Low Back Pain in People With Lower Limb Amputation: A Cross-Sectional Study.
Spine (Phila Pa 1976)
; 47(22): 1599-1606, 2022 Nov 15.
Article
in English
| MEDLINE | ID: covidwho-2135625
ABSTRACT
STUDY DESIGN:
A cross-sectional study based on an online questionnaire.OBJECTIVE:
The aim was to investigate the prevalence and intensity of low back pain (LBP) in people with lower limb amputation (LLA) and to analyze the association factors that can influence the genesis of LBP. SUMMARY OF BACKGROUND DATA It is still unclear whether LBP is more prevalent in the amputated population than in its nonamputated counterpart. Given the multifactorial nature of LBP, it is necessary to explore possible factors that can influence its presence and intensity, to build a solid background to define a better rehabilitation pathway for the management of these people.METHODS:
The online questionnaire included six sections informed consent of the study, demographic information, comorbid conditions, history of LLA, history of LBP, and acceptance of the amputation.RESULTS:
Between March and June 2021, 239 participants [mean age (SD) 49.2 (11.5); female 11%] completed the survey (response rate 32%). From the results of this study, LBP in LLA showed a prevalence of 82% postamputation and 70% in the last year. A logistic regression with a backward method showed that participants who had problems in the not affected leg presented 1.58 (95% confidence interval 0.70; 2.45) times higher odds to have LBP after the amputation.CONCLUSION:
This study shows that the prevalence of LBP in lower limb amputees appears to be higher than in the general population, with similar levels of pain intensity and frequency. The highest percentage of people with a sedentary lifestyle not practicing any kind of sports emphasizes the importance of educating this population on the importance of physical activity. New strategies to invest in the education of this population in terms of physical activity are needed. LEVEL OF EVIDENCE Level 4.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Low Back Pain
/
Amputees
Type of study:
Observational study
/
Prognostic study
/
Randomized controlled trials
Limits:
Female
/
Humans
Language:
English
Journal:
Spine (Phila Pa 1976)
Year:
2022
Document Type:
Article
Affiliation country:
BRS.0000000000004422
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