scholarly journals Postural indices and limits of stability in subjects having chronic low back pain versus healthy control: A cross-sectional comparative study

2021 ◽  
Vol 25 (1) ◽  
Author(s):  
Hisham M. Hussein
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Postural Stability ◽  
Low Back ◽  
Cross Sectional ◽  
Limits Of Stability ◽  
Musculoskeletal Problems ◽  
Healthy Control ◽  
Postural Performance

Introduction: Balance and postural performance measures are quite variable. These measures could be influenced by chronic musculoskeletal problems. Literature contains contradicting results regarding the affection of postural stability indices and limits of stability measures in subjects having chronic low back pain. Additionally, the available work in this topic is still scarce.

scholarly journals MRI Assessment of Degeneration of Multifidus and Erector Spinae Muscles in Patients with Chronic Low Back Pain

2021 ◽  
Author(s):  
Alikemal Yazici ◽  
Tuba Yerlikaya ◽  
Adile Oniz
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Erector Spinae ◽  
Low Back ◽  
Cross Sectional ◽  
Fat Infiltration ◽  
Significant Difference ◽  
Healthy Control ◽  
The Right

Abstract Background The aim of this study was to examine degeneration in the lumbar musculus multifidus (L.MF) and lumbar musculus erector spina (L.ES) muscles in patients with mechanical chronic low back pain, non-radiculopathy chronic low back pain with discopathy, and healthy individuals. The relationships with low back pain were examined by comparing the results according to gender, pain, and lumbar segments. Material and Method: Evaluation was made of 36 healthy control subjects (Group 1), 37 patients with mechanical low back pain (Group 2) and 41 non-radiculopathy, lumbar discopathy patients (Group 3). On axial magnetic resonance images at the L3-S1 level, asymmetry between the left and right sides was examined in respect of L.MF and L.ES surface cross-sectional areas (CSA), total surface cross-sectional area (TCSA = L.MF + L.ES), and fat infiltration. Results The mean CSA values showed a significant difference only in the right L.MF in the healthy control group (p = 0.011). No statistically significant difference was seen between the groups in the comparisons of TCSA, and a statistically significant difference was determined in respect of fat infiltration in the right and left L.MF and the left L.ES (p = 0.011, p = 0.001, p = 0.027, respectively). When the CSA and TCSA were examined according to gender within the groups, the values were found to be statistically significantly higher in males (p < 0.001). The CSA and TCSA values of the L.MF and L.ES showed a significant difference between segments (L3-L4, L4-L5, L5-S1) (p < 0.001). No asymmetry was observed between the left /right CSA and TCSA values of the groups. Fat infiltration showed a significant difference according to gender and segments (p < 0.001). Conclusion Fat infiltration in the L.MF muscle is related to mechanical low back pain and lumbar discopathy. That there was no difference between the groups in the CSA and TCSA values demonstrates the need for measurement of muscle atrophy associated with fat infiltration or functional cross-section area rather than CSA and TCSA.

scholarly journals Prevalence and Associated Factors of Depressive Symptoms Among Patients With Chronic Low Back Pain: A Cross-Sectional Study

2022 ◽  
Vol 12 ◽  
Author(s):  
Yueming Hu ◽  
Zechuan Yang ◽  
Yong Li ◽  
Yong Xu ◽  
Mengge Tian ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Depressive Symptoms ◽  
Chronic Low Back Pain ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Low Back ◽  
Sectional Study ◽  
Cross Sectional ◽  
Family Function

