scholarly journals Effects of Wuqinxi in the Patients with Chronic Low Back Pain: A Randomized Controlled Trial

2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
Chongjie Yao ◽  
Zhenrui Li ◽  
Shuaipan Zhang ◽  
Zhiwei Wu ◽  
Qingguang Zhu ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Sleep Quality ◽  
Pain Intensity ◽  
Short Form ◽  
Low Back ◽  
Sf 36 ◽  
General Exercise

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.

scholarly journals The Efficiency of Dynamic vs General Exercise for Posture Control Dealing with Low Back Pain

2021 ◽  
Vol 2 (1) ◽  
pp. 5-6
Author(s):  
Michael Mendoza ◽  
MinHyuk Kwon
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Sample Size ◽  
Reporting Quality ◽  
Low Back ◽  
Sf 36 ◽  
Before And After ◽  
General Exercise

Mechanical low back pain is brought on by associated factors, such as muscular imbalances, excess muscular stress, and improper posture. Proper posture is vital for treating low back pain because of its unloading effects on the spine. Thus, the purpose of this critiqued article is to explore which is an effective and functional exercise that can be done at any time for posture. Thirty adults (20-30 years old, 14 males and 16 females) with chronic as opposed to acute or surgery, mechanical low back pain were splitted into Dynamic Sitting Exercise (DSE) and Spinal Extension Exercise (SEE). DSE subject is unloading the spine using the arms while sitting in an upright position. SEE subject is laying prone in elbow position doing a press up with straight arms. Testing was conducted 3 days per week for 6 weeks. Back pain was measured by Visual Analogue Scale (VAS), lumbar mobility by Modified-Modified Schober Test (MMST), and quality of life through subject self-reporting using the (SF-36) health survey before and after the examination. Data were analyzed using paired t-test and Mann-Whitney U-test. A greater improvement has been shown in pain (VAS; z = 3.81, p < .05) with DSE in comparison to SEE. Greater lumbar mobility (MMST; z = 1.99, p < 0.05) increase with DSE in comparison to SEE. A higher quality of life (SF-36; z = 4.16, p < 0.05) with DSE in comparison to SEE was reported. Overall, the DSE proved more effective (see Table 1). DSE works better because of its decompressing action unloading the disc in the spine without straining the lumbar muscles through excess abdominal activation compared to SEE. 6 weeks of DSE training is more efficient for adults with mechanical low back pain compared to SEE. DSE relieves more pressure off the mechanoreceptors leading to greater reduction in pain while also increasing blood flow to the lumbar muscles. The study demonstrates the efficiency advantage of DSE in comparison to SEE with their improvements in pain, lumbar mobility, and quality of life. Defining comparisons were made between the two methods allowing us to understand DSE’s decompression effect on intervertebral disc as opposed to SEE’s strain on lumbar muscles. The results can be interpreted and used by anyone with mechanical low back pain so they may implement the DSE routine into their daily life. The only limitations include self-reporting quality of life with SF-36 survey and sample size. Adding a different means of measuring quality of life and larger sample size (100+) would improve experiment for a follow up study.

scholarly journals Insomnia in chronic non-specific low back pain

2021 ◽  
Vol 13 (5) ◽  
pp. 62-67
Author(s):  
I. A. Lamkova ◽  
V. A. Parfenov
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Low Back Pain ◽  
Back Pain ◽  
Sleep Quality ◽  
Sleep Disturbances ◽  
Short Form ◽  
Therapy Group ◽  
Low Back

