Short-term impact of COVID-19 pandemic on low back pain: data from the PAMPA Cohort, Brazil

Caputo, Eduardo Lucia; Ferreira, Paulo H.; Feter, Natan; Doring, Igor R.; Leite, Jayne S; Alt, Ricardo; Cassuriaga, Júlia; Reichert, Felipe Fossati; Rombaldi, Airton JosÃ©; Silva, Marcelo Cozzensa da

doi:10.1186/s12889-022-14932-w

Cited by 7 publications

(5 citation statements)

References 37 publications

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“…In Bangladesh, Ali M et al found that Overall, 20% of participants reported LBP; however, the prevalence of LBP was significantly higher among patients with post-acute COVID-19 compared with their counterparts (24.4% vs 15.7%, P=0.001) [ 20 ]. On the other hand, Caputo EL et al in Brazil revealed that the prevalence of LBP did not change significantly from before (74.7%) to the first months of the pandemic (74.2%) but increased pain levels and a higher likelihood for activity limitation due to LBP were observed [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

COVID-19 and Its Impact on Back Pain in the Eastern Province of Saudi Arabia

Alsayari,

Alshehri,

Almulhim

et al. 2024

Cureus

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Background Low back pain (LBP) is a common musculoskeletal condition that affects individuals worldwide, causing difficulties in daily tasks and social interactions. It can be categorized based on chronicity, with acute, subacute, and chronic forms. The causes of backache vary among patients and can include inflammatory conditions, radiculopathy, pregnancy, trauma, osteoporosis, nerve root compression, cancer, plexopathy, infection, and other spinal diseases. Aim The aim is to investigate the association between COVID-19 infection and LBP between all Saudi adults and foreign adults who had positive COVID-19 tests in the eastern region of Saudi Arabia. Methods A cross-sectional study was conducted in the Eastern Province of Saudi Arabia over the period from March 2023 to August 2023. Participants were selected by using a convenience sampling method, a sample (n=500) of individuals. The structured questionnaire was used to gather information on sociodemographic variables and COVID-related features. All the statistical calculations were performed using the SPSS software (by IBM) version 29.0.0. Results 482 participants completed the questionnaire. Out of 482 participants, the majority were females with a number of 372 (77.2%) aged between 20 and 29 years (38.4%). Out of the remaining participants, 110 (22.8%) were males. Most of the participants with a number of 301 (62.4%) were from the Hasa province. This was followed by Qatif (79, 16.4%), Dammam (56, 11.6%), Jubail (25, 5.2%), and others (21, 4.4%). The study revealed that 10.1% of participants reported experiencing back pain. The duration of backaches varied among respondents, with 122 (25.3%) experiencing them from a day to a week, 28 (5.8%) enduring them for six weeks, and 65 (13.5%) reporting a duration of six to 12 weeks. The majority, comprising 267 (55.4%) respondents, were uncertain about the period of their backaches. The prevalence of COVID-19 infection among the participants was 357 (74.1%), and 477 (99.0%) had been vaccinated against COVID-19. Approximately 44.4% of the participants experienced back pain, and out of those, 28.2% reported having pain during quarantine. Among the individuals with back pain, 24.7% attributed it to COVID-19. Conclusion This study highlights the significant correlation between back pain and COVID-19, even after the resolution of other symptoms. It underscores the importance of further research into the long-term effects and mechanisms of this association. The findings emphasize the need for healthcare professionals to consider back pain as a potential aspect of the post-COVID-19 symptom profile, ensuring comprehensive care for affected individuals.

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Section: Discussionmentioning

confidence: 99%

COVID-19 and Its Impact on Back Pain in the Eastern Province of Saudi Arabia

Alsayari,

Alshehri,

Almulhim

et al. 2024

Cureus

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“…A numeric pain rating scale was used to assess pain intensity, ranging from 0 (no pain) to 10 (worse pain). Activity limitation was assessed by asking participants if their pain was strong enough to limit or change their daily activities for at least one day [5].…”

Section: Lbp Intensity Activity Limitation and Care Seekingmentioning

confidence: 99%

“…LBP incidence may be directly related to inappropriate postures while working, extended periods of sitting, physical inactivity, and high stress and anxiety levels [1,2]. During COVID-19 the pandemic restrictions, a decrease in physical activity levels and an increase in anxiety and depression was observed, being strongly related to LBP outcomes in the initial months of the restrictions [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Care seek behavior for low back pain in southern Brazil during the COVID-19 pandemic: a panel data analysis

