scholarly journals High levels of low back disability, but not low back pain intensity, are associated with reduced physical activity: a community-based, cross-sectional study

2020 ◽  
Author(s):  
Bothaina Alyousef ◽  
Zeinab Kazemi ◽  
Flavia M. Cicuttini ◽  
Stephane Heritier ◽  
Yuanyuan Wang ◽  
...  
Keyword(s):  
Physical Activity ◽  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Total Activity ◽  
Activity Levels ◽  
Low Back ◽  
Community Based ◽  
Cross Sectional ◽  
Reduced Physical Activity

Abstract Background Although clinical guidelines recommend physical activity for low back pain (LBP), our understanding of the physical activity undertaken by people with LBP is limited. We examined the amounts, intensities and types of physical activity performed by community-based women with different levels of pain and disability. Methods 542 women were invited to participate. Physical activity was measured using the International Physical Activity Questionnaire, and LBP and disability were assessed using the Chronic Pain Grade Questionnaire. Participants were categorised into no/low or high pain intensity and disability groups. Results Women with high levels of back disability performed half the total physical activity of those with no/low levels of back disability (MET(hours/week): median(95%CI) = 27.3(13.2–41.4) vs. 53.9(44.9–62.8),p = 0.002), including less moderate (17.5(10.4–24.7) vs. 32.1(26.8–37.4),p < 0.001) and domestic and gardening activity (14.4(7.2–21.7) vs. 23.5(19.0–28.0), p = 0.02). Moreover, fewer women with high disability participated in vigorous (3(8.11%) vs. 134(32.0%),OR(95%CI) = 0.17(0.04–0.75),p = 0.02) and leisure activities (17(45.9%) vs. 294(70.2%),OR(95% CI) = 0.44(0.21–0.94),p = 0.03) compared to those with no/low disability. There were no differences in physical activity between women with no/low and high pain intensity (all p > 0.05). Conclusion High levels of back disability, but not back pain intensity, were associated with reduced physical activity, including less total activity, moderate and vigorous intense activity, and discretionary activity. Further work is needed to determine whether targeting these types and intensities of physical activity will help in improving physical activity levels and reducing back disability.

scholarly journals 707High levels of back disability,but not back pain,are associated with reduced physical activity in women

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Bothaina Alyousef ◽  
Zeinab Kazemi ◽  
Flavia Cicuttini ◽  
Stephane Heritier ◽  
Yuanyuan Wang ◽  
...  
Keyword(s):  
Physical Activity ◽  
Back Pain ◽  
Pain Intensity ◽  
Leisure Activities ◽  
Total Activity ◽  
Community Based ◽  
Reduced Physical Activity ◽  
Intense Activity ◽  
Discretionary Activity ◽  
The Impact

Abstract Background Although clinical guidelines recommend physical activity for low back pain (LBP), our understanding of the physical activity undertaken by people with LBP is limited. We examined the amounts, intensities and types of physical activity performed by community-based women with different levels of pain and disability. Methods 542 women were invited to participate. Physical activity was measured using the International Physical Activity Questionnaire, and LBP and disability were assessed using the Chronic Pain Grade Questionnaire. Participants were categorised into no/low or high pain intensity and disability groups. Results Women with high levels of back disability performed half the total physical activity of those with no/low levels of back disability (MET(hours/week): median(95%CI)=27.3(13.2-41.4) vs. 53.9(44.9-62.8),p=0.002), including less moderate (17.5(10.4-24.7) vs. 32.1(26.8-37.4),p&lt;0.001) and domestic and gardening activity (14.4(7.2- 21.7) vs. 23.5(19.0-28.0), p = 0.02). Moreover, fewer women with high disability participated in vigorous (3(8.11%) vs. 134(32.0%),OR(95%CI)=0.17(0.04-0.75),p=0.02) and leisure activities (17(45.9%) vs. 294(70.2%),OR(95% CI)=0.44(0.21-0.94),p=0.03) compared to those with no/low disability. There were no differences in physical activity between women with no/low and high pain intensity (all p &gt; 0.05). Conclusions High levels of back disability, but not back pain intensity, were associated with reduced physical activity, including less total activity, moderate and vigorous intense activity, and discretionary activity. Key messages These findings highlight the impact of high levels of disability on physical activity. Further work is needed to determine whether targeting these types and intensities of physical activity will help in reducing back disability.

