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Association between Prior Pain Intensity, Back Function and The Characteristics of Episodes in Patients with Low Back Pain

Year 2022, , 116 - 120, 31.12.2022
https://doi.org/10.47897/bilmes.1210455

Abstract

There is little information about causes of recurrence and why low back pain (LBP) transit to recurrent LBP. The aim of this study was to identfy the recurrence proportion of LBP, and the relation between baseline pain intensity, back function and the number, duration and mean pain intensity of subsequent episodes in patients with recurrent LBP. Four hundred and sixty-four patients were included in this study. The mean age of the participants was 38.70 ± 13.10 (ranges from 20 to 65 years). Demographic data were recorded. Prior pain intensity (VAS), back function (FBPS) and subsequent pain episodes (pain diary) were assessed at baseline and over 6 months. Recurrence proportion of LBP was 39.2% during 6-month follow-up. Baseline pain intensity and back function were significantly different in patients with recurrent LBP compared to patients without recurrent LBP ( p <0.001) . Baseline VAS score was found positively related with the number of episodes (r=0.544, p0.001), the mean duration of episodes (r=0.381, p0.001), the mean pain intensity at episodes (r=0.779, p0.001). Baseline FBPS score was negatively correlated with the number of episodes (r=-0.380, p<0.001), the duration of pain episodes (r=-0.287, p<0.001) and the mean pain intensity at episodes (r=-0.520, p<0.001). Patients with recurrent back pain had higher pain intensity and lower back function prior to the pain attacks. Prior pain intensity and back function were related with the number and duration of episodes and mean pain intensity at episodes.

References

  • [1] F. Balagué, A. F. Mannion, F. Pellisé and C. Cedraschi, “Non-specific low back pain,” Lancet, vol. 379, no. 9814, Feb., pp. 482-491, 2012.
  • [2] A. H. Almoallim, S. Alwafi, K. Albazli, M. Alotaibi, and T. Bazuhair, “A simple approach of low back pain.” International Journal of Clinical Medicine, vol.5, no:17, Semp., pp. 1087-1098, 2014.
  • [3] N. Gouveia, A. Rodrigues, M. Eusébio, S. Ramiro, P. Machado, H. Canhão, and J. C. Branco, “Prevalence and social burden of active chronic low back pain in the adult Portuguese population: results from a national survey,” Rheumatol Int., vol. 36, no. 2, Feb., pp. 183–97, 2016.
  • [4] J. B. S. Garcia, J. J. Hernandez-Castro, R. G. N. M. Ar Pazos, J. O. Aguirre, A. J. W. Delgado, M. Serpentegui, M. Berenguel, and Catalin Cantemir, “Prevalence of low back pain in Latin America: a systematic literature review,” Pain Physician, vol. 17, no. 5, Semp-Oct., pp. 379–91, 2014.
  • [5] M. Kahere, and T. Ginindza, “The prevalence and risk factors of chronic low back pain among adults in KwaZulu-Natal, South Africa: an observational cross-sectional hospital-based study,” BMC Musculoskelet Disord. vol. 15, no. 22, Nov., pp. 955-965, 2021.
  • [6] T. da Silva, K. Mills, B.T. Brown, R.D. Herbert, C.G. Maher, and M.J. Hancock, “Risk of recurrence of LBP: a systematic review,” J Orthop Sports Phys Ther. Vol. 47, no.5, May, pp. 305–313, 2017.
  • [7] T. R. Stanton, J. Latimer, C. G. Maher, and M. Hancock, “Definitions of recurrence of an episode of LBP: a systematic review,” Spine (Phila Pa 1976). No.34, no.9, Apr., pp.316-322,2009.
  • [8] D. Goubert, R. De Pauw, M. Meeus, T. Willems, B. Cagnie, S. Schouppe, J. Van Oasterwijck, E. Dhondt, and L. Danneels, “Lumbar muscle structure and function in chronic versus recurrent LBP: a cross-sectional study,” Spine J. Vol.17, no.9, Sep., pp.1285–1296, 2017.
  • [9] M. Koc, B. Bayar, and K. Bayar, “A Comparison of Back Pain Functional Scale with Roland Morris Disability Questionnaire, Oswestry Disability Index, and Short Form 36-Health Survey,” Spine. Vol. 43, no.12, June, pp. 877-882, 2018.
  • [10] M. Melloh, A. Elfering, T.R. Stanton, T. Barz, E. Aghayev, C. Röder, and J. C. Theis, “LBP risk factors associated withpersistence, recurrence and delayed presentation,” J Back Musculoskelet Rehabil. vol.27, no.3, Aug., pp.281-289, 2014.
  • [11] F. Faul, E. Erdfelder, A. Buchner, and A. G. Lang, “Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses,” Behav Res Methods. vol.41, no.4, Nov., pp.1149-1160, 2009.
  • [12] T. S. Carey, J. M. Garrett, A. Jackman, and N. Hadler, “North Carolina Back Pain Project. Recurrence and care seeking after acute back pain: results of a long-term follow-up study,” Med Care. vol.37 no.2 Feb., pp.157-164, 1999.
  • [13] J. M. Stevans, A. Delitto, S. S. Khoja, C. G. Patterson, C. N. Smith, M. J. Schneider, J. K. Freburger, C. M. Greco, J. A. Freel, G. A. Sowa, A. D. Wasan, G. P. Brennan, S. J. Hunter, K. I. Minick, S. T. Wegener, P. L. Ephraim, M. Friedman, J. M. Beneciuk, S. Z. George, and R. B. Saper, “Affiliations expandet al. Risk Factors Associated With Transition From Acute to Chronic LBP in US Patients Seeking Primary Care,” JAMA Netw Open. vol.4, no.2, Feb., pp.e2037371- e2037398, 2021.
  • [14] L. A. Elders, and A.Burdorf, “Prevalence, incidence, and recurrence of LBP in scaffolders during a 3-year follow-up study,” Spine. vol.29, no.6, Mar., pp.101–106, 2004.
  • [15] T. R. Stanton, N. Henschke, C. G. Maher, K. M. Refshauge, J. Latimer, and J. H. McAuley, “After an episode of acute LBP, recurrence is unpredictable and not as common as previously thought,” Spine (Phila Pa 1976). vol.33, no.26, Dec., pp.2923-2928, 2008.
  • [16] M. J. Hancock, C. M. Maher, P. Petocz, C. C. Lin, D. Steffens, A.Luque-Suarez, and J. S. Magnussen, “Affiliations al. Risk factors for a recurrence of LBP,” Spine J. vol.15, no.11 Nov., pp.2360–2368, 2015.
  • [17] E. M. Ardakani, C. Leboeuf-Yde, A. Jacques, and B. F. Walker, “The prognostic merit of self-reported triggers of recurrent LBP: study protocol,” Chiropractic & Manual Therapies. vol.28 no.1, Jan., pp.1-7, 2020.

