scholarly journals Static and dynamic balance between older individuals with and without chronic low back pain at the University College Hospital, Ibadan

Author(s):  
Ayodeji Fabunmi ◽  
Oluwafikemi Badmus
2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Mónica Grande-Alonso ◽  
Raquel Pérez-Muñoz ◽  
José María Aceña-García ◽  
Francisco Fernando Recio-Mateo ◽  
Diego Pro-Marín ◽  
...  

Objetive: The main objective of this study was to analyze whether there were differences in dynamic balance and postural stability in relation to the level of disability in patients with chronic low back pain. Methodss: This is an observational study in which 60 patients with nonspecific chronic low back pain were included. All patients received a sociodemographic questionnaire, the visual analogue scale (VAS) and a series of self-reported psychological scales. To complete the evaluation, physical tests were performed in which dynamic balance and postural stability were measured. Results: Student’s t-test revealed that there were significant differences between the groups in dynamic balance with the right leg and the left leg. In contrast, there were no significant differences between the groups for the reach functional test in forward direction, left direction and right direction. Conclusion: In conclusion, our study demonstrates that patients with chronic low back pain with high levels of disability present significantly poorer dynamic balance compared with those with low levels of disability. In contrast, no significant differences were found between the groups in terms of static stability.


Background: Pain catastrophizing is an important psychosocial factor that predicts disability and other important pain-related outcomes in individuals with chronic pain. The University of Washington - Concerns about Pain scale (UW-CAP6) is the brief version of a new item bank that assesses pain-related catastrophizing. However, a Thai version of the UW-CAP6 has not yet been developed. Objective: To 1) cross-culturally adapt the UW-CAP6 items into Thai, using the Functional Assessment of Chronic Illness Therapy translation methodology, and 2) evaluate its measurement properties. Materials and Methods: Two hundred forty-one patients with chronic low back pain completed the Thai version of UW-CAP6 (T-UW-CAP6), the Thai Fear Avoidance Beliefs Questionnaire (T-FABQ), and the Thai Medical Outcome Study Short-Form 36 (T-SF-36). A subset of 152 participants completed the T-UW-CAP6 again after at least a 7-day interval. Results: The T-UW-CAP6 had good internal consistency (Cronbach’s α=0.89) and moderate test-retest reliability [intraclass correlation coefficient (2, 1)=0.72]. The T-UW-CAP6 was positively correlated with the T-FABQ work and physical activity scales (Spearman’s rho=0.38 and 0.39, respectively), and negatively correlated with the social functioning, vitality, and mental health scales of the T-SF-36 (Spearman’s rho=–0.54, –0.41, and –0.45, respectively). Conclusion: The T-UW-CAP6 demonstrated good psychometric properties for assessing pain catastrophizing in Thai individuals with chronic low back pain, supporting the use of the T-UW-CAP6 for clinical and research purposes in this population. Keywords: Pain catastrophizing, Cross-cultural adaptation, Chronic low back pain, Reliability, Validity


2020 ◽  
Vol 10 (4) ◽  
pp. 221-230
Author(s):  
Seyyed Mojtaba Soltandoost Nari ◽  
◽  
Alireza Shamsoddini ◽  

Purpose: Functional disability, impaired balance, and trunk muscle endurance are among the major changes in patients with Non-specific Chronic Low Back Pain (NCLBP). Investigating the relationship between these factors and Functional Movement Screen (FMS) can facilitate effective pain management and functional problems in these patients. This study aimed to assess the relationships between FMS and pain, dynamic balance, and trunk muscle endurance in military personnel with NCLBP. Methods: The present study was of a correlational research design. The study subjects were 50 male military personnel with NCLBP (Mean±SD age=33.30±3.94 y, height= 175.32±5.50 cm, & weight=74.05±3.64 kg). FMS was evaluated by FMS tests and pain severity was assessed through Quebec Back Pain Disability Scale; the dynamic balance was evaluated by Y-Balance Test (YBT), and the trunk muscle endurance was measured by the ITO test. Statistical analysis was performed by SPSS. Pearson correlation coefficient at a significance level of P<0.05 was used to examine the association between the research variables. Results: Pain (P=0.04, r=-0.285) was negatively correlated with the FMS. The FMS was positively associated with the dynamic balance (P=0.014, r=0.346) and trunk muscle endurance (P=0.02, r=0.381). Conclusion: The FMS can be recommended as a functional assessment tools to identify functional deficits in military personnel with NCLBP. The data suggested that the researchers could employ the FMS as a useful tool in designing more effective treatment plans and improving the functional capacity of individuals with CLBP.


Author(s):  
Iyabode Adetoro Gbadamosi ◽  
Elizabeth Urenna Ike

Background: Low Back Pain (LBP) and its negative effects on the nurses’ quality-of-life are worrisome. Studies on LBP among nurses are scanty in Nigeria. Study assessed prevalence, risk-factors, burdens and prevention of LBP among clinical nurses at University College Hospital, Nigeria. Methods: Descriptive cross-sectional study that utilized quota and convenience sampling techniques in selecting 406 nurses. Self-administered structured questionnaire was used for data collection. Data were analyzed using descriptive statistics and Chi-Square test. Level of Significance, p≤0.05.  Results: Mean age of respondents was 39.51±8.525. Prevalence of LBP was very high (83.7%) among clinical nurses in the study setting. Risk-factors identified by respondents include some nursing activities, perceived stress and lack of job satisfaction. Analgesic use, movement restriction, low productivity, and psychological concern were among the burdens of LBP identified by the respondents. Preventive measures suggested include training of nurses on relaxation techniques, proper use of body mechanism/proper posture, and provision of mechanical assistive turning/lifting devices. Chi-square analysis showed that gender (χ2 =6.450, p=0.022) and nursing procedures were significantly associated with prevalence of LBP among clinical nurses in the facility. Conclusions: High prevalence of LBP among clinical nurses of the facility has negative consequences on the general well-being of the victims, the profession, the clients/patients, the facility and the entire society. There is urgent need to put policies and strategies in place to curb high prevalence of LBP and its consequences on the clinical nurses in the facility as identified in the study. 


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