scholarly journals Practices of Niruha Vasti in Low back pain from an Academic Hospital of Kerala - An observational study

2021 ◽  
Vol 12 (4) ◽  
pp. 883-889
Author(s):  
Shabna P ◽  
Jigeesh P P ◽  
Subin V R
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Observational Study ◽  
Low Back ◽  
College Hospital ◽  
Cross Sectional ◽  
Wide Range ◽  
Collection Form ◽  
Microsoft Office ◽  
Clinical Conditions

Introduction: Niruha Vasti plays a major role when compared to Anuvasana, because of its variety of drug combinations and utility in a wide range of clinical conditions. Many formulations of Vasti are, in practice which came from the clinical experiences of eminent physicians and from researches. There is a deficit of baseline data regarding the current practices of Niruha Vasti in LBP and the preparation of which may help to prioritize the topics for further research. Materials and Methods: The study design was prospective cross-sectional observational study and sample included all the patients admitted in VPSV Ayurveda College Hospital, Kottakkal during January-December 2018, presented with LBP and posted for Niruha Vasti. Study tool used was a Data collection form which was prepared from available literatures. Data was verified, analyzed and presented with the help of tables and charts. Statistical analysis was done by Microsoft office 2016 and IBM SPSS Statistics version 16. Observation and Results: Total 141 patients were observed and among them 474 Vasti done in 174 schedules and 16 different types of Vasti were used. Vaitarana Vasti, Madhutailika Vasti, Kshira Vasti, Ruksha Vasti, Erandamuladi Vasti and Grdhrasihara Vasti are the major Vasti prescribed in LBP patients. Conclusion: There are certain characteristic patterns in the practice of Niruha Vasti administered in cases of Low Back Pain.

KELUHAN LOW BACK PAIN PADA PERAWAT RAWAT INAP RSUD SELASIH PANGKALAN KERINCI

2017 ◽  
Vol 11 (1) ◽  
pp. 75
Author(s):  
Kursiah Warti Ningsih
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
General Hospital ◽  
Quantitative Research ◽  
District General Hospital ◽  
Low Back ◽  
Cross Sectional ◽  
Exercise Habits ◽  
Bivariate Correlation ◽  
Surrounding Areas

<p><em>Low back pain </em>adalah rasa nyeri yang dirasakan pada punggung bawah yang sumbernya tulang belakang daerah spinal, otot, saraf, atau struktur lainnya disekitar daerah tersebut. Dari 10 perawat 6 perawat mengalami keluhan <em>low back pain</em>. Tujuan dari penelitian ini adalah untuk mengetahui faktor Keluhan <em>Low back pain</em>.</p><p>Jenis penelitian kuantitatif dengan desain <em>cross sectional</em>, pada 25 juni- 3 juli  di Rumah Sakit Umum Daerah Selasih Pangkalan Kerinci. Penelitian dilakukan pada 30 perawat dengan kuesioner. Analisa data yang digunakan secara univariat,</p><p>Hasil penelitian: 13 orang (43,3%) mengalami keluhan <em>low back pain</em>. Hasil uji bivariat terdapat hubungan antara sikap kerja, dan kebiasaan olahraga terhadap kejadian <em>low back pain</em>. Hasil analisis multivariate menunjukkan variable sikap kerja merupakan variable yang paling mempengaruhi kejadian low back pain deng nilai OR 43 kali. Dimana variable IMT merupakan <em>counfounding</em> terhadap variable sikap kerja dan kebiasaan olah raga dan variable kebiasaan olahraga merupakan <em>counfounding</em> terhadap variable IMT.</p><p>Peneliti mengharapkan pihak Rumah Sakit Umum Daerah Selasih Pangkalan Kerinci mengadakan seminar tentang sikap kerja yang baik, menjaga IMT karyawan &lt;25 dan  mengadakan kegiatan olah raga secara teratur di lingkungan Rumah Sakit Umum Daerah Selasih Pangkalan Kerinci.</p><p> </p><p><em>Low back pain is pain that felt in the lower back that is the source of the spine area of spinal, muscles, nerves, or other structures surrounding areas.</em><em> of the 10 nurses 6 nurses complain of low back</em><em> </em><em>pain. </em><em>the purpose of this study was to determine the factors complaint low backpain.</em></p><p><em>T</em><em>ype quantitative research cross-sectionaldesign,</em><em> </em><em>on 25 June-3 July at the General Hospital of </em><em>Selasih</em><em> Pangkalan Kerinci. The study was conducted on 30 nurses by questionnaires. Data analysis used univariate, </em><em>bivariate and multivariate.</em><em></em></p><p><em>E</em><em>esults of the study: 13 patients (43.3%) had complaints of low backpain.The result of bivariate correlation between working attitude and exercise habits on the incidence of low backpain.Results of multivariate analysis showed variable working attitude is the variable that most influences the incidence of low back pain deng OR value 43 times. Where the variable BMI is counfounding to variable working attitude and exercise habits and variable exercise habits is counfounding to variable IMT.</em></p><p><em>Researchers expect the Regional General Hospital Basil Pangkalan Kerinci hold a seminar on good working attitude, keep IMT employees &lt;25 and hold sports activities regular exercise in the District General Hospital Basil Pangkalan Kerinci.</em></p>

scholarly journals Low Back Pain and Substance Use: Diagnostic and Administrative Coding for Opioid Use and Dependence Increased in U.S. Older Adults with Low Back Pain

