scholarly journals The Association between Urinary Incontinence and Low Back Pain and Radiculopathy in Women

2016 ◽  
Vol 4 (4) ◽  
pp. 665-669 ◽  
Author(s):  
Hülagu Kaptan ◽  
Haluk Kulaksızoğlu ◽  
Ömür Kasımcan ◽  
Bedreddin Seçkin

AIM: Urinary incontinence (UI) is a common dysfunction, affecting especially women of all ages. The terminology of low back pain (LBP) and radiculopathy (RP) may be misused interchangeably with each other. There are many reports of the association with LBP and incontinence but those involving compression of nerve root(as RP), has not been distinguished from isolated low back pain. This study was structured to analyse the association of UI, LBP and RP.METHODS: One hundred twenty patients were included in the study. Patients with spinal or urinary infection, tumour (spinal or others), cauda equine, pelvic operation, spinal trauma, spinal surgery, urogenital pathology were not accepted for this study.  Age and weight of all patients were determined. Oswestry Disability Index (ODI) was utilised for  assessment of loss of function  and SEAPI incontinence index was used for urinary incontinence. All patients were examined for neurological pathology to differentiate between the LBP and RP by department of neurosurgery. Student t-test and Mann-Whitney-U tests were used for statistical significance.RESULTS: There was no statistical significance between low back pain with overall urinary incontinence (p = 0.131), urge (p = 0.103) or stress incontinence (p = 0.68), respectively. However; The statistical aspects were identified relationship between overall (p = 0.026) and urge (p = 0.001) urinary incontinence with radiculopathy. The association of urge incontinence and radiculopathy seems to show a more significant relationship. Yet there was no correlation between radiculopathy and stress incontinence (P = 0.062).CONCLUSION: Low back pain should not be regarded as a predisposing factor for urinary incontinence; however, radiculopathy has a statistically positive correlation between overall incontinence and urge incontinence.

Work ◽  
2021 ◽  
pp. 1-8
Author(s):  
Fatemeh Khoshroo ◽  
Foad Seidi ◽  
Reza Rajabi ◽  
Abbey Thomas

BACKGROUND: Distinctive features of low back pain-developers (LBPDs) as pre-clinical low back pain (LBP) population have been evidenced in three areas of alignment, muscle activation, and movement patterns. To clarify whether the reported altered functional movement patterns in chronic LBP patients result from or result in LBP disorders, LBPDs’ functional movement patterns should be investigated. OBJECTIVES: This study aimed to compare female LBPDs’ functional movement patterns with non-pain developers’ (NPDs). METHODS: Sixty female LBPDs and NPDs were recruited based on the research requirements. The Functional Movement Screen (FMS) was used to investigate movement quality. Data were compared between groups via Mann-Whitney U tests and correlation analyses examined association between pain intensity and onset during prolonged standing and the FMS score. Receiver Operating Characteristic Curves and Chi Squares were conducted to find the best cutoff points. An alpha level of p≤0.05 was used to establish statistical significance. RESULTS: LBPDs scored significantly lower, or rather worse than NPDs in the FMS composite score (12.06±1.33 vs. 16.43±1.59, U = 3, P <  0.001). Moreover, the optimal cutoff scores of≤14 on the FMS, 2 on the push-up, and 1 on the deep squat discriminated between female LBPDs and NPDs. The FMS composite score was correlated negatively with LBP intensity (r (60) = –0.724, p <  0.001) and positively with LBP onset (r (60) = 0.277, p = 0.032) during prolonged standing. Finally, the results indicated that female LBPDs presented with at least one bilateral asymmetry on the FMS had 10 times (95%CI, 2.941–34.008) and with at least two bilateral asymmetries on the FMS had 15.5 times (95%CI, 3.814–63.359) higher odds of developing LBP during prolonged standing than NPDs. CONCLUSIONS: Female LBPDs, who are at higher risk for developing LBP in the future, have significantly lower quality of functional movement patterns compared to NPDs. Moreover, the FMS appears to show promise for predicting individuals who are at risk for LBP development during prolonged standing.