Patients with chronic non-specific low back pain (CNSLBP) often have sleep disturbances (insomnia), which negatively affects pain severity, mental state, activities of everyday living, and the overall quality of life. The prevalence of insomnia in patients with CNSLBP and the effectiveness of its therapy require further investigation.Objective: to identify the prevalence of insomnia and the effectiveness of its treatment in CNSLBP.Patients and methods. The study included 71 patients aged 18–75 years (mean age 55.09±13.0 years) with CNSLBP. A single sleep hygiene educational session was run in the standard treatment group (n=34; mean age – 51±14 years). Intervention in the extended therapy group (n=37; mean age – 59±12 years) included an educational program dedicated to sleep, which was an individual face-to-face course of 4–5 sessions over two weeks and a telephone survey after three months. We used the Insomnia Severity Index (ISI) and Pittsburgh Sleep Quality Index (PSQI) to assess sleep disturbances, a numerical rating scale (NRS) to assess pain, the International Physical Activity Questionnaire (IPAQ-SF), and the 12-item short form health survey (SF-12) to assess physical activity and quality of life. The survey was carried out three times (at the admission, after 7–10 and 80–90 days).Results and discussion. In both groups of patients with CNSLBP, PSQI scores improved in a week and after 3 months compared with baseline (p<0.05). Sleep quality between 7th and 90th days significantly improved only in the extended therapy group (p=0.025). ISI scores significantly improved during inpatient treatment in both groups (p<0.05), but between 7th and 90th days significantly improved only in the extended therapy group (р=0.048). Back pain intensity according to NRS significantly decreased in a week and after 3 months, compared to baseline (р<0.0001). Significant increase in physical activity (p≤0.001), physical and mental components of quality of life (p<0.05) were found only in the extended therapy group.Conclusion. Most patients with CNSLBP have insomnia, the treatment of which can improve sleep and help reduce pain.

Role of patient-based health status outcome measurements in opioid management for low back pain

2018 ◽  
Vol 4 (3) ◽  
pp. 153 ◽  
Author(s):  
Vinod K. Podichetty, MD, MS ◽  
Eric S. Varley, DO ◽  
Michelle Secic, MS
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Short Form ◽  
Symptom Relief ◽  
Low Back ◽  
Opioid Use ◽  
Strong Response ◽  
Sf 36

Objective: The aim of the study was to identify patient factors that correlate with a strong response to opioid pain medications in low back pain patients.Design: Prospective analysis.Setting: Tertiary Institutional Spine Care Center.Patients, Participants: All patients visiting a tertiary referral spine center with primary diagnosis of low back pain (n = 486) and minimum duration of 6 months.Interventions: Opioid medication.Main Outcome Measures: Analysis factors included visual analog pain scale (VAS), symptom relief scores, and results on 36-item Short Form Health Survey (SF-36). A longitudinal descriptive analysis and a multivariable logistic regression were performed on the results of the VAS and SF-36 scores.Results: The average age of opioid and nonopioid treated patients was 62 years versus 64 years, (p = 0.13) and gender distributions at 53 percent versus 50 percent female (p = 0.43). SF-36 scores were statistically significant and associated with the opioid categorization. For every unit increase in symptom relief score, the likelihood of opioid use is doubled (OR = 2.1, 95 percent CI = 1.5-2.8, p < 0.001); and increased by 25 percent with each 10-point decrease in the social functioning quality of life score (OR = 0.98, 95 percent CI = 0.96-0.99, p = 0.006).Conclusions: Social quality of life and symptom relief measurements comprise the optimal set of independent factors that correlate most strongly with a response to opioid use in low back pain patients.

scholarly journals The Efficiency of Dynamic vs. General Exercise for Posture Control Dealing with Low Back Pain

2021 ◽  
Vol 2 (1) ◽  
pp. 5-6
Author(s):  
Michael Mendoza ◽  
MinHyuk Kwon
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Sample Size ◽  
Reporting Quality ◽  
Low Back ◽  
Sf 36 ◽  
Before And After ◽  
General Exercise

