Association between low back pain and various everyday performances

Abstract

SummaryLow back pain (LBP) is a widely prevalent chronic pain disorder associated with a high burden on individuals and society. In the subjective perception of patients with LBP, probably the most important health outcomes associated with LBP are those that effect everyday performance. Such outcomes include reduction in activities of daily living (ADL), in work ability (WA), and in sexual function. This narrative review aimed to (1) examine the association between LBP and the three mentioned outcomes of everyday performance, (2) to explain possible mediating factors promoting these associations, and (3) to discuss possible implications for treatment and rehabilitation. Studies have shown that LBP can generate anxiety of movement leading to movement avoidance (fear-avoidance beliefs), which may lead to deconditioning and further increasing problems with ADL, WA and decreasing sexual function. Furthermore, common mental disorders, such as depression, anxiety, and stress-related disorders, which also often co-occur with LBP can lead to adverse effects on everyday performance and vice versa, can be the consequence of such problems and aggravate LBP. Although there is no universally accepted treatment modality that fits every patient with LBP, physical training, comprehensive patient education, and workplace or home modifications have been shown to be able to interrupt the mutual influence between LBP and the described mediating factors, and have a beneficial effect on ADL, WA, and sexual function. For this, a multidisciplinary approach is necessary which includes multiprofessional care teams, participation of the patients, and involvement of different settings, such as workplace, home, and physical training facilities.

Cross-cultural adaptation and psychometric evaluation of the Yoruba version of Oswestry disability index

“…Disability associated with chronic LBP is an intricate and multidimensional phenomenon [42] that further perpetuates chronicity of LBP [43,44]. Thus, disability resulting from LBP is associated with difficulty in performing almost all basic and instrumental activities of daily living [40,45].…”

<p>Effects of Eperisone Hydrochloride and Non-Steroid Anti-Inflammatory Drugs (NSAIDs) for Acute Non-Specific Back Pain with Muscle Spasm: A Prospective, Open-Label Study</p>

“…A past comparative study between eperisone and baclofen also showed that both drugs have similar tolerability with no differences and minimum adverse effects. 13,19 In rheumatology practice, it is a common practice to combine analgesic (eg, NSAIDs) with a muscle relaxant (eg, thiocolchicoside or dantrolene), even using fixed-dose combinations to achieve a satisfactory reduction of both pain and muscle contracture. 20,21 There are several limitations to this study.…”

The burden of non-specific chronic low back pain among adults in KwaZulu-Natal, South Africa: a protocol for a mixed-methods study

“… 10 11 CLBP has been shown to be strongly associated with a reduction in sexual activity. 12 13 Insomnia has also been frequently reported as a consequence of CLBP. 14 Some studies report an association of CLBP with earlier death, as they hypothesise that CLBP normally results in significant disability, which will cause activity limitation due to fear-avoidance behaviour.…”