Emotional Distress Correlates Among Patients With Chronic Nonspecific Low Back Pain: A Hierarchical Linear Regression Analysis

Pain Practice ◽  
2019 ◽  
Vol 19 (5) ◽  
pp. 510-521 ◽  
Author(s):  
Shizheng Du ◽  
Yan Hu ◽  
Yamei Bai ◽  
Lingli Hu ◽  
Jianshu Dong ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Low Back Pain ◽  
Back Pain ◽  
Linear Regression ◽  
Emotional Distress ◽  
Linear Regression Analysis ◽  
Low Back

scholarly journals Electromyography for Assessment of Pain in Low Back Muscles

2008 ◽  
Vol 88 (9) ◽  
pp. 1061-1067 ◽  
Author(s):  
Cláudia Tarragô Candotti ◽  
Jefferson Fagundes Loss ◽  
Ana Maria Steffens Pressi ◽  
Flávio Antonio de Souza Castro ◽  
Marcelo La Torre ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Low Back Pain ◽  
Back Pain ◽  
Linear Regression ◽  
Muscle Fatigue ◽  
Fatigue Test ◽  
Linear Regression Analysis ◽  
Self Report ◽  
Low Back ◽  
Force Data

Background and Purpose Pain is currently evaluated with “subjective” methods (eg, patient self-report). This study aimed to test whether fatigue indexes are able to accurately discriminate between subjects with and subjects without low back pain. Subjects Sixty subjects separated into 2 groups—a group with low back pain (n=30) and a group without low back pain (n=30)—participated in this study. Methods Electromyographic (EMG) and force data were obtained during a muscle fatigue test. The same test was repeated to monitor recovery. Linear regression analysis was used to obtain fatigue indexes. Results Subjects with pain produced significantly lower force values than those without pain. The use of fatigue indexes and force values permitted accurate classification in 89.5% of cases. Discussion and Conclusion The results confirm that subjects with pain show early myoelectrical manifestations of muscle fatigue and that EMG can be a useful tool in the evaluation of low back pain.

scholarly journals Factors associating with disability of non-specific low back pain in different subgroups: A hierarchical linear regression analysis

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Takahiro Miki ◽  
Daisuke Higuchi ◽  
Tsuneo Takebayashi ◽  
Mina Samukawa
Keyword(s):  
Regression Analysis ◽  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Psychosocial Factors ◽  
Self Efficacy ◽  
Explanatory Power ◽  
Low Back ◽  
Acute Group ◽  
Pain Catastrophising

AbstractThis study aimed to explore factors associating with disability, which means physical impairment affecting a person’s mobility, capacity, stamina, or agility, of non-specific low back pain (NSLBP) of the acute and non-acute groups. Two hundred thirty-five patients with NSLBP of less than 8 weeks’ duration as acute groups (n = 124) and more than 8 weeks’ duration as non-acute group (n = 111) were recruited. It was collected data on pain intensity, disability and psychosocial factors, including pain catastrophising, fear of movement and pain self-efficacy. Disability was measured Roland Morris Disability Questionnaire. A hierarchical multiple regression analysis was performed to analyse factors associating with disability of the acute and non-acute groups. The Result was that explanatory power increased with each additional variable of the order of demographic characteristics, pain intensity and psychosocial factors for both groups. Pain intensity, pain catastrophising and pain self-efficacy had significant explanatory power, with pain self-efficacy having the most significant association on the acute group. Only pain self-efficacy having the most significant association on disability of the non-acute group. In conclusion, the factors associating with disability differed depending on the duration of the disease, and pain self-efficacy might be one of the factors associating with disability of patients with NSLBP.

scholarly journals The prevalence and risk factors of chronic low back pain among adults in KwaZulu-Natal, South Africa: an observational cross-sectional hospital-based study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Morris Kahere ◽  
Themba Ginindza
Keyword(s):  
Risk Factors ◽  
Regression Analysis ◽  
Low Back Pain ◽  
Back Pain ◽  
Formal Education ◽  
Sedentary Lifestyle ◽  
Low Back ◽  
Cross Sectional ◽  
Physical Exercises ◽  
Kwazulu Natal

