  
Aanuoluwapo Deborah Afolabi (MSc PT) ◽  
Olubusola Esther Johnson (PhD PT) ◽  
Adesola Christianah Odole (PhD PT) ◽  
Taofik Oluwasegun Afolabi (MSc PT) ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Physical Performance ◽  
Screening Tool ◽  
Low Back ◽  
Performance Tests ◽  
Start Back Screening Tool ◽  
Ceiling Effects ◽  
The Mean

Objectives This study identified disability sub-groups of patients with chronic low back pain (LBP) using the Subgroup for Targeted Treatment (or STarT) Back Screening Tool (SBST) and Simmonds Physical Performance Tests Battery (SPPTB). In addition, the study investigated the divergent validity of SBST, and compared the predictive validity of SBST and SPPTB among the patients with the aim to enhance quick and accurate prediction of disability risks among patients with chronic LBP. Methods This exploratory cross-sectional study involved 70 (52.0% female and 47.1% male) consenting patients with chronic non-specific LBP attending out-patient physiotherapy and Orthopedic Clinics at the Obafemi Awolowo University Teaching Hospitals, Ile-Ife and Ladoke Akintola University of Technology Teaching Hospital, Osogbo, Nigeria. Disability risk subgrouping and prediction were carried out using the SBST and SPPTB (comprising six functional tasks of repeated trunk flexion, sit-to-stand, 360-degree rollover, Sorenson fatigue test, unloaded reach test, and 50 foot walk test). Pain intensity was assessed using the Quadruple Visual Analogue Scale. Data on age, sex, height, weight and BMI were also collected. Descriptive and inferential statistics were used to analyze data at p<0.05 Alpha level. Results The mean age, weight, height and body mass index of the participants were 51.4 ±8.78 years, 1.61 ±0.76 m and 26.6 ±3.18 kg/m2 respectively. The mean pain intensity and duration were 5.37 ±1.37 and 21.2 ±6.68 respectively. The divergent validity of SBST with percentage overall pain intensity was r = 0.732; p = 0.001. Under SBST sub-grouping the majority of participants were rated as having medium disability risk (76%), whilst SPPTB sub-grouped the majority as having high disability risk (71.4%). There was a significant difference in disability risk subgrouping between SBST and SPPTB (χ²=12.334; p=0.015). SBST had no floor and ceiling effects, as less than 15% of the participants reached the lowest (2.9%) or highest (1.4%) possible score. Conversely, SPPBT showed both floor and ceiling effects, as it was unable to detect ‘1’ and ‘9’, the lowest and highest obtainable scores. The ‘Area Under Curve’ for sensitivity (0.83) and specificity (0.23) of the SBST to predict ‘high-disability risk’ was 0.51. The estimated prevalence for ‘high-disability risk’ prediction of SBST was 0.76. The estimate for true positive, false positive, true negative and false negative for prediction of ‘high-disability risk’ for SBST were 0.77, 0.23, 0.31, and 0.69 respectively. Conclusion The Start Back Screening Tool is able to identify the proportion of patients with low back pain with moderate disability risks, while the Simmonds Physical Performance Tests Battery is better able to identify high disability risks. Thus, SBST as a self-report measure may not adequately substitute physical performance assessment based disability risks prediction. However, SBST has good divergent predictive validity with pain intensity. In contrast to SPBBT, SBST exhibited no floor or ceiling effects in our tests, and demonstrated high sensitivity but low specificity in predicting ‘high-disability risk’.

scholarly journals The relationship between findings on magnetic resonance imaging and previous history of low back pain

2016 ◽  
Vol Volume 10 ◽  
pp. 47-52 ◽  
Author(s):  
Juichi Tonosu ◽  
Hiroyuki Oka ◽  
Ko Matsudaira ◽  
Akiro Higashikawa ◽  
Hiroshi Okazaki ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Low Back Pain ◽  
Back Pain ◽  
Magnetic Resonance ◽  
Previous History ◽  
Low Back ◽  
Resonance Imaging ◽  
History Of ◽  
The Relationship

Does adherence to treatment mediate the relationship between patientsʼ treatment outcome expectancies and the outcomes of pain intensity and recovery from acute low back pain?

Pain ◽  
2015 ◽  
Vol 156 (8) ◽  
pp. 1530-1536 ◽  
Author(s):  
Tsjitske M. Haanstra ◽  
Steven J. Kamper ◽  
Christopher M. Williams ◽  
Alette S. Spriensma ◽  
Chung-Wei Christine Lin ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Treatment Outcome ◽  
Back Pain ◽  
Pain Intensity ◽  
Outcome Expectancies ◽  
Low Back ◽  
Adherence To Treatment ◽  
Acute Low Back Pain ◽  
The Relationship

scholarly journals Low Back Pain and its Assessment among Commercial Fishermen in Agenebode: An Ergonomic Perspective

2018 ◽  
Vol 1 (1) ◽  
pp. 1-11
Author(s):  
Lawrence Imaekhai
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Back Stress ◽  
Occurrence Rate ◽  
Low Back ◽  
Research Information ◽  
History Of ◽  
Heavy Loads ◽  
Rate Ratios ◽  
The Relationship