Background: Few studies have focused on depressive symptoms among patients with chronic low back pain in China. The aim of this cross-sectional study was to assess the prevalence and associated factors of depressive symptoms in patients with chronic low back pain.Methods: From May to August 2021, 1,172 patients with chronic low back pain were recruited in China. Depressive symptoms were assessed through the Patient Health Questionnaire. Associations of demographic characteristics, clinical characters and social-psychological factors with depressive symptoms were investigated among patients with chronic low back pain.Results: The prevalence of depressive symptoms was 25.00%. Logistic regression analysis found that duration of pain in 1-5 years (1-3 years: OR = 2.91, 95%CI: 1.65-5.14, 3-5 years: OR = 3.09, 95%CI: 1.55-6.15) and more severe pain (OR = 1.13, 95%CI: 1.10-1.17) were associated with higher risks of depressive symptoms. Better family function (good family function: OR = 0.25, 95%CI: 0.15-0.41, moderate family dysfunction: OR = 0.47, 95%CI: 0.29-0.77) and higher pain self-efficacy (OR = 0.94, 95%CI: 0.93-0.95) were associated with lower risks of depressive symptoms.Conclusion: Patients with chronic low back pain have a high prevalence of depressive symptoms in China. Duration of pain, pain severity, family function and pain self-efficacy were predictors of depressive symptoms among chronic low back pain patients in China. Early identification of the associated factors may be helpful for the timely management of depressive symptoms.

scholarly journals Pharmacological and toxicological profile of opioid-treated, chronic low back pain patients entering a mindfulness intervention randomized controlled trial

2014 ◽  
Vol 10 (5) ◽  
pp. 323 ◽  
Author(s):  
Aleksandra Zgierska, MD, PhD ◽  
Margaret L. Wallace, PharmD, BCACP ◽  
Cindy A. Burzinski, MS ◽  
Jennifer Cox, BS ◽  
Miroslav Backonja, MD
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Drug Testing ◽  
Illicit Drugs ◽  
Rating Scale ◽  
Controlled Trial ◽  
Low Back ◽  
Cross Sectional ◽  
Toxicological Profile

Objective: Refractory chronic low back pain (CLBP) often leads to treatment with long-term opioids. Our goal was to describe the pharmaco-toxicological profile of opioid-treated CLBP patients and identify potential areas for care optimization.Design: Cross-sectional analysis.Setting: Outpatient primary care.Participants: CLBP patients prescribed ≥ 30 mg/d of morphine-equivalent dose (MED) for ≥3 months.Outcome Measures: Self-reported clinical, medication (verified) and substance use, and urine drug testing (UDT) data were collected.Results: Participants (N = 35) were 51.8 ± 9.7 years old, 80 percent female with CLBP for 14.2 ± 10.1 years, treated with opioids for 7.9 ± 5.7 years, with severe disability (Oswestry Disability Index score: 66.7 ± 11.4), and average pain score of 5.6 ± 1.5 (0-10 rating scale). Participants reported using tobacco (N = 14), alcohol (N = 9) and illicit drugs or unprescribed medications (N = 10). On average, participants took 13.4 ± 6.8 daily medications, including 4.7 ± 1.8 pain-modulating and 4.7 ± 2.0 sedating medications. Among prescribed opioids, 57.1 percent were long-acting and 91.4 percent were short-acting, with a total of 144.5 ± 127.8 mg/d of MED. Sixteen participants were prescribed benzodiazepines and/or zolpidem/zaleplon. Fifteen participants had UDT positive for illicit drugs or unprescribed medications; in addition, eight tested positive for alcohol and 19 for cotinine. Compared to those with negative UDTs, those with positive UDTs (N = 15) received lower daily “total” and “extended release” opioid doses, and were more likely to test positive for cotinine (p < 0.05).Conclusions: Study findings corroborate existing evidence for high medication burden and high likelihood of substance misuse among opioid-treated CLBP patients. Further research is needed to help understand causality and ways to optimize care and clinical outcomes.

scholarly journals Differences in dynamic and postural stability based on degree of disability in patients with nonspecific chronic lower back pain: an observational study

2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Mónica Grande-Alonso ◽  
Raquel Pérez-Muñoz ◽  
José María Aceña-García ◽  
Francisco Fernando Recio-Mateo ◽  
Diego Pro-Marín ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Observational Study ◽  
Chronic Low Back Pain ◽  
Postural Stability ◽  
Dynamic Balance ◽  
Forward Direction ◽  
Static Stability ◽  
Chronic Lower Back Pain ◽  
Low Back

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.

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