Association between Prior Pain Intensity, Back Function and The Characteristics of Episodes in Patients with Low Back Pain

Year 2022, , 116 - 120, 31.12.2022
https://doi.org/10.47897/bilmes.1210455

Abstract

There is little information about causes of recurrence and why low back pain (LBP) transit to recurrent LBP. The aim of this study was to identfy the recurrence proportion of LBP, and the relation between baseline pain intensity, back function and the number, duration and mean pain intensity of subsequent episodes in patients with recurrent LBP. Four hundred and sixty-four patients were included in this study. The mean age of the participants was 38.70 ± 13.10 (ranges from 20 to 65 years). Demographic data were recorded. Prior pain intensity (VAS), back function (FBPS) and subsequent pain episodes (pain diary) were assessed at baseline and over 6 months. Recurrence proportion of LBP was 39.2% during 6-month follow-up. Baseline pain intensity and back function were significantly different in patients with recurrent LBP compared to patients without recurrent LBP ( p <0.001) . Baseline VAS score was found positively related with the number of episodes (r=0.544, p0.001), the mean duration of episodes (r=0.381, p0.001), the mean pain intensity at episodes (r=0.779, p0.001). Baseline FBPS score was negatively correlated with the number of episodes (r=-0.380, p<0.001), the duration of pain episodes (r=-0.287, p<0.001) and the mean pain intensity at episodes (r=-0.520, p<0.001). Patients with recurrent back pain had higher pain intensity and lower back function prior to the pain attacks. Prior pain intensity and back function were related with the number and duration of episodes and mean pain intensity at episodes.

