Nonspecific chronic low back pain and incapacity level: influence of walking performance (original) (raw)
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European Journal of Applied Physiology, 2015
Results PWS was slower in cLBP [1.17 (SD = 0.13) m s −1 ] than in CTR group [1.33 (SD = 0.11) m s −1 ; P = 0.002]. No significant d ifference w as o bserved between groups in mechanical work (P ≥ 0.44), spatiotemporal parameters (P ≥ 0.16) and energy cost of walking (P ≥ 0.36). At the end of the treadmill protocol, perceived exertion was significantly h igher i n c LBP [11.7 (SD = 2.4)] than in CTR group [9.9 (SD = 1.1); P = 0.01]. Pain intensity did not significantly i ncrease over time (P = 0.21). Conclusions These results do not support the hypothesis of a less efficient walking pattern in patients with cLBP and imply that high walking speeds are well tolerated by patients with moderately disabling cLBP.
Journal of Pain Research
This study aimed to compare functional capacity tests between individuals with and without chronic non-specific low back pain and to investigate the effects of demographic data on functional capacity tests. Methods: Thirty individuals with chronic non-specific low back pain (CNSLBP) and thirty healthy individuals underwent three functional capacity tests comprising functional reach test (FRT), five-time sit to stand test (5 TSST), and two-minute step test (2 MST). CNSLBP were assessed in pain intensity using a visual analog scale (VAS) and disability level using the modified Oswestry disability questionnaire (MODQ) Thai version. Results: The results found significant differences in five-time sit to stand and two-minute step tests between individuals with chronic non-specific low back pain and healthy individuals. The mean differences between healthy and CNSLBP for the 5 TSST were −3.24 seconds (95% CI=−4.47-−2.02) and for the 2 MST they were 13.13 steps (95% CI=2.62-23.64). Age significantly influenced the 5 TSST (P=0.004) and 2 MST (P=0.008), while gender (P=0.028) and height (P=0.002) affected the FRT. Conclusion: Individuals with chronic non-specific low back pain had lower functional capacity assessed by five-time sit to stand and 2-minute step tests compared to healthy individuals, and the therapeutic programs were emphasized. With increasing age, the 5 TSST and 2 MST would both be declined.
Nigerian Journal of Medical Rehabilitation
Background: Physiotherapy clinical assessment has traditionally relied on clinical tests of impairment. These tests correlate poorly with patients’ pain and dysfunction, especially in the case of chronic pain. This study was designed to investigate the correlation between some of these tests in patients with chronic low back pain. Methodology: Twenty-three patients (16 males, 7 females) with chronic low back pain participated in the study. Roland- Morris Disability Questionnaire (R-MDQ), Visual Analogue Scale (VAS) and Physical Performance Battery (PPB) were used to collect data. The spinal range of motion was assessed using a tape measure and a goniometer. Data analysis was done using Pearson Moment Product correlation coefficient and Spearman’s Rank. Results: Statistical analysis showed that there was a significant inverse correlation between repeated trunk flexion and anterior trunk flexion (r = -0.488, p
International Journal of Physiotherapy and Research
We report a 38 yrs old patient with a previously diagnosed Chronic Low Back Pain who became severely functionally impaired as evidenced by the Oswestry Disability Questionnaire (56%). The aim of this study was to introduce changes in functional gait parameters as an assessment tool before and after a single session of Kinesiotape application in a patient with chronic LBP. We introduced, for the first time, gait parameters including the 10-meter walk test and the 6-minute walk test as the functional gait parameters of interest. There was (1) a 25% & 36% increase in normal walking speed and fast walking speed, respectively as evidenced by the 10MWT with 72% decrease in pain and (2) a 86% increase in walking tolerance as evidenced by the 6MWT with 88% decrease in pain. Our data demonstrated for the first time the possible effective use of gait assessment as objective motor performance measures to assess the therapy-induced improvement following therapeutic intervention in patient with chronic low back pain. We hope that these data will act as a starting point for further research to test the potential gait assessment measures to provide a more in-depth objective assessment in response to rehabilitation therapies in chronic low back pain patients.
