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1.
Coluna/Columna ; 20(3): 207-211, July-Sept. 2021. tab
Article in English | LILACS | ID: biblio-1339751

ABSTRACT

ABSTRACT Objective To determine the prevalence of low back pain and to establish a correlation with risk factors for the development of low back pain in a teaching hospital in the East Zone of São Paulo. Method This is a cross-sectional, observational, analytical study, in which 90 patients from the teaching hospital wards were evaluated. Internationally validated instruments were used to assess clinical, epidemiological and behavioral aspects. Results The prevalence rate obtained was 57.73%, which is considered high compared to the rates in studies conducted outside of the hospital environment. There was predominance in the female sex, at 30.13% (SSD 5.32%). Sleep disturbances, measured indirectly through hours of sleep and the average pain score (p = 0.007), seem to act as a risk factor. The instruments for checking pain seem to be more effective when used together, with an association being observed between the Oswestry questionnaire (ODI) and the visual analog scale (VAS) for pain (p = 0.000). Conclusions There is a prevalence of low back pain among institutionalized individuals, especially those who are hospitalized, compared to rates observed outside the hospital environment. Level of evidence IV; Cross-sectional observational.


RESUMO Objetivo Determinar a prevalência de lombalgia e estabelecer correlação com fatores de risco para o desenvolvimento de dor lombar em um Hospital Escola da Zona Leste de São Paulo. Métodos Trata-se de um estudo analítico observacional transversal, no qual foram avaliados 90 pacientes provenientes das enfermarias do Hospital Escola. Foram empregados instrumentos internacionalmente validados para avaliar aspectos clínicos, epidemiológicos e comportamentais. Resultados A taxa de prevalência obtida foi de 57,73%, considerada alta em comparação com as taxas das pesquisadas realizadas fora do ambiente hospitalar. Houve predomínio do sexo feminino, com 30,13% (DPa 5,32%). Os distúrbios do sono, medidos indiretamente por meio de horas de sono e a média da graduação de dor (p = 0,007), parecem agir como fator de risco. Os instrumentos para verificação da dor parecem ter maior eficácia quando usados em conjunto, sendo observada uma associação entre o questionário de Oswestry (ODI) e a escala visual analógica (EVA) de dor (p = 0,000). Conclusões Constatou-se maior taxa da prevalência de lombalgia entre os indivíduos institucionalizados, principalmente, os hospitalizados, comparada a taxas observadas fora do contexto hospitalar. Nível de evidência IV; Estudo Observacional Transversal.


RESUMEN Objetivo Determinar la prevalencia de lumbalgia y establecer una correlación con los factores de riesgo para el desarrollo del dolor lumbar en un hospital universitario en la Zona Este de São Paulo. Métodos Este es un estudio analítico observacional de corte transversal, en el que se evaluaron 90 pacientes de las enfermerías del hospital universitario. Se utilizaron instrumentos validados internacionalmente para evaluar aspectos clínicos, epidemiológicos y de comportamiento. Resultados La tasa de prevalencia obtenida fue de 57,73%, considerada alta en comparación con las tasas de los encuestados fuera del ámbito hospitalario. Predominó el sexo femenino, con un 30,13%(SSD 5,32%). Los trastornos del sueño, medidos indirectamente a través de horas de sueño y la puntuación promedio de dolor (p = 0,007), parecen actuar como un factor de riesgo. Los instrumentos para controlar el dolor parecen ser más efectivos cuando se usan juntos, con una asociación entre el cuestionario de Oswestry (ODI) y la escala visual analógica (EVA) del dolor (p = 0,000). Conclusiones Se encontró una mayor tasa de prevalencia de dolor lumbar entre los individuos institucionalizados, especialmente los hospitalizados, en comparación con las tasas observadas fuera del contexto hospitalario. Nivel de Evidencia IV; Estudio Observacional Transversal.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Low Back Pain/epidemiology , Hospitalization , Prevalence , Cross-Sectional Studies , Risk Factors
2.
Coluna/Columna ; 20(3): 197-200, July-Sept. 2021. tab
Article in English | LILACS | ID: biblio-1339754

ABSTRACT

ABSTRACT Objective To identify the prevalence of low back pain and related factors among graduate medical students, and to measure the level of disability that this pain can cause in these students. Methods Data were collected virtually, through Google Forms. After signing an Informed Consent Form (ICF), the participants responded to a sociodemographic survey, and those who reported having low back pain responded to the Oswestry Disability Index. The data analysis was conducted in three stages, through the R Core Team 2020 statistic program, open-source and free software. The Chi-square Test and Fisher's Exact Test were used in the second and third stages. Results The study was composed of 200 participants, of whom 58% reported lumbar pain. Of those with pain, 94% had minimum scores on the disability scale. None of the variables showed a relevant connection, though BMI, sex, and use of Alcohol were notable for achieving p-values of around 0.05 or higher. Conclusion The prevalence of lumbar pain among the medical students was 58%, and no specific risk factors were identified. Furthermore, 94% of the students who reported lumbar pain had a minimum disability score and 6% a moderate score. None of the participants presented severe or greater disability. Level of evidence II; A descriptive cross-sectional study with a quantitative approach.


RESUMO Objetivo Identificar a prevalência de lombalgia e os fatores associados em acadêmicos de medicina e medir o grau de incapacidade que a dor pode causar nesses estudantes. Métodos Os dados foram coletados virtualmente, por meio do Google Forms. Depois da assinatura do Termo de Consentimento Livre e Esclarecido (TCLE), os participantes responderam a um questionário sociodemográfico e os que relataram dor lombar também preencheram o Índice de Incapacidade de Oswestry. A análise dos dados foi feita em três etapas, com o programa estatístico R Core Team 2020, software livre e de código aberto. Nas segunda e terceira etapas, foram aplicados o Teste do Qui-Quadrado e o Teste Exato de Fisher. Resultados O estudo constou de 200 participantes, dos quais 58% relataram dor lombar. Dentre as pessoas com dor, 94% tinham escore de incapacidade em escala mínima. Nenhuma das variáveis apresentou relação significativa, embora IMC, sexo e etilismo tenham demonstrado valor de p próximo de 0,05 ou superior. Conclusões A prevalência de dor lombar nos estudantes de medicina foi de 58%, e nenhum fator de risco específico foi identificado. Além disso, 94% dos acadêmicos que relataram dor lombar tiveram escore de incapacidade na escala mínima e 6% em escala moderada. Nenhum participante apresentou incapacidade grave ou maior. Nível de evidência II; Estudo descritivo transversal com abordagem quantitativa.


RESUMEN Objetivo Identificar la prevalencia de lumbalgia y factores asociados en estudiantes de medicina y medir el grado de discapacidad que el dolor puede causar en estos estudiantes. Métodos Los datos se recopilaron virtualmente a través de Google Forms. Después de firmar el Formulario de consentimiento informado (FCI), los participantes completaron un cuestionario sociodemográfico y aquellos que informaron dolor lumbar también completaron el Índice de Discapacidad de Oswestry. El análisis de los datos se realizó en tres etapas, con el programa estadístico R Core Team 2020, software libre y de código abierto. En la segunda y tercera etapa se aplicó la Prueba de Chi-Cuadrado y la Prueba Exacta de Fisher. Resultados El estudio consistió en 200 participantes, de los cuales, el 58% mencionó dolor lumbar. Entre las personas con dolor, el 94% tenía una puntuación de discapacidad en escala mínima. Ninguna de las variables mostró relación significativa, sin embargo se destacan IMC, sexo y consumo de alcohol que presentaron valor de p cercano a 0,05 o superior. Conclusiones La prevalencia de lumbalgia entre los estudiantes de medicina fue del 58% y no se identificó ningún factor de riesgo específico. Además, el 94% de los estudiantes que informaron dolor lumbar tenían puntuación de discapacidad en una escala mínima y el 6% en una escala moderada. Ningún participante tenía discapacidad grave o mayor. Nivel de evidencia II; Estudio descriptivo transversal con abordaje cuantitativo.