References

  • [1] F. Balagué, A. F. Mannion, F. Pellisé and C. Cedraschi, “Non-specific low back pain,” Lancet, vol. 379, no. 9814, Feb., pp. 482-491, 2012.
  • [2] A. H. Almoallim, S. Alwafi, K. Albazli, M. Alotaibi, and T. Bazuhair, “A simple approach of low back pain.” International Journal of Clinical Medicine, vol.5, no:17, Semp., pp. 1087-1098, 2014.
  • [3] N. Gouveia, A. Rodrigues, M. Eusébio, S. Ramiro, P. Machado, H. Canhão, and J. C. Branco, “Prevalence and social burden of active chronic low back pain in the adult Portuguese population: results from a national survey,” Rheumatol Int., vol. 36, no. 2, Feb., pp. 183–97, 2016.
  • [4] J. B. S. Garcia, J. J. Hernandez-Castro, R. G. N. M. Ar Pazos, J. O. Aguirre, A. J. W. Delgado, M. Serpentegui, M. Berenguel, and Catalin Cantemir, “Prevalence of low back pain in Latin America: a systematic literature review,” Pain Physician, vol. 17, no. 5, Semp-Oct., pp. 379–91, 2014.
  • [5] M. Kahere, and T. Ginindza, “The prevalence and risk factors of chronic low back pain among adults in KwaZulu-Natal, South Africa: an observational cross-sectional hospital-based study,” BMC Musculoskelet Disord. vol. 15, no. 22, Nov., pp. 955-965, 2021.
  • [6] T. da Silva, K. Mills, B.T. Brown, R.D. Herbert, C.G. Maher, and M.J. Hancock, “Risk of recurrence of LBP: a systematic review,” J Orthop Sports Phys Ther. Vol. 47, no.5, May, pp. 305–313, 2017.
  • [7] T. R. Stanton, J. Latimer, C. G. Maher, and M. Hancock, “Definitions of recurrence of an episode of LBP: a systematic review,” Spine (Phila Pa 1976). No.34, no.9, Apr., pp.316-322,2009.
  • [8] D. Goubert, R. De Pauw, M. Meeus, T. Willems, B. Cagnie, S. Schouppe, J. Van Oasterwijck, E. Dhondt, and L. Danneels, “Lumbar muscle structure and function in chronic versus recurrent LBP: a cross-sectional study,” Spine J. Vol.17, no.9, Sep., pp.1285–1296, 2017.
  • [9] M. Koc, B. Bayar, and K. Bayar, “A Comparison of Back Pain Functional Scale with Roland Morris Disability Questionnaire, Oswestry Disability Index, and Short Form 36-Health Survey,” Spine. Vol. 43, no.12, June, pp. 877-882, 2018.
  • [10] M. Melloh, A. Elfering, T.R. Stanton, T. Barz, E. Aghayev, C. Röder, and J. C. Theis, “LBP risk factors associated withpersistence, recurrence and delayed presentation,” J Back Musculoskelet Rehabil. vol.27, no.3, Aug., pp.281-289, 2014.
  • [11] F. Faul, E. Erdfelder, A. Buchner, and A. G. Lang, “Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses,” Behav Res Methods. vol.41, no.4, Nov., pp.1149-1160, 2009.
  • [12] T. S. Carey, J. M. Garrett, A. Jackman, and N. Hadler, “North Carolina Back Pain Project. Recurrence and care seeking after acute back pain: results of a long-term follow-up study,” Med Care. vol.37 no.2 Feb., pp.157-164, 1999.
  • [13] J. M. Stevans, A. Delitto, S. S. Khoja, C. G. Patterson, C. N. Smith, M. J. Schneider, J. K. Freburger, C. M. Greco, J. A. Freel, G. A. Sowa, A. D. Wasan, G. P. Brennan, S. J. Hunter, K. I. Minick, S. T. Wegener, P. L. Ephraim, M. Friedman, J. M. Beneciuk, S. Z. George, and R. B. Saper, “Affiliations expandet al. Risk Factors Associated With Transition From Acute to Chronic LBP in US Patients Seeking Primary Care,” JAMA Netw Open. vol.4, no.2, Feb., pp.e2037371- e2037398, 2021.
  • [14] L. A. Elders, and A.Burdorf, “Prevalence, incidence, and recurrence of LBP in scaffolders during a 3-year follow-up study,” Spine. vol.29, no.6, Mar., pp.101–106, 2004.
  • [15] T. R. Stanton, N. Henschke, C. G. Maher, K. M. Refshauge, J. Latimer, and J. H. McAuley, “After an episode of acute LBP, recurrence is unpredictable and not as common as previously thought,” Spine (Phila Pa 1976). vol.33, no.26, Dec., pp.2923-2928, 2008.
  • [16] M. J. Hancock, C. M. Maher, P. Petocz, C. C. Lin, D. Steffens, A.Luque-Suarez, and J. S. Magnussen, “Affiliations al. Risk factors for a recurrence of LBP,” Spine J. vol.15, no.11 Nov., pp.2360–2368, 2015.
  • [17] E. M. Ardakani, C. Leboeuf-Yde, A. Jacques, and B. F. Walker, “The prognostic merit of self-reported triggers of recurrent LBP: study protocol,” Chiropractic & Manual Therapies. vol.28 no.1, Jan., pp.1-7, 2020.
There are 17 citations in total.

