Psychosocial Determinants of Backache in Females (original) (raw)
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Low back pain is defined a pain, muscle tension, or stiffness localised below the costal margin and above the inferior gluteal fold with or without referred or radicular leg pain (1).Back pain can be caused by a wide variety of factors. This includes structural problems of the back, inflammation, muscle and soft tissue injury, secondary response to other diseases or conditions, imbalances in body mechanics and psychological /social factors (2).Over 70 % of people in resource-rich countries will experience low back pain at some time in their lives(1).Considering the life time prevalence of 60% to 85%,it will eventually affect almost everyone during working life-men and women equally (3).In western countries life time prevalence of low back pain ranges from 15% to 45%(4).
https://www.ijrrjournal.com/IJRR\_Vol.5\_Issue.12\_Dec2018/Abstract\_IJRR0047.html, 2018
Background: Low back pain (LBP) is one of the most common problem in the developed world and stress is believed to be one of the possible causes of chronic low back pain. Aims: To observe the impact of perceived stress on chronic nonspecific low back pain in females of reproductive age group in an urban population of West Bengal. Materials and methods: This prospective study was conducted in a tertiary care hospital in West Bengal in a time period of one year after taking clearance from the institutional ethical committee and consent of the patient. Two hundred female patients with chronic nonspecific low back pain (LBP) were included in this interventional study and divided into two groups: Group A and Group B (Age, Sex and BMI matched) using an online randomizer. Assessment of pain was done by Visual Analogue scale (VAS), range of motion by Modified Schober Test (MST) for extension and Oswestry Disability Index (ODI) for functional disability. VAS, MST, ODI were estimated on first day prior to treatment in both groups. Presumptive stressful life events stress scores (PSLES) were calculated. The Perceived Stress Scale (PSS) of Sheldon Cohen, the most widely used psychological instrument for measuring the perception of stress, was used to assess stress levels. Patients in Group A were asked to perform McKenzie exercise 10 times twice daily thrice a week for 3 months. Patients in Group B were asked to perform McKenzie exercise 10 times twice daily thrice a week for 3 months as well as progressive muscle relaxation. All the parameters were reassessed after 3 months in both groups. Statistical analysis: Data were analyzed using software SPSS version16. Results: There was no significant difference in Age, PSS, PSLES, Waist/Hip ratio and BMI between the two groups on first examination. There was no significant difference in VAS, ODI and MST scores between the two groups on first encounter. PSS scores decreased in both groups following 3 months of treatment and the decrease was significantly more in Group B. VAS ODI scores were significantly decreased in both grouped in post treatment session as compared to pretreatment session and this change was more in subjects who practiced PMR and MST scores significantly increased in both groups after the treatment (P value Group A 0.04 and Group B <0.001). Conclusions: Perceived stress may increase morbidity in females of reproductive age group suffering from nonspecific low back pain and progressive muscle relaxation therapy along with normal treatment protocol may have a better outcome.
Asian spine journal, 2018
Prospective observational study. To evaluate the disability domains relevant to Indian patients with low backache and propose a modified disability questionnaire for such patients. The Oswestry Disability Index (ODI) is a self-reported measurement tool that measures both pain and functional status and is used for evaluating disability caused by lower backache. Although ODI remains a good tool for disability assessment, from the Indian perspective questions related to weight lifting and sexual activity of ODI are questioned in some of the earlier studies. Activities of daily living in Indian patients vary substantially from those in other populations and include activities like bending forwards, sitting in floor and squatting which are not represented in the ODI. In this prospective observational study, a seven-step approach was used for the development of a questionnaire. Thirty patients were interviewed to identify the most challenging issue they faced while performing their daily ...
