scholarly journals Interplay among pain intensity, sleep disturbance and emotion in patients with non-specific low back pain

PeerJ ◽  
2017 ◽  
Vol 5 ◽  
pp. e3282 ◽  
Author(s):  
Shilabant Sen Sribastav ◽  
He Peiheng ◽  
Long Jun ◽  
Li Zemin ◽  
Wei Fuxin ◽  
...  

BackgroundLow back pain (LBP) is the most common problem worldwide. There are several negative consequences of LBP, such as sleep disorders, work leave, disability, depression, anxiety, and poor quality of life. In this study, we designed to evaluate the prevalence of sleep disturbance in patients with non-specific LBP(NSLBP), and cross-correlation among sleep disorder, anxiety, depression and pain intensity in patients with NSLBP.AimIn this study, we designed to evaluate the prevalence of sleep disturbance in patients with NSLBP, and cross-correlation among sleep disorder, anxiety, depression and pain intensity in patients with NSLBP.MethodsA cross-sectional self-assessment questionnaire survey was carried out in an outpatient clinic. Anonymous assessments were used to characterize the presence of NSLBP, PSQI, VAS, SF-36 form, ODI, BAI and BDI. Cross-correlation among the severity of NSLBP and sleep disturbance, anxiety, depression and life quality were evaluated.ResultsPatients with NSLBP have a higher incidence of sleep disorder, anxiety and depression, and higher ODI scores than healthy people without LPB (P < 0.01). NSLBP patients with sleep disorders have more severe anxiety, depression, an increased VAS score and poor daily living (P < 0.05). NSLBP patients with anxiety have declined sleep quality, poor daily living, decreased work and social skills, and increased LBP severity (P < 0.05). NSLBP patients with depression have declined sleep quality, poor daily living, decreased work and social skills (P < 0.05). Significant associations were found between the severity of NSLBP and sleep disorders, anxiety and ODI scores.ConclusionPsychological and social factors play an important role in the development of NSLBP. NSLBP leads to sleep disorders, which decrease the sleep quality and increase the unpleasant emotions and memories in return; these can exacerbate the severity of LBP, with the cycle repeating to form a vicious circle.

2019 ◽  
Vol 64 ◽  
pp. S184
Author(s):  
P. Kalil Morelhão ◽  
R. Zambelli Pinto ◽  
C. Gobbi ◽  
M. Rodrigues Franco ◽  
C. Frange ◽  
...  

2014 ◽  
Vol 66 (5) ◽  
pp. 1388-1394 ◽  
Author(s):  
Saad M. Alsaadi ◽  
James H. McAuley ◽  
Julia M. Hush ◽  
Serigne Lo ◽  
Chung-Wei Christine Lin ◽  
...  

2021 ◽  
Vol 9 (4) ◽  
pp. 268-273
Author(s):  
Roghayeh Dargahi ◽  
Behrooz Nazari ◽  
Abbasali Dorosti ◽  
Saeid Charsouei

Objectives: Many factors such as stress and psychological tension affect the mental and physical health of pregnant women in the third trimester during the coronavirus pandemic. These factors can cause severe complications such as sleep disorders and low back pain. Therefore, this study focused on investigating sleep disorders in women by diagnosing low back pain in pregnant women with coronavirus and the affecting factors. Materials and Methods: This descriptive-analytical study was performed during the four months ending July 5, 2020 with the participation of 40 pregnant women (with coronavirus disease detected in the last trimester of pregnancy) with a diagnosis of low back pain in Tabriz (Iran) using a random sampling technique. Demographic data, anxiety and depression, Petersburg’s sleep quality, factors affecting sleep quality, and the severity of back pain (visual analog scale) were electronically collected and analyzed using SPSS 20 by ANOVA and multivariate regression. Results: All participants were at a weak level. The majority of participants had a score of "serious sleep problem", and nausea and vomiting (P=0.041), low back pain (P=0.003), frequent urination (P=0.011), leg cramps (P=0.031), and constipation (P=0.018) caused severe sleep disturbance in pregnant women during coronavirus pandemic. Conclusions: In general, having coronavirus disease causes severe pain in pregnant women, leading to severe back pain in pregnancy, eventually worsening sleep disorders.


2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
Chongjie Yao ◽  
Zhenrui Li ◽  
Shuaipan Zhang ◽  
Zhiwei Wu ◽  
Qingguang Zhu ◽  
...  