Details

Primary Language English
Journal Section Articles
Authors

Ayşe Nur Oymak Soysal 0000-0001-5383-7937

Şule Şimşek 0000-0001-8065-6461

Atiye Kaş Özdemir 0000-0002-5553-4726

Şule Fırıncı 0000-0002-8354-4358

Publication Date December 31, 2022
Acceptance Date December 31, 2022
Published in Issue Year 2022

Cite

APA Oymak Soysal, A. N., Şimşek, Ş., Kaş Özdemir, A., Fırıncı, Ş. (2022). Association between Prior Pain Intensity, Back Function and The Characteristics of Episodes in Patients with Low Back Pain. International Scientific and Vocational Studies Journal, 6(2), 116-120. https://doi.org/10.47897/bilmes.1210455
AMA Oymak Soysal AN, Şimşek Ş, Kaş Özdemir A, Fırıncı Ş. Association between Prior Pain Intensity, Back Function and The Characteristics of Episodes in Patients with Low Back Pain. ISVOS. December 2022;6(2):116-120. doi:10.47897/bilmes.1210455
Chicago Oymak Soysal, Ayşe Nur, Şule Şimşek, Atiye Kaş Özdemir, and Şule Fırıncı. “Association Between Prior Pain Intensity, Back Function and The Characteristics of Episodes in Patients With Low Back Pain”. International Scientific and Vocational Studies Journal 6, no. 2 (December 2022): 116-20. https://doi.org/10.47897/bilmes.1210455.
EndNote Oymak Soysal AN, Şimşek Ş, Kaş Özdemir A, Fırıncı Ş (December 1, 2022) Association between Prior Pain Intensity, Back Function and The Characteristics of Episodes in Patients with Low Back Pain. International Scientific and Vocational Studies Journal 6 2 116–120.
IEEE A. N. Oymak Soysal, Ş. Şimşek, A. Kaş Özdemir, and Ş. Fırıncı, “Association between Prior Pain Intensity, Back Function and The Characteristics of Episodes in Patients with Low Back Pain”, ISVOS, vol. 6, no. 2, pp. 116–120, 2022, doi: 10.47897/bilmes.1210455.
ISNAD Oymak Soysal, Ayşe Nur et al. “Association Between Prior Pain Intensity, Back Function and The Characteristics of Episodes in Patients With Low Back Pain”. International Scientific and Vocational Studies Journal 6/2 (December 2022), 116-120. https://doi.org/10.47897/bilmes.1210455.
JAMA Oymak Soysal AN, Şimşek Ş, Kaş Özdemir A, Fırıncı Ş. Association between Prior Pain Intensity, Back Function and The Characteristics of Episodes in Patients with Low Back Pain. ISVOS. 2022;6:116–120.
MLA Oymak Soysal, Ayşe Nur et al. “Association Between Prior Pain Intensity, Back Function and The Characteristics of Episodes in Patients With Low Back Pain”. International Scientific and Vocational Studies Journal, vol. 6, no. 2, 2022, pp. 116-20, doi:10.47897/bilmes.1210455.
Vancouver Oymak Soysal AN, Şimşek Ş, Kaş Özdemir A, Fırıncı Ş. Association between Prior Pain Intensity, Back Function and The Characteristics of Episodes in Patients with Low Back Pain. ISVOS. 2022;6(2):116-20.


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