Caputo

Feter

Pinto

et al. 2023

BMC Musculoskelet Disord

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Background During the COVID-19 pandemic, people with low back pain (LBP) might have avoided seeking care for their pain. We aimed to investigate how the COVID-19 pandemic has affected LBP care seeking behavior among adults. Methods Data from four assessments of the PAMPA cohort were analyzed. Participants who reported experiencing LBP during wave one both before and during social restrictions (n = 1,753 and n = 1,712, respectively), wave two (n = 2,009), and wave three (n = 2,482) were included. We asked participants about sociodemographic, behavioral, and health factors and outcomes related to LBP. Poisson regression analyses were conducted, and data are presented as prevalence ratios (PR) and respective 95% confidence interval (95%CI). Results Overall, care seeking behavior decreased by half in the first months of restrictions, from 51.5% to 25.2%. Although there was an increase in care seeking behavior observed in the other two assessments (nearly 10 and 16 months after restrictions), it was insufficient to reach pre-pandemic levels. In the first months of restrictions, a similar scenario was observed for specific care, such as general practitioner and exercise professional care, with proportions of pre-pandemic levels reached after 10 and 16 months. Women were more likely to seek care for LBP 10 and 16 months after restrictions (PR 1.30 95%CI 1.11; 1.52, PR 1.22 95%CI 1.06; 1.39, respectively). Also, those participants who worked, were physically active, and reported pain-related disability and high pain levels were more likely to seek care at all time points assessed. Conclusion Overall, care-seeking behavior for LBP significantly decreased in the first months of restrictions and increased in the following months; however, this behavior remained lower than pre-pandemic levels.

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“…Studies comparing prepandemic and postpandemic scores point toward the presence of subgroups, with some individuals showing improved pain scores, whereas others showing pain deterioration. 1,10 Similarly, unchanged pain, emotional distress, and opioid misuse patterns were found over a 1-year period among adults with chronic pain, 27 whereas improvements in pain intensity and depression scores were found in patients with chronic pain when studied over the course of the first 2 years of the pandemic. 47 Such understanding of individuals' long-term pain and psychological distress trajectories taking into account prepandemic status, however, is lacking.…”

Section: Introductionmentioning

confidence: 97%

Trajectories of pain and depressive symptoms among people living with low back pain during the COVID-19 pandemic: a 24-month longitudinal study

Angarita-Fonseca,

Roy,

Lacasse

et al. 2024

PR9

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Introduction: We explored trajectories of pain intensity and depressive symptoms over the first 24 months of the pandemic in people with low back pain. Methods: This longitudinal study was conducted alongside the Quebec Low Back Pain Study. Starting in April 2020 and every 3 months until July 2022, 291 participants completed an online survey. Group-based trajectory modeling was used to identify patterns of pain intensity and depressive symptoms. Onset outbreak characteristics were then put in relation with trajectory groups using multivariate logistic regression. Results: The analysis revealed 5 trajectories of pain intensity and depressive symptoms, respectively. The pain trajectories were stable mild (n = 17, 5.8%); stable moderate (n = 103, 35.4%); stable severe (n = 81, 27.8%); U-shape (n = 24, 8.3%), and inverted U-shape (n = 66, 22.7%). The trajectories of depressive symptoms were stable none (n = 58, 19.9%); stable very mild (n = 61, 21.0%); stable mild (n = 85, 29.2%); stable moderate (n = 59, 21.7%); and severe slightly improving (n = 24, 8.3%). Pre-COVID everyday/nearly everyday pain, average pain intensity, and widespread bodily pain were predictive of pain trajectory groups. Higher pre-COVID depression, acute stress disorder, and lockdown measures-related stress were associated with moderate/severe depressive trajectories. Discussion: Our findings indicated relative stability of pain and depressive symptoms among participants during the COVID-19 pandemic but also highlighted subgroups of people who experienced temporary deterioration or improvement over the first months of the pandemic that then reverted back to baseline levels. Modifiable risk factors were identified before the onset of the pandemic, which could give preventive measures in targeted populations.

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Short-term impact of COVID-19 pandemic on low back pain: data from the PAMPA Cohort, Brazil

Cited by 7 publications

References 37 publications

COVID-19 and Its Impact on Back Pain in the Eastern Province of Saudi Arabia

COVID-19 and Its Impact on Back Pain in the Eastern Province of Saudi Arabia

Care seek behavior for low back pain in southern Brazil during the COVID-19 pandemic: a panel data analysis

Trajectories of pain and depressive symptoms among people living with low back pain during the COVID-19 pandemic: a 24-month longitudinal study

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