Mechanical low back pain is brought on by associated factors, such as muscular imbalances, excess muscular stress, and improper posture. Proper posture is vital for treating low back pain because of its unloading effects on the spine. Thus, the purpose of this critiqued article is to explore which is an effective and functional exercise that can be done at any time for posture. Thirty adults (20-30 years old, 14 males and 16 females) with chronic as opposed to acute or surgery, mechanical low back pain were splitted into Dynamic Sitting Exercise (DSE) and Spinal Extension Exercise (SEE). DSE subject is unloading the spine using the arms while sitting in an upright position. SEE subject is laying prone in elbow position doing a press up with straight arms. Testing was conducted 3 days per week for 6 weeks. Back pain was measured by Visual Analogue Scale (VAS), lumbar mobility by Modified-Modified Schober Test (MMST), and quality of life through subject self-reporting using the (SF-36) health survey before and after the examination. Data were analyzed using paired t-test and Mann-Whitney U-test. A greater improvement has been shown in pain (VAS; z = 3.81, p < .05) with DSE in comparison to SEE. Greater lumbar mobility (MMST; z = 1.99, p < 0.05) increase with DSE in comparison to SEE. A higher quality of life (SF-36; z = 4.16, p < 0.05) with DSE in comparison to SEE was reported. Overall, the DSE proved more effective (see Table 1). DSE works better because of its decompressing action unloading the disc in the spine without straining the lumbar muscles through excess abdominal activation compared to SEE. 6 weeks of DSE training is more efficient for adults with mechanical low back pain compared to SEE. DSE relieves more pressure off the mechanoreceptors leading to greater reduction in pain while also increasing blood flow to the lumbar muscles. The study demonstrates the efficiency advantage of DSE in comparison to SEE with their improvements in pain, lumbar mobility, and quality of life. Defining comparisons were made between the two methods allowing us to understand DSE’s decompression effect on intervertebral disc as opposed to SEE’s strain on lumbar muscles. The results can be interpreted and used by anyone with mechanical low back pain so they may implement the DSE routine into their daily life. The only limitations include self-reporting quality of life with SF-36 survey and sample size. Adding a different means of measuring quality of life and larger sample size (100+) would improve experiment for a follow up study.

scholarly journals Health-related quality-of-life assessment in patients with low back pain using SF-36 questionnaire

Medicina ◽  
2007 ◽  
Vol 43 (8) ◽  
pp. 607 ◽  
Author(s):  
Kotryna Vereščiagina ◽  
Kazys Ambrozaitis ◽  
Bronius Špakauskas
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Short Form ◽  
Bodily Pain ◽  
Low Back ◽  
Health Related Quality ◽  
Sf 36 ◽  
Related Quality ◽  
Health Related

Objective. For complete assessment of benefits of the surgical intervention, it is essential to provide evidence of the impact on patients in terms of health status and healthrelated quality of life. In the present study, the preoperative 36-item Short Form (SF-36) Health Survey scores were determined in patients before lumbar microdiscectomy due to better preoperative screening likewise in the control group – almost healthy population taken into account any habitual ailments experienced in an appropriate age. Patients and methods. In the present study, we investigated a cohort of 100 patients with disc herniation causing low back pain and another hundred of the control subjects, matched by age and gender. The short form 36 general health questionnaire (SF-36) was applied. Results. Estimation of the SF-36 scores showed that (1) all of the domain values were considerably lower in the preoperative patient group than in the second one (P<0.01); (2) the bodily pain scores were closely correlated to the social function scores (R=0.7, P<0.01), whereas the physical function was less related to the bodily pain (R=0.6, P<0.01). The weakest correlation was observed between bodily pain and mental health and general health (R=0.4, P<0.01). Conclusion. The present study showed that the generic instrument, SF-36 Health Survey, was optimized paraclinical method for patients predisposed to surgical treatment of the lumbar disc herniation disease likewise for normal population individuals, matched by age and sex, in the assessment of health-related quality of life.

scholarly journals Health professionals’ referral practice and related healthcare utilization for people with low back pain in Singapore: A retrospective study

