High levels of low back disability, but not low back pain intensity, are associated with reduced physical activity: a community-based, cross-sectional study

Abstract

Background Although clinical guidelines recommend physical activity for low back pain (LBP), our understanding of the physical activity undertaken by people with LBP is limited. We examined the amounts, intensities and types of physical activity performed by community-based women with different levels of pain and disability. Methods 542 women were invited to participate. Physical activity was measured using the International Physical Activity Questionnaire, and LBP and disability were assessed using the Chronic Pain Grade Questionnaire. Participants were categorised into no/low or high pain intensity and disability groups. Results Women with high levels of back disability performed half the total physical activity of those with no/low levels of back disability (MET(hours/week): median(95%CI) = 27.3(13.2–41.4) vs. 53.9(44.9–62.8),p = 0.002), including less moderate (17.5(10.4–24.7) vs. 32.1(26.8–37.4),p < 0.001) and domestic and gardening activity (14.4(7.2–21.7) vs. 23.5(19.0–28.0), p = 0.02). Moreover, fewer women with high disability participated in vigorous (3(8.11%) vs. 134(32.0%),OR(95%CI) = 0.17(0.04–0.75),p = 0.02) and leisure activities (17(45.9%) vs. 294(70.2%),OR(95% CI) = 0.44(0.21–0.94),p = 0.03) compared to those with no/low disability. There were no differences in physical activity between women with no/low and high pain intensity (all p > 0.05). Conclusion High levels of back disability, but not back pain intensity, were associated with reduced physical activity, including less total activity, moderate and vigorous intense activity, and discretionary activity. Further work is needed to determine whether targeting these types and intensities of physical activity will help in improving physical activity levels and reducing back disability.

The Effect of Social Isolation During the COVID-19 Pandemic on Patients with Chronic Low Back Pain Who Underwent a Spine Intervention

“…Additionally, we also found that there was a statistically significant positive correlation between moderately vigorous activities (i.e., carrying light loads, bicycling at a regular pace, doubles tennis, heavy lifting, digging, aerobics, or fast bicycling) and (8) revealed that a regular exercise routine is a key strategy for physical health during the COVID-19 pandemic. Contrariwise, another study by Alyousef et al (9) showed that the severity of low back pain and physical activity level were not related, but they disclosed that high levels of low back disability were associated with reduced physical activity, including less total, moderate, vigorous, and discretionary types of activity. Amorim et al (10) reported that occupational physical activity, such as carrying a heavy weight while inclined and awkward postures (e.g., bending, twisting, squatting, and kneeling) are associated with a higher prevalence of recurrent low back pain.…”