Self-reported physical activity level and associated factors among patients with non-specific chronic low back pain

Ezeukwu, Antoninus Obinna; Ebisike, Gideon; John, Jeneviv Nene; Okezue, Obinna; John, Davidson Okwudili

doi:10.30476/jrsr.2019.44717

Document Type : Original Articles

Authors

¹ Department of Medical Rehabilitation, Faculty of Health Sciences and Technology, College of medicine, University of Nigeria, Enugu campus, Nigeria.

² Department of physiotherapy, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria

https://doi.org/10.30476/jrsr.2019.44717

Abstract

Background: Non-Specific chronic low back pain (NSCLBP) is a common musculoskeletal disorder that leads to impaired physical activity (PA) level and functional limitation, which might cause disability. This study evaluated the self-reported PA level and associated factors among NSCLBP patients.
Methods: This cross-sectional study involved 57 patients purposively recruited from the out-patient physiotherapy clinics of two tertiary hospitals. A self-structured questionnaire, long form of International Physical Activity Questionnaire, Roland Morris Disability Questionnaire and Modified Assessing Levels of Physical Activity and fitness (ALPHA) environmental questionnaires were administered to assess the patient’s socio- demographic/clinical profile, PA level, disability level and environmental characteristics respectively. Pearson Chi-square and Spearman rank correlation were used to determine the associations between the variables of interest. Alpha level was set at p

Keywords

References

1. Balagué FI, Mannion AF, Pellisé F, Cedraschi C. Non-specific low back pain. Lancet 2012; l379 (9814): 482-91.

2. Stefane T, Munari dos Santos A, Marinovic A, Hortense P. Chronic low back pain: pain intensity, disability and quality of life. J Clin Nurs 2013; 26 (1): 19-22.

3. Koes B, Van Tulder M, Lin C, Macedo L, McAuley JH, Maher C. An updated overview of clinical guidelines for the management of nonspecific low back pain in primary care. Eur Spine J 2010; 19: 2075–2094.

4. Bouchard C, Shepherd RJ, Stephens T, editors. Physical Activity, Fitness and Health: International Proceedings and Consensus Statement. Champaign,IL: Human Kinetics; 1994. Pp 684-695.

5. Smuck M. Kao MC, Bar N, Martinez-Ith A, Chio J, Tomkins-Lane CC. Does physical activity influence the relationship between low back pain and obesity? Spine J 2014; 14 (2): 209-16.

6. Centers for Disease Control and Prevention (CDC). School health guidelines to promote healthy eating and physical activity. MMWR Recomm Rep. 2011; 60 (RR-5): 1-76.

7. Dijken BC, Fjellman-Wiklund A, Hildingsson C. Low back pain, lifestyle factors and physical activity: A population-based study. J Rehab Med 2008; 40 (10): 864-869.

8. Ortega FB, Ruiz JR, Castillo MJ, Sjöström M. Physical fitness in childhood and adolescence: a powerful marker of health. Int J Obes 2008; 32: 1-11.

9. Strong J, Ashton R, Chant D. Pain intensity measurement in chronic low back pain. Clin J Pain 1991; 7: 209–218.

10. Craig CL, Marshall AJ, Sjostrom M, Baumann AE, Borth ML, Ainsworth BE. International Physical activity questionnaire. 12-country reliability and validity. Med Sci Sports Exer 2003; 35 (8): 1381-1395.

11. Roland MO, Morris RW. A study of the natural history of back pain. Part I: Development of a reliable and sensitive measure of disability in low back pain. Spine 1983; 8: 141-144.

12. Brouwer S, Kuijer W, Dijkstra PU. Reliability and stability of the Roland Morris Disability Questionnaire: intra class correlation and limits of agreement. Disabil Rehabil 2004; 26 (3): 162-5.

13. Spittaels H, Verloigne M, Gidlow C, Gloanec J, Titze S, Foster C. Measuring physical activity-related environmental factors: reliability and predictive validity of the European environmental questionnaire. ALPHA 2010; 7 (1): 48.

14. Buchholz AC, Bartok C, and Schoeller DA, “The validity of bioelectrical impedance models in clinical populations,” Nutr Clin Pract 2004; 19 (5): 433–46.

