Factors Affecting Pain Intensity and Disability Level in Patients with Low Back Pain: A Cross-Sectional Study


Abstract views: 334 / PDF downloads: 179

Authors

  • Ayşe ÜNAL
  • Yelda KINGIR Yakın Doğu Üniversitesi
  • Gülsüm TIKAÇ
  • Hande ŞENOL
  • İlker KİRAZ
  • Filiz ALTUĞ

DOI:

https://doi.org/10.5281/zenodo.7601550

Keywords:

Level of disability, Low back pain, Pain intensity

Abstract

Objective: This study aimed to investigate the factors affecting the pain intensity and disability level in individuals with low back pain.

Material and Methods: Two hundred and five patients (131 females, 74 males) with low back pain who applied to Pamukkale University Neurosurgery Outpatient Clinic were included. The demographic information of the patients was recorded. Pain severity, disability level, and the factors affecting the pain intensity and disability level were questioned. Visual Analogue Scale (VAS) for pain intensity and Oswestry Disability Index (OSI) for disability level were used.

Results: The mean age of the participants was 47.96 ± 16.41 years. The mean pain intensity was 6.18 ± 2.27 cm and the pain duration was 98.72 ± 222.10 weeks. The mean disability level was 44.93 ± 18.73. 125 (61%) of the participants stated that there was an increase in pain intensity during walking, 113 (55.1%) of them when standing for a long time, and 106 (51.7%) of them when bending forward. It was determined that going downhill, sitting, and bending forward were the factors that increased the pain the most, and climbing stairs, going uphill, and doing housework were the factors that increased the disability level.

Conclusion: It is important to determine the factors that increase the pain intensity and affect the level of disability in patients with low back pain, to raise awareness of the patients, and to take preventive measures.

References

Al-Obaidi, S. M., Al-Zoabi, B., Al-Shuwaie, N., Al-Zaabie, N., & Nelson, R. M. (2003). The influence of pain and pain-related fear and disability beliefs on walking velocity in chronic low back pain. International Journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation, 26(2), 101–108. DOI: 10.1097/00004356-200306000-00004.

Altuğ, F., Ünal, A., Kilavuz, G., Kavlak, E., Çitişli, V., & Cavlak, U. (2016). Investigation of the relationship between kinesiophobia, physical activity level and quality of life in patients with chronic low back pain1. Journal of back and musculoskeletal rehabilitation, 29(3), 527–531. DOI: 10.3233/BMR-150653.

Arslantaş D, Metintaş S, Kalyoncu C, Ünsal A, Işıklı B. (2003). Eskişehir kırsal kesimi erişkinlerinde bel ağrısı sıklığı. Medical Network Klinik Bilimler ve Doktor, 9(4), 391 - 395.

Bejia, I., Younes, M., Jamila, H. B., Khalfallah, T., Ben Salem, K., Touzi, M., Akrout, M., & Bergaoui, N. (2005). Prevalence and factors associated to low back pain among hospital staff. Joint bone spine, 72(3), 254–259. DOI: 10.1016/j.jbspin.2004.06.001

Bento, T., Genebra, C., Maciel, N. M., Cornelio, G. P., Simeão, S., & Vitta, A. (2020). Low back pain and some associated factors: is there any difference between genders?. Brazilian journal of physical therapy, 24(1), 79–87. DOI: 10.1016/j.bjpt.2019.01.012.

Beyraghi, N., Hosseinzadeh, M., Hashemi, M., & Yashar, N. M. (2016). Evaluation of the relationship between disability and pain severity with anxiety and depression in chronic low back pain patient: Research and review. International Journal of Contemporary Dental & Medical Reviews, 2016. DOI: 10.15713/ins.ijcdmr.106.

Bird, H. A., & Dixon, J. S. (1987). The measurement of pain. Bailliere's clinical rheumatology, 1(1), 71–89. DOI: 10.1016/s0950-3579(87)80030-4.

Comachio, J., Magalhães, M. O., Campos Carvalho E Silva, A., & Marques, A. P. (2018). A cross-sectional study of associations between kinesiophobia, pain, disability, and quality of life in patients with chronic low back pain. Advances in rheumatology (London, England), 58(1), 8. DOI: 10.1186/s42358-018-0011-2.

do Carmo Silva Parreira, P., Maher, C. G., Latimer, J., Steffens, D., Blyth, F., Li, Q., & Ferreira, M. L. (2015). Can patients identify what triggers their back pain? Secondary analysis of a case-crossover study. Pain, 156(10), 1913–1919. DOI: 10.1097/j.pain.0000000000000252.

Eryavuz M, Akkan A. (2003). Fabrika çalışanlarında bel ağrısı risk faktörlerinin değerlendirilmesi. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 49(5), 3 - 11.

Gilgil, E., Kaçar, C., Bütün, B., Tuncer, T., Urhan, S., Yildirim, C., Sünbüloglu, G., Arikan, V., Tekeoglu, I., Oksüz, M. C., & Dündar, U. (2005). Prevalence of low back pain in a developing urban setting. Spine, 30(9), 1093–1098. DOI: 10.1097/01.brs.0000161007.46849.4c

Gupta, N., Christiansen, C. S., Hallman, D. M., Korshøj, M., Carneiro, I. G., & Holtermann, A. (2015). Is objectively measured sitting time associated with low back pain? A cross-sectional investigation in the NOMAD study. PloS one, 10(3), e0121159. DOI: 10.1371/journal.pone.0121159.