Journal of Back and Musculoskeletal Rehabilitation
BACKGROUND: Patients with chronic non-specific low back pain (CNSLBP) have pain, disability, and decreased functional capacity, however, the association is still unknown. OBJECTIVE: This study aimed to examine the association between pain, disability, and functional capacity in patients with CNSLBP. METHODS: Thirty participants with CNSLBP were interviewed for demographic data and assessed for pain intensity by visual analog scale (VAS), disability level by Oswestry Disability Index (ODI), and functional capacity comprising functional reach (FR), five times sit-to-stand (5STS), and two-minute step (2MS). The association and linear regression were analyzed using the Spearman correlation coefficient, point-biserial correlation, and multiple linear regression, respectively. RESULTS: A significant association was found between VAS and ODI, VAS and 5STS, 5STS, and 2MS. For demographic data, some variables were significantly correlated to VAS and functional capacity. VAS was also correlat...
Analysis of Functional Capacity in Individuals with and Without Chronic Lower Back Pain
Acta Ortopédica Brasileira, 2017
Objective: The objective of this study was to analyze the functional status of adult and older adult individuals with lower back pain . Methods: Eighty-three individuals were recruited, 42 older adults (20 with lower back pain and 22 control group) and 41 younger adults (21 with lower back pain and 20 control group). Functional capacity was assessed using the following tests: Timed Up and Go (TUG), Five Times Sit-to-Stand (FTSTS), six-minute walking test (SMWT), and sitting-rising test (SRT) . Results: In the younger adults, there was no difference in functional capacity between the groups (p>0.05). On the other hand, when statistical analysis was adjusted using body mass index (BMI) as a covariate, the lower back pain group performed more poorly on the SRT (p<0.004). Furthermore, poorer physical capacity was seen in the older adults with back pain via the SRT test (p=0.001), and when the BMI was adjusted, a statistical difference was seen in the SRT as well as the SMWT (p<...
Dor lombar crônica inespecífica e nível de incapacidade : influência no desempenho da caminhada
2000
BACKGROUND AND OBJECTIVES: Chronic low back pain syndrome promotes several functional losses which impact quality of life of patients, and walking is one of the most impaired functions. Being chronic low back pain a syndrome with multiple etiologies, efforts to understand the relation between functional losses and etiologic factors are justified. This study aimed at correlating walking speed with pain perception, incapacity level (I) and condition of having or not chronic low back pain (group). METHODS: Sample was made up of volunteers with nonspecific low back pain (LG/n=8) and healthy subjects (CG/n=8). Incapacity level was obtained by Oswestry Incapacity Index during evaluation. Tests battery was divided in three sessions according to walking intensity, as follows: preferred self-selected speed (VP) and faster and slower speeds as compared to VP. In each session, volunteers walked for five minutes and at every minute pain was quantified by the analog scale. Kendal Tau test was us...
Hong Kong Physiotherapy Journal
Background: Clinical outcomes are very important in clinical assessment, and responsiveness is a component inside the outcome measures that needs to be investigated, particularly in chronic nonspecific low back pain (CNSLBP). Objective: This study aimed to investigate the responsiveness of pain, functional capacity tests, and disability in individuals with CNSLBP. Methods: Twenty subjects were assessed in pain using the following methods: visual analog scale (VAS) and numeric pain rating scale (NPRS), functional capacity tests: functional reach test (FRT), five-time sit-to-stand test (5 TSST), and two-minute step test (2 MST), and disability level: modified Oswestry Disability Questionnaire (MODQ), Thai version before and after 2-week intervention session. For interventions, the subjects received education, spinal manipulative therapy, and individual therapeutic exercise twice a week, for a total of two weeks. The statistics analyzed were change scores, effect size (ES), and standar...