scholarly journals The Relationship Between Pain and Psychological and Cognitive Status in Patients with Acute Low Back Pain: A Cross-Sectional Study

2021 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
Osman Ersegun Batcik ◽  
Bulent Ozdemir
2013 ◽  
Vol 93 (12) ◽  
pp. 1615-1624 ◽  
Author(s):  
Andrew J. Baird ◽  
Roger A. Haslam

Background Beliefs, cognitions, and behaviors relating to pain can be associated with a range of negative outcomes. In patients, certain beliefs are associated with increased levels of pain and related disability. There are few data, however, showing the extent to which beliefs of patients differ from those of the general population. Objective This study explored pain beliefs in a large nonclinical population and a chronic low back pain (CLBP) sample using the Pain Beliefs Questionnaire (PBQ) to identify differences in scores and factor structures between and within the samples. Design This was a cross-sectional study. Methods The samples comprised patients attending a rehabilitation program and respondents to a workplace survey. Pain beliefs were assessed using the PBQ, which incorporates 2 scales: organic and psychological. Exploratory factor analysis was used to explore variations in factor structure within and between samples. The relationship between the 2 scales also was examined. Results Patients reported higher organic scores and lower psychological scores than the nonclinical sample. Within the nonclinical sample, those who reported frequent pain scored higher on the organic scale than those who did not. Factor analysis showed variations in relation to the presence of pain. The relationship between scales was stronger in those not reporting frequent pain. Limitations This was a cross-sectional study; therefore, no causal inferences can be made. Conclusions Patients experiencing CLBP adopt a more biomedical perspective on pain than nonpatients. The presence of pain is also associated with increased biomedical thinking in a nonclinical sample. However, the impact is not only on the strength of beliefs, but also on the relationship between elements of belief and the underlying belief structure.


2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Arambula Pena MA ◽  
◽  
Bermudez Villalpando VI ◽  
Arambula Villa G ◽  
Antunez Ruiz VC ◽  
...  

Background: Acute low back pain is an important public health problem in the world that affects economically active people; this condition generates an increase in the use of resources through the payment of subsidies and loss of working days. Aim: The purpose of this study is to know the compliance and adherence to the