2015 ◽  
Vol 19 (1) ◽  
pp. 70-76 ◽  
Author(s):  
Vânia F. Figueiredo ◽  
Juleimar S. C. Amorim ◽  
Aline M. Pereira ◽  
Paulo H. Ferreira ◽  
Leani S. M. Pereira

2020 ◽  
Vol 14 ◽  
Author(s):  
Vitória De Barros Siqueira ◽  
Aislany Warlla Nunes Luna ◽  
Danielly Coelho De Melo ◽  
Lana Quele Pereira Da Silva ◽  
Mariana Pereira Gama ◽  
...  

Objetivo: verificar a prevalência de dor e adoecimento relacionados à atividade laboral e referidos pela equipe de enfermagem. Método: trata-se de um estudo quantitativo, analítico, de corte transversal realizado com 202 técnicos de enfermagem e enfermeiros assistenciais. Coletaram-se os dados por meio de questionário semiestruturado auto aplicado. Realizou-se a análise bivariada dos dados. Avaliou-se a significância estatística por meio do IC 95% e do teste Qui-quadrado. Resultados: identificou-se prevalência de 69,3% de relato de dor e de 34,2% de adoecimento relacionado à atividade laboral, destacando-se a lombalgia crônica e as varizes; houve prevalência de 19,3% de ansiedade entre os entrevistados e estes apresentaram 20 vezes mais chances de relatar dores. Conclusão: conclui-se que dor e adoecimento são muito prevalentes nos profissionais de enfermagem e parecem ser inerentes às características da atividade exercida e do processo de trabalho, e a discussão desses problemas é de grande relevância para a Enfermagem e para os gestores de serviços de saúde. Descritores: Equipe de Enfermagem; Saúde do Trabalhador; Morbidade; Ansiedade; Prevalência; Dor Lombar.AbstractObjective: to verify the prevalence of pain and illness related to work activity and referred by the nursing team. Method: this is a quantitative, analytical, cross-sectional study conducted with 202 nursing technicians and nursing assistants. Data was collected using a self-administered semi-structured questionnaire. Bivariate data analysis was performed. Statistical significance was assessed using the 95% CI and the chi-square test. Results: a prevalence of 69.3% of reports of pain and 34.2% of illness related to work activity was identified, with emphasis on chronic low back pain and varicose veins; there was a 19.3% prevalence of anxiety among the interviewees and they were 20 times more likely to report pain. Conclusion: it is concluded that pain and illness are very prevalent in Nursing professionals and seem to be inherent to the characteristics of the activity performed and the work process, and the discussion of these problems is of great relevance for Nursing and healthcare service managers. Descriptors: Nursing, Team; Ocupational Health; Morbidity; Anxiety; Prevalence; Low Back Pain.                                                                                           ResumenObjetivo: verificar la prevalencia de dolor y enfermedad relacionados con la actividad laboral y referidos por el equipo de enfermería. Método: se trata de un estudio cuantitativo, analítico, transversal realizado con 202 técnicos de enfermería y auxiliares de enfermería. Los datos fueron recolectados usando un cuestionario semiestructurado autoadministrado. Se realizó un análisis de datos bivariados. La significación estadística se evaluó utilizando el IC del 95% y la prueba de chi-cuadrado. Resultados: se identificó una prevalencia del 69,3% de los informes de dolor y del 34,2% de enfermedades relacionadas con la actividad laboral, con énfasis en el dolor lumbar crónico y las venas varicosas; hubo una prevalencia de ansiedad del 19,3% entre los entrevistados y tenían 20 veces más probabilidades de informar el dolor. Conclusión: se concluye que el dolor y la enfermedad son muy frecuentes en los profesionales de enfermería y parecen ser inherentes a las características de la actividad realizada y el proceso de trabajo, y la discusión de estos problemas es de gran relevancia para la enfermería y los gerentes de servicios de salud. Descriptores: Grupo de Enfermeira; Salud Laboral; Morbilidad; Ansiedad; Prevalencia; Dor de la Región Lumbar.