Subject(s)
Humans , Adolescent , Adult , Young Adult , Students, Medical/statistics & numerical data , Low Back Pain/epidemiology , Brazil/epidemiology , Prevalence , Cross-Sectional Studies
3.
Rev. inf. cient ; 100(3): e3433, 2021. graf
Article in Spanish | LILACS, CUMED | ID: biblio-1289634

ABSTRACT

RESUMEN Introducción: Los trabajadores de la salud se enfrentan permanentemente a labores complejas que afectan la región lumbar y miembros inferiores. Objetivo: Identificar la prevalencia de enfermedad osteomioarticular lumbosacras y miembros inferiores en auxiliares de enfermería Método: Se realizó un estudio epidemiológico, descriptivo y transversal en una muestra de 46 auxiliares del Distrito 18D04 de salud de Tungurahua, Ecuador. El instrumento aplicado fue un cuestionario para indagar variables sociodemográficas, antigüedad en el sector, horarios, tipos y tiempo de exposición a las labores habituales. Se utilizó la prueba estadística Chi-cuadrado, la paramétrica de correlación de Pearson y la prueba t de Student. Resultados: El 85 % de los estudiados presentó enfermedades lumbosacras y miembros inferiores durante el tiempo de trabajo, se apreció que el 39 % ha tenido una baja temporal al trabajo entre 1-3 días. Se identificó que la carga de peso es realizada por un 37 % y caminatas prolongadas en un 33 %. El 67 % tenía entre 11 y 40 años de trabajo y el resto menos de 10 años en el sector. El 54 % padeció enfermedades pertenecientes a miembros inferiores y un 46 % a lumbosacras. Conclusiones: El padecimiento de enfermedad osteomioarticular lumbosacras y miembros inferiores está relacionado con la edad y con padecerlas en los últimos doce meses, estas han provocado ausentismo laboral. No se comprobó una relación estadísticamente significativa con el padecimiento de enfermedad osteomioarticular con la antigüedad en el sector, las jornadas de trabajo y las actividades que más desarrollan.


ABSTRACT Introduction: Health care workers are constantly confronted with complex tasks that affect the lumbar region and lower limbs. Objective: To identify the prevalence of lumbosacral and lower limb osteomyoarticular pathologies in nursing assistants. Method: An epidemiological, descriptive and cross-sectional study was carried out in the 18D04 health district of Tungurahua, Ecuador. A total of 46 nursing assistants were selected in this study. We aimed a questionnaire to assess the sociodemographic variables, seniority in the health sector, time schedules, modes and time of exposure to the usual work. Chi-square test, Pearson's parametric correlation test, and the Student's t-test were used. Results: Most nursing assistants, the 85%, were diagnosed with lumbosacral and lower limb pathologies, and 39% took a temporary absence from work between 1-3 days. It was found that 37 % performed the heavy load work and 33% performed prolonged walks. The 67% had between 11 and 40 years of work and the rest had less than 10 years in the health sector. Fifty-four percent suffered from lower limb pathologies and 46% from lumbosacral pathologies. Conclusions: Lumbosacral and lower limb osteomyoarticular pathology is related to age, and their suffering in the last 12 months has led to a level of absenteeism in the workplace. There was no an important relationship, statistically, between osteomyoarticular pathology and seniority in the sector, working hours and the activities most frequently performed.


RESUMO Introdução: Os trabalhadores da saúde enfrentam constantemente tarefas complexas que afetam a região lombar e membros inferiores. Objetivo: Identificar a prevalência de doenças osteomioarticulares lombossacrais e de membros inferiores em auxiliares de enfermagem. Método: Estudo epidemiológico, descritivo e transversal em uma amostra de 46 auxiliares do Distrito Sanitário 18D04 de Tungurahua, Equador. O instrumento aplicado foi um questionário para investigar variáveis sociodemográficas, antiguidade no setor, horário, tipos e tempo de exposição a tarefas normais. Foram utilizados o teste estatístico Qui-quadrado, correlação paramétrica de Pearson e teste t de Student. Resultados: 85% dos estudados apresentaram doenças lombossacrais e de membros inferiores durante o tempo de trabalho, observou-se que 39% tiveram afastamento temporário do trabalho entre 1-3 dias. Identificou-se que a descarga de peso é realizada por 37% e as caminhadas prolongadas por 33%. 67% tinham entre 11 e 40 anos de trabalho e o restante menos de 10 anos no setor. 54% sofreram doenças pertencentes aos membros inferiores e 46% lombossacral. Conclusões: O sofrimento da doença osteomioarticular lombossacral e de membros inferiores está relacionado à idade e com o sofrimento nos últimos doze meses, estes têm causado absenteísmo ao trabalho. Não foi verificada relação estatisticamente significativa entre o sofrimento de doença osteomioarticular e o tempo de permanência no setor, a jornada de trabalho e as atividades que mais desenvolvem.


Subject(s)
Humans , Female , Middle Aged , Bone Diseases/epidemiology , Low Back Pain/epidemiology , Lower Extremity , Joint Diseases/epidemiology , Muscular Diseases/epidemiology , Nursing Assistants , Burnout, Professional , Epidemiology, Descriptive , Cross-Sectional Studies
4.
Säo Paulo med. j ; 139(2): 137-143, Mar.-Apr. 2021. tab, graf
Article in English | LILACS | ID: biblio-1290232

ABSTRACT

ABSTRACT BACKGROUND: Patients with low back pain frequently undergo a variety of diagnostic and therapeutic interventions, but some of these have uncertain effectiveness. This highlights the importance of the association of healthcare services and therapeutic measures relating to disability. OBJECTIVE: To analyze the use of healthcare services and therapeutic measures among Brazilian older adults with disability-related low back pain. DESIGN AND SETTING: Observational cross-sectional study on baseline assessment data from the Back Complaints in the Elders - Brazil (BACE-B) cohort. METHODS: The main analyses were based on a consecutive sample of 602 older adult participants in BACE-B (60 years of age and over). The main outcome measurement for disability-related low back pain was defined as a score of 14 points or more in the Roland Morris Questionnaire. RESULTS: Visits to doctors in the previous six weeks (odds ratio, OR = 1.82; 95% confidence interval, CI 1.22-2.71) and use of analgesics in the previous three months (OR = 1.57; 95% CI 1.07-2.31) showed statistically significant associations with disability-related low back pain. The probability of disability-related low back pain had an additive effect to the combination of use of healthcare services and therapeutic measures (OR = 2.57; 95% CI 1.52-4.36). The analyses showed that this association was significant among women, but not among men. CONCLUSIONS: Occurrence of the combined of consultations and medication use was correlated with higher chance of severe disability among these elderly people with nonspecific low back pain. This suggested that overuse and "crowding-in" effects were present in medical services for elderly people.


