scholarly journals A verbal descriptor incremental pain scale developed by South African Tswana-speaking patients with low back pain

2018 ◽  
Vol 74 (1) ◽  
Author(s):  
Michelle Yazbek ◽  
Aimee V. Stewart ◽  
Alison Bentley

Background: Measuring pain in patients whose home language is not English can be difficult as there may not be a scale available in their home language. Scales devised in other countries may also not be accurate after translation.Objectives: The aim of this study was to develop and test a new verbal pain descriptor scale in a Tswana-speaking population in South Africa with low back pain.Method: Two separate Tswana-speaking groups (20 males and 20 females) of patients with low back pain were asked to describe each of four categories of pain: mild, moderate, severe and worst. They then voted and descriptions obtaining more than 70% of the vote were taken to the next round of voting with both groups together. A final scale of one description for each category of pain (Tswana Verbal Pain Descriptor Scale – TVPDS) for both males and females was tested on a sample of 250 patients with low back pain and against three other non-verbal pain scales.Results: All items on the final scale were approved by at least 70% of both male and female participants. The scores for the TVPDS correlated well with present pain perception (r = 0.729, p < 0.0001) measured on the numerical visual analogue scale. The TVPDS correlated well with the Wong–Baker FACES Pain Rating Scale (r = 0.695, p < 0.0001) and the Pakistani Coin Pain Scale (r = 0.717, p < 0.0001).Conclusion: The TVPDS has the potential to be a useful clinical scale but more testing in other languages is still required.Clinical implications: This pain scale has the potential to be a useful scale to use for Tswana-speaking persons with low back pain and could also be useful for persons of other languages, if translated.

2019 ◽  
Vol 40 (01) ◽  
pp. 11-17 ◽  
Author(s):  
Prasert Sakulsriprasert ◽  
Roongtiwa Vachalathiti ◽  
Pathaimas Kingcha

Background: Clinical outcomes are very important in clinical assessment, and responsiveness is a component inside the outcome measures that needs to be investigated, particularly in chronic nonspecific low back pain (CNSLBP). Objective: This study aimed to investigate the responsiveness of pain, functional capacity tests, and disability in individuals with CNSLBP. Methods: Twenty subjects were assessed in pain using the following methods: visual analog scale (VAS) and numeric pain rating scale (NPRS), functional capacity tests: functional reach test (FRT), five-time sit-to-stand test (5 TSST), and two-minute step test (2 MST), and disability level: modified Oswestry Disability Questionnaire (MODQ), Thai version before and after 2-week intervention session. For interventions, the subjects received education, spinal manipulative therapy, and individual therapeutic exercise twice a week, for a total of two weeks. The statistics analyzed were change scores, effect size (ES), and standardized response mean (SRM). Results: The most responsive parameter for individuals with CNSLBP was pain as measured by numeric pain rating scale (NPRS) (ES [Formula: see text]0.986, SRM [Formula: see text]0.928) and five-time sit-to-stand test (5 TSST) (SRM [Formula: see text]0.846). Conclusion: This study found that NPRS pain and 5 TSST were responsive in individuals with CNSLBP at two weeks after the beginning of interventions.


2020 ◽  
Vol 8 (A) ◽  
pp. 323-325
Author(s):  
Djohan Aras ◽  
Nur Asmi ◽  
Yudi Hardianto ◽  
Rabia Rabia ◽  
Anwar Mallongi

OBJECTIVE: Our study aimed to compare between quantum movement technique (QMT) and William flexion exercise (WFE) in patients with low back pain (LBP) based on pain and walking ability. METHODS: Six-session QMT and WFE were provided for two groups of participants. The frequency of intervention was 6 times/week. Twenty patients (aged 25–65 years) with LBP were randomly assigned into the QMT group (n = 10) or the WFE group (n = 10). The primary outcome of the intervention was pain, measured using the numeric pain rating scale, while the secondary outcome was walking ability, measured using the Oswestry Disability Index. The measurements were conducted at baseline and the end of the intervention. RESULTS: Pain reduction was significantly shown in both groups (p < 0.05). However, QMT was shown more effective in reducing pain compared to WFE (p < 0.05). In addition, we found the significant improvement of walking ability in both groups following the intervention (p < 0.05), but no significant difference was shown between two groups (p > 0.05). CONCLUSIONS: QMT is more effective than WFE for reducing pain in patients with LBP.


