Investigation of Factors Associated with Pain Level in Individuals with Chronic Non-Specific Low Back Pain

Year 2023, , 777 - 787, 31.12.2023

Hikmet Kocaman , Halil Alkan , İsmail Ceylan , Mehmet Canlı , Şafak Yumuşak

https://doi.org/10.21020/husbfd.1245196

Abstract

Objectives: The aim of this study was to investigate the factors associated with pain levels in individuals with chronic non-specific low back pain (CSLBP).
Material and Methods: A total of 90 patients (44 males and 46 females) diagnosed with CS LBP were included in the study. Pain level was assessed by the Visual Analogue Scale (VAS), body balance was assessed statically and dynamically by the Biodex Stability System, quadriceps femoris muscle strength was assessed by an isometric dynamometer, and disability level was assessed by the Oswestry Disability Index (ODI). A linear regression analysis was performed to determine the factors affecting pain level.
Results: According to the results of linear regression analysis, static balance (anteroposterior, mediolateral, and general), dynamic balance (anteroposterior, mediolateral, and general), ODI, and quadriceps femoris muscle strength (left, right) explained 98.1% of the variance. In addition, all sub-parameters of dynamic balance (general p=0.000, anteroposterior p=0.001, mediolateral p=0.008) and ODI (p=0.000) were independent predictors of pain level.
Conclusion: It was determined that pain level was associated with balance, muscle strength (quadriceps femoris), and disability level in individuals with CSBP. It was also observed that dynamic balance and ODI were factors affecting the pain level.

Keywords

chronic non-specific low back pain, pain level, balance, muscle strength, disability

Kronik Spesifik Olmayan Bel Ağrılı Bireylerde Ağrı Düzeyi ile İlişkili Faktörlerin Araştırılması

Abstract

Amaç: Bu çalışmanın amacı, kronik spesifik olmayan bel ağrılı (KSOBA) bireylerde ağrı düzeyi ile ilişkili faktörlerin araştırılmasıdır.
Gereç ve Yöntem: Çalışmaya KSOBA tanısı almış 44 erkek, 46 kadın toplam 90 hasta dahil edildi. Hastaların ağrı seviyesi Görsel Analog Skala (GAS) ile, vücut dengesi statik ve dinamik olarak Biodex Stabilite Sistemi ile, quadriceps femoris kas kuvveti izometrik bir dinamometre yardımı ile, özürlülük seviyesi ise Oswestry Özürlülük İndeksi (OÖİ) ile değerlendirildi. Ağrı düzeyini etkileyen faktörleri belirlemek için doğrusal regresyon analizi yapıldı.
Bulgular: Doğrusal regresyon analizi sonuçlarına göre statik denge (anteroposterior, mediolateral ve genel), dinamik denge (anteroposterior, mediolateral ve genel), OÖİ ve quadriceps femoris kas kuvveti (sol, sağ) varyansın %98.1’ini açıkladı. Ayrıca dinamik dengenin tüm alt parametreleri (genel p=0.000, anteroposterior p=0.001, mediolateral p=0.008) ve OÖİ’nin (p=0.000) ağrı seviyesinin bağımsız öngörücüleri olduğu belirlendi.
Sonuç: KSOBA’lı bireylerde ağrı düzeyinin denge kas kuvveti (quadriceps femoris) ve özürlülük seviyesi ile ilişkili olduğu belirlendi. Ayrıca dinamik dengenin ve OÖİ’nin ağrı seviyesini etkileyen faktörler olduğu gözlendi.

Keywords

kronik spesifik olmayan bel ağrısı, ağrı seviyesi, denge, kas kuvveti, özür

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