scholarly journals Factors Associated With Low Back Pain In Patients With Lumbar Spinal Stenosis: A Cross-Sectional Study

Author(s):  
Izaya Ogon ◽  
Kousuke Iba ◽  
Hiroyuki Takashima ◽  
Yoshinori Terashima ◽  
Mitsunori Yoshimoto ◽  
...  

Abstract Background: Low back pain (LBP) is a major symptom of lumbar spinal stenosis (LSS). To develop better treatment, it is important to assess LBP in patients with LSS. This study aimed to analyze the factors associated with LBP in patients with LSS.Methods: This cross-sectional study included consecutive patients with LSS aged between 51 and 79 years who had symptoms in one or both legs with or without LBP. The participants were classified into two groups: the high group (LBP visual analog scale [VAS] score of 30 mm or more) and the low group (LBP VAS score of less than 30 mm). We performed multiple logistic regression analysis with the high and low groups as dependent variables and a receiver operating characteristic (ROC) analysis.Results: A total of 80 patients with LSS were included (35 men and 45 women; mean age 64.5 years), with 47 and 30 patients in the high and low groups, respectively. Multivariate logistic regression analysis revealed that the sagittal vertical axis (SVA; + 1; odds ratio [OR], 1.029; 95% confidence interval [CI], 1.005−1.052) and pelvic incidence (PI)-lumbar lordosis (LL; + 1; OR, 1.065; 95% CI 1.019–1.168) were significantly associated with LBP. ROC analysis revealed cut-off values of 47.0 mm and 30.5° of PI-LL, respectively.Conclusion: These cut-off values could have a high specificity and positive predictive value for LBP in patients with LSS due to spinopelvic malalignment. However, these cut-off values could also represent with a cause other than LSS due to spinopelvic malalignment.

2019 ◽  
Vol 32 (5) ◽  
pp. 739-747 ◽  
Author(s):  
Adriana Angarita-Fonseca ◽  
Milena Boneth-Collante ◽  
Claudia Lucia Ariza-Garcia ◽  
Javier Parra-Patiño ◽  
Julian David Corredor-Vargas ◽  
...  

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0252564
Author(s):  
Bikram Adhikari ◽  
Anup Ghimire ◽  
Nilambar Jha ◽  
Rajendra Karkee ◽  
Archana Shrestha ◽  
...  

Background Low back pain (LBP) is the commonest cause of disability throughout the world. This study aimed to determine the prevalence and factors associated with LBP among the construction workers in Nepal. Methods A community-based cross-sectional study was conducted among the construction workers working in Banepa and Panauti municipalities of Kavre district, from September 2019 to February 2020. Data was collected purposively by face-to-face interview from 402 eligible participants from the both municipalities using semi-structured questionnaire. Mobile-based data collection was done using KoboCollect. Data were exported to and analysed using R-programming software (R-3.6.2). Univariate and multivariate logistic regressions were performed. All tests were two tailed and performed at 95% confidence interval (CI). Result One-year prevalence of LBP among construction workers were 52.0% (95%CI: 47.0–57.0). The higher odds of LBP was reported among females [adjusted odds ratio (aOR) = 2.42; 95%CI: 1.12–5.23], those living below poverty-line (aOR = 2.35; 95%CI: 1.32–4.19), participants with more than five years of work experience (aOR = 1.66; 95%CI: 1.01–2.73) and those with intermediate sleep quality (aOR = 2.06; CI: 1.03–4.11). About 80.0% of construction workers with LBP never seek healthcare services due to: a) time constraints (90.9%), b) financial constraints (18.1%) and c) fear of losing wages on seeking healthcare services (40.9%). The majority of the participants (94.8% among those without LBP and 72.3% among those with LBP) did nothing to prevent or manage LBP. Conclusion The prevalence of LBP in the past one year was high among construction workers where majority of workers never did anything to prevent or manage LBP. Therefore, the public health professionals should set up the health promotion, education, and interventions aimed at increasing awareness on preventive techniques and predisposing factors of LBP.


2017 ◽  
Vol 2 (3) ◽  
pp. e000284 ◽  
Author(s):  
Chinonso Nwamaka Igwesi-Chidobe ◽  
Bolaji Coker ◽  
Chika N Onwasigwe ◽  
Isaac O Sorinola ◽  
Emma L Godfrey

2020 ◽  
Vol 7 (3) ◽  
pp. 211-220
Author(s):  
Liyew Agenagnew ◽  
Chalachew kassaw

AbstractRelapse is a condition of getting back to illness after the recovery from illness. It results in stigma, high cost of treatments, and a decline in functionality both for patients and their families. It is common in mentally ill patients therefore this study attempted to assess lifetime prevalence and factors associated with relapse in a patient with mental illness. Institutional based cross-sectional study design was employed and simple random sampling techniques were used to select 178 study participants. Data were collected through face to face interviews by using a single item question to measure relapse. Data were entered by using Epi-data 3.1 software and exported to the statistical package for social science 22.0 software for analysis. Bivariate logistic regression analysis was conducted to see the association between dependent and independent variables and to identify significant variables associated with the outcome variable at P < 0.05 multivariable logistic regression analysis was done. One hundred seventy-eight mentally ill patients have participated in the study that yields a response rate of 100%. From all 125 (70.2%) of them had relapsed. Non adherance (AOR = 6.35, 95% CI, 2.524–15.852, P < 0.001), high disablity score (AOR = 3.728, 95% CI, 1.434–9.687, P = 0.007) and having single admission history (AOR = 0.196, 95% CI, 0.050–0.761 P = 0.019) were factors which indepedently associated with relapse of mentally ill patients. This study found more than two-thirds of patients had relapsed. Adherence to medication, functional disability, and having single admission were variables that predict the relapse of mentally ill patients.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
R. Meier ◽  
C. Emch ◽  
C. Gross-Wolf ◽  
F. Pfeiffer ◽  
A. Meichtry ◽  
...  

Abstract Background Low back pain (LBP) is one of the most common musculoskeletal disorders, causing significant personal and social burden. Current research is focused on the processes of the central nervous system (particularly the sensorimotor system) and body perception, with a view to developing new and more efficient ways to treat chronic low back pain (CLBP). Several clinical tests have been suggested that might have the ability to detect alterations in the sensorimotor system. These include back-photo assessment (BPA), two-point discrimination (TPD), and the movement control tests (MCT). The aim of this study was to determine whether the simple clinical tests of BPA, TPD or MCT are able to discriminate between nonspecific CLBP subjects with altered body perception and healthy controls. Methods A cross-sectional study was conducted. At one point in time, 30 subjects with CLBP and 30 healthy controls were investigated through using BPA, TPD and MCT on the lower back. Correlations among the main covariates and odds ratios for group differences were calculated. Results MCT showed an odds ratio for the presence of CLBP of 1.92, with a statistically significant p-value (0.049) and 95%CI. The TPD and BPA tests were unable to determine significant differences between the groups. Conclusions Of the three tests investigated, MCT was found to be the only suitable assessment to discriminate between nonspecific CLBP subjects and healthy controls. The MCT can be recommended as a simple clinical tool to detect alterations in the sensorimotor system of nonspecific CLBP subjects. This could facilitate the development of tailored management strategies for this challenging LBP subgroup. However, further research is necessary to elucidate the potential of all the tests to detect alterations in the sensorimotor system of CLBP subjects. Trial registration No trial registration was needed as the study contains no intervention. The study was approved by the Swiss Ethics Commission of Northwest and Central Switzerland (EKNZ) reference number 2015–243.


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