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@#LBP has a lifetime prevalence ranging from 54% to 80%, an annual prevalence of 15-45%, and a point prevalence of 30%. Lumbar radicular pain often results from a Lumbar disc herniation. With recent advances in technique and access in instrumentation, minimally invasive spine surgery has ushered in a renaissance of spine care. SELD has promising positive effects in controlling LBP following HLD. This is a case of a 26 year old with radicular LBP of 2 years duration secondary to HLD, underwent conservative management of LBP but offered no relief and improvement, hence he became the case for the pioneering procedure of SELD in the Philippines. Immediate and significant improvement in the patient was noted. SELD was proven to be an effective therapeutic modality for patients with LBP secondary to HLD.
ABSTRACT
O objetivo do estudo foi analisar os efeitos de um programa "Escola de Postura" em relação à qualidade de vida, capacidade funcional, intensidade de dor e flexibilidade em trabalhadores com dor lombar inespecífica. Participaram 33 trabalhadores do setor administrativo. O programa foi realizado em sete encontros com quatro grupos (com sete ou oito participantes), uma vez por semana, com duração de uma hora cada. Antes e após a intervenção, os voluntários responderam ao questionário de qualidade de vida Short-Form Health Survey (SF-36) e ao questionário de incapacidade funcional Roland-Morris, realizaram o teste sentar e alcançar com o banco de Wells e assinalaram a intensidade de dor na escala visual analógica. O teste estatístico de Shapiro-Wilk foi usado para analisar a normalidade de distribuição dos dados. Os dados foram analisados pelo teste Wilcoxon e pelo teste t de Student, com nível de significância de 5% (p<0,05). Foi observada melhora da qualidade de vida em sete domínios do SF-36 (p<0,005), da incapacidade funcional (p<0,005), da intensidade de dor (p<0,005) e da flexibilidade (p<0,005). O índice de adesão foi de 58,93%. O programa "Escola de Postura" proposto melhorou significativamente a qualidade de vida, capacidade funcional, flexibilidade e intensidade de dor de adultos trabalhadores de setores administrativos.
The purpose of this study was to analyze the effects of the "Back School" in the quality of life, functional capacity, pain intensity and flexibility for workers with nonspecific low back pain. Thirty-three administrative sector workers participated. The program was conducted in seven meetings with four groups (seven to eight subjects) once a week, lasting one hour each. Before and after the intervention, the subjects answered a questionnaire on quality of life Short-Form Health Survey (SF-36), the incapacity functional questionnaire, Roland Morris, performed the sit and reach test with the Wells' bank, and noted the intensity pain in visual analog scale. The statistical test of Shapiro-Wilk test was used to analyze the normality of data distribution. The data were analyzed by Wilcoxon and Student's t-test with significance level of 5% (p<0.05). In the improvement of quality of life in seven domains of the SF-36 (p<0.005), functional incapacity (p<0.005), pain intensity (p<0.005) and flexibility (p<0.005). The rate of adherence was 58.93%. The "Back School" program offered significantly improved the quality of life, functional capacity, flexibility and intensity of pain in adult administrative workers.
Subject(s)
Humans , Health Education , Low Back Pain , Posture , Quality of Life , Work Capacity Evaluation , Occupational GroupsABSTRACT
Study design: A cross sectional study among health care providers working at one hospital. Objective: To investigate the prevalence, the consequences and the risk factors associated with low back pain (LBP) among hospital staff. Materials and Methods: The study sample consisted of 931 health care providers who answered a pre established questionnaire including 30 items in two languages. Results: The cumulative life prevalence of LBP was 72.5% and the yearly prevalence was 56.9%. Chronic LBP prevalence was
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PURPOSE: The study was to explore the level of low back pain and characteristic factors influencing low back pain (LBP) and mental health during pregnancy. METHODS: The subjects were a total of 383 healthy pregnant women in S City and K-Do. Data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson's correlation. RESULTS: 82.5% of the pregnant women answered the existence of LBP and 19.7% of them had high LBP. The preferred method of controlling LBP was 'Just endure' (42.3%). There were significant differences in pregnancy level (p < .05) and discomfort condition related to pregnancy (p < .01) according to low back pain. There were significant differences in pain intensity according to mental health. The correlation between pain level and pregnancy weeks (p < .001) and BMI in previous pregnancy (p < .001) was significant. The correlation between mental health and age was significant (p < .001). CONCLUSION: The majority of the pregnant women experienced LBP during pregnancy. However, they were not offered the best method of controlling the pain. Thus, for preventing LBP during pregnancy, we recommend regular exercises and BMI control.
Subject(s)
Female , Humans , Pregnancy , Exercise , Low Back Pain , Mental Health , Pregnant WomenABSTRACT
PURPOSE: The purpose of this study was to identify the effects of self foot reflexology on depression, sleep, and low back pain in elderly women. METHOD: The study was one group pre-posttest design. Data collection was done from December 2007 to January 2008 in D city. The participants were 47 women (65 years of age and over). After two weeks of reflexology education, the women did foot reflexology themselves for approximately 40 minutes, five times a week for four weeks. To verify the effects of foot reflexology, the scores for depression, sleep, and LBP were measured at baseline, after 4 weeks of self-treatment. Repeated measure ANOVA with the SPSS WIN 14.0 program were used to analyze the data. RESULTS: There were significant differences in depression, sleep, and LBP between baseline, after 4 weeks of self-treatment. CONCLUSION: These findings suggest that self foot reflexology could be utilized as an effective nursing intervention for improving depression, sleep, and LBP in elderly women.
Subject(s)
Aged , Female , Humans , Surveys and Questionnaires , Depression , Foot , Low Back Pain , MassageABSTRACT
PURPOSE: The causative pathology of chronic low back pain cannot be defined in many patients. To evaluate the relations between psychoneurotic status and chronic low back pain, the authors surveyed Minnesota Multiphasic Personal Inventory (MMPI) in the patients with chronic low back pain. MATERIALS AND METHODS: From July 1997 to December 1998, questionaire including MMPI were given to the patients who visited our Department for chronic (>6 weeks) low back pain. 50 patients (33 male, 17 female) completed MMPI. The mean age was 33.4 years (range 17-55) . MMPI scores were evaluated in two ways for each individual, mean scores of each clinical scale and two code method. Then mean scores were compared according to sex, radiating pain, radiologic abnormalities. RESULTS: In total 50 patients, three scales showed mean score over 55. Those were Hs:59.1 +/- 10.3, D:55.4 +/- 11.2 and Hy: 59.0 +/- 10.8. No significant differences were observed between the groups divided according to the sex, radiating pain, radiologic abnormalities. The two code method revealed that at least one of the neurotic triad (Hy, Hs, D) ranked within the highest two in 46 (92%) patients. CONCLUSION: It seemed that large proportion of patients with chronic low back pain had psychological tendency to hypochondriasis and/or depression and/or hysteria. MMPI seemed to be one of the useful methods in evaluation of psychogenic factors in chronic low back pain patients without definite organic pathology.