2011 ◽  
Vol 25 (1) ◽  
pp. 18
Author(s):  
Dorota Borawski ◽  
Martin H. Bluth ◽  
Wellman W. Cheung

To study the prevalence and risk factors of the overactive bladder, urinary incontinence and other lower tract urinary symptoms in patients with uterine myomas, female patients with established diagnosis of the uterine myomas presenting to gynecology clinic were invited to answer a self-administered questionnaire, which included questions on evidence of lower urinary tract symptoms [modified Overactive Bladder-Validated 8-question Screener (OAB-V8)]. Demographic data, relevant medical and surgical history, and pelvic ultrasound findings were reviewed from the patients charts. Statistical significance of relationship between OAB, stress incontinence and urge incontinence in relation to body mass index (BMI), uterine volume and size of dominant myoma were analyzed using 2-taild exact Fisher test and Wilcoxon test. Ninty-eight patients (28 to 81 years) completed the questionnaire over a period of 3 months. The majority were premenopausal and had detectable myomas on ultrasound. OAB was present in 47.9% women. No significant statistical relation between size and volume of the uterus and overactive bladder, urge incontinence, stress incontinence and mixed incontinence was noted. Observation of OAB subtypes with urge and stress incontinence in premenopausal patients with uterine myomas was statistically significant in comparison with premenopausal women studied (60.8% <em>vs</em> 15.3 and 63% <em>vs</em> 6.8, respectively; P&lt;0.001). Overall prevalence of OAB was similar in both groups. Our study showed the higher prevalence of overactive bladder than in the general population, however overall OAB prevalence related to fibroids did not show statistical significance. OAB-stress incontinence and OABurge incontinence subtypes were associated with uterine myomas.


2017 ◽  
Vol 158 (12) ◽  
pp. 454-460 ◽  
Author(s):  
Stefánia Gitta ◽  
Zoltán Magyar ◽  
Péter Tardi ◽  
Istvánné Füge ◽  
Melinda Járomi ◽  
...  

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.


Spine ◽  
1994 ◽  
Vol 19 (Supplement) ◽  
pp. 1148-1152 ◽  
Author(s):  
S. M. Eisenstein ◽  
D. J. Engelbrecht ◽  
W. S. El Masry

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Takashi Asama ◽  
Hidenori Matsuzaki ◽  
Shinobu Fukushima ◽  
Tomoki Tatefuji ◽  
Ken Hashimoto ◽  
...  

Objectives. This study aimed to evaluate the effect of Royal Jelly (RJ) at a dose of 800 mg/day on menopausal symptoms in healthy Japanese postmenopausal women with placebo-controlled design. Material and Methods. A total of 42 healthy Japanese postmenopausal women have been recruited for this study. The subjects were randomized to oral treatment with either 800 mg of protease-digested lyophilized powder of RJ (enzyme-treated RJ) or placebo (800 mg of dextrin) daily for 12 weeks. The level of menopausal symptoms has been evaluated every 4 weeks, using menopausal symptoms questionnaire of Japanese women. Independent t-test was used to evaluate statistical significance of the treatment effects between the two groups. Results and Conclusion. All of the 42 women have completed the trial. There were significant differences related to the anxiety score (P=0.046) and backache and low back pain score (P=0.040) between 800 mg/day enzyme-treated RJ and placebo-treated groups after 12 weeks of administration, and no significant differences were found between the two groups in 4 weeks after intervention. No side effects were observed in either group. This study demonstrates that enzyme-treated RJ supplementation with doses of 800 mg/day is effective in relieving menopausal symptoms such as anxiety, backache, and low back pain in Japanese postmenopausal women.


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