Pain Medicine ◽  
2021 ◽  
Author(s):  
Beth B Hogans ◽  
Bernadette C Siaton ◽  
Michelle N Taylor ◽  
Leslie I Katzel ◽  
John D Sorkin
Keyword(s):  
Older Adults ◽  
Substance Use ◽  
Low Back Pain ◽  
Back Pain ◽  
National Sample ◽  
Cross Sectional Study ◽  
Diagnostic Code ◽  
Low Back ◽  
Opioid Use ◽  
Cross Sectional

Abstract Objective Low back pain (LBP) is a leading cause of pain and disability. Substance use complicates the management of LBP, and potential risks increase with aging. Despite implications for an aging, diverse U.S. population, substance use and LBP comorbidity remain poorly defined. The objective of this study was to characterize LBP and substance use diagnoses in older U.S. adults by age, gender, and race. Design Cross-sectional study of a random national sample. Subjects Older adults including 1,477,594 U.S. Medicare Part B beneficiaries. Methods Bayesian analysis of 37,634,210 claims, with 10,775,869 administrative and 92,903,649 diagnostic code assignments. Results LBP was diagnosed in 14.8±0.06% of those more than 65 years of age, more in females than in males (15.8±0.08% vs. 13.4±0.09%), and slightly less in those more than 85 years of age (13.3±0.2%). Substance use diagnosis varied by substance: nicotine, 9.6±0.02%; opioid, 2.8±0.01%; and alcohol, 1.3±0.01%. Substance use diagnosis declined with advancing age cohort. Opioid use diagnosis was markedly higher for those in whom LBP was diagnosed (10.5%) than for those not diagnosed with LBP (1.5%). Most older adults (54.9%) with an opioid diagnosis were diagnosed with LBP. Gender differences were modest. Relative rates of substance use diagnoses in LBP were modest for nicotine and alcohol. Conclusions Older adults with LBP have high relative rates of opioid diagnoses, irrespective of gender or age. Most older adults with opioid-related diagnoses have LBP, compared with a minority of those not opioid diagnosed. In caring for older adults with LBP or opioid-related diagnoses, health systems must anticipate complexity and support clinicians, patients, and caregivers in managing pain comorbidities. Older adults may benefit from proactive incorporation of non-opioid pain treatments. Further study is needed.

scholarly journals Smartphone usage duration is not associated with increased pain or proprioception deficit in young adults with chronic mechanical low back pain: a cross-sectional study

2020 ◽  
Vol 25 (1) ◽  
Author(s):  
Mina Magdy Wahba ◽  
Dina Othman Shokri Morsi Galal ◽  
Aliaa Rehan Youssef
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Cross Sectional Study ◽  
Task Completion ◽  
Smartphone Addiction ◽  
Low Back ◽  
Cross Sectional ◽  
Pain Scores ◽  
Smartphone Use ◽  
Continuous Use

Abstract Background Smartphone use has been associated with pain in the upper quadrant; however, the relationship between usage duration and low back pain is still unclear. This study investigated the association between continuous smartphone use up to 30-min and back pain severity and proprioception acuity in patients with chronic low back pain. Fifty-eight patients with chronic mechanical LBP played a game for 10- and 30-min. In each session, pain and back repositioning errors were measured at baseline and immediately after task completion. Results Pain significantly but slightly increased following smartphone use, regardless to the duration (after 10 min: mean increase = 0.75 ± 1.17, P value < 0.001, 95% CI 0.44–1.06; after 30 min: mean increase = 0.96 ± 1.93, P value < 0.001, 95% CI 0.44–1.46). However, changes in perceived pain scores were not significantly different between the two tested durations (P value = 0.42). Proprioception repositioning error was not significantly different within the same testing session (mean change = 0.08 ± 1.83, 0.13 ± 1.77, P value = 0.73, 0.58, 95% CI − 0.40–0.56, − 0.60–0.33, for the 10 and 30 min, respectively). The changes in proprioception were not significant between the two-tested durations (P value = 0.56). Further, smartphone addiction did not significantly affect changes in pain and proprioception after game playing, regardless of the duration (P > 0.05). Conclusions These findings show that smartphone use slightly increases back pain immediately after continuous use; with no effect on back proprioception within the duration tested in this study. Changes in pain and proprioception were not influenced by smartphone addiction.

