PHYSICAL ACTIVITY AND QUALITY OF LIFE IN LOW BACK PAIN: A TWOGROUP STRUCTURAL EQUATION MODELING ANALYSIS

2021 ◽  
pp. 18-21
Author(s):  
Eleni Theodoropoulou ◽  
Nektarios A. M. Stavrou ◽  
Maria Koskolou ◽  
Konstantinos Karteroliotis

Studies have indicated that physical activity (PA) reduces pain and enhances quality of life (QoL) in low back pain (LBP). No study has investigated the aforementioned factors within the context of the same theoretical model so far. The aim of this study was to examine the PA and QoL relationship through the intermediary effects of bodily pain (BP) and physical (PCS) and psychological (MCS) health. Participants were 684 individuals aged 39.16 ± 13.52 years old (M ± SD). In total, 222 participants of the sample reported LBP, whereas 462 participants did not. LBP, PA, BP, PCS, MCS and QoL were assessed. A two-group structural equation modeling analysis was used. The results didn't support the model invariance across groups. Within the group with LBP, PA improved QoL through PCS and MCS, whereas in the group without LBP, PA enhanced QoL through MCS. Longitudinal studies should be carried out for highlighting these associations over time.

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Aliyu Lawan ◽  
Adedapo Wasiu Awotidebe ◽  
Umar Muhammad Bello ◽  
Adamu Ahmad Rufa’i ◽  
Cornelius Mahdi Ishaku ◽  
...  

2017 ◽  
Vol 19 (6) ◽  
pp. 513-521
Author(s):  
Dariusz Boguszewski ◽  
Mateusz Krupiński ◽  
Dariusz Białoszewski

Background. Low-back pain is a common problem in developed societies. The quest for methods to reduce this com­plaint may contribute to improving the quality of life for many people. The aim of the study was to compare the effect of Swedish massage combined with acupressure vs. Swedish massage alone in patients with low back pain. Material and methods. The study involved 20 women and 20 men with lumbosacral pain. The group was clinically ho­mo­geneous. The participants were randomized into two groups: Group 1, which received Swedish massage with acu­pressure techniques, and Group 2, treated with Swedish massage only. The research tools comprised the Laitinen Pain Score, the International Physical Activity Questionnaire, the Roland-Morris Ques­tion­naire, the Thomayer test, and the measurement of lumbar spine extension. Differences between the mea­surements were evaluated with the Wilcoxon test, with the minimum significance level set at p≤0.05. Results. Both groups demonstrated a significant (p<0.05) decrease in pain intensity, improvement in quality of life and increase in physical activity. Increased segmental mobility of the spine was also observed in all patients, with significant changes (p<0.05) noted only in Group 1. In Group 2, the differences tended towards significance. Conclusion. In selected cases, Swedish massage combined with acupressure techniques may be more effective as a mo­notherapy in patients with non-specific low back pain than massage alone.


2019 ◽  
Vol 99 (10) ◽  
pp. 1346-1353
Author(s):  
Ryan P Duncan ◽  
Linda R Van Dillen ◽  
Jane M Garbutt ◽  
Gammon M Earhart ◽  
Joel S Perlmutter

Abstract Background People with Parkinson disease (PD) frequently experience low back pain (LBP), yet the impact of LBP on functional mobility, physical activity, and quality of life (QOL) has not been described in PD. Objective The objectives of this study were to describe body positions and functional activities associated with LBP and to determine the relationships between LBP-related disability and PD motor sign severity, physical activity level, and QOL. Design The study was a cross-sectional study. Methods Thirty participants with idiopathic PD (mean age = 64.6 years [SD = 10.3]; 15 women) completed the Revised Oswestry Disability Questionnaire (RODQ), a measure of LBP-related disability. PD motor symptom severity was measured using the Movement Disorder Society-Unified Parkinson Disease Rating Scale Part III (MDS-UPRDS III). The Physical Activity Scale for the Elderly (PASE) was used to measure self-reported physical activity. The Parkinson Disease Questionnaire-39 (PDQ-39) was used to measure QOL. Descriptive statistics were used to characterize LBP intensity and LBP-related disability. Spearman correlations were used to determine relationships between the RODQ and the MDS-UPDRS III, PASE, and PDQ-39. Results LBP was reported to be of at least moderate intensity by 63.3% of participants. LBP most frequently impaired standing, sleeping, lifting, and walking. The RODQ was significantly related to the MDS-UPDRS III (r = 0.38), PASE (r = −0.37), PDQ-39 summary index (r = 0.55), PDQ-39 mobility subdomain (r = 0.54), and PDQ-39 bodily pain subdomain (r = 0.44). Limitations Limitations included a small sample of people with mild to moderate PD severity, the fact that RODQ is a less frequently used measure of LBP-related disability, and the lack of a non-PD control group. Conclusions LBP affected walking, sleeping, standing, and lifting in this small sample of people with mild to moderate PD. Greater LBP-related disability was associated with greater motor sign severity, lower physical activity level, and lower QOL in people with PD.


2021 ◽  
Vol 13 (5) ◽  
pp. 62-67
Author(s):  
I. A. Lamkova ◽  
V. A. Parfenov

Patients with chronic non-specific low back pain (CNSLBP) often have sleep disturbances (insomnia), which negatively affects pain severity, mental state, activities of everyday living, and the overall quality of life. The prevalence of insomnia in patients with CNSLBP and the effectiveness of its therapy require further investigation.Objective: to identify the prevalence of insomnia and the effectiveness of its treatment in CNSLBP.Patients and methods. The study included 71 patients aged 18–75 years (mean age 55.09±13.0 years) with CNSLBP. A single sleep hygiene educational session was run in the standard treatment group (n=34; mean age – 51±14 years). Intervention in the extended therapy group (n=37; mean age – 59±12 years) included an educational program dedicated to sleep, which was an individual face-to-face course of 4–5 sessions over two weeks and a telephone survey after three months. We used the Insomnia Severity Index (ISI) and Pittsburgh Sleep Quality Index (PSQI) to assess sleep disturbances, a numerical rating scale (NRS) to assess pain, the International Physical Activity Questionnaire (IPAQ-SF), and the 12-item short form health survey (SF-12) to assess physical activity and quality of life. The survey was carried out three times (at the admission, after 7–10 and 80–90 days).Results and discussion. In both groups of patients with CNSLBP, PSQI scores improved in a week and after 3 months compared with baseline (p<0.05). Sleep quality between 7th and 90th days significantly improved only in the extended therapy group (p=0.025). ISI scores significantly improved during inpatient treatment in both groups (p<0.05), but between 7th and 90th days significantly improved only in the extended therapy group (р=0.048). Back pain intensity according to NRS significantly decreased in a week and after 3 months, compared to baseline (р<0.0001). Significant increase in physical activity (p≤0.001), physical and mental components of quality of life (p<0.05) were found only in the extended therapy group.Conclusion. Most patients with CNSLBP have insomnia, the treatment of which can improve sleep and help reduce pain.


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