Subject(s)
Humans , Male , Female , Aged , Low Back Pain/therapy , Low Back Pain/epidemiology , Pain Measurement , Brazil/epidemiology , Cross-Sectional Studies , Delivery of Health Care , Disability Evaluation
5.
Clin. biomed. res ; 41(3): 224-231, 20210000. tab
Article in Portuguese | LILACS | ID: biblio-1343185

ABSTRACT

Introdução: A dor lombar representa um problema de saúde pública na população em idade economicamente ativa em todo o mundo, incluindo trabalhadores de lavanderia hospitalar. Neste artigo é avaliada a prevalência de dor lombar em trabalhadores de lavanderia do Hospital de Clínicas de Porto Alegre e sua associação com dados sociodemográficos, clínicos, ocupacionais e prática de exercícios físicos. Métodos: Foi realizado um estudo transversal do qual participaram 99 funcionários da lavanderia do Hospital. Foi utilizado instrumento de pesquisa composto por um questionário com questões sociodemográficas, clínicas e ocupacionais dos trabalhadores. Os dados obtidos foram processados pelo Teste Qui-Quadrado de Pearson e pela regressão de Poisson com variâncias robustas. Resultados: A prevalência de dor lombar encontrada foi de 68,69% (IC 95% 59,4%;78,0%). Entre os participantes, 12,1% relataram afastamento do trabalho pela Previdência Social devido a dor lombar. Na análise multivariada, ser trabalhador do setor costura foi associado a maior risco de apresentar dor lombar, enquanto que ter duplo emprego e tempo de serviço na função não estiveram significativamente associados. Conclusões: A dor lombar foi uma queixa prevalente em trabalhadores da lavanderia hospitalar, especialmente no setor costura. Ter duplo emprego ou maior tempo de trabalho na função não se mostraram fatores associados à prevalência de dor lombar na população estudada. Sugere-se a adoção de estratégias de prevenção e controle da dor lombar e a realização de mais estudos no tema, a fim de aprofundar os fatores associados e estabelecer medidas preventivas eficazes. (AU)


Introduction: Low back pain represents a public health problem in the working-age population worldwide, including hospital laundry workers. This article evaluates the prevalence of low back pain in laundry workers at the Hospital de Clínicas de Porto Alegre and its association with sociodemographic, clinical, and occupational data and physical exercises. Methods: We conducted a cross-sectional study of 99 laundry workers at the Hospital. We applied a research instrument consisting of a questionnaire with sociodemographic, clinical, and occupational questions. We used Pearson's chi-square test and Poisson regression with robust variance for data analysis. Results: The prevalence of low back pain was 68.69% (95% confidence interval, 59.4%- 78.0%). Among the participants, 12.1% reported previous sick leave due to low back pain. In the multivariate analysis, being a sewing worker was associated with a higher risk of developing low back pain, whereas keeping two jobs and length of service were not significantly associated with low back pain. Conclusions: Low back pain was a prevalent complaint among hospital laundry workers, especially in the sewing sector. Keeping two jobs and longer length of service were not associated with low back pain prevalence in the study population. We suggest that strategies to prevent and control low back pain should be adopted and that further studies on the topic should be conducted to better understand the associated factors and to establish effective preventive measures. (AU)


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Low Back Pain/epidemiology , Laundry Service, Hospital , Occupational Health , Hospitals, Teaching
6.
Article in English | WPRIM | ID: wpr-922205

ABSTRACT

BACKGROUND@#We aimed to examine the cross-sectional association between occupational class and self-reported low back pain (LBP) in a representative sample of the Japanese general population.@*METHODS@#We used anonymized data from a nationwide survey (31,443 men and 35,870 women aged ≥ 20). Occupational class variables included working status, occupation, employment status, and company size (number of employees). Covariates included age, socio-economic status, lifestyle, and comorbidities. Poisson regression models stratified by gender were used to estimate adjusted prevalence ratio (APR) and 95% confidence interval (CI) for self-reported LBP.@*RESULTS@#The prevalence of self-reported LBP was 11.7% in men and 14.2% in women. After adjustment for covariates and mutual adjustment for all occupational class variables, among both genders, agricultural/forestry/fishery workers and non-workers had a significantly higher prevalence of self-reported LBP: APR (95% CI) of agricultural/forestry/fishery was 1.36 (1.08-1.70) in men and 1.59 (1.30-1.93) in women; that of non-workers was 1.42 (1.18-1.70) in men and 1.23 (1.08-1.40) in women. Among men, non-regular employees were more likely to have self-reported LBP than regular employees: APR (95% CI) was 1.25 (1.07-1.46) in part-timers and casual staff and 1.18 (1.03-1.35) in other types of non-regular employees. Moreover, compared to men working at companies with ≥ 100 employees, men working at companies with 30-99 employees had a significantly higher prevalence of self-reported LBP (APR 1.17; 95% CI, 1.03-1.34). Among women, professionals and technicians (1.26; 1.11-1.43) and sales workers (1.22; 1.04-1.43) had a significantly higher prevalence of self-reported LBP than clerks. Neither employment status nor company size was associated with self-reported LBP in women. After stratified analyses by age group, similar patterns were observed in participants aged 20-64, but not in those aged ≥ 65.@*CONCLUSION@#Our results suggest that self-reported LBP is highly prevalent among agricultural/forestry/fishery workers and the unemployed, regardless of gender, and that there are also gender differences in the association of occupational class factors with self-reported LBP. It is necessary, therefore, to take preventive measures against LBP based on gender and occupational class factors in Japan.


Subject(s)
Adult , Aged , Cross-Sectional Studies , Employment/statistics & numerical data , Female , Humans , Japan/epidemiology , Low Back Pain/epidemiology , Male , Middle Aged , Occupational Diseases/epidemiology , Occupations/statistics & numerical data , Prevalence , Self Report , Sex Distribution
7.
J. pediatr. (Rio J.) ; 96(6): 717-724, Set.-Dec. 2020. tab
Article in English | LILACS, ColecionaSUS, SES-SP | ID: biblio-1143201

ABSTRACT

Abstract Objectives: To determine the prevalence of low back pain and to analyze the association with the individual, sociodemographic variables, electronic devices, habitual practice of physical activity, and mental health problems. Methods: Cross-sectional study with 1,628 students in public schools in the city of Bauru, SP, Brazil. The following data were collected: 1. demographic and socioeconomic aspects; 2. Use of electronic devices; 3. habitual physical activity level (Baecke); 3. mental health (SDQ). 4. low back pain (Nordic Questionnaire). Descriptive analyzes and bivariate and multivariate logistic regression were used. Results: The overall prevalence of low back pain was 46.7% (95% CI: 44.27 to 49.11); men showed a prevalence of 42.0% (95% CI: 36.63 to 43.41) and women 58.0% (95% CI: 49.73 to 56.51), a statistically significant difference. The variables associated with pain in the low back region were: female gender (PR = 1.70), daily TV use for more than 3 hours (PR = 1.17), use of laptop computer (PR = 1.40), use of the cell phone in the supine position (PR = 1.23), use of the cell phone in semi-supine position (PR = 1.49), daily cell phone use for more than 3 hours (PR = 1.36), use of tablet (PR = 1.67), daily tablet use for more than above 3 hours (PR = 1.46), and clinically important mental health problems (PR = 2.62). Conclusion: There is a high prevalence of low back pain in high school students and striking association with female sex, electronic devices, and mental health problems.


Resumo Objetivos: Determinar a prevalência de lombalgia e analisar a associação com variáveis individuais e sociodemográficas, dispositivos eletrônicos, prática habitual de atividade física e problemas de saúde mental. Métodos: Estudo transversal com 1.628 alunos matriculados em escolas públicas na cidade de Bauru/SP. Para a coleta de dados: 1. aspectos demográficos e socioeconômicos; 2. dispositivos eletrônicos; 3. nível habitual de atividade física (Baecke); 3. saúde mental (SDQ); 4. Lombalgia (Questionário Nórdico). Foram usadas análises descritivas e de regressão logística bivariada e multivariada. Resultados: A prevalência geral de lombalgia foi 46,7% (IC de 95%: 44,27 a 49,11), os homens mostraram uma prevalência de 42,0% (IC de 95%: 36,63 a 43,41) e as mulheres mostraram uma prevalência de 58,0% (IC de 95%: 49,73 a 56,51), com diferença significativa. As variáveis associadas a dor na região lombar inferior foram: sexo feminino (RP = 1,70), tempo de uso de TV acima de 3 horas por dia (RP = 1,17), uso de notebook (RP = 1,40), uso de celular na posição supina (RP = 1,23), uso de celular na posição semissupina (RP = 1,49), tempo de uso de celular acima de 3 horas por dia (RP = 1,36), uso de tablet (RP = 1,67), tempo de uso de tablet acima de 3 horas por dia (RP = 1,46) e problemas de saúde mental clinicamente importantes (RP = 2,62). Conclusão: Há alta prevalência de lombalgia em alunos do ensino médio e forte associação ao sexo feminino, dispositivos eletrônicos e problemas de saúde mental.