scholarly journals Physical Activity Levels After Functional Resistance Training Program In Subjects With Low-back Pain

2009 ◽  
Vol 41 ◽  
pp. 130-131
Author(s):  
José A. Pérez-Turpin ◽  
Juan M. Cortell-Tormo ◽  
Pablo Tercedor-Sánchez ◽  
Alfonso Jiménez ◽  
Juan J. Chinchilla-Mira
Keyword(s):  
Physical Activity ◽  
Low Back Pain ◽  
Back Pain ◽  
Resistance Training ◽  
Training Program ◽  
Activity Levels ◽  
Low Back ◽  
Resistance Training Program ◽  
Physical Activity Levels

scholarly journals Associations between the number of children, age at childbirths and prevalence of chronic low back pain: the Nord-Trøndelag Health Study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ingrid Heuch ◽  
Ivar Heuch ◽  
Knut Hagen ◽  
Kjersti Storheim ◽  
John-Anker Zwart
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Prevalence Ratio ◽  
Health Study ◽  
Low Back ◽  
Community Based ◽  
Cross Sectional ◽  
Number Of Children ◽  
Cross Sectional Design ◽  
Generalised Linear Modelling

Abstract Background Associations between childbirths and subsequent risk of low back pain (LBP) have not been clarified. Changes in sex hormone levels or lumbar posture during pregnancy may have an impact on LBP later in life. The purpose of this study was to explore associations between the number of childbirths, age at childbirths and prevalence of chronic LBP in a general population of women. Methods Data were obtained from the Norwegian community-based Nord-Trøndelag Health Study, HUNT2 (1995–1997). Women aged 20–69 years indicated whether they suffered from chronic LBP, defined as LBP persisting at least 3 months continuously during last year. Information about LBP was collected from 3936 women who had experienced no childbirths, 3143 women who had delivered one child only and 20,584 women who had delivered 2 or more children. Of these, 7339 women reported chronic LBP. The 595 women who were pregnant when information was collected were considered separately, regardless of previous births, with 80 women reporting chronic LBP. Associations with prevalence of chronic LBP were examined by generalised linear modelling with adjustment for potential confounders in a cross-sectional design. Results Women who had delivered one child only showed a higher prevalence of chronic LBP than women with no childbirths (prevalence ratio (PR) 1.11; 95% CI: 1.01–1.22). Among women with one or more childbirths, no overall change in prevalence could be demonstrated with an increasing number of children in analyses adjusted for age at first delivery. In women with at least two childbirths, an age less than 20 years at first childbirth was associated with an increased prevalence of chronic LBP (PR 1.36; 95% CI: 1.25–1.49; compared with age 25–29 years). No association was observed between age at last delivery and chronic LBP. The lowest prevalence of chronic LBP was found among women who were currently pregnant (PR 0.80; 95% CI: 0.63–1.00; compared with women with no childbirths). Conclusions Having experienced at least one childbirth seems to be associated with a higher prevalence of chronic LBP later in life. A young age at first childbirth is also associated with a long-lasting increased prevalence.

scholarly journals Comparative Associations of Working Memory and Pain Catastrophizing With Chronic Low Back Pain Intensity

2016 ◽  
Vol 96 (7) ◽  
pp. 1049-1056 ◽  
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&lt;.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.

scholarly journals Do depression and pain intensity interfere with physical activity in daily life in patients with Chronic Low Back Pain?

