Biopsychosocial risk factors associated with chronic low back pain after lower limb amputation

Farrokhi, Shawn; Mazzone, Brittney; Schneider, Michael J.; Gombatto, Sara P.; Mayer, John M.; Highsmith, M. Jason; Hendershot, Brad D.

doi:10.1016/j.mehy.2017.07.030

Cited by 27 publications

(24 citation statements)

References 145 publications

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“…40 Alternatively, the increased prevalence of LBP in the transfemoral amputee population may be explained by factors unrelated to biomechanics, such as psychosocial factors, co-morbid painful conditions, and genetics, which are known to have important roles in LBP in the general population and potentially in the transfemoral amputee population. 33,41–43…”

Section: Discussionmentioning

confidence: 99%

The relationship between lumbar lordosis angle and low back pain in individuals with transfemoral amputation

Matsumoto

Czerniecki

Shakir³

et al. 2019

Prosthetics &Amp; Orthotics International

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This study suggests that increased lumbar lordosis angle and sacral inclination angle are not significantly associated with low back pain in transfemoral amputees of a primarily traumatic etiology. Clinical relevance Low back pain (LBP) is a common, disabling condition in transfemoral amputees. In the clinical setting, increased lumbar lordosis is implicated in LBP. This study does not support an association between increased lumbar lordosis and LBP; further study is needed to understand the increased prevalence of LBP in this population.

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Section: Discussionmentioning

confidence: 99%

The relationship between lumbar lordosis angle and low back pain in individuals with transfemoral amputation

Matsumoto

Czerniecki

Shakir³

et al. 2019

Prosthetics &Amp; Orthotics International

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“…Lower back pain is troublesome as it affect one's functionality, quality of life and independence and more bothersome than having to deal with phantom pain [24]. According to [25], severe low extremity trauma and low extremity amputation may result in confusion in regard of the clinical procedure and management of low back pain. In comparison with natural gait, gait with the assistance of prosthesis is more complex in the mean of biomechanics as amputee has to face consequences namely altered lumbopelvic, movement and coordination that increase the mechanical load, reduced in intersegmental motion and altered neuromuscular motor that contribute to low back pain [25].…”

Section: Challengesmentioning

confidence: 99%

“…Trauma towards limb also means trauma to peripheral nerves which might account to altered and dysfunction of signal processing to the central nervous system [25]. Amputee who suffers from phantom pain might have to experience central sensitization or hypersensitivity where there is drastic increase of neuronal response towards a stimulus and it usually appears when an individual is exposed to a prolonged pain [25]. This situation may influence them to develop secondary pain conditions such as low back pain.…”

Section: Challengesmentioning

confidence: 99%

“…A study by [26], concluded that individuals with amputation have a decreased grey matter in the posterolateral thalamus which affect their pain-processing signal. Other central processing finding that contribute to low back pain among amputee are cortical reorganization of the sensorimotor cortex and changes of neuroplasticity associate to phantom pain [25].…”

Section: Challengesmentioning

confidence: 99%

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A Short Review on the Cost, Design, Materials and Challenges of the Prosthetics Leg Development and Usage

Amsan¹,

Nasution²,

Ramlee³

2019

Proceedings of the International Conference of CELSciTech 2019 - Science and Technology Track (ICCELST-ST 2019)

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Prosthetic is an artificial limb that helps an individual with amputation to restore the lost part of the body and neuroskeletomotor function. The existence of prosthetic makes it possible for individual with amputation to perform their daily task and remove the barrier of social participation. An ideal prosthetic usually constitutes characteristic as having the ability of 20° dorsiflexion, 20° eversion movement and 117% energy return efficiency. Prescription of prosthetic is restricted to follow according to amputee's functional level or K-level. Common prostheses can be classified as socketsuspended or bone-anchored prosthesis where commonly known as osseointegrated prosthesis. In the process of making prosthesis, common materials that are used widely known are metals, polymers, carbon fibers and few other materials such as Kevlar. The cost of prosthesis in nowadays is a very subjective and depending on the type of design, materials and functions. This short review paper is discussing the use of prosthesis leg for human regarding the functional level, cost, materials, challenges, current researches and future recommendations for the research and development of prosthesis leg.

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“…The pathophysiological mechanisms and the aetiological factors of NSCLBP have been unclear, but the biopsychosocial model seemed to have gained a wide acceptance for explaining the perpetuation of symptoms in CLBP. 28 Symptomatic treatment without a definitive diagnosis is like treating blindfolded. The delay in addressing the root cause results in a cascade of events leading acute cases developing into chronic.…”

Section: Introductionmentioning

confidence: 99%

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

Kahere

Ginindza

2020

BMJ Open

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IntroductionLow back pain (LBP) is a major public health concern, affecting individuals of all age groups across the world. In about 90% of LBP cases, there is no specific cause identified and is, therefore, referred to as non-specific LBP. Due to the non-specific nature of LBP, investigations such as radiological and laboratory investigations are unnecessary and results to delayed diagnosis and improper treatment culminating in LBP progressing into chronic LBP (CLBP). LBP is now the leading cause of disability with a significant socioeconomic burden. Despite all these challenges, CLBP is regarded as a trivial condition in low-and-middle-income countries and remains poorly investigated. The distribution of CLBP in Africa is unclear.Methods and analysisThe research will be conducted in two phases. The initial phase will be an observational, cross-sectional hospital-based study that will be recruiting 650 participants, to determine the prevalence and risk factors of CLBP. A standardised questionnaire will be used to collect baseline data on the socio-demographic characteristics of participants and other variables of interest (exercise history, occupational posture, level of education and the income status). Disability will be assessed using the Oswestry Disability Questionnaire and the psychological risk factors will be assessed using the Illness-Behaviour Questionnaire (IBQ) and the Fear-Avoidance Belief Questionnaire (FABQ). The second phase will be a retrospective, top-down, prevalence-based cost-of-illness study of the 2018–2019 health records, to estimate the burden of CLBP from the healthcare system’s perspective. The SPSS V.25.0 statistical package will be used for data entry and analysis. Statistical analysis will include descriptive statistics by means of graphs and cross tabulations, inferential statistics by means of logistic regression and χ2 test. A p value of 0.05 will be deemed statistically significant.Ethics and disseminationThis protocol was approved by the University of KwaZulu-Natal’s Biomedical Research Ethics Committee (Ref. No.: BREC/00000205/2019) and the KwaZulu-Natal Department of Health Research Ethics (Ref. No.: KZ_201909_002). This will be the first LBP cost-of-illness study in the sub-Saharan Africa, and, therefore, it will close these knowledge gaps and present important evidence on the estimated burden of CLBP in this context. The results of this study will be presented to the Department of Health and to the respective stakeholders and decision-makers to discuss the findings and draw their attention to the prioritisation of LBP research, its management, prevention programmes and implementation of educational programme and for the planning of cost-containment policies.

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Biopsychosocial risk factors associated with chronic low back pain after lower limb amputation

Cited by 27 publications

References 145 publications

The relationship between lumbar lordosis angle and low back pain in individuals with transfemoral amputation

The relationship between lumbar lordosis angle and low back pain in individuals with transfemoral amputation

A Short Review on the Cost, Design, Materials and Challenges of the Prosthetics Leg Development and Usage

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

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