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

Yıl 2022, , 116 - 120, 31.12.2022

Ayşe Nur Oymak Soysal , Şule Şimşek , Atiye Kaş Özdemir , Şule Fırıncı

https://doi.org/10.47897/bilmes.1210455

Öz

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.

Anahtar Kelimeler

functional status, recurrence, risk factors., Association

Kaynakça

• [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.