Abstract Background Globally, chronic low back pain (CLBP) is the leading cause of disability associated with economic costs. However, it has received little attention in low-and-middle-income countries. This study estimated the prevalence and risk factors of CLBP among adults presenting at selected hospitals in KwaZulu-Natal. Methodology This cross-sectional study was conducted among adults aged ≥18 years who attended the selected hospitals in KwaZulu-Natal during the study period. A self-administered questionnaire was used to collect data on socio-demographic, work-related factors, and information about CLBP. The SPSS version 24.0 (IBM SPSS Inc) was used for data analysis. Descriptive statistics were used for demographic characteristics of participants. CLBP risk factors were assessed using multivariate logistic regression analysis. A p-value of ≤0.05 was deemed statistically significant. Results A total of 678 adults participated in this study. The overall prevalence of CLBP was 18.1% (95% CI: 15.3 – 21.3) with females having a higher prevalence than males, 19.8% (95% CI: 16.0 – 24.1) and 15.85% (95% CI: 11.8 – 20.6), respectively. Using multivariate regression analysis, the following risk factors were identified: overweight (aOR: 3.7, 95% CI: 1.1 – 12.3, p = 0.032), no formal education (aOR: 6.1, 95% CI: 2.1 – 18.1, p = 0.001), lack of regular physical exercises (aOR: 2.2, 95% CI: 1.0 – 4.8, p = 0.044), smoking 1 to 10 (aOR: 4.5, 95% CI: 2.0 – 10.2, p < 0.001) and more than 11 cigarettes per day (aOR: 25.3, 95% CI: 10.4 – 61.2, p < 0.001), occasional and frequent consumption of alcohol, aOR: 2.5, 95% CI: 1.1 – 5.9, p < 0.001 and aOR: 11.3, 95% CI: 4.9 – 25.8, p < 0.001, respectively, a sedentary lifestyle (aOR: 31.8, 95% CI: 11.2 – 90.2, p < 0.001), manual work (aOR: 26.2, 95% CI: 10.1 – 68.4, p < 0.001) and a stooped sitting posture (aOR: 6.0, 95% CI: 2.0 – 17.6, p = 0.001). Conclusion This study concluded that the prevalence of CLBP in KwaZulu-Natal is higher than in other regions, and that it is predicted by a lack of formal education, overweight, lack of regular physical exercises, smoking, alcohol consumption, sedentary lifestyle, manual work, and a stooped posture.

scholarly journals Psychosomatic aspects of chronic low back pain syndrome

2010 ◽  
Vol 64 (5-6) ◽  
pp. 202-208
Author(s):  
Daina Šmite ◽  
Gunta Ancāne
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Emotional Distress ◽  
Chronic Low Back Pain ◽  
Pain Syndrome ◽  
Low Back ◽  
Characteristic Parameters ◽  
Psychosomatic Aspects ◽  
Specific Symptoms

Psychosomatic aspects of chronic low back pain syndrome The purpose of the study was to determine the relationships between emotional distress and pain syndrome, its characteristic parameters and impact on the quality of life in patients with chronic low back pain. The study included 110 patients, mean age 44.2 ± 8.0 years, with clinical diagnosis of lumbar spine disk pathology with chronic low back pain syndrome. The results showed that the studied patients differed by their emotional state. Emotional distress was associated with high intensity and specific symptoms of low back pain syndrome. Musculoskeletal dysfunction was associated with both physical and psychoemotional factors. The interaction of chronic low back pain syndrome complexity and biopsyhosocial factors is shown by a correlation between cytokines IL-10 and IL-8 level in blood serum and both pain intensity and duration, characteristics of emotional and physical status, and level of physical activities.

scholarly journals Prevalence of Neuropathic Pain and Patient-Reported Outcomes in Korean Adults with Chronic Low Back Pain Resulting from Neuropathic Low Back Pain

2017 ◽  
Vol 11 (6) ◽  
pp. 917-927 ◽  
Author(s):  
Jin-Hwan Kim ◽  
Jae Taek Hong ◽  
Chong-Suh Lee ◽  
Keun-Su Kim ◽  
Kyung-Soo Suk ◽  
...  
Keyword(s):  
Neuropathic Pain ◽  
Low Back Pain ◽  
Back Pain ◽  
Linear Regression ◽  
Chronic Low Back Pain ◽  
Patient Reported Outcomes ◽  
Functional Disability ◽  
Low Back ◽  
Patient Reported ◽  
Eq Vas

