scholarly journals Sensorimotor and Body Perception Assessments of Chronic Nonspecific Low Back Pain: A Case-Control Study

Author(s):  
Meier Raphael ◽  
Christine Emch ◽  
Claudia Wolf ◽  
Fabian Pfeiffer ◽  
Andre Meichtry ◽  
...  

Abstract Background: Low back pain is one of the most common musculoskeletal disorders. It leads to major costs in health care systems and causes significant personal and social burdens. Current research focuses on the processes of the central nervous system such as cortical changes in pain perception to discover new and more efficient ways to treat chronic low back pain (CLBP). Several clinical tests have been suggested that might correlate with altered cortical representation. These include back-photo assessment (BPA), movement control tests (MCI) and two-point discrimination thresholds (TPD).Objective: The aim of this study was to determine whether BPA, MCI and TPD tests can discriminate between CLBP patients with altered body perception and healthy controls.Design: A case-control study matched by gender and age.Methods: Using MCI, BPA and TPD tests on the lower back, thirty patients with CLBP and thirty healthy controls were investigated at one point in time. Participants were also required to complete three questionnaires: the ‘Fear Avoidance Belief Questionnaire’, the ‘Hospital Anxiety and Depression Scale’ and the ‘Fremantle Back Awareness Questionnaire’. Correlations among the main covariates and odds ratios for group differences were calculated.Results: The MCI showed a statistically significant odds ratio for the presence of CLBP of 0.65 (p< 0.05), whereas TPD and BPA did not determine differences between the groups.Conclusion: The movement control test was found to be the only suitable test to discriminate CLBP patients from healthy controls.Trial registration: The study was approved by the Swiss Ethical Commission Northwest and Central Switzerland (EKNZ) and registered at 21.8.2015, reference number 2015-243.

2017 ◽  
Vol 60 ◽  
pp. e17
Author(s):  
Amandine Grelier ◽  
Olivier Bailliart ◽  
Alain Yelnik ◽  
Philippe Orcel ◽  
Johann Beaudreuil

2021 ◽  
Author(s):  
Mohsen Sadeghi-Yarandi ◽  
Mohammad Ghasemi ◽  
Ali Ghanjal ◽  
Mojtaba Sepandi ◽  
Ahmad Soltanzadeh

Abstract Background: Chronic low back pain is one of the most common musculoskeletal disorders in different countries that people of any age can experience many times. This study aimed to predict the chronicity of non-specific acute and sub-acute LBP and related risk factors among cases referred to physiotherapy clinics.Methods: This case-control study was performed among 420 patients suffered from acute, sub-acute and chronic LBP referred to two physiotherapy centers in Tehran-Iran in 2020. Data were obtained using the Fear-Avoidance Beliefs Questionnaire (FABQ), Patient Health Questionnaire (PHQ-9), Pain Catastrophic Scale (PCS-13), Tampa Scale for Kinesiophobia (TSK-11), Pittsburgh Sleep Quality Index (PSQI), Walker's Health-Promoting Lifestyle Questionnaire, Roland Morris Disability Questionnaire (RMDQ) and Numerical Pain Rating Scale (NPRS). Data analysis was performed by applying independent sample t-test, chi-square, and multiple logistic regression in SPSS software version 25. IBM Amos version 22 was employed for path analysis.Results: The mean age and body mass index in all patients were 43.94 ± 6.72 years and 25.69 ± 3.54 kg.m-2, respectively. It was found that some demographic parameters (i.e. weight, BMI, job, type of occupational task performance, history of low back pain, work shift, underlying diseases and income), some cognitive parameters ( i.e. fear-avoidance beliefs, kinesiophobia, catastrophic pain, and depression), some lifestyle parameters (i.e. health responsibility, physical activity and interpersonal relationships), sleep quality and pain related disability were among the most critical risk factors in the chronicity of acute and sub-acute LBP (P < 0.05).Conclusion: Personal, psychological, and psychosocial parameters can be among the most critical predictors in the chronicity of acute and sub-acute non-specific LBP. Hence, paying attention to all the mentioned factors at the beginning of patients' treatment to create a targeted treatment algorithm and prevent the conversion of acute and sub-acute into chronic LBP has particular importance.


2013 ◽  
Vol 18 (6) ◽  
pp. 541-546 ◽  
Author(s):  
Jorge E. Esteves ◽  
Laura Wheatley ◽  
Clare Mayall ◽  
Hilary Abbey

2006 ◽  
Vol 16 (1) ◽  
pp. 107-113 ◽  
Author(s):  
Eric W. P. Bakker ◽  
Arianne P. Verhagen ◽  
Cees Lucas ◽  
Hans J. C. M. F. Koning ◽  
Rob J. de Haan ◽  
...  

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