Low back pain (LBP) is one of the major concerns of the current health care. The guidelines for chronic LBP recommend traditional Chinese exercise as an effective treatment. As one of the representatives of traditional Chinese exercise, Wuqinxi has been famous in China for its effects on improving health and treating chronic diseases for thousands of years. The objectives of the study were to assess the effects of Wuqinxi in the patients with chronic LBP on pain intensity, trunk muscle strength, and quality of life. The primary outcome measure was assessed by the Short-Form McGill Pain Questionnaire (SF-MPQ), including the Visual Analog Scale (VAS) and Present Pain Intensity (PPI) as the subtables. The effects of Wuqinxi on the quality of life were also assessed by the Short-Form Health Survey (SF-36) and the Pittsburgh Sleep Quality Index (PSQI) from physical component summary (PCS), mental component summary (MCS), and sleep quality. Besides, the electrical activities of the rectus abdominis (RA), obliquus externus abdominis (OEA), lumbar erector spinae (ES), and multifidus (MF) were assessed by integrated electromyogram (iEMG) after the end of the intervention. Both the groups showed statistically significant improvement in SF-MPQ, SF-36, PSQI, and iEMG at 12 weeks and 24 weeks when compared with baseline (P<0.05). However, Wuqinxi demonstrated better effects in SF-MPQ and MCS after 24 weeks of intervention compared with the general exercise (P<0.05). The patients in the Wuqinxi group (WQXG) also showed a significantly higher iEMG on OEA than the general exercise group (GEG) in 30°/s and 90°/s (P<0.05). Our results showed that Wuqinxi had better effects on chronic LBP for a long time compared with general exercise, including pain intensity and quality of life. Thus, Wuqinxi should be recognized as a possible standalone therapy and self-management skill in chronic LBP, which is suitable for long-term practice.


Author(s):  
Kritika Singhal ◽  
Krishna Prasad Muliyala ◽  
Abhijit P. Pakhare ◽  
Prateek Behera ◽  
John Ashutosh Santoshi

Abstract Background Individuals with chronic pain have been reported to have an increased incidence of psychological morbidities. We aimed to examine the prevalence of anxiety, depression, disability, alexithymia, insomnia, and sleep quality in patients having chronic low back pain (LBP) and study their association with the severity of pain and any disability arising from it. Methods This descriptive study was conducted in a tertiary care teaching hospital setting. Fifty adults with nonspecific LBP of > 6-week duration were included. Study instruments employed were patient health questionnaire-9 for depression, generalized anxiety disorder-7 for anxiety, visual analogue scale (VAS) score for pain, Oswestry disability index (ODI) to assess disability, Toronto alexithymia scale-20 for alexithymia, and insomnia severity index and Pittsburgh sleep quality index for insomnia. Descriptive results were expressed as numbers, means, and proportions. Association study between variables was performed using Fisher’s exact test. Results Mean ODI score was 31.54% (95% CI, 26.09–36.99); mean VAS score was 6.08 (95% CI, 5.35–6.81). Insomnia of varying severity was found in 29 patients. Sleep quality was reported as good by 23 patients. One patient had alexithymia. There was significant association between the level of disability and depression, anxiety, insomnia, and sleep quality. The severity of pain had significant association with insomnia but the association with anxiety, depression, alexithymia, and sleep quality was not significant. Conclusions Patients with chronic LBP do have associated psychological comorbidities of varying extent. A “patient-centric” approach when treating patients with chronic LBP is necessary, so that appropriate evaluation of psychiatric and psychosocial comorbidities, sleep problems, and quality of life is done as part of their routine management to ensure the desired outcomes.


2014 ◽  
Vol 30 (9) ◽  
pp. 755-765 ◽  
Author(s):  
Saad M. Alsaadi ◽  
James H. McAuley ◽  
Julia M. Hush ◽  
Serigne Lo ◽  
Delwyn J. Bartlett ◽  
...  

2021 ◽  
Vol 4 ◽  
pp. 100208
Author(s):  
Andi Kurnia Bintang ◽  
Ivan Santosa ◽  
Yudy Goysal ◽  
Muhammad Akbar ◽  
Susi Aulina

2018 ◽  
Vol 1 (1) ◽  
pp. 77-89
Author(s):  
Putri Eka Sejati ◽  
Indasah Indasah ◽  
Koesnadi Koesnadi

Various physiological changes occur in the mother's body during pregnancy which can affect the occurrence of low back pain and sleep disturbance during pregnancy trimester 3. One of the non-pharmacological therapy to reduce the incidence is with antenatal acuyoga and pregnancy massage. This is because acuyoga and massage will produce more endorphins that serve to provide peace, to overcome stress during pregnancy. The purpose of research to analyze the effectiveness of antenatal acuyoga and pregnancy massage to the intensity of low back pain and sleep disturbance of pregnant women trimester III The purpose of research to analyze the effectiveness of antenatal acuyoga and pregnancy massage to the intensity of low back pain and sleep disturbance of pregnant women trimester III in dr.AisyatulMukminahSp.OG (K)'s own practice in Tulungagung. Types of analytical research associate with one group pre test model - post test design. Independent variable of antenatal acuyoga study and pregnancy massage in third trimester pregnant women, dependent variable of back pain intensity and sleep disturbance of trimester III pregnant women. The study population were All third Trimester pregnant women in dr.AisyatulMukminahSp.OG (K)'s own practice in Tulungagung. Sampling technique using simple random sampling with sample of 16 people. Data were analyzed by using Wilcoxon signed rank test, McNemar and Chi Square. The result of the research showed that there was difference of waist pain intensity of trimester III pregnant mother before and after antenatal acuyoga p = 0,005 <α (0,05). There was no difference of maternal sleep disorder of trimester III before and after performed antenatal acuyoga (p = 0,125> α (0,05) .There was difference of waist pain intensity of trimester III pregnant mother before and after pregnancy massage (p = 0,010 <α (0 , 05) .There is difference of sleep disturbance of pregnant mother of trimester III before and after done pregnancy massage (p = 0,008 <α (0,05).


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