International Journal of Medicine and Public Health, 2013
Low back pain is a major public health problem all over the world. It is generally assumed that overweight, height and low back pain are related. However, the scientifi c evidence to support this relationship is not fully conclusive. The aim of this study is to estimate the prevalence of low back pain and its association with height, fat distribution, reproductive history and socioeconomic infl uence. A representative sample of 401 men and 403 women aged 20 years and above were selected and studied. It is found that 28.4% and 52.9% respectively were having low back pain. Height and fat distribution were found to have no association with low back pain. Both men and women, whose household were in the lower socio economic status reported more back pain (Adjusted odds ratio (AOR) for men 1.61, 95% confi dence interval (CI): 1.02, 2.55 and AOR for women 1.57, 95% CI: 1.02, 2.34). Men with lower educational qualifi cation reported more back pain (AOR 1.89, 95% CI: 1.08, 3.31). In women, those who have undergone caesarean section (AOR 1.661, 95% CI: 1.02, 2.72) and sterilization (AOR 1.63, 95% CI: 1.09, 2.44) were found to be a positively associated with low back pain. The only socioeconomic link with back pain among women seemed to be manual occupation (AOR 3.33, 95% CI: 1.49, 7.4). The fi nding confi rms the higher burden of back pain on the socially disadvantaged, but cannot yet be explained by known risk factors.
Demographic, Health, and Sexual Determinants of Quality of Life of Women with Back Pain
Physical Treatments, 2022
Low back pain is one of the most common musculoskeletal problems. Various complications, such as disability, depression, anxiety, sleep disorders, stress, decreased sexual function and Quality of Life (QoL) are associated with chronic low back pain. The aim of this study was to compare the relationship between demographic, physical fitness, health status, socioeconomic indicators, and sexual function indicators on the QoL of women with chronic non-specific low back pain. Methods: The present cross-sectional study was performed in 2020 in the private center of Cyrus Physiotherapy in Tehran, Iran. Thirty married women with non-specific chronic low back pain who were sexually active and living in Tehran were included in the study based on inclusion and exclusion criteria. At first, the goals and process of the study were explained to them and they were given written consent to participate in the study. Then demographic information was recorded and pain, sexual function, and QoL were measured using relevant tools. SPSS software v. 22 was used for statistical tests. Pearson correlation test was used to examine the relationship between the above variables. Results: The Mean±SD age of participants was 38.6±7.48 years. Pearson correlation coefficient showed no statistically significant relationship between the QoL with age (r=-0.172, P=0.364), the number of children (r=-0.166, P=0.382), pain intensity (r=-0.181, P=0.339) and regular exercise (r=-0.159, P=0.402), but there was a statistcally significant relationship between QoL with body mass index (r=-0.406, P=0.026), sexual function score (r=0.379, P=0.039), general health status (r=0.436, P=0.026), education level (r=0.463, P=0.010), and physical fitness status (r=-0.406, P=0.026). Conclusion: In women with chronic non-specific back pain participating in the present study, the lower the body mass index, the higher the level of education and sexual function score, the better overall health and physical fitness status, the better the QoL. However, the results of this study did not confirm the relationships between QoL and age, number of children, pain intensity, and regular exercise. Improving education, health status, fitness status, body mass index, and sexual function index help improve QoL.
One-Year Prevalence of Low Back Pain and Its Correlates in Hisar Urban Population
Journal of Musculoskeletal Research
Purpose: To find out overall, age and gender specific prevalence of low back pain (LBP) and its correlates in urban population. Methods: Present study was cross-sectional survey, by door-to-door visit, using multi-stage random sampling technique from Hisar urban geographical area. Pre-designed, validated self-reported questionnaire was used to record 14 variables, one variable was calculated and 4 variables were measured. Primary variable of interest was pain in low back area in the last 12 months. Data was analyzed using IBM-SPSS (21.0 version). Chi-square test was used to see the association between LBP and categories. If there was a significance, univariate and multivariate binary logistic regression was used to identify the correlates. Results: Data of 1540 subjects (response rate 72.2%; females 54.2%) aged 30 years or more from five localities out of six were used. Overall one-year prevalence of LBP was 19%. Female sex (OR 1.60), low education (1.95) and low fasting blood gluco...