<sec><title>Study Design</title><p>A noninterventional, multicenter, cross-sectional study.</p></sec><sec><title>Purpose</title><p>We investigated the prevalence of neuropathic pain (NP) and patient-reported outcomes (PROs) of the quality of life (QoL) and functional disability in Korean adults with chronic low back pain (CLBP).</p></sec><sec><title>Overview of Literature</title><p>Among patients with CLBP, 20%–55% had NP.</p></sec><sec><title>Methods</title><p>Patients older than 20 years with CLBP lasting for longer than three months, with a visual analog scale (VAS) pain score higher than four, and with pain medications being used for at least four weeks before enrollment were recruited from 27 general hospitals between December 2014 and May 2015. Medical chart reviews were performed to collect demographic/clinical features and diagnosis of NP (douleur neuropathique 4, DN4). The QoL (EuroQoL 5-dimension, EQ-5D; EQ-VAS) and functional disability (Quebec Back Pain Disability Scale, QBPDS) were determined through patient surveys. Multiple linear regression analyses were performed to compare PROs between the NP (DN4≥4) and non-NP (DN4&lt;4) groups.</p></sec><sec><title>Results</title><p>A total of 1,200 patients (females: 65.7%; mean age: 63.4±13.0 years) were enrolled. The mean scores of EQ-5D, EQ-VAS, and QBPDS were 0.5±0.3, 55.7±19.4, and 40.4±21.1, respectively. Among all patients, 492 (41.0%; 95% confidence interval, 38.2%–43.8%) suffered from NP. The prevalence of NP was higher in male patients (46.8%; <italic>p</italic>&lt;0.01), in patients who had pain based on radiological and neurological findings (59.0%; <italic>p</italic>&lt;0.01), and in patients who had severe pain (49.0%; <italic>p</italic>&lt;0.01). There were significant mean differences in EQ-5D (NP group vs. non-NP group: 0.4±0.3 vs. 0.5±0.3; <italic>p</italic>&lt;0.01) and QBPDS (NP group vs. non-NP group: 45.8±21.2 vs. 36.3±20.2; <italic>p</italic>&lt;0.01) scores. In the multiple linear regression, patients with NP showed lower EQ-5D (β=−0.1; <italic>p</italic>&lt;0.01) and higher QBPDS (β=7.0; <italic>p</italic>&lt;0.01) scores than those without NP.</p></sec><sec><title>Conclusions</title><p>NP was highly prevalent in Korean patients with CLBP. Patients with CLBP having NP had a lower QoL and more severe dysfunction than those without NP. To enhance the QoL and functional status of patients with CLBP, this study highlights the importance of appropriately diagnosing and treating NP.</p></sec>

scholarly journals Persistent lumbar radicular and low back pain; impact of genetic variability versus emotional distress

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Siri Bjorland ◽  
Johannes Gjerstad ◽  
Elina Schistad ◽  
David M. Swanson ◽  
Cecilie Røe
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Genetic Variability ◽  
Emotional Distress ◽  
Low Back

Emotional distress drives health services overuse in patients with acute low back pain: a longitudinal observational study

2016 ◽  
Vol 25 (9) ◽  
pp. 2767-2773 ◽  
Author(s):  
Adrian C. Traeger ◽  
Markus Hübscher ◽  
Nicholas Henschke ◽  
Christopher M. Williams ◽  
Christopher G. Maher ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Health Services ◽  
Observational Study ◽  
Emotional Distress ◽  
Low Back ◽  
Acute Low Back Pain ◽  
Longitudinal Observational Study

scholarly journals Effect of Parameters on Lumbar Compressive Force during Patient Transfer

2021 ◽  
Vol 11 (24) ◽  
pp. 11622
Author(s):  
Xiaohan Xiang ◽  
Yoji Yamada ◽  
Yasuhiro Akiyama ◽  
Hibiki Nakamura ◽  
Naoki Kudo
Keyword(s):  
Regression Analysis ◽  
Low Back Pain ◽  
Back Pain ◽  
Quantitative Assessment ◽  
Compressive Force ◽  
Assessment Method ◽  
Patient Transfer ◽  
Lumbar Region ◽  
Low Back ◽  
Transfer Tasks

Patient transfer (PT) tasks are a significant cause of low back pain (LBP) in caregivers. Adopting proper motion strategies is an effective and inexpensive approach to reduce the risk of LBP. However, since the standardization of PT tasks is not specified in ISO 11228, there is an increasing need to develop a quantitative assessment method for the lumbar safety of caregivers. Therefore, we aim to determine the effect of representative factors, extracted from caregivers’ movements and of external force, on peak compressive force (CF) in patient transfer tasks using the lumbar compressive force as a criterion. The CF at the lumbar region is estimated using a biomechanical simulator, and regression analysis is performed between the estimated CF and representative factors. The results imply that peak CF occurs in the incipience of transfer and occurs after the occurrence of the peak trunk angle. The results also indicate that the peak CF can be reduced by preventing the representative factors from simultaneously reaching the maximum values. In this study, we provide a method of reducing peak CF by estimating the timing and magnitude of the peak to help caregivers assess the severity of LBP risk in actual PT, which is expected to contribute to the standardization of PT tasks.

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