Home-based fundamental approach to alleviate low back pain using myofascial release, stretching, and spinal musculature strengthening during the COVID-19 pandemic

Shariat, Ardalan; Anastasio, Albert T.; Soheili, Sahar; Rostad, Mitch

doi:10.3233/wor-203248

Cited by 15 publications

(15 citation statements)

References 16 publications

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“…20,21 An ergonomic and comfortable workplace and a proper exercise program can help prevent MSDs. 4,22,23 It is recommended that the height of the desk and chair be adjustable so that the feet are always supported on the floor so that they are placed correctly on the floor. In cases where a height-adjustable chair is not available, it is recommended to use a footrest.…”

Section: Discussionmentioning

confidence: 99%

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Investigation of Low Back Pain in the White-Collar Population Working From Home Due to the COVID-19 Pandemic

Özdemir¹

2021

J PMR Sci

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Due to the coronavirus disease-2019 (COVID-19) pandemic, there have been major changes in the way almost every business works. This study examines the relationship between the changing working conditions [working from home (WFH)] related to COVID-19 on low back pain (LBP) and the associated kinesiophobia, disability, physical activity, and job satisfaction. Material and Methods: One-hundred-one white-collar workers who were WFH were included in the study, and demographic characteristics, presence of LBP, and other musculoskeletal disorders were questioned. Numerical Rating Scale for low-back pain and other musculoskeletal pain, Oswestry Disability Index (ODI) for determination of disability level, Tampa Scale of Kinesiophobia (TSK) for the presence of kinesiophobia, International Physical Activity Questionnaire (IPAQ)for physical activity level, and Utrecht Work Engagement Scale-6 (UWES-6) questionnaire for job satisfaction were applied via an online survey. Results: Of the participants 56.4% had LBP. The most common musculoskeletal disease following LBP was neck pain and/or dorsalgia (39.6%). The ODI (p<0.001), TSK (p <0.001) and the presence of kinesiophobia (p=0.016) were higher in participants with LBP. LBP was positively correlated with the ODI and TSK (r=0.489; p=<0.001, r=0.409; p=<0.001), and the other musculoskeletal pain has a positive correlation with the ODI (r=0.228; p=0.023). No relationship was found between UWES-6 and IPAQ with LBP. Conclusion: During the COVID-19 pandemic, white-collar workers WFH with LBP experience higher kinesiophobia and disability. Disability is increasing with LBP level and other musculoskeletal disease pain level. There was no relationship between the presence of LBP with job satisfaction and physical activity level.

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Section: Discussionmentioning

confidence: 99%

“…The increased muscle strength will support the back and provide flexibility to help relieve pain caused by poor postural positions during WFH. 22,23…”

Section: Discussionmentioning

confidence: 99%

Investigation of Low Back Pain in the White-Collar Population Working From Home Due to the COVID-19 Pandemic

Özdemir¹

2021

J PMR Sci

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“…Such a strategy may also help to reduce heart attacks [29]. In addition, curfews and lockdowns implemented during COVID-19 pandemic have led to decreased physical activity, and because of such sedentary behavior the incidence of musculoskeletal pain is expected to rise [30,31]. However, individuals can adopt simple self-therapeutic approaches with home-based exercises to alleviate pain and postural problems during the pandemic [30,31].…”