15. Guidelines for Data Processing and Analysis of the International Physical Activity Questionnaire (IPAQ) – Short and Long Forms November 2005. Available from: http://www.academia.edu/5346814 [Accessed 7th October 2016].

16. Shakoor MA, Hug MN, Khan AA, Moyeenuzzamam M . Effects of ultrasound therapy (UST) in osteoarthritis of the knee joint.CM-O-S (child) Health J 2003; 1 (2): 11 – 16.

17. Sheikh JA and Abdul HR. Clinical pattern of chronic low back ache: A prospective study of 210 cases at a multidisciplinary hospita. JK – Practitioner2014; 19 (1-2): 21-27.

18. Rahman MM. (1999) Low back pain clinical analysis 342 cases. Bang Med Col J 1994; 2: 67-71.

19. Ojoawo A, Olaogun AM, and Bamiwoyec BS. Relationship between Pain Intensity and Anthropometric Indices in women with low back pain – A Cross – Sectional Study. J Phys Ther 2011; 3 (2): 45-51.

20. Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA. Physical activity and public health: updated recommendation for adults’ from the American College of Sports Medicine and the American Heart Association. CJ 2007; 116: 1081-93.

21. Rudy T, Weiner D, Lieber S, Slaboda J, Boston J. The impact of chronic low back pain on older adults: a comparative study of patients and controls. Pain 2007; 131 (3): 293-301.

22. Duque I, Para J, Duvallet A. Aerobic fitness and limiting factors of maximal performance in chronic low back pain patients. J Back Musculoskelet Rehabil 2009; 22: 113-119.

23. Hallal PC, Victora CG, Wells JC, Lima RC. Physical inactivity: prevalence and associated variables in Brazilian adults. Med Sci Sports Exerc 2003; 35: 1894-900.

24. Lela M, Frantz JM. The relationship between low back pain andphysical activity among nurses in kanombe military hospital. Afr J Physiother Rehabil Sci 2012; 4 (2): 63– 66.

25. Simmons KR, Sluijs EMF, Harderman W, Sutton S, Griffin SJG. Who will increase their physical activity? Predictors of change in objectively measured physical activity over 12 months in the ProActive cohort. BMC Public Health 2010; 10: 226. Available from: http://www.biomedcentral.com/1471-2458/10/226. [Assessed 7th October 2016].

26. Sjostrom M, Oja P, Hagstromer M, Smith B, Bauman A. Health-enhancing physical activity across European Union countries: the Eurobarometer study. Am J Public Health 2006; 14: 291-300.

27. Hendrick P, Milosavljevic S, Hale L, Hurley DA, McDonough S, Ryan B et al. The relationship between physical activity and low back pain outcomes: a systematic review of observational studies. Eur Spine J 2010; 20 (3): 464-474.

28. Motl RW, Arnett PA, Smith MM, Barwick FH, Ahlstrom B, Stover EJ. Worsening of symptoms is associated with lower physical activity levels in individuals with multiple sclerosis. Mult Scler 2008; 14: 140-142.

29. Marrie R, Horwitz R, Cutter G, Tyry T, Campagnolo D, Vollmer T. High frequency of adverse health behaviors in multiple sclerosis. Mult Scler 2009; 15: 105-113.

30. Saelens B, Sallis J, Frank L. Environmental correlates of walking and cycling: findings from the transportation, urban design and planning literatures. Ann Behav Med 2003; 25 (2): 80-91.

31. Huston SL, Evenson KR, Bors P, Gizlice Z. Neighborhood Environment, Access to Places for Activity, and Leisure-time Physical Activity in a Diverse North Carolina Population. AJHP 2003; 18 (1): 58-69.

Journal of Rehabilitation Sciences & Research

Self-reported physical activity level and associated factors among patients with non-specific chronic low back pain

References

References

Volume 6, Issue 1 - Serial Number 1
March 2019
Pages 6-14

Self-reported physical activity level and associated factors among patients with non-specific chronic low back pain

References

References

Volume 6, Issue 1 - Serial Number 1March 2019Pages 6-14

Volume 6, Issue 1 - Serial Number 1
March 2019
Pages 6-14