Subject(s)
Humans , Male , Female , Child , Adolescent , Exercise , Mental Health , Low Back Pain/epidemiology , Brazil/epidemiology , Prevalence , Cross-Sectional Studies , Surveys and Questionnaires , Risk Factors , Electronics , Sedentary Behavior
8.
Rev. bras. epidemiol ; 23: e200037, 2020. tab, graf
Article in Portuguese | LILACS | ID: biblio-1101597

ABSTRACT

RESUMO: Objetivos: Estimar a prevalência e caracterizar a ocorrência de dor lombar gestacional (DLG), dor na cintura pélvica posterior (DCPP) e dor na sínfise púbica (DSP) entre gestantes residentes em Rio Grande, RS. Métodos: Estudo transversal realizado com todas as puérperas com parto em 2016. Foram utilizadas duas figuras para investigar a presença de DLG, DCPP e DSP de forma isolada ou combinada. Regressão logística multinomial foi usada para avaliar os fatores associados a cada sintoma. Resultados: DLG foi referida por 42,2% das entrevistadas, DSP por 4,9%, e DCPP por 2%, enquanto DLG + DSP por 9%, DLG + DCPP por 2,8%, DCPP + DSP por 1,1% e dor nas três regiões por 3,9% delas. Quanto maior era a idade da gestante, menor foi o risco de DLG e de DLG combinada a uma das regiões da cintura pélvica e maior o risco de DCPP + DSP. Depressão na gestação aumentou o risco de todas as combinações dos sintomas. Conclusão: Este estudo realizou uma descrição mais detalhada da ocorrência dos desfechos avaliados e de seus fatores associados. Estudos como este são raros no país, sobretudo com baixas taxas de perdas e recusas. A elevada prevalência dos sintomas avaliados sugere que sua investigação seja rotineira nas consultas de pré-natal, atendo-se a idade das gestantes, sintomas depressivos e a dores combinadas e intensas.


ABSTRACT: Objectives: To estimate the prevalence and characterize the occurrence of low back pain (LBP), posterior pelvic girdle pain (PPGP) and pubic symphysis pain (PSP) among pregnant women resident in Rio Grande, RS. Methods: This was a cross-sectional study of all postpartum women who gave birth in 2016. Two pictures were used to investigate the presence of LBP, PPGP and PSP, both isolated and combined. Multinomial logistic regression was used to evaluate the factors associated with each symptom. Results: LBP was reported by 42.2%, PSP by 4.9%, and PPGP by 2%, while LBP + PSP was reported by 9%, LBP and PPGP by 2.8% and PPGP + PSP by 1.1%, and pain in all three regions was reported by 3.9% of the sample. The more advanced the age of the pregnant women, the risk for LBP and of LBP combined with one of the pelvic girdle regions was reduced, while the risk for PPGP + PSP was increased. Depression during pregnancy increased the risk for all symptom combinations. Conclusion: This study provided a detailed description of the occurrence of the evaluated outcomes and its associated factors. Studies like this are rare in Brazil, especially a census with low rates of losses and refusals. The high prevalence of the evaluated symptoms suggests that it should be investigated routinely in prenatal care, taking into account the age of the pregnant women, depressive symptoms and those experiencing combined or intense pain.


Subject(s)
Humans , Female , Pregnancy , Child , Adolescent , Adult , Young Adult , Pregnancy Complications/epidemiology , Pubic Symphysis , Low Back Pain/epidemiology , Arthralgia/epidemiology , Pelvic Girdle Pain/epidemiology , Lumbar Vertebrae , Pregnancy Complications/etiology , Pain Measurement , Brazil/epidemiology , Logistic Models , Prevalence , Cross-Sectional Studies , Surveys and Questionnaires , Risk Factors , Age Factors , Gestational Age , Low Back Pain/etiology , Arthralgia/etiology , Depression/complications , Depression/epidemiology , Pelvic Girdle Pain/etiology
9.
Int. j. med. surg. sci. (Print) ; 6(3): 88-91, sept. 2019. tab
Article in English | LILACS | ID: biblio-1247411

ABSTRACT

Lower back pain (LBP) is recognized as a cause of morbidity in developed nations in different occupational situations. Health care workers (HCWs), in particular nurses, are especially vulne-rable to LBP. About 60­80% of the general people suffer from LBP at some time during their lives. However, there is not enough care about workplace health and safety problems facing the health care workforce in developing nations, such as Libya. Thus, this study aimed to find out the status of low back pain and factors affecting pain among the nurses in Benghazi Medical Centre (BMC), Libya. Cross-sectional study was conducted on BMC in 2018. The data was collected by a self-administered questionnaire. Chi-square was used to determine the association between associated risk factors and LBP prevalence (p<0.05). There is a high prevalence (79%) of low back pain among nurses in BMC. Individual and work-related factors were found as risk factors for LBP. In Libya, nurses are considered as a critical health and safety concern, as a result of the weakness of policies in healthcare organizations. Consequently, a proper no weight lifting policy should be considered. If not, proper manual lifting must be implemented.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Nursing , Health Personnel , Low Back Pain/epidemiology , Occupational Diseases , Chi-Square Distribution , Prevalence , Surveys and Questionnaires , Risk Factors , Libya/epidemiology
10.
Rev. bras. anestesiol ; 69(3): 227-232, May-June 2019. tab
Article in English | LILACS | ID: biblio-1013410

ABSTRACT

Abstract Background and objectives: Pain is one of the most common reason for seeking medical care. This study aimed to analyze patients with chronic pain in Maricá, Rio de Janeiro State, Brazil. Methods: A transversal retrospective study with 200 patients, who were treated in ambulatory care in a public hospital from June 2014 to December 2015. The variables considered were: pain intensity, type of pain, anatomical location, diagnosis and treatment. The data were statistically analyzed, the Fisher's exact test was applied, and the probability p was significant when ≤0.05. Results: We analyzed 200 patients with chronic pain, most of them female (83%). Mean age was 58.6 ± 13.01 years old. The patients were classified in groups by age, six groups with ten years of difference between them. Main age range was the 50-59 years old group, with 49 females (32%) and 5 males (15%). About 65.5% of the total of patients (131) had severe pain (Numeric Rating Sacale was 9.01). Mixed pain was predominant, affecting 108 patients (92 females and 16 males, what represents 55% and 47% of the total of females and males, respectively, that participate in the study). The most prevalent anatomical pain (159 patients, 131 females and 28 males) was in the lower limbs. Lower back pain was present in 113 of the 200 patients (94 females and 19 males). In the 30-39, 50-59, 60-69 years old group, the results for pain locations were significant: p = 0.01, p = 0.0069, p = 0.0003, respectively. Conclusion: The prevalence of chronic pain was associated with females in 50-59 years old and severe mixed pain. Pain was located mainly in lower limbs and lumbar region. The most frequent diagnosis was low back pain followed by fibromyalgia. The patients were informed about their disease and treatment.