scholarly journals Sensorimotor and body perception assessments of nonspecific chronic low back pain: a cross-sectional study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
R. Meier ◽  
C. Emch ◽  
C. Gross-Wolf ◽  
F. Pfeiffer ◽  
A. Meichtry ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Cross Sectional Study ◽  
Sensorimotor System ◽  
Healthy Controls ◽  
Low Back ◽  
Sectional Study ◽  
Clinical Tests ◽  
Body Perception ◽  
Cross Sectional

Abstract Background Low back pain (LBP) is one of the most common musculoskeletal disorders, causing significant personal and social burden. Current research is focused on the processes of the central nervous system (particularly the sensorimotor system) and body perception, with a view to developing new and more efficient ways to treat chronic low back pain (CLBP). Several clinical tests have been suggested that might have the ability to detect alterations in the sensorimotor system. These include back-photo assessment (BPA), two-point discrimination (TPD), and the movement control tests (MCT). The aim of this study was to determine whether the simple clinical tests of BPA, TPD or MCT are able to discriminate between nonspecific CLBP subjects with altered body perception and healthy controls. Methods A cross-sectional study was conducted. At one point in time, 30 subjects with CLBP and 30 healthy controls were investigated through using BPA, TPD and MCT on the lower back. Correlations among the main covariates and odds ratios for group differences were calculated. Results MCT showed an odds ratio for the presence of CLBP of 1.92, with a statistically significant p-value (0.049) and 95%CI. The TPD and BPA tests were unable to determine significant differences between the groups. Conclusions Of the three tests investigated, MCT was found to be the only suitable assessment to discriminate between nonspecific CLBP subjects and healthy controls. The MCT can be recommended as a simple clinical tool to detect alterations in the sensorimotor system of nonspecific CLBP subjects. This could facilitate the development of tailored management strategies for this challenging LBP subgroup. However, further research is necessary to elucidate the potential of all the tests to detect alterations in the sensorimotor system of CLBP subjects. Trial registration No trial registration was needed as the study contains no intervention. The study was approved by the Swiss Ethics Commission of Northwest and Central Switzerland (EKNZ) reference number 2015–243.

scholarly journals Long-term improvements following a residential combined physical and psychological programme for chronic low back pain

2021 ◽  
Vol 10 (2) ◽  
pp. e001068
Author(s):  
Shaun Wellburn ◽  
Cormac G Ryan ◽  
Andrew Coxon ◽  
Alastair J Dickson ◽  
D John Dickson ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Outcome Measures ◽  
Chronic Low Back Pain ◽  
Rating Scale ◽  
Secondary Outcome ◽  
Low Back ◽  
Residential Setting ◽  
Wide Range

ObjectivesEvaluate the outcomes and explore experiences of patients undergoing a residential combined physical and psychological programme (CPPP) for chronic low back pain.DesignA longitudinal observational cohort design, with a parallel qualitative design using semistructured interviews.SettingResidential, multimodal rehabilitation.Participants136 adults (62 male/74 female) referred to the CPPP, 100 (44 male/56 female) of whom completed the programme, during the term of the study. Ten (2 male/8 female) participated in the qualitative evaluation.InterventionA 3-week residential CPPP.Outcome measuresPrimary outcome measures were the STarT Back screening tool score; pain intensity—11-point Numerical Rating Scale; function—Oswestry Disability Index (ODI); health status/quality of life—EQ-5D-5L EuroQol five-Dimension-five level; anxiety—Generalised Anxiety Disorder-7; depression—Patient Health Questionnaire-9. Secondary outcome measures were the Global Subjective Outcome Scale; National Health Service Friends and Family Test;.ResultsAt discharge, 6 and 12 months follow ups, there were improvements from baseline that were greater than minimum clinically important differences in each of the outcomes (with the sole exception of ODI at discharge). At 12 months, the majority of people considered themselves a lot better (57%) and were extremely likely (86%) to recommend the programme to a friend. The qualitative data showed praise for the residential nature of the intervention and the opportunities for interaction with peers and peer support. There were testimonies of improvements in understanding of pain and how to manage it better. Some participants said they had reduced, or stopped, medication they had been taking to manage their pain.ConclusionsParticipants improved, and maintained long term, beyond minimum clinically important differences on a wide range of outcomes. Participants reported an enhanced ability to self-manage their back pain and support for the residential setting.