2021 ◽  
Vol 5 (2) ◽  
pp. 21
Author(s):  
A A Gede Saska A ◽  
Made Rini Damayanti S ◽  
Komang Menik Sri Krisnawati

Low back pain (LBP) is a subjective sensation characterized by a major symptom of pain in the lower spine region. One of the basic causes is the stress inflicted on the inter-vertebral disk due to poor posture, so that the lumbar spine of the lumbar lordosis has too much strain on the posterior element. These complaints usually occur in workers due to incorrect posture or work position that does not meet the ergonomic principles of one of the traditional weavingworker. Exercise has been widely developed to cope with LBP such as stretching and muscle strengthening. William's flexion exercise (WFE) is an exercise aimed at stretching the posterior muscles and strengthening the abdominal muscles so that the tendon and spongy muscles are expected to relax. The purpose of this study is to determine the effect of WFE on LBP on traditional weaving workers. This study is a pre-experimental study (One-Group Pretest-Posttest Design). The sample consists of 28 respondents selected by using Purposive Sampling technique. Data collected by using questionnaires for respondent characteristics and Numeric Rating Scale for measuring pain scale before and after intervention. The result of the research before intervention was 75% of respondents had moderate pain, while after intervention 85.7% of respondents had mild pain. Based on the Wilcoxon test results obtained p = 0.000 which means there is the influence of WFE on LBP on traditional weavingworker. Based on the above research, it is suggested to health workers teach WFE in order to reduce LBP on traditional weavingworkers. Index Terms— Low back pain,Traditional weaving worker, William’s flexion exercise


Pain ◽  
1994 ◽  
Vol 57 (3) ◽  
pp. 317-326 ◽  
Author(s):  
Claus Manniche ◽  
Karsten Asmussen ◽  
Birgitte Lauritsen ◽  
Henrik Vinterberg ◽  
Svend Kreiner ◽  
...  

Spine ◽  
2005 ◽  
Vol 30 (11) ◽  
pp. 1331-1334 ◽  
Author(s):  
John D. Childs ◽  
Sara R. Piva ◽  
Julie M. Fritz

2012 ◽  
Vol 20 (3) ◽  
pp. 511-519 ◽  
Author(s):  
Talita Pavarini Borges ◽  
Julia Maria D'Andrea Greve ◽  
Ana Paula Monteiro ◽  
Rodrigo Emmanuel Sabbag da Silva ◽  
Arlete Mazzini Miranda Giovani ◽  
...  

This is a clinical trial which aims to evaluate the efficiency of massage in the reduction of occupational low back pain, and its influence on the performance of work and life activities for the nursing team. The sample consisted of 18 employees who received seven to eight sessions after their work period. From the Numerical Pain Rating Scale, significant improvements were found between the 3rd and 1st evaluations (p=0.000) and between the 3rd and 2nd (p=0.004), using the Wilcoxon test. Regarding the Oswestry Disability Index, the paired t test showed a statistical difference (p=0.02) between the baseline, with a mean of 21.33% and the second evaluation (18.78%), which was also seen between the second and third evaluation (16.67%). The score for the Handling and Transfer Risk Evaluation Scale was 18 points (medium risk). It is concluded that massage was effective in reducing occupational low back pain, and provided improvement in activities of work and life. Clinical Trials Identifier: NCT01315197.


Sign in / Sign up

Export Citation Format

Share Document