Resumo Justificativa e objetivos: A dor é um dos motivos mais comuns para procurar atendimento médico. Este estudo teve como objetivo analisar pacientes com dor crônica atendidos em Maricá, no Estado do Rio de Janeiro, Brasil. Métodos: Estudo transversal retrospectivo com 200 pacientes, atendidos em ambulatório de um hospital público no período de junho de 2014 a dezembro de 2015. As variáveis analisadas foram: intensidade da dor, tipo de dor, localização anatômica, diagnóstico e tratamento. Os dados foram submetidos à análise estatística, aplicou-se o teste exato de Fisher, e o valor p foi significativo quando ≤ 0,05. Resultados: Analisamos 200 pacientes com dor crônica, sendo a maioria mulheres (83%). A média de idade foi de 58,6 ± 13,01 anos. Os pacientes foram classificados em seis grupos de acordo com a faixa etária, com dez anos de diferença entre eles. O grupo principal foi entre 50-59 anos, com 49 mulheres (32%) e cinco homens (15%). Dos pacientes, 65,5% apresentaram dor intensa (Escala Visual Numérica 9,01). A dor mista foi prevalente, afetou 108 pacientes (92 mulheres e 16 homens, o que representa 55% e 47% do total de mulheres e homens, respectivamente). A dor anatômica mais prevalente (159 pacientes, 131 mulheres e 28 homens) foi nos membros inferiores. A dor na parte inferior das costas estava presente em 113 das 200 pessoas analisadas (94% mulheres e 19% homens). Nos grupos entre 30-39, 50-59 e 60-69 anos, os resultados para a localização da dor foram significativos: p = 0,01, p = 0,0069, p = 0,0003, respectivamente. Conclusão: A prevalência de dor crônica foi associada ao sexo feminino na faixa de 50-59 anos e à dor mista intensa. A dor foi localizada principalmente nos membros inferiores e na região lombar. O diagnóstico mais frequente foi de lombalgia seguida de fibromialgia. Os pacientes foram informados sobre suas doenças e tratamento.


Subject(s)
Humans , Male , Adult , Aged , Young Adult , Fibromyalgia/epidemiology , Low Back Pain/epidemiology , Chronic Pain/epidemiology , Ambulatory Care , Brazil , Fibromyalgia/therapy , Cross-Sectional Studies , Retrospective Studies , Low Back Pain/therapy , Chronic Pain/therapy , Middle Aged
11.
Rev. pesqui. cuid. fundam. (Online) ; 11(3): 823-827, abr.-maio 2019. tab
Article in English, Portuguese | LILACS, BDENF | ID: biblio-987293

ABSTRACT

Objective: The study's purpose has been to assess the occurrence of low back pain in patients assisted by an Urgent Care Centre and its associated factors. Methods: It is a cross-sectional study with a quantitative approach that was carried out at an Urgent Care Centre from Petrolina city, Pernambuco State. The data were collected from the patients' medical records who were assisted over 2015 showing either complaints or diagnosis of low back pain. The analysis was performed through descriptive statistics, and also the multivariate binary logistic regression model in order to estimate the Odds Ratio. Results: The findings have shown that » of the patients had lumbar pain. Men (56.7%) represented more than half of the patients, where the patients' age average was 39.7 years old (SD=15.7), and 99.2% demanded care spontaneously without any referral from others healthcare services. Conclusion: Stimulating preventive practices turns out to be an important alternative targeting the reduction of low back pain cases, as well as the adoption of an effective treatment not only based on pain mitigation


Objetivo: Avaliar a ocorrência de lombalgia em pacientes atendidos em uma Unidade de Pronto Atendimento e fatores associados. Métodos: Estudo transversal, de abordagem quantitativa, realizado na Unidade de Pronto Atendimento (UPA), no município de Petrolina-PE. Os dados foram coletados dos prontuários de pacientes atendidos em 2015 com queixa ou diagnóstico de lombalgia. A análise ocorreu por meio de estatística descritiva e através do modelo de regressão logística binária multivariado para estimativa das razões de chance (Odds Ratio ­ OR). Resultados: » dos pacientes apresentaram dor lombar. Os homens (56,7%) representam mais da metade dos atendimentos, a média de idade dos pacientes foi de 39,7 anos (Desvio padrão - DP 15,7), 99,2% buscaram atendimento espontaneamente sem encaminhamento de outros serviços de saúde. Conclusão: O estímulo a práticas preventivas é uma alternativa importante para contribuir na redução dos casos de lombalgia, além da adoção de um tratamento efetivo baseado não só na paliação


Objetivo: Evaluar la ocurrencia de lumbalgia en pacientes atendidos en una Unidad de Pronto Atención y factores asociados. Métodos: Estudio transversal, de abordaje cuantitativo, realizado en la Unidad de Pronto Atención (UPA), en el municipio de Petrolina-PE. Los datos fueron recolectados de los prontuarios de pacientes atendidos en 2015 con queja o diagnóstico de lumbalgia. El análisis se realizó por medio de estadística descriptiva ya través del modelo de regresión logística binaria multivariado para estimación de las razones de oportunidad (Odds Ratio - OR). Resultados: » de los pacientes presentaron dolor lumbar. Los hombres (56,7%) representan más de la mitad de las atenciones, la media de edad de los pacientes fue de 39,7 años (Desviación estándar - DP 15,7), el 99,2% buscó atención espontáneamente sin encaminamiento de otros servicios de salud salud. Conclusión: El estímulo a prácticas preventivas es una alternativa importante para contribuir en la reducción de los casos de lumbalgia, además de la adopción de un tratamiento efectivo basado no sólo en la paliación


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Low Back Pain/prevention & control , Low Back Pain/epidemiology , Occupational Health Services , Primary Health Care , Health Promotion
12.
Rev. bras. ciênc. saúde ; 23(4): 513-524, 2019. ilus, tab
Article in Portuguese | LILACS | ID: biblio-1049759

ABSTRACT

Objetivo: O presente estudo teve como objetivo identificar os possíveis fatores de risco para os Problemas Crônicos de Co-luna (PCC), como também os fatores que podem se comportar como protetores para o desenvolvimento desse problema, em adultos com 18 anos ou mais de idade. Material e Métodos: A base de dados utilizada foi da Pesquisa Nacional de Saúde de 2013, disponibilizada pelo IBGE em parceria com o Ministério da Saúde. Resultados: Aproximadamente 27 mil indivíduos se enquadraram neste estudo, dos quais aproximadamente 16% relataram ter PCC. Destes, 46% não realizavam tratamento algum e 62% relataram que esses problemas geravam algum tipo de limitação. Os resultados encontrados foram relevantes, em virtude da confirmação de evidências importantes contidas na literatura, ou seja, identificaram-se fatores de risco e de proteção no desenvolvimento do PCC, como o de que mulheres apresentam maiores chances de desenvolverem PCC. Quando analisado a realização de exercício físico, este demonstrou ser um fator de proteção, diminuindo em 9% a chance de desenvol-ver problema na coluna. Conclusão: Em geral, o Logit dessa in-vestigação classificou 84,4% das observações, contudo, é certo que existem muitos fatores envolvidos no desenvolvimento dos PCC e o conhecimento desses é de extrema importância, visto que medidas preventivas podem ser aplicadas. (AU)


Objective:The present study aimed to identify the possible risk factors for Chronic Spinal Problems (CSP), as well as factors that may behave as protectors for the development of this problem, in adults aged 18 years and over. Material and methods: The database that was used was from the National Health Survey of 2013, made available by IBGE in partner-ship with the Health Ministry. Results: Approximately 27,000 individuals were included in this study, of which approximately 16% reported having CSP. Of these, 46% did not undergo any treatment and 62% reported that these problems generated some type of limitation. The results were relevant because of the confirmation of important evidence in the literature, that is, risk and protective factors were identified in the development of CSP, such as the fact that women are more likely to develop CSP. When the physical exercise was analyzed, it was shown to be a protective factor, decreasing in 9% the chance of de-veloping a problem in the spine. Conclusion:In general, the Logit of this investigation classified 84.45% of the observations, however, it is certain that there are many factors involved in the development of CSPs and the knowledge of these is extremely important since preventive measures can be applied. (AU)


