Socio-demographic and physical-functional profile of low back pain patients assisted in Manaus/AM

Abstract

BACKGROUND AND OBJECTIVES:Low back pain is a common pathological condition in the social environment, especially in industrialized societies, and is a frequent cause of morbidity and incapacity, being overcome only by headache in the scale of painful disorders which affect people. This study aimed at establishing the socio-demographic and physical-functional profile of patients with acute, sub-acute and chronic low back pain of specific and nonspecific origin, treated in a private physiotherapy institution of the city of Manaus/AM. METHODS: This is a retrospective and descriptive study with quantitative approach, which has evaluated 151 medical charts, of which two were excluded for having less than 18 years of age, generating a database of 149 participants. Results were presented by descriptive statistics through central trend and variability measures, as well as by absolute and relative distribution. RESULTS: The prevalence of low back pain was 17.3%, primarily affecting males (55%) and industrial production workers (25.2%) with mean age of 40.7±13.2 years. There were associated diseases in 51.6% (n=33). When submitted to palpation, 77.6% (n=85) have referred pain. According to body mass index calculation, 57.1% (n=28) of patients were considered overweighed; 90.0% (n=45) had abnormal postural pattern, 82.5% (n=80) had decreased lumbar spine-related movement amplitude and 55.3% (n=26) had decreased lumbar spine-related muscle strength. CONCLUSION: Socio-demographic profile was characterized by male patients, as from the third decade of life and industrial production workers. Physical-functional profile was primarily characterized by patients with overweight and postural changes, pain at palpation and decreased lumbar region joint amplitude.

Dor lombar inespecífica e sua relação com o processo de trabalho de enfermagem

“…High physical or mechanical demands stress and fatigue the muscles and can initiate a process of low back pain by prolonged positions and repetitive movements. The relationship between fatigue and pain seems to encompass metabolic and structural lesions that influence pain physiology-related channels such as the basal glands, thalamus, limbic system, and cortical center 26 . Psychosocial factors such as bad mood at the end of the journey and fatigue can influence chronicity, frequency, perception and pain threshold 27 .…”

Perfil de trabalhadores com lombalgia atendidos em um serviço de saúde

“…No contexto sobre os encaminhamentos para tratamento fisioterapêutico, 68,2% dos trabalhadores foram encaminhados. Os tratamentos para dores lombares realizados por fisioterapeutas são muito importantes, sendo fundamentais em casos crônicos, pois visam uma melhor qualidade de vida aos pacientes [21][22][23] . Além disso, a maioria dos trabalhadores encaminhados para este serviço era do sexo feminino.…”

Prevalence and Factors Associated With Nonspecific Low Back Pain in Nursing Workers

“…Thus, psychological changes must be evaluated along with people's coping behavior in pain. 33 Pain makes individuals less tolerant to the psychological demands of work and increases pain reporting through effects on the processing of sensory information in the system central nervous system. 34 There seems to be a vicious cycle where the occurrence of low back pain and functional disability can lead to the intensification of psychological distress, worsening the mental health state.…”