Pain ◽  
2010 ◽  
Vol 150 (1) ◽  
pp. 161-166 ◽  
Author(s):  
Ivan P.J. Huijnen ◽  
Jeanine A. Verbunt ◽  
Madelon L. Peters ◽  
Philippe Delespaul ◽  
Hanne P.J. Kindermans ◽  
...  
Keyword(s):  
Physical Activity ◽  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Chronic Low Back Pain ◽  
Daily Life ◽  
Low Back

scholarly journals The Effect of Social Isolation During the COVID-19 Pandemic on Patients with Chronic Low Back Pain Who Underwent a Spine Intervention

2021 ◽  
pp. 319-325
Keyword(s):  
Physical Activity ◽  
Low Back Pain ◽  
Back Pain ◽  
Social Isolation ◽  
Chronic Low Back Pain ◽  
Activity Levels ◽  
Low Back ◽  
Spine Intervention ◽  
Vas Scores ◽  
Spinal Injections

BACKGROUND: The COVID-19 infection poses a serious threat to global health for millions of people. In addition to therapeutic treatment methods, preventive measures are also important in controlling the pandemic. As a result, billions of people are quarantined in their homes to prevent the spread of coronavirus. However, social isolation may result in immobility, which can lead to musculoskeletal problems and an increased level of pain, depending on the weakness of the muscles. OBJECTIVES: To examine the effect of social isolation during the recent COVID-19 pandemic on patients with chronic low back pain. STUDY DESIGN: A total of 145 patients who underwent a spine intervention within the past year were enrolled in this prospective and cross-sectional study. SETTING: The study was performed in the interventional pain unit of a tertiary rehabilitation center in Turkey. METHODS: Patient data were obtained by telephone interview and included information pertaining to demographics, pain history, an assessment of pain, analgesic use, activity levels, and an evaluation of stress and sleep habits. Additionally, the International Physical Activity Questionnaire (IPAQ) was used to evaluate patient activity levels. RESULTS: It was detected that social isolation has increased the intensity of low back pain experienced by patients during the COVID-19 pandemic. We also found that patients who benefited from spinal injections administered in the prepandemic period experience less severe low back pain (P = 0.000) and took fewer analgesics (P = 0.000) during the pandemic. The findings of our study revealed that there was a significant reverse correlation between IPAQ walking scores and the prepandemic Visual Analog Scale (VAS) scores (P = 0.015, r = -0.201) and the pandemic VAS scores (P = 0.000, r = -0.313).By contrast, the level of benefit from injections decreased (P < 0.05) and the duration of spinal intervention was shortened in patients with high IPAQ sitting scores (P < 0.05). LIMITATIONS: The limitations of the study are the small number of patients and the fact that our results are based on patients’ self-reported data. CONCLUSIONS: Social isolation has had an increasing effect on low back pain during the COVID-19 pandemic. The results of our study showed a significant relationship between activity level and pain intensity. We also found that patients who have benefited from spinal injections administered in the prepandemic period experience less severe low back pain during the pandemic. KEY WORDS: COVID-19, spine intervention, physical activity, low back pain, social isolation

Relationship Between Physical Activity, Depressive Symptoms and Low Back Pain Related Disability in Older Adults With Low Back Pain: A Cross-Sectional Mediation Analysis

2020 ◽  
Vol 28 (5) ◽  
pp. 686-691
Author(s):  
Fabianna R. de Jesus-Moraleida ◽  
Paulo H. Ferreira ◽  
Juscelio P. Silva ◽  
André G.P. Andrade ◽  
Rosangela C. Dias ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Low Back Pain ◽  
Back Pain ◽  
Depressive Symptoms ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Short Version ◽  
Low Back ◽  
Cross Sectional

Low back pain (LBP) can be less disabling in those who are physically active. This study analyzed the association between physical activity (PA)- and LBP-related disability in older people with LBP, exploring if this association was mediated by depressive symptoms. The authors analyzed the relationship between PA levels and disability using the short version of the International Physical Activity Questionnaire and the Roland–Morris Disability Questionnaire, respectively, collected at baseline from the Brazilian Back Complaints in the Elders study. The authors investigated depressive symptoms as a mediator of this association using the Center of Epidemiologic Studies Depression scale. PA was inversely associated with disability. This association was smaller when considering the indirect effect through depressive symptoms. Thus, depressive symptoms partially mediated the association between PA and disability in older adults with LBP, and higher levels of PA were associated with less depressive symptoms and disability.

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