Risk Factors of Restless Leg Syndrome in Patients with Low Back Pain and Its Effect on Balance: A Comparative Study

Abstract

Objective: The aim of this study is to examine the risk factors of Restless Leg Syndrome (RLS) and its effect on balance in patients with chronic low back pain. Material and method: Ninety-eight cases who had previously applied to Pamukkale University Hospitals with complaints of low back pain and met the inclusion criteria were included. Among these cases, 66 cases with RLS (RLS+) were included in the study group, and 32 cases without RLS (RLS-) were included in the control group. The demographic information of all the cases was taken and evaluated according to the International Restless Legs Scale (IRLS). Activities-Specific Balance Confidence Scale (ABC Scale) was also applied to the subjects in the study group. The data obtained were analyzed with the t test. Results: While the mean age of the cases in the study group was 47.12±9.74 years, it was 43.50±8.09 years in the control group. Cases’ 67% were determined as RLS+, 33% as RLS-. It was found that those with RLS- had significantly higher ABC Scale scores (p<0.05). The RLS severity of participants with RLS+ was positively correlated with age (r=0,439) and BMI (r=0,406), and a moderate and significant correlation was found with the duration of education (r=-0,440) and balance confidence score (r=-0,467) (p<0.05). Conclusion: RLS reduces the balance confidence score in patients with chronic non-specific low back pain. RLS is more common in women than men. While RLS severity is not affected by gender, it increases with high BMI and advancing age, and decreases with increasing education level.

Keywords

• Balance
• Low back pain
• Restless leg syndrome
• Risk factors

Bel Ağrısı Olan Hastalarda Huzursuz Bacak Sendromunun Risk Faktörleri ve Denge Üzerine Etkisi: Karşılaştırmalı Bir Çalışma

Abstract

Giriş ve amaç: Bu çalışmanın amacı, kronik bel ağrısı olan hastalarda Huzursuz Bacak Sendromu’nun (HBS) risk faktörlerini ve denge üzerine etkisini incelemektir. Gereç ve yöntem: Pamukkale Üniversitesi Hastanelerine daha önce bel ağrısı şikayetiyle başvurmuş, dahil edilme kriterlerine uyan 98 olgu dâhil edilmiştir. Bu olgulardan HBS olan (HBS+) 66 olgu çalışma grubuna, HBS olmayan (HBS-) 32 olgu ise kontrol grubuna alınmıştır. Tüm olguların demografik bilgileri alınmış ve Uluslararası HBS Çalışma Grubu HBS Şiddet Skalası’na göre değerlendirmeleri yapılmıştır. Çalışma grubundaki olgulara ayrıca Aktivitelere Özgü Denge Güven Ölçeği (ADG-6) uygulanmıştır. Bulgular: Çalışma grubundaki olguların ortalama yaşı 47,12±9,74 yılken, kontrol grubundaki olguların 43,50±8,09 yıldı. Olguların %67’si HBS+, %33’ü HBS- olarak belirlenmiştir. HBS- olanların anlamlı şekilde ADG-6 skorlarının daha yüksek olduğu bulunmuştur (p<0,05). HBS+ olan katılımcıların HBS şiddetinin yaş (r=0,439) ve Vücut Kitle İndeksi (VKİ) (r=0,406) ile pozitif yönde, eğitim süresi (r=-0,440) ve denge güven skoru (r=-0,467) ile ise negatif yönde orta düzeyde ve anlamlı ilişkisi tespit edilmiştir (p<0,05). Sonuç: HBS, kronik non-spesifik bel ağrısı olan hastalarda denge güven skorunu azaltmaktadır. HBS, kadınlarda erkeklerden daha sık görülmektedir. HBS şiddeti ise cinsiyetten etkilenmezken yüksek VKİ ve ilerleyen yaş ile artmakta, eğitim düzeyinin artması ile azalmaktadır.

Keywords

• Bel Ağrısı
• Denge
• , Huzursuz Bacak Sendromu
• Risk Faktörleri

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