Disability and quality of life in patients with low back pain: Focus on sex and gender: A cross-sectional study

2021 ◽  
pp. 1-8
Author(s):  
Yen-Mou Lu ◽  
Chung-Hwan Chen ◽  
Yi-Jing Lue
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Gender Identity ◽  
Gender Role ◽  
Low Back ◽  
Sex And Gender ◽  
Cross Sectional ◽  
And Gender

BACKGROUND: Sex and gender affect responses to pain, but little is known about disability and quality of life. OBJECTIVES: To investigate the effects of sex and gender on disability and health-related quality of life (HRQOL) in patients with low back pain. METHODS: Ninety-three patients with low back pain were included in this cross-sectional survey study. Disability, HRQOL and gender identity were respectively assessed with the Oswestry Disability Index, Short Form-36 and Bem Sex Role Inventory. The participants were classified into four gender role orientations (masculinity, femininity, androgyny and undifferentiated). One-way analysis of variance was used to analyze both the sex and the gender role orientation. RESULTS: Females had higher disability than males (p< 0.05), but in gender identity, no significant difference was found. Seven domains of HRQOL were lower than the healthy norms. Males experienced greater impacts than females on vitality and mental health (p< 0.05). For gender identity, five domains of HRQOL had significant differences (p< 0.05). Masculinity orientation had the least impact on four domains (p< 0.05), while undifferentiated orientation had the largest impact on all domains. CONCLUSION: Sex and gender effects can be used to analyze disability and HRQOL in patients with low back pain. Females have higher disability, while HRQOL is greatly influenced by different gender role orientations.

scholarly journals Association between chronic low back pain and degree of stress: a nationwide cross-sectional study

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Sungwoo Choi ◽  
Sangun Nah ◽  
Hae-Dong Jang ◽  
Ji Eun Moon ◽  
Sangsoo Han
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Multiple Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
Low Back ◽  
Sectional Study ◽  
Severe Stress ◽  
Cross Sectional ◽  
Korean People ◽  
Using Data

AbstractLow back pain (LBP) is a very common health problem worldwide, and has a major impact on quality of life. This is a cross-sectional study using data obtained from the Korea National Health and Nutrition Examination Survey (KNHANES) to investigate the health and nutritional status of Korean people, conducted in 2013, 2014, and 2015. The total of 8,473 patients included in the analysis. A 357 (19.34%) subjects in the chronic LBP group and 1,697 (25.61%) subjects in the no chronic LBP group reported no stress (P < 0.001). The numbers of subjects reporting mild, moderate, and severe stress in the two groups were 934 (50.6%) vs. 3,785 (57.11%), 432 (23.4%) vs. 910 (13.73%), and 123 (6.66%) and 235 (3.55%), respectively (all P < 0.001). Multiple logistic regression analysis with full adjustment for other variables indicated higher OR for severe stress (OR 2.82, P < 0.001) than moderate (OR 2.54, P < 0.001) and mild (OR 1.55, P < 0.001) stress. We confirmed that there was a significant association between chronic LBP and degree of stress. Therefore, the degree of stress should be assessed in clinical treatment of chronic LBP patients.

scholarly journals Low back pain in physiotherapy students: Prevalence and the association with neuromuscular findings

2013 ◽  
Vol 69 (4) ◽  
Author(s):  
E. Burger ◽  
H. Myezwa ◽  
V. Naidoo ◽  
B. Olivier ◽  
A. Rothberg
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Cross Sectional Study ◽  
Transversus Abdominis ◽  
Low Back ◽  
Cross Sectional ◽  
Active Involvement ◽  
Optimal Function ◽  
The Stability ◽  
Physiotherapy Students

Background: Physiotherapy students are prone to low back pain (LBP) due to studying and their active involvement in clinical treatment of patients. As a result of pathology, muscle activity is influenced, affecting optimal function of the spine. Method: Physiotherapy students enrolled for 2010 at the University of the Witwatersrand participated in a cross-sectional study. A questionnaire and physical assessment were completed. Results: The study revealed that the lifetime LBP prevalence was 36% among physiotherapy students. Associations with LBP were hours of practical exposure, posterior-anterior mobilisations on L4 (p=0.003) and L5 (p≤0.001) centrally and unilaterally, left lumbar multifidus (LM) cross-sectional area (p=0.02), right obliquus internusabdominis (OI) (p=0.02) and right transversus abdominis (TrA) thickness at rest (p=0.02), as well as the pull of the TrA during contraction on the left (p=0.03). Discussion: Hours of practical exposure may play a role in lumbar pathology. Due to pathology, muscle imbalances of LM, TrA and OI affect the stability of the spine which may lead to recurrences. Conclusion: Practical exposure as well as LM, TrA and OI muscle imbalances were associated with LBP in physiotherapy students. Awareness of the factors associated with LBP while studying at an undergraduate level may lead to better prevention of LBP.

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