2019 ◽  
Vol 39 (01) ◽  
pp. 1-14
Author(s):  
Fong-Ling Loy ◽  
Su-Yin Yang ◽  
Jamila Chemat ◽  
Soon-Yin Tjan
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Health Service ◽  
Pain Intensity ◽  
Health Service Utilization ◽  
Medical Utilization ◽  
Pain Interference ◽  
Low Back

Background: Low back pain is a common musculoskeletal disorder that can incur high financial burden. A significant proportion of this burden may be incurred from referrals to health services and subsequent healthcare usages. Patients’ overall experience of pain and its related life interferences may also have some relevance to this usage. Objective: This study aimed to examine the referral practices and subsequent health service utilization of patients with LBP within a tertiary specialist clinic setting. A secondary objective was to explore potential associations between primary independent variables of pain and life interferences with health service utilization. Methods: Participants were patients with low back pain, who completed a set of self-reported low back pain measures. These included measures for pain intensity, pain interference, disability and quality of life. The participants’ back pain-related referral and health service utilization in the subsequent 12 months were recorded. Results: A total of 282 patients completed the full measures. Of these, 59.9% were referred for physiotherapy, 26.3% for diagnostic imaging and 9.2% for interventional procedures. Compared to patients who were referred from tertiary care, those from primary care had lower pain intensity ([Formula: see text]), pain interference ([Formula: see text]), disability ([Formula: see text]), but better physical and mental quality of life ([Formula: see text], [Formula: see text]). High pain interference was a common factor among patients who were referred on to other services after first consultation. Levels of medical utilization and physiotherapy utilization were both associated with pain intensity ([Formula: see text], [Formula: see text] vs [Formula: see text], [Formula: see text]), pain interference ([Formula: see text], [Formula: see text] vs [Formula: see text], 0.01) and disability ([Formula: see text], [Formula: see text] vs [Formula: see text], [Formula: see text]). Regression analysis showed that the source of referral contributed to 6% of the variance in medical utilization and 3% of the variance in physiotherapy utilization. After controlling the demographic variables and referral sources, none of the independent variables added any significant variance to medical utilization. Only pain intensity contributed an additional 2% variance to physiotherapy utilization. Conclusion: Referral patterns and practices appear similar to those reported in other studies. Higher levels of pain intensity, interference, disability and quality of life appear to influence the referral to different health services and subsequent treatment utilization.

scholarly journals Psychometric evaluation of a brazilian portuguese version of the spitzer quality of life index in patients with low back pain

2008 ◽  
Vol 16 (6) ◽  
pp. 943-950 ◽  
Author(s):  
Rafaela Cunha Matheus Rodrigues Toledo ◽  
Neusa Maria Costa Alexandre ◽  
Roberta Cunha Matheus Rodrigues
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Correlation Coefficient ◽  
Low Back ◽  
Life Index ◽  
Sf 36 ◽  
Quality Of Life Index ◽  
Test Retest Reliability

The purpose of this study was to adapt the Spitzer Quality of Life Index and evaluate its reliability in patients with low back pain. The following steps were followed: translation, back-translation, evaluation by a committee, and pretest. The reliability was estimated through stability and homogeneity assessment. The validity was tested comparing scores of the Spitzer (QLI) with the SF-36 and the Roland-Morris. The psychometric properties were evaluated by the self-application on 120 patients. Results showed that the Cronbach's Alpha was 0.77. Intraclass correlation coefficient for test-retest reliability was 0.960 (p<0.001; IC95%: 0.943; 0.972). Spearman´s correlation coefficient for test-retest reliability was 0.937 (p<0.001). There was significant correlation between the Spitzer (QLI) scores and the dimensions of the SF-36. A significant negative correlation was found between the Spitzer (QLI) and the Roland-Morris scores (r = - 0.730). The adaptation process was conducted successfully and the questionnaire presented reliable psychometric measures.

