Pain responses in repeated end-range spinal movements and psychological factors in sick-listed patients with low back pain: Is there an association?

Background: Katigraha (lumbago)is the condition which is characterised by Stiffness and Pain. Due to Vitiation of Vata in the Katipradesh. About 80% of the industrial population and 60% of the general population experience low back pain at some point of their life time due to wrong postural habits and psychological factors. Basti chikitsa is mainly useful in disorders related to Vata Doshas. Matrabasti is a type of Sneha Basti which can be given in all seasons without any strict regimen of Diet. It has Brumhana and Vatashamaka in nature. And Madhur Dravya (Ashwagandha Taila) is one such combination to pacify the Vata in Katigraha. Objectives: To evaluate the efficacy of Madhur Dravya (Ashwagandha Taila) Matrabasti in Katigraha for relieving Pain and Stiffness. Settings and design: This was an open-labelled single arm interventional clinical study. Methods: Fifteen diagnosed case of katigraha were registered from the outpatient and inpatient department of Panchakarma and Madhur Dravya (Ashwagandha Taila) Matrabasti administered for 9 days. Statistical Analysis- The data were statistically analysed by using paired t test. Results: Highly significant (P< 0.0001) result was found in all the assessment parameter like Pain, Stiffness Schober’s Test and functional rating Index quaternary. Conclusion: Madhur Dravya (Ashwagandha Taila) Matrabasti is one of the best to relieve Pain and Stiffness in Katigraha.

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Body Image in Athletes and Nonathletes With Low Back Pain: Avoidance–Endurance-Related Subgroups and Sports Status Play a Role

Journal of Sport Rehabilitation ◽

10.1123/jsr.2019-0245 ◽

2020 ◽

pp. 1-8

Author(s):

Claudia G. Levenig ◽

Michael Kellmann ◽

Jens Kleinert ◽

Johanna Belz ◽

Tobias Hesselmann ◽

...

Keyword(s):

Body Image ◽

Low Back Pain ◽

Back Pain ◽

Psychosocial Aspects ◽

Pain Behavior ◽

The Body ◽

Low Back ◽

Positive Body Image ◽

Main Effect ◽

Pain Responses

Context: Low back pain (LBP) is a serious health problem, both in the general population as well as in athletes. Research has shown that psychosocial aspects, such as dysfunctional pain responses, play a significant role in the chronification of LBP. Recent research supports the relevance of the multidisciplinary concept of body image in the interpretation of LBP. Objective: To examine the differences in 2 psychosocial aspects, body image and pain responses, between athletes and nonathletes with LBP. Design: Cross-sectional design. Setting: The questionnaires were distributed in the course of LBP treatment. Participants: Data from 163 athletes (mean age = 28.69 [9.6] y) and 75 nonathletes (mean age = 39.34 [12.63] y) were collected. Interventions: Data were collected by questionnaires assessing body image, pain behavior, training activity, and LBP. Main Outcome Measures: To examine group differences between athletes and nonathletes regarding body image and pain behavior, the authors performed 2-way analyses of variance with Bonferroni post hoc tests. Results: The results showed (1) a significant main effect regarding pain responses and body image, showing that participants with eustress endurance or adaptive pain behavior revealed a more positive body image in both groups compared with participants with distress endurance or fear-avoidance behavior, and (2) a significant main effect for the factor group in the body image dimension of physical efficacy, indicating a more positive body image for athletes. Conclusion: These results suggest that considering multiple risk factors for LBP, such as body image and dysfunctional pain behavior, as well as subgrouping, might be valuable for research and for broadening therapy options.

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Effects of Nintendo Ring Fit Adventure Exergame on Pain and Psychological Factors in Patients with Chronic Low Back Pain

Games for Health Journal ◽

10.1089/g4h.2020.0180 ◽

2021 ◽

Author(s):

Takashi Sato ◽

Keisuke Shimizu ◽

Yuki Shiko ◽

Yohei Kawasaki ◽

Sumihisa Orita ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Psychological Factors ◽

Low Back

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Disability in chronic low back pain

10.1093/med/9780198834359.003.0076 ◽

2018 ◽

Author(s):

Rakesh Jain ◽

Shailesh Jain

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Psychological Factors ◽

Chronic Back Pain ◽

Low Back ◽

Biopsychosocial Approach ◽

Pain Disability ◽

Behavioural Performance

The landmark paper discussed in this chapter, ‘Pain-related fear is more disabling than pain itself: Evidence on the role of pain-related fear in chronic back pain disability’, published by Crombez et al. in 1999, investigates the issue of disability in chronic low back pain and explores the role of psychological factors in disability. The paper reports on three independent chronic low back pain studies in which behavioural performance and the degree of reported disability were correlated with psychological factors such as catastrophization, negative affect, anxiety, and pain-related fear (e.g. fear of re-injury). In a counterintuitive finding, pain-related fear was more disabling that the pain itself. This paper thus highlighted the need to assess and address the psychological domains of pain; it also validated three questionnaires that are important in the pain field, and established a biopsychosocial approach to understanding, explaining, and treating chronic low back pain.

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