Sex Differences in Presentation, Course, and Management of Low Back Pain in Primary Care

Chenot, Jean‐François; Becker, Annette; Leonhardt, Corinna; Keller, Stefan; Donner-Banzhoff, Norbert; Hildebrandt, J.; Basler, Heinz-Dieter; Baum, Erika; Kochen, Michael M.; Pfingsten, M.

doi:10.1097/ajp.0b013e31816ed948

Cited by 65 publications

(40 citation statements)

References 29 publications

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“…Such a disparity places the female at greater risk for injury and resulting rLBP, which is reinforced by their reduced functional capacity across various tasks (Chenot et al 2008;Takala and Viikari-Juntura 2000). Because employees in such occupational endeavors are exposed to intense, repetitive lifting encounters, such findings support the connection between gender, lifting response, and injury.…”

Section: Introductionsupporting

confidence: 57%

Effects of Gender and Recurrent Low Back Pain on Lifting Style

Haddas

Yang

Sizer

2015

Central European Journal of Sport Sciences and Medicine

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Abstract. Objective: The purpose of this study was to examine the influence of gender and existing, recurrent low back pain (rLBP) on lower extremity and trunk mechanics, as well as neuromuscular control, during a lift task. Design: A multivariate design was used to examine the effects of gender and group on biomechanical and neuromuscular control variables in randomized symmetric and asymmetric lifting. Methods: 68 Males and females with rLBP and healthy performed symmetric and asymmetric weighted box lifting trials to a 1 meter height table. Results: Lifting style was different between gender and between the rLBP versus healthy groups during a 1m box lifting. A significant two-way interaction effect between gender and group was observed for multifidus muscle activity and knee rotation in asymmetric lifting. Several gender and group main effects were observed in pelvis obliquity, trunk flexion and side flexion, knee abduction angles in symmetric lifting; and in pelvis obliquity and rotation, trunk flexion and side flexion, hip abduction, knee abduction angles, external oblique and internal oblique muscles activity in asymmetric lifting. Conclusions: Females and individuals with rLBP appear to use different lifting styles that emphasize movement at the pelvis accompanied by poor kinematic control features at the hip, trunk and knee. Clinicians should be mindful of these changes when developing prevention and rehabilitation programs aimed at improving trunk control in preparation for lifting tasks during domestic and occupational activities.

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Section: Introductionsupporting

confidence: 57%

Effects of Gender and Recurrent Low Back Pain on Lifting Style

Haddas

Yang

Sizer

2015

Central European Journal of Sport Sciences and Medicine

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“…18 We performed a post hoc analysis to investigate this and found that, although women had higher intensities of pain than men for reports of pretreatment pain, as well as reports of high, low, and average pain on a typical day, there were no gender-based differences in the changes in pain or in the relationship between change in pain and change in diffusion.…”

Section: Discussionmentioning

confidence: 99%

The Within-Session Change in Low Back Pain Intensity Following Spinal Manipulative Therapy Is Related to Differences in Diffusion of Water in the Intervertebral Discs of the Upper Lumbar Spine and L5-S1

Beattie¹,

Butts²,

Donley³

et al. 2014

J Orthop Sports Phys Ther

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“…[34][35][36][37] Beyond that, female sex seems to be a risk factor for the onset of CWP among patients with CLBP. [9][10][11] The results of our study confi rm this assumption.…”

Section: Discussionmentioning

confidence: 99%

Even Worse — Risk Factors and Protective Factors for Transition from Chronic Localized Low Back Pain to Chronic Widespread Pain in General Practice

Viniol

Jegan

Brügger

et al. 2015

Spine

Self Cite

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STUDY DESIGN: Prospective cohort study with patients with chronic low back pain (CLBP) at primary care setting. OBJECTIVE: The aim of our study was to identify predictors for transition from localized CLBP to chronic widespread pain in general practice. In contrast to the typically investigated risk factors, this study also focuses intensively on protective factors, which decrease the probability of chronic widespread pain. For this, we investigated the resources resilience and coping strategies, which are suspected as potential protective factors for incident chronic pain syndromes. SUMMARY OF BACKGROUND DATA: In primary care, about a quarter of patients with CLBP experience chronic widespread pain (CWP). METHODS: Patients experiencing localized CLBP were included and evaluated after a 6-and 12-month follow-up period regarding the development of CWP. Potential risk factors (sociodemographic data, pain characteristics, depression, anxiety, somatization), protective factors (resilience, coping strategies), and sample characteristics were assessed at baseline. Predictor identification was done by multivariate logistic regression analysis. RESULTS: The 1-year incidence for the onset of CWP among patients with CLBP was 23.8%. We identified the 3 risk factors, female sex, long duration of back pain, and a high rate of psychosomatic symptoms, for the onset of CWP among patients with CLBP. Coping resources and resilience had no impact on the transition from CLBP to CWP. CONCLUSION: The results suggest that CWP is no independent entity but rather a particularly negative occurrence on a continuum of chronic pain. Processes of somatization play a major role in the development of this extreme. LEVEL OF EVIDENCE: 2. Originally published at: Viniol, Annika; Jegan, Nikita; Brugger, Markus; Leonhardt, Corinna; Barth, Jürgen; Baum, Erika; Becker, Annette; Strauch, Konstantin (2015). Even worse -risk factors and protective factors for transition from chronic localized low back pain to chronic widespread pain in general practice. Spine, 40(15):E890-E899.

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Sex Differences in Presentation, Course, and Management of Low Back Pain in Primary Care

Cited by 65 publications

References 29 publications

Effects of Gender and Recurrent Low Back Pain on Lifting Style

Effects of Gender and Recurrent Low Back Pain on Lifting Style

The Within-Session Change in Low Back Pain Intensity Following Spinal Manipulative Therapy Is Related to Differences in Diffusion of Water in the Intervertebral Discs of the Upper Lumbar Spine and L5-S1

Even Worse — Risk Factors and Protective Factors for Transition from Chronic Localized Low Back Pain to Chronic Widespread Pain in General Practice

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