Section: Discussionmentioning

confidence: 99%

Interventional pain management during SARS-CoV-2 pandemic

2021

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Background: SARS-CoV-2 virus resulted in a sudden dreadful outbreak, posing a serious global public health problem consuming most of the healthcare resources. Requirement to allocate the existing resources for SARS-CoV-2 management during the pandemic has led to significant challenges in pain management as well as in other healthcare services. Objectives: This study aimed to report the outcomes of an interventional pain management unit of a COVID-free hospital, where a fraction of medical services is being provided through telemedicine, and where patients and healthcare workers are screened periodically, in addition to the implementation of guideline-recommended key precautions. Study design: Retrospective chart review. Setting: Pain clinic of a private COVID-free hospital. Methods: A total of 83 patients asymptomatic for SARS-CoV-2 and scheduled for interventional pain management (epidural injection, epidural neuroplasty, peripheral nerve and sympathetic ganglion block, and radiofrequency interventions for non-malignant pain; celiac-splanchnic impar ganglion neurolysis and epidural-spinal port catheter implantation for malignant pain) were screened using reverse transcriptase polymerase chain reaction (RT PCR), Immunoglobulin G and Immunoglobulin M antibodies, and computerized tomography (CT) imaging prior to the intervention and were then followed-up for a minimum duration of 30 days. All healthcare workers of the hospital as well as the staff in the pain management center were monitored with RT-PCR tests performed every 5 days. The efficacy of pain management interventions was assessed using a 10-point visual analogue scale (VAS), while a 5-point post-intervention questionnaire was used to measure the patient satisfaction regarding telemedicine practices, where 5 indicates maximum satisfaction. Results: Patients were finally diagnosed as follows: 2 (2.4%) patients, PCR-confirmed SARS-CoV-2 infection; 3 (3.6%) patients, previous SARS-CoV-2 infection; 13 (15.7%) patients, suspected SARS-CoV-2 infection; and 65 (78.3%) patients, no SARS-CoV-2 infection. Three out of the 517 healthcare workers (0.6%) had PCR positivity in routine screening performed throughout the study, and all these three subjects were asymptomatic. Following interventional treatment, VAS scores were significantly reduced at 2 weeks when compared to baseline (3.9 ± 1.3 vs. 8.6 ± 1.0, P < 0.001), and this reduction was maintained until month 1. Mean satisfaction scores for the communication with the physician using telemedicine methods and for the follow-up management using telemedicine methods were 3.0 ± 0.9 and 3.7 ± 0.6, respectively. None of the patients had steroid-related side effects and none developed new-onset SARS-Cov-2 confirmed or suspected infection throughout the study. Limitations: Retrospective design and relatively small sample size. Conclusion: Our findings suggest that effective diagnostic tests/imaging studies aimed at detecting infected patients and healthcare workers, and telemedicine practices contribute to the provision of safe and feasible pain management practices during the SARS-CoV-2 pandemic.

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“…COVID-19 has influenced the rapid development of m-health [20]. The idea of developing a home-based fundamental approach to alleviating low-back pain during pandemic has been proposed [21], but it is unknown whether m-health-based exercise (via guidance plus education) improves efficacy in patients with CLBP.…”

Section: Introductionmentioning

confidence: 99%

Does m-health-based exercise (guidance plus education) improve efficacy in patients with chronic low-back pain? A preliminary report on the intervention’s significance

Zheng

Zhang

et al. 2022

Trials

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Background The utilization of mobile health (m-health) has rapidly expanded during the COVID-19 pandemic, and there is still a lack of relevant clinical data pertaining to chronic low-back pain (CLBP) management. This study was designed to compare the effectiveness of m-health-based exercise (via guidance plus education) versus exercise (via guidance) during CLBP management. Methods Participants (n = 40) were randomly assigned to intervention and control groups. The intervention group received m-health-based exercise (via guidance plus education), whereas the control group received m-health-based exercise (via guidance). The exercise prescription video and educational content were sent to participants by the application (app), Ding Talk. Repeated-measures analysis of variance was used to test the baseline’s intervention effects, 6-week follow-up, and 18-week follow-up. We selected function (Roland and Morris Disability Questionnaire) and pain intensity (current, mean, and most severe Numeric Rating Scale in the last 2 weeks) as the primary outcomes, changes of negative emotion (depression, anxious), and quality of life as the secondary outcomes. Results Time’s significant effect was found in pain, function, and health-related quality of life in both groups, but time did not show significant interaction effects. Participants were able to use m-based education with their anxiety and depression after treatment, but the relief only lasted until week 6. No differences were found on the aspect of mental health-related quality of life. Conclusion Preliminary findings suggest that m-health-based exercise (via guidance) may be a convenient and effective method to treat CLBP. However, additional health education didn't help more. More rigorous controlled trials are needed to improve the therapeutic effect in future studies. Trial registration Chinese Clinical Trials Registry Number ChiCTR2000041459. Registered on December 26, 2020.

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Home-based fundamental approach to alleviate low back pain using myofascial release, stretching, and spinal musculature strengthening during the COVID-19 pandemic

Cited by 15 publications

References 16 publications

Investigation of Low Back Pain in the White-Collar Population Working From Home Due to the COVID-19 Pandemic

Investigation of Low Back Pain in the White-Collar Population Working From Home Due to the COVID-19 Pandemic

Interventional pain management during SARS-CoV-2 pandemic

Does m-health-based exercise (guidance plus education) improve efficacy in patients with chronic low-back pain? A preliminary report on the intervention’s significance

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