In a research done amongst commercial fishermen in Agenebode (Lat. 7.11oN, 6.69oE), the problem low back pain is significant in the fishing business. Research information is scarce on the investigation of the ergonomic stress of professional fishing. Moreover, there is no prior analysis, which investigates the relationship between low back stress (LBS) and low back pain (LBP) in fishing activities. This paper aims to measure the LBS during the gillnet and commercial crab fishing activities as well as to verify the correlation between the low back pain occurrences and those stresses reported in study of Agenebode commercial fishermen during the period (April 2017 – July 2017). A sample of 30 commercial fishermen considered in this study were exposed to LBS and the frequency of the fishing activities was assessed using questionnaire with crab pot and gillnet fishermen. The occurrence rate ratios (RR, 95% CI) of low back pain, which interrupted fishing, exposed to the high LBS and self-reported task was modelled on the basis of the multivariate generalised Poisson regression. It was observed that increased rates of low back pain correlates with the percent of time fishermen were exposed to discomforted postures. Handling of heavy loads during the loading and unloading activities generated lifting indices and high compression values, but with little overall work time (<15%). The results establish that neither ergonomic measure nor fishing task frequency alone can accurately predict LBP. Conversely, ageing, history of the LBP and self-selection out of tasks, perhaps, are significant factors that contributes to the LBS and outcomes observed

scholarly journals Dose Conversion Between Tapentadol Immediate and Extended Release for Low Back Pain

2010 ◽  
Vol 1;13 (1;1) ◽  
pp. 61-70
Author(s):  
Mila S. Etropolski
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Chronic Low Back Pain ◽  
Extended Release ◽  
Immediate Release ◽  
Low Back ◽  
Open Label ◽  
Double Blind ◽  
The Mean

Background: Tapentadol, a novel, centrally acting analgesic with 2 mechanisms of action (µopioid receptor agonism and norepinephrine reuptake inhibition), has been developed in an immediate-release (IR) and an extended-release (ER) formulation. Determination of the safety and equianalgesic ratios for conversion between formulations is important for physicians with patients taking tapentadol IR who may want to switch to tapentadol ER, or vice versa, for any reason. Objectives: To test whether the total daily dose (TDD) of tapentadol IR may be directly converted into a comparable TDD of tapentadol ER, and vice versa, with equivalent efficacy and comparable safety. Study Design: Randomized, double-blind, 2-period (2 weeks each) crossover study. Setting: Study centers (N = 13) in the United States. Methods: Patients with moderate to severe chronic low back pain received tapentadol IR 50, 75, or 100 mg every 4 or 6 hours (maximum TDD, 500 mg) during the 3-week open-label period to identify an optimal, stable dose of tapentadol IR for each patient. Patients were then randomized in a 1:1 ratio to receive, during the first 2-week double-blind period, either the optimal dose of tapentadol IR identified during the open-label period or a TDD of tapentadol ER (100, 150, 200, or 250 mg bid) that was as close as possible to the TDD of tapentadol IR from the open-label period. During a subsequent, 2-week double-blind period, patients received whichever formulation was not received during the first double-blind period. The primary endpoint was the mean average daily pain intensity (on an 11-point numerical rating scale) during the last 3 days of each double-blind treatment period. If the 95% confidence intervals (CIs) of the least squares mean difference between formulations were within the range of −2 to 2, the formulations were considered equivalent. Results: Of the 88 patients who were randomized, 72 completed both double-blind treatments, and 60 were included in the per-protocol analysis. The mean (standard deviation [SD]) pain intensity score decreased from 7.3 (1.19) pre-treatment to 4.2 (2.13) after 3 weeks of open-label treatment with tapentadol IR and remained constant throughout double-blind treatment (3.9 or 4.0 each week) for both formulations. The mean (SD) of the average pain intensity scores over the last 3 days of double-blind treatment was 3.9 (2.17) with tapentadol IR and 4.0 (2.29) with tapentadol ER, for an estimated difference of 0.1 (95% CI, −0.09 to 0.28). For both tapentadol IR and tapentadol ER, the median TDD administered was 300.0 mg, and acetaminophen was used by 39.5% and 45.2% of patients, respectively. The incidence of treatment-emergent adverse events during double-blind treatment was similar between the tapentadol IR and tapentadol ER groups. Limitations: Use of rescue medication theoretically could have influenced pain measurements, but in practice, pain measurements did not differ between treatments. Conclusions: Approximately equivalent TDDs of tapentadol IR and tapentadol ER provided equivalent analgesic efficacy for the relief of moderate to severe chronic low back pain and were similarly well tolerated, allowing for direct conversion between the 2 formulations. Key words: Chronic low back pain, conversion, efficacy, equivalence, extended release, immediate release, opioid, safety, tapentadol

scholarly journals Does Kinesiophobia Mediate the Relationship between Pain Intensity and Disability in Individuals with Chronic Low-Back Pain and Obesity?

2021 ◽  
Vol 11 (6) ◽  
pp. 684
Author(s):  
Giorgia Varallo ◽  
Federica Scarpina ◽  
Emanuele Maria Giusti ◽  
Roberto Cattivelli ◽  
Anna Guerrini Usubini ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Chronic Low Back Pain ◽  
Crucial Role ◽  
Functional Limitations ◽  
Low Back ◽  
Fear Avoidance ◽  
The Relationship

Individuals suffering from chronic low-back pain and obesity face severe physical and functional limitations. According to the fear-avoidance model, kinesiophobia might play a crucial role in the relationship between pain intensity and disability. Thus, the purpose of this study was to verify the role of kinesiophobia as a mediator in the association between pain intensity and disability in individuals with both chronic low-back pain and obesity. A total of 213 individuals with chronic low-back pain and obesity were included in the study. The level of kinesiophobia, pain intensity and disability were all assessed using self-reported questionnaires. We verified through a simple mediation analysis that kinesiophobia partially mediated the association between pain intensity and disability in our sample. According to our findings, we emphasize the crucial role of kinesiophobia as a psychological factor that should be addressed in chronic low-back pain rehabilitative protocols to reduce disability in individuals with obesity.

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