Quality of life of osteoporotic patients attending rheumatology rehabilitation in-patient units

2012 ◽  
Vol 153 (33) ◽  
pp. 1314-1319
Author(s):  
Julianna Rozália Sallai ◽  
Gábor Héjj ◽  
István †Ratkó ◽  
Aniella Hunka ◽  
Ilona Márkus ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Rheumatoid Arthritis ◽  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Poor Quality ◽  
Low Back ◽  
Life Data ◽  
Sf 36

There has been no report on demographic, social and quality of life data of osteoporotic patients attending rheumatology rehabilitation in-patient units in Hungary. Aim: The authors analyzed the data of osteoporotic patients treated in rheumatology rehabilitation departments as in-patients in four hospitals in Hungary. Methods: Demographic and social data were obtained by using a questionnaire developed by the authors, and quality of life was assessed with the use of the SF-36 questionnaire. The quality of life data of osteoporotic patients were compared to that obtained from patients with rheumatoid arthritis, osteoarthrosis and chronic low back pain who were treated in the same department at the same time. Results: Of the 253 patients who were asked to participate in the study, 211 patients filled out the questionnaires. 25.6% of the patients were male. 58% of the patients were younger than 60 years of age, and 40% of them were heavy physical workers earlier. More than 50% of the patients did not complete secondary school education, and only 6.7% of the patients had a per capita monthly income higher than 100 000 HUF. The quality of life of the osteoporotic patients assessed by SF-36 scored 34.7, which was significantly lower than that of the mean of the Hungarian population scoring 70–90. The SF-36 scores of osteoporotic patients were lower in all domains compared to the scores of patients with rheumatoid arthritis, osteoarthritis and low back pain, although the difference was significant only in the domain of physical activity. The affective role of patients with osteoporosis was significantly lower than those with rheumatoid arthritis and osteoarthritis. Conclusions: Osteoporotic patients attending in-patient rheumatology in-patient rehabilitation units in Hungary have poor quality of life comparable, even worse than that found in patients with rheumatoid arthritis, osteoarthritis and chronic low back pain. Orv. Hetil., 2012, 153, 1314–1319.

scholarly journals A rectus diastasis prevalenciája, lehetséges rizikófaktorai és szövődményei

2017 ◽  
Vol 158 (12) ◽  
pp. 454-460 ◽  
Author(s):  
Stefánia Gitta ◽  
Zoltán Magyar ◽  
Péter Tardi ◽  
Istvánné Füge ◽  
Melinda Járomi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Urinary Incontinence ◽  
Low Back Pain ◽  
Back Pain ◽  
Short Form ◽  
Low Back ◽  
Diastasis Recti ◽  
Significant Difference

Abstract: Introduction: There is scant knowledge on diastasis recti which occurs mostly in 3rd trimester of pregnancy. Aim: Our aim was to assign the prevalence of diastasis recti and the possible risk factors and to investigate its association with some chronical diseases, like low back pain and urinary incontinence. Method: 200 women’s interrectus distance was measured who filled out a self-made diastasis recti questionnaire, the SF-36, Oswestry Disability Index and the International Consultation on Incontinence Modular Questionnaire – Urinary Incontinence Short Form questionnaires. Results: Prevalence of the condition was 46.5%. In case of risk factors, relationship between number of deliveries and interrectus distance was significant. We found a significant difference in quality of life, in presence of low back pain and urinary incontinence between the normal and the abnormal group. Conclusions: In line with the literature we found, that diastasis recti can predispose on serious sequelae, hence on decreased quality of life. Orv. Hetil., 2017, 158(12), 454–460.

scholarly journals Pain Intensity, Disability, and Quality of Life in Patients with Chronic Low Back Pain: Does Age Matter?

Pain Medicine ◽  
2018 ◽  
Vol 20 (3) ◽  
pp. 464-475 ◽  
Author(s):  
Markus Wettstein ◽  
Wolfgang Eich ◽  
Christiane Bieber ◽  
Jonas Tesarz
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Chronic Low Back Pain ◽  
Low Back
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