Relationship between pain intensity and disability in chronic low back pain patients

Harahap, Ikhsanuddin Ahmad; Huda, Siti Nurul; Tanjung, Dudut; Siregar, Cholina Trisa; Nasution, Siti Zahara; Ariga, Reni Asmara; Lufthiani,

doi:10.1016/j.enfcli.2021.04.009

Enfermería Clínica

2021

DOI: 10.1016/j.enfcli.2021.04.009

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Relationship between pain intensity and disability in chronic low back pain patients

Ikhsanuddin Ahmad Harahap

Siti Nurul Huda

Dudut Tanjung

et al.

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2024

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Cited by 3 publications

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“…In China, nearly 85 million people have disabilities that negatively affect their daily lives, and the disability rate among those over the age of 45 is increasing year by year 21 . Medical studies have shown that pain and depression can produce or exacerbate disabilities 22,23 . Importantly, these conditions that predispose one to disabilities or exacerbate disabilities are often closely related to HAP caused by solid fuel 9,24,25 .…”

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confidence: 99%

Effects of pain and depression on the relationship between household solid fuel use and disability among middle-aged and older adults

Jia

Gao

Zhao

et al. 2022

Sci Rep

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Household air pollution (HAP) is suggested to increases people's risk of disability, but mediating mechanisms between HAP and disability remains under-investigated. The aim of this study was to investigate the underlying mechanisms between household air pollution and disability in middle-aged and older adults (i.e., older than 45 years) using a nationally representative prospective cohort. In total, 3754 middle-aged and older adults were selected from the China Health and Retirement Longitudinal Study. Correlation analysis and logistic regression analysis were employed to estimate the association between HAP, pain, depression and disability. Finally, three significant mediation pathways through which HAP directly impacts disability were found: (1) pain (B = 0.09, 95% CI 0.01, 0.02), accounting for 15.25% of the total effect; (2) depression (B = 0.07, 95% CI 0.004, 0.02), accounting for 11.86% of the total effect; (3) pain and depression (B = 0.04, 95% CI 0.003, 0.01), accounting for 6.78% of the total effect. The total mediating effect was 33.89%. This study clarified that HAP can indirectly affect disability through the respective and serial mediating roles of pain and depression. These findings potentially have important implications for national strategies concerning the widespread use of clean fuels by citizens.

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mentioning

confidence: 99%

Effects of pain and depression on the relationship between household solid fuel use and disability among middle-aged and older adults

Jia

Gao

Zhao

et al. 2022

Sci Rep

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Relationship of chronic low back pain intensity with functional activity, stress and quality of life in working-age adults

Ovdii,

Cherepenko,

Tsyhanok

et al. 2024

PJS

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Background. Low back pain (LBP) is a global problem in the modern world. A detailed study of the relationship between pain intensity and the indicators with which it may be associated will allow optimising approaches to the treatment and rehabilitation of patients with chronic LBP. The purpose was to evaluate the relationship between the intensity of chronic LBP and indicators of functional activity, stress and quality of life in subjects of working age. Materials and methods. A survey was conducted among 159 persons aged 18-65 years with LBP lasting more than 3 months. Using a Google-form, the participants were given a questionnaire that included socio-demographic, anthropometric characteristics, lifestyle data, bad habits, physical activity (PhA) and stress levels, quality of life, and impairment. The intensity of pain was measured at the first visit to a PhRM doctor using a visual analogue scale (VAS). Results. The study involved 159 patients, 65.7 % women and 34.3 % men, with a mean VAS pain intensity of 46.5 ± 18.6 mm. A weak positive correlation was found between pain intensity and age (r = 0.30, p < 0.001), but no significant relationship was found between pain intensity and anthropometric parameters. Subjects who smoke, have insufficient PhA and sleep disturbance had higher pain intensity scores (57.6 ± 15.2 mm (p = 0.04), 49.0 ± 18.8 mm (p = 0.12), 49.7 ± 19.9 mm (p = 0.002), respectively). Sitting time more than 6 hours had significant associations with pain intensity (p < 0.001). A weak positive correlation was found between pain intensity on the VAS scale and stress level (r = 0.24, p = 0.002), a moderate positive correlation between pain intensity and impairment (r = 0.36, p < 0.001) and a moderate negative correlation between quality of life and pain intensity. Conclusions. There was a significant association between pain intensity and age, smoking, sleep disturbance, sedentary work for more than 6 hours, higher stress levels, impaired functioning and lower quality of life.

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Prediction of Back Disability Using Clinical, Functional, and Biomechanical Variables in Adults with Chronic Nonspecific Low Back Pain

Elabd,

Oakley,

Elabd

2024

JCM

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Background: Researchers are focusing on understanding the etiology and predisposing factors of chronic nonspecific low back pain (CNSLBP), a costly prevalent and disabling disorder. Related clinical, functional, and biomechanical variables are often studied, but in isolation. We aimed to identify key factors for managing CNSLBP by examining the relationship between back disability and related clinical, functional, and biomechanical variables and developed prediction models to estimate disability using various variables. Methods: We performed a cross-sectional correlational study on 100 recruited patients with CNSLBP. Clinical variables of pain intensity (visual analog score), back extensor endurance (Sorenson test), functional variables of the back performance scale, 6 min walk test, and the biomechanical variable C7-S1 sagittal vertical axis were analyzed to predict disability (Oswestry disability index). Results: All variables independently, as well as in multi-correlation, were significantly correlated to disability (p < 0.05). The bivariate regression models were significant between back disability and pain intensity (Y = 11.24 + 2.189x), Sorensen results (Y = 105.48 − 0.911x), the back performance scale (Y = 6.65 + 2.486x), 6 min walk test (Y = 49.20 − 0.060x), and sagittal vertical axis (Y = 0.72 + 4.23x). The multi-regression model showed significant contributions from pain (p = 0.001) and Sorensen results (p = 0.028) in predicting back disability, whereas no significant effect was found for other variables. Conclusions: A multidisciplinary approach is essential not only for the management of but also for the assessment of chronic nonspecific low back pain, including its clinical, functional, and biomechanical characteristics. However, special emphasis should be placed on clinical characteristics, including the intensity of pain and back extensor endurance.

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Relationship between pain intensity and disability in chronic low back pain patients

Cited by 3 publications

References 7 publications

Effects of pain and depression on the relationship between household solid fuel use and disability among middle-aged and older adults

Effects of pain and depression on the relationship between household solid fuel use and disability among middle-aged and older adults

Relationship of chronic low back pain intensity with functional activity, stress and quality of life in working-age adults

Prediction of Back Disability Using Clinical, Functional, and Biomechanical Variables in Adults with Chronic Nonspecific Low Back Pain

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