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Aged , Young Adult , Spinal Diseases/epidemiology , Low Back Pain/epidemiology , Spinal Diseases/therapy , Exercise , Logistic Models , Chronic Disease , Risk Factors , Low Back Pain/therapy , Protective Factors
13.
Clinics ; 74: e789, 2019. tab, graf
Article in English | LILACS | ID: biblio-1039548

ABSTRACT

The aim of this study was to estimate the prevalence of low-back pain (LBP) and to identify the level of functional disability in elderly individuals in different populations. From January 1985 to October 2018, a search was performed using the following databases: Embase, LILACS, SciELO, Scopus, Medline, and the Web of Science. The descriptors were low-back pain, back pain, lower-back pain, prevalence, and elderly in Portuguese and English. Two independent reviewers conducted a search for studies and evaluated their methodological quality. The search strategy returned 2186 titles, and 35 were included in this review. The studies evaluated 135,059 elderly individuals aged between 60 and 102 years, and the prevalence of LBP ranged from 21% to 75%. The levels of functional disability, as well as functional difficulties, activities of daily living, and physical capacity, were identified in 60% of the studies. This review indicated a high prevalence of LBP in elderly individuals and functional disability that affects factors important for independence. However, the studies used different methodologies, suggesting that more studies be conducted with scientific accuracy, methodological quality, and low risk of bias to contribute to the proposal of preventive actions for elderly populations.


Subject(s)
Humans , Middle Aged , Aged , Aged, 80 and over , Activities of Daily Living , Low Back Pain/epidemiology , Prevalence , Chronic Pain
14.
Ciênc. Saúde Colet ; 23(8): 2487-2494, Aug. 2018. tab, graf
Article in Portuguese | LILACS | ID: biblio-952718

ABSTRACT

Resumo O objetivo deste artigo é medir a prevalência e identificar fatores associados à dor lombar intensa (DL intensa) entre parturientes do município de Rio Grande, RS, Brasil, em 2013. Questionário padronizado aplicado por entrevistadoras previamente treinadas em até 48 horas após o parto. Realizou-se análise multivariável utilizando regressão de Poisson tendo a razão de prevalência como medida de efeito. Dentre as 2685 parturientes incluídas no estudo, 51,2% referiram dor lombar gestacional e 27,3% tinham DL intensa, com maior probabilidade de ocorrência entre adolescentes, mulheres com sobrepeso/obesidade, ex-fumantes e naquelas que praticaram atividade física na gestação. Entre as parturientes que tiveram DL intensa, 29,2%, 37,3% e 33,3% tiveram que deixar de fazer as lidas da casa, faltar ao trabalho e procurar um médico devido à DL, respectivamente. É elevada a prevalência de dor lombar intensa no período gestacional e preocupante seu impacto sobre as atividades da vida diária e utilização de serviços de saúde. Recomenda-se investigação clínica e manejo da dor lombar durante a gestação nas consultas de rotina do pré-natal.


Abstract The scope off this article is to assess the prevalence and identify associated factors with severe low back pain (LBP) during pregnancy among mothers living in Rio Grande, in the south of Brazil, in 2013. A standardized questionnaire was applied by trained interviewers within 48 hours after delivery. Multivariate analysis was carried out using Poisson regression. The prevalence ratio was the effect measure used. Among the 2,685 pregnant women enrolled in the study, 51.2% reported LBP and 27.3% reported severe LBP, which was more likely to occur among adolescents, with overweight/obese individuals, former smokers and those who practiced physical activity during pregnancy. Among those with severe LBP, 29.2%, 37.3% and 33.3% reported limitations for daily activities at home, had to seek medical care and had to miss work due to this problem, respectively. The prevalence of severe LBP during pregnancy is high and its impact for daily life and health services is concerning. The management of LBP should be part of routine pre-natal consultation.


Subject(s)
Humans , Male , Female , Pregnancy , Young Adult , Pregnancy Complications/epidemiology , Low Back Pain/epidemiology , Overweight/complications , Obesity/complications , Severity of Illness Index , Brazil/epidemiology , Activities of Daily Living , Smoking/adverse effects , Poisson Distribution , Prevalence , Multivariate Analysis , Surveys and Questionnaires , Risk Factors , Maternal Age
15.
Ciênc. Saúde Colet ; 23(4): 1151-1158, abr. 2018. tab
Article in Portuguese | LILACS | ID: biblio-952639

ABSTRACT

Resumo A prática regular de atividade física entre idosos contribui tanto para a prevenção e a redução da dor, quanto atua na promoção do envelhecimento ativo. Diante disso, este estudo teve como objetivo avaliar a presença de dor crônica em idosos atendidos em uma unidade de atenção primária do interior do estado de São Paulo, comparando os praticantes da ginástica chinesa (Lian Gong) e os idosos sedentários. Participaram deste estudo 60 idosos, sendo 30 integrantes de um grupo de Lian Gong e 30 sedentários. A presença da dor foi avaliada pelo Questionário Nórdico de Sintomas Osteomusculares, adaptado e validado para a cultura brasileira. A presença da dor nos últimos sete dias foi maior (62,3%) no grupo de praticantes de Lian Gong, porém com menor impedimento para realização de atividades (55,5%) quando comparados com o grupo de sedentários. Nos indivíduos ativos a presença da dor na parte inferior das costas foi estatisticamente menor (p < 0,05) quando comparados ambos os grupos. A prática do Lian Gong esteve relacionada com a percepção positiva da própria saúde, o menor uso de medicamentos, a adoção de práticas de autonomia no próprio cuidado e a sensação de menor impedimento para realizar atividades de vida diária.


Abstract It is a well-known fact that the practice of physical activity on a regular basis among elderly people contributes to the prevention and reduction of pain, as well as promote active ageing. Based on this premise, the scope of this study was to evaluate the presence of chronic pain among elderly people attended in a primary health care unit in a city in the interior of Sao Paulo State, Brazil, by comparing those who practice Chinese gymnastics (Lian Gong) and the sedentary. Sixty elderly people were divided between 30 sedentary and 30 who participate in a group practicing Lian Gong. The presence of pain was assessed through the Nordic Questionnaire on Musculoskeletal Symptoms, already adapted and validated for Brazilian culture. When questioned about pain in the last seven days, the Lian Gong group showed a higher presence (62,3%) of pain when compared to the sedentary group, although they had fewer difficulties in performing daily activities (55,5%). Among the active elderly the presence of lower back pain was statistically inferior (p < 0.05) when comparing the groups. The practice of Lian Gong was associated to a more positive perception of one's health, less use of medicines, as well as the adopting of self-care practices and the feeling of fewer impairments in performing daily activities.


Subject(s)
Humans , Male , Female , Aged , Exercise/physiology , Health Status , Sedentary Behavior , Chronic Pain/epidemiology , Primary Health Care , Self Care/statistics & numerical data , Brazil/epidemiology , Activities of Daily Living , Surveys and Questionnaires , Low Back Pain/epidemiology , Middle Aged
16.
Ciênc. Saúde Colet ; 23(3): 733-740, Mar. 2018. tab
Article in Portuguese | LILACS | ID: biblio-890550

ABSTRACT

Resumo O objetivo deste artigo é avaliar a prevalência e os fatores associados à dor lombar nos últimos 12 meses entre adolescentes de um município do sul do estado do Piauí, Brasil. Estudo transversal com 1112 adolescentes de 13-19 anos do município de Caracol. Investigaram-se características demográficas, socioeconômicas, nutricionais, comportamentais e comorbidades. O desfecho foi a ocorrência de dor lombar (DL) nos últimos 12 meses. Foi calculada a prevalência do desfecho de acordo com as variáveis independentes. Entre os adolescentes com DL no último ano, foi calculada a proporção de indivíduos com dor lombar crônica. Para análise dos fatores associados, foi utilizada a regressão de Poisson bruta e ajustada para cálculo das razões de prevalência. A prevalência de dor lombar nos últimos 12 meses foi de 32,9%. De acordo com a análise ajustada, sexo feminino (RP = 1,75; IC95%:1,45-2,10), idade entre 18-19 anos (RP = 1,27; IC95%:1,01-1,62), maior renda (RP = 1,33; IC95%:1,06-1,67), estar trabalhando (RP 1,25 IC95%:1,02-1,53) e apresentar distúrbios psiquiátricos menores (RP 1,51 IC95%: 1,25-1,82) permaneceram associados à DL nos últimos 12 meses. Este estudo encontrou elevada prevalência de DL entre adolescentes de um município pequeno do semiárido nordestino.