Hoy, D., Bain, C., Williams, G., March, L., Brooks, P., Blyth, F., Woolf, A., Vos, T., & Buchbinder, R. (2012). A systematic review of the global prevalence of low back pain. Arthritis and rheumatism, 64(6), 2028–2037. DOI: 10.1002/art.34347.

Koes, B. W., van Tulder, M. W., & Thomas, S. (2006). Diagnosis and treatment of low back pain. BMJ (Clinical research ed.), 332(7555), 1430–1434. DOI: 10.1136/bmj.332.7555.1430.

Krismer, M., van Tulder, M., & Low Back Pain Group of the Bone and Joint Health Strategies for Europe Project (2007). Strategies for prevention and management of musculoskeletal conditions. Low back pain (non-specific). Best practice & research. Clinical rheumatology, 21(1), 77–91. DOI: 10.1016/j.berh.2006.08.004.

Kwon, M. A., Shim, W. S., Kim, M. H., Gwak, M. S., Hahm, T. S., Kim, G. S., Kim, C. S., Choi, Y. H., Park, J. H., Cho, H. S., & Kim, T. H. (2006). A correlation between low back pain and associated factors: a study involving 772 patients who had undergone general physical examination. Journal of Korean medical science, 21(6), 1086–1091. DOI: 10.3346/jkms.2006.21.6.1086.

MacRae, C. S., Critchley, D., Lewis, J. S., & Shortland, A. (2018). Comparison of standing postural control and gait parameters in people with and without chronic low back pain: a cross-sectional case-control study. BMJ open sport & exercise medicine, 4(1), e000286. DOI: 10.1136/bmjsem-2017-000286.

Mendelek, F., Kheir, R. B., Caby, I., Thevenon, A., & Pelayo, P. (2011). On the quantitative relationships between individual/occupational risk factors and low back pain prevalence using nonparametric approaches. Joint bone spine, 78(6), 619–624. DOI: 10.1016/j.jbspin.2011.01.014.

Metin Ökmen, B., Koyuncu, E., Uysal, B., & Özgirgin, N. (2017). The effects of the number of physical therapy sessions on pain, disability,and quality of life in patients with chronic low back pain. Turkish journal of medical sciences, 47(5), 1425–1431. DOI: 10.3906/sag-1607-78.

Moseley, G. L., & Vlaeyen, J. (2015). Beyond nociception: the imprecision hypothesis of chronic pain. Pain, 156(1), 35–38. DOI: 10.1016/j.pain.0000000000000014.

Namgwa, K., Terkura, A., William, Y., Daniel, M., & Cornilius, E. (2016). Depression in patients with chronic low back pain: A hospital-based study. Nigerian Journal of Surgical Research, 17(1),1-4.

Noormohammadpour, P., Mansournia, M. A., Asadi-Lari, M., Nourian, R., Rostami, M., & Kordi, R. (2016). A Subtle Threat to Urban Populations in Developing Countries: Low Back Pain and its Related Risk Factors. Spine, 41(7), 618–627. DOI: 10.1097/BRS.0000000000001269.

Özdemir O. (2016). Bel Ağrısı Nedenleri ve Muayenesi. Beyazova M., Gökçe Kutsal Y. (Ed) Fiziksel Tıp ve Rehabilitasyon Cilt 2: İçinde: 1669-1680. Ankara: Güneş Tıp Kitabevi.

Roland, M., & Fairbank, J. (2000). The Roland-Morris Disability Questionnaire and the Oswestry Disability Questionnaire. Spine, 25(24), 3115–3124. DOI: 10.1097/00007632-200012150-00006.

Salvetti, M., Pimenta, C. A., Braga, P. E., & Corrêa, C. F. (2012). Incapacidade relacionada à dor lombar crônica: prevalência e fatores associados [Disability related to chronic low back pain: prevalence and associated factors]. Revista da Escola de Enfermagem da U S P, 46 Spec No, 16–23. DOI: 10.1590/s0080-62342012000700003.

Thomas, E., Silman, A. J., Croft, P. R., Papageorgiou, A. C., Jayson, M. I., & Macfarlane, G. J. (1999). Predicting who develops chronic low back pain in primary care: a prospective study. BMJ (Clinical research ed.), 318(7199), 1662–1667. DOI: 10.1136/bmj.318.7199.1662.

Van den Bergh, O., Witthöft, M., Petersen, S., & Brown, R. J. (2017). Symptoms and the body: Taking the inferential leap. Neuroscience and biobehavioral reviews, 74(Pt A), 185–203. DOI: 10.1016/j.neubiorev.2017.01.015.

Walker, B. F., Muller, R., & Grant, W. D. (2004). Low back pain in Australian adults: prevalence and associated disability. Journal of manipulative and physiological therapeutics, 27(4), 238–244. DOI: 10.1016/j.jmpt.2004.02.002

Wettstein, M., Eich, W., Bieber, C., & Tesarz, J. (2019). Pain Intensity, Disability, and Quality of Life in Patients with Chronic Low Back Pain: Does Age Matter?. Pain medicine (Malden, Mass.), 20(3), 464–475. DOI: 10.1093/pm/pny062.

Published

2023-02-04

How to Cite

ÜNAL , A., KINGIR, Y., TIKAÇ , G., ŞENOL, H., KİRAZ , İlker, & ALTUĞ, F. (2023). Factors Affecting Pain Intensity and Disability Level in Patients with Low Back Pain: A Cross-Sectional Study . GEVHER NESIBE JOURNAL OF MEDICAL AND HEALTH SCIENCES, 8(1), 75–83. https://doi.org/10.5281/zenodo.7601550

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