STUDY ON FACTORS ASSOCIATED WITH CHRONIC LOW BACK PAIN IN WESTERN INDIA
National Journal of Medical Research, 2016
Introduction: Low back pain is a leading cause of disability. It occurs in similar proportions in all cultures, interferes with quality of life and work performance, and is the most common reason for medical consultations. Few cases of back pain are due to specific causes; most cases are non-specific. Acute back pain is the most common presentation and is usually self-limiting, lasting less than three months regardless of treatment. Chronic back pain is a more difficult problem, which often has strong psychological overlay: work dissatisfaction, boredom, and a generous compensation system contribute to it. Methodology: This is a retrospective study. The study was conducted in private multispecialty hospital of Ahmedabad, Gujarat. Data from April 2014 to March 2015 was analyzed. Permission was taken from the hospital authority to conduct the study and stringent confidentiality of data was maintained at all levels of the project. Result: We have analyzed data of 210 patients diagnosed with chronic low back pain. People between age of 36 years to 40 years were most common culprits. Among these, 82 (39.05%) were male and 128 (60.95%) were female. Among males, 65 (79.27) were overweight (BMI >= 25.00) and among females, 95 (74.22%) were overweight. Disc prolapse was most common diagnosis in both males and females. It was followed by fractures and Lumber spondylosis. Conclusion: Females were more affected by Lower back pain. People in age group of 36 years to 40 years were commonly affected. Disc prolapsed was most common the most common diagnosis.
Backache prevalence among groups with long and normal working day
Kathmandu University medical journal (KUMJ)
to describe the prevalence of backache among groups with long and normal working day. A cross sectional study of prevalence of backache among groups with long and normal working day. Among the 19 wards of Kirtipur municipality, ward no. 11 was selected as a random cluster. 64 households of different socioeconomic status were selected at random. Total of 64 individuals from these households were selected in the study. The backache was found to be 62.5% prevalent. 75.8% of individuals in long working day category were found to be suffering from backache whereas 48.4% in normal working day group were suffering from it.
Frequency of Depression among Patients with Backache presenting to Mardan Medical Complex, Mardan
Journal of Saidu Medical College, Swat, 2020
Background: Chronic pain accompanies emotional element in the form of psychiatric disorders. Chronic medical conditions such as backache may make a person at higher risk for depression. Depressed patients also have somatic symptoms as headache, fatigue, and backache. To understand the relationship, we conducted this study at neurosurgery Outpatient department of Mardan medical complex, Mardan. Objective: The aim of this study was to clarify the causal relationship of backache and depression. The study also aimed to explore the frequency of depression among patients with backache. Material and Methods: This cross-sectional study was conducted at outpatient department of Mardan Medical Complex. Patients presenting with chief complaints of backache were invited for participation in the study. initial medical and neurological screening was conducted by consultant neurosurgeon and afterwards HAM-D was administered for assessment of depression. Results: We included 114 male and female patients ranging in age from 22 to 58 years, who presented to neurosurgery OPD with chief complaints of backache. More than half 58% of the patients were female. Minimal depression was found among 22 (19.3%) of the patients, 19 (16.7%) patients had mild depression, 47 (41.2%) had moderate depression, and 26 (22.8%) had severe depression. Highest frequency of depression was observed among patients with infection/ tumor (84.5 %) and those with degenerative backache (79 %). The correlation of type of backache and severity of depression was significant (p= .049). Conclusion: Depression is common among patients with backache, therefore screening patients with complaints of backache for psychiatric co morbidity in primary care is important because psychopathology may have significant consequences for prognosis, outcome and health care utilization.
2017
Background: Low back pain is one of the serious health problems in communities. It is the third common cause for medical visits after upper respiratory tract and headache. Based on the studies conducted in this regard, low back pain has different distribution in various kinds of job groups, and most researchers argue that this problem is correlated with job type of individuals. Accordingly, the present study was conducted to evaluate the prevalence of low back pain and affecting factors in employees of Birjand University of Medical Sciences in 2016. Methods: This descriptive-analytical study was conducted on all employees in the deputies of Birjand University of Medical Sciences in 2016. The data were collected using Quebec standard questionnaire and analyzed using SPSS19 software and descriptive and analytical statistics of Mann-Whitney, Logistic regression, Kruskal-Wallis and Spearman at a significant level of α=0.05. Results: 216 people (120 females and 96 males) were examined in...