Abstract The scope of this article is to assess low back pain prevalence and associated factors in the last 12 months among adolescents in a city in the south of the State of Piauí. It was a cross-sectional study which included 1,112 adolescents aged 13-19 in the city of Caracol, Piauí. Demographic, socio-economic, nutritional, behavioral and comorbidty characteristics were investigated. The outcome was the occurrence of low back pain (LBP) in the last 12 months. The outcome prevalence was calculated in accordance with independent variables. The proportion of individuals with chronic LBP was calculated among adolescents with LBP in the last 12 months. Crude and adjusted Poisson regression was used to estimate the prevalence ratio in the analysis of associated factors. The prevalence of LBP in the last 12 months was 32.9%. According to the adjusted analysis, being female (PR = 1.75; 95%CI:1.45-2.10), being aged 18-19 (PR = 1.27; 95%CI:1.01-1.62), having higher income (PR = 1.33; 95%CI:1.06-1.67), having a job (PR 1.25 95%CI:1.02-1.53) and having minor psychiatric disorders (PR 1.51 95%CI: 1.25-1.82) were associated with LBP in the last 12 months. This study found a high prevalence of LBP among adolescents in a poor city in the semiarid region of Northeast Brazil.


Subject(s)
Humans , Male , Female , Adolescent , Young Adult , Low Back Pain/epidemiology , Chronic Pain/epidemiology , Mental Disorders/epidemiology , Brazil/epidemiology , Poisson Distribution , Sex Factors , Prevalence , Cross-Sectional Studies , Surveys and Questionnaires , Risk Factors , Age Factors , Income
17.
Rev. bras. reumatol ; 57(5): 438-444, Sept.-Oct. 2017. tab, graf
Article in English | LILACS | ID: biblio-899441

ABSTRACT

Abstract Objective: To determine the prevalence of Chronic Low Back Pain and predictors of Back Muscle Strength in patients with Systemic Lupus Erythematosus. Methods: Cross-sectional study. Ninety-six ambulatory patients with lupus were selected by non-probability sampling and interviewed and tested during medical consultation. The outcomes measurements were: Point prevalence of chronic low back pain, Oswestry Disability Index, Tampa Scale of Kinesiophobia, Fatigue Severity Scale and maximal voluntary isometric contractions of handgrip and of the back muscles. Correlation coefficient and multiple linear regression were used in statistical analysis. Results: Of the 96 individuals interviewed, 25 had chronic low back pain, indicating a point prevalence of 26% (92% women). The correlation between the Oswestry Index and maximal voluntary isometric contraction of the back muscles was r = −0.4, 95% CI [−0.68; −0.01] and between the maximal voluntary isometric contraction of handgrip and of the back muscles was r = 0.72, 95% CI [0.51; 0.88]. The regression model presented the highest value of R 2 being observed when maximal voluntary isometric contraction of the back muscles was tested with five independent variables (63%). In this model handgrip strength was the only predictive variable (β = 0.61, p = 0.001). Conclusions: The prevalence of chronic low back pain in individuals with systemic lupus erythematosus was 26%. The maximal voluntary isometric contraction of the back muscles was 63% predicted by five variables of interest, however, only the handgrip strength was a statistically significant predictive variable. The maximal voluntary isometric contraction of the back muscles presented a linear relation directly proportional to handgrip and inversely proportional to Oswestry Index i.e. stronger back muscles are associated with lower disability scores.


Resumo Objetivo: Determinar a prevalência de lombalgia crônica (LBC) e os preditores de força muscular nas costas (FMC) em pacientes com lúpus eritematoso sistêmico (LES). Métodos: Estudo transversal. Selecionaram-se 96 pacientes ambulatoriais com LES por amostragem não probabilística, entrevistados e testados durante consultas médicas. As medidas de desfecho foram: prevalência ocasional de LBC, Índice de Incapacidade de Oswestry, Escala Tampa para Cinesiofobia, Escala de Gravidade da Fadiga e contrações isométricas voluntárias máximas (CIVM) de preensão manual e dos músculos das costas. Usaram-se o coeficiente de correlação e a regressão linear múltipla na análise estatística. Resultados: Dos 96 indivíduos entrevistados, 25 apresentavam LBC, o que indicou uma prevalência circunstancial de 26% (92% mulheres). A correlação entre o Índice de Incapacidade de Oswestry e a contração isométrica voluntária máxima dos músculos das costas foi de r = -0,4, IC 95% [-0,68; -0,01] e entre a CIVM de preensão manual e dos músculos das costas foi de r = 0,72, IC 95% [0,51; 0,88]. O modelo de regressão apresentou o maior valor de R2 observado quando a CIVM dos músculos das costas foi testada com cinco variáveis independentes (63%). Nesse modelo, a força de preensão manual foi a única variável preditiva (ß = 0,61, p = 0,001). Conclusões: A prevalência de LBC em indivíduos com LES foi de 26%. A CIVM dos músculos das costas foi 63% prevista por cinco variáveis de interesse. No entanto, apenas a força de preensão manual foi uma variável preditiva estatisticamente significativa. A CIVM dos músculos das costas apresentou uma relação linear diretamente proporcional à força de preensão manual e inversamente proporcional ao Índice de Incapacidade de Oswestry (ou seja, músculos das costas mais fortes estão associados a menores pontuações de incapacidade).


Subject(s)
Humans , Male , Female , Adult , Low Back Pain/etiology , Muscle Strength , Chronic Pain/etiology , Back Muscles/physiopathology , Lupus Erythematosus, Systemic/complications , Linear Models , Prevalence , Cross-Sectional Studies , Risk Factors , Low Back Pain/diagnosis , Low Back Pain/physiopathology , Low Back Pain/epidemiology , Chronic Pain/diagnosis , Chronic Pain/physiopathology , Chronic Pain/epidemiology , Middle Aged
18.
Rev. bras. anestesiol ; 67(3): 266-270, Mar.-June 2017. tab
Article in English | LILACS | ID: biblio-843402

ABSTRACT

Abstract Objective: Low back pain is a common complaint among pregnant women. It is estimated that about 50% of pregnant women complain of some form of back pain at some point in pregnancy or during the postpartum period. The aim of this study was to evaluate the frequency of low back pain during pregnancy and its characteristics. Methods: Cross-sectional study with low-risk pregnant women. After approval by the Human Research Ethics Committee and receiving written informed consent, we included pregnant women over 18 years of age and excluded those with psychiatric disorders, previous lumbar pathologies, and receiving treatment for low back pain. Results: We interviewed 97 pregnant women. The frequency of low back pain was 68%. The mean age was 26.2 years and the median gestational age was 30 weeks. Fifty-eight pregnant women declared themselves as brown (58%). Most (88.6%) were married or living in common-law marriage, 56 (57.7%) worked outside the home, and 71 (73.2%) had completed high school. Low back pain was more frequent during the second trimester of pregnancy (43.9%), referred to as a "burning" sensation in 37.8% of patients, with intermittent frequency in 96.9% of the women. The symptoms got worse at night (71.2%). Resting reduced low back pain in 43.9% of pregnant women, while the standing position for a long time worsened it in 27.2% of patients. Conclusion: Low back pain is common in pregnant women, has specific characteristics, and is more frequent in the second trimester of pregnancy. This indicates the need for prevention strategies that enable better quality of life for pregnant women.


Resumo Objetivo: A lombalgia é uma queixa comum entre grávidas. Estima-se que cerca de 50% das gestantes queixam-se de algum tipo de dor lombar em algum momento da gravidez ou durante o puerpério. O objetivo deste estudo foi avaliar a frequência da lombalgia na gestação e suas características. Método: Estudo de corte transversal com gestantes de baixo risco. Após a aprovação pelo Comitê de Ética em Pesquisa em Seres Humanos e a assinatura do termo de consentimento livre e esclarecido, foram incluídas maiores de 18 anos e alfabetizadas e excluídas gestantes com distúrbios psiquiátricos, com patologias lombares prévias e em tratamento para dor lombar. Resultados: Foram entrevistadas 97 gestantes. A frequência de dor lombar foi 68%. A média de idade foi 26,2 anos e a mediana da idade gestacional de 30 semanas; 58 consideraram-se pardas (58%). A maioria (88,6%) era casada ou vivia em união estável, 56 (57,7%) trabalhavam fora e 71 (73,2%) tinham o ensino médio completo. A lombalgia foi mais frequente durante o segundo trimestre gestacional (43,9%), referida como "em queimação" por 37,8% das pacientes e com frequência intermitente em 96,9%. Os sintomas pioravam no período noturno (71,2%). O repouso reduzia a dor lombar em 43,9%, enquanto a posição ortostática por longo tempo agravava em 27,2%. Conclusão: A lombalgia é comum em gestantes, apresenta características específicas e é mais frequente no segundo trimestre. Isso alerta para a necessidade de serem instituídas estratégias de prevenção que possibilitem melhor qualidade de vida para a gestante.


Subject(s)
Humans , Female , Pregnancy , Adult , Pregnancy Complications/diagnosis , Pregnancy Complications/epidemiology , Low Back Pain/diagnosis , Low Back Pain/epidemiology , Cross-Sectional Studies , Cohort Studies
19.
Med. Afr. noire (En ligne) ; 64(12): 577-584, 2017.
Article in French | AIM | ID: biblio-1266270

ABSTRACT

La lombalgie commune constitue un problème de santé majeur en milieu professionnel. Objectifs : Décrire les caractéristiques épidémiologiques des ouvriers, déterminer le taux de prévalence de la lombalgie commune, identifier les facteurs de risques professionnels et décrire les conséquences. Méthodes : L'étude, transversale et analytique a été conduite du 1er février au 30 mai 2015. Elle a inclus les maçons, menuisiers et ferrailleurs répondant aux conditions de sélection. Les variables ont été recueillies à partir du questionnaire nordique modifié et adapté au contexte de l'étude. Résultats : Sur un effectif de 675 ouvriers spécialisés, 158 étaient éligibles (35,3%). La moyenne d'âge était de 33,1 ± 6,9 ans, avec des extrêmes de 20 et 58 ans ; ils étaient à 98,10% des hommes ; La moyenne d'ancienneté professionnelle était de 9,3 ± 6,6 ans, la durée hebdomadaire moyenne de travail de 44,8 ± 2,9 heures. Le taux de prévalence était de 82,3% ; en effet, 130 ouvriers sur 158 étaient lombalgiques. Les facteurs individuels étudiés n'étaient corrélés à la lombalgie. La catégorie professionnelle des menuisiers, la position debout et la durée hebdomadaire de travail prolongée au-delà de 40 heures étaient significativement liés à la lombalgie. Des 130 ouvriers lombalgiques, 43 ont bénéficié d'un arrêt de travail (33,8%). Le nombre total de journées de travail perdues a été estimé à 380. La durée moyenne d'arrêt de travail était de 15,2 ± 4 jours. La lombalgie a imposé une restriction d'activités courantes chez 49,2% des ouvriers et chez 7 (5,4%) un changement de poste. Conclusion : La prévalence des lombalgies communes est très élevée chez les ouvriers spécialisés dans cette entreprise de BTP. Elles sont positivement corrélées à des facteurs professionnels qui doivent faire l'objet des mesures de prévention


Subject(s)
Low Back Pain/epidemiology , Occupational Diseases/complications , Occupational Exposure , Prevalence , Risk Factors
20.
Rev. bras. reumatol ; 56(4): 330-336, July-Aug. 2016. tab, graf
Article in English | LILACS | ID: lil-792769

ABSTRACT

ABSTRACT Objective: To evaluate the prevalence of anxiety, depression and kinesiophobia and their association with the symptoms of low back pain. Methods: A total of 65 patients were divided into three groups: Organic, Amplified Organic and Non-Organic. They answered the Beck Anxiety Inventory, Beck Depression Inventory and Tampa Scale of Kinesiophobia and were evaluated according to their pain level using the Visual Analogic Scale. Results: The average kinesiophobia scores of the patients in the Organic, Amplified Organic and Non-Organic groups were 36.26, 36.21 and 23.06 points, respectively. Patients who were classified into the Organic group experienced the most kinesiophobia out of all three groups (p = 0.007). The average anxiety scores of the patients in the Organic, Amplified Organic and Non-Organic groups were 33.17, 32.79 and 32.81 points, respectively, with no significant difference among the groups (p = 0.99). The average depression scores of the patients in the Organic, Amplified Organic and Non-Organic groups were 32.54, 28.79 and 37.69 points, respectively, with no significant difference among the groups (p = 0.29). Conclusion: There was no association between the groups and anxiety and depression. However, there was a positive correlation between kinesiophobia and the Organic group. Studies of other patient samples are needed to confirm the reproducibility and validity of these data in other populations.


RESUMO Objetivo: Avaliar a prevalência de ansiedade, depressão e cinesiofobia e sua associação com os sintomas da lombalgia. Métodos: Foram divididos 65 pacientes em três grupos: orgânicos, orgânicos amplificados e não orgânicos. Eles responderam ao Inventário de Ansiedade de Beck, Inventário de Depressão de Beck e Escala de Cinesiofobia de Tampa e foram avaliados de acordo com seu nível de dor pela Escala Análogo-Numérica. Resultados: Os escores médios de cinesiofobia dos pacientes dos grupos orgânicos, orgânicos amplificados e não orgânicos foram de 36,26, 36,21 e 23,06 pontos, respectivamente. Os pacientes que foram classificados no grupo orgânicos experimentaram maior cinesiofobia dentre os três grupos (p = 0,007). Os escores médios de ansiedade dos pacientes dos grupos orgânicos, orgânicos amplificados e não orgânicos eram de 33,17, 32,79 e 32,81 pontos, respectivamente, não houve diferença significativa entre os grupos (p = 0,99). Os escores médios de depressão dos pacientes dos grupos orgânicos, orgânicos amplificados e não orgânicos foram de 32,54, 28,79 e 37,69 pontos, respectivamente, não houve diferença significativa entre os grupos (p = 0,29). Conclusão: Não houve associação entre os grupos e a ansiedade e a depressão. No entanto, houve uma correlação positiva entre a cinesiofobia e o grupo orgânicos. São necessários estudos com outras amostras de pacientes para confirmar a reprodutibilidade e a validade desses dados em outras populações.


Subject(s)
Anxiety/epidemiology , Low Back Pain/epidemiology , Depression/epidemiology , Movement , Anxiety/psychology , Phobic Disorders/psychology , Pain Measurement , Prevalence , Reproducibility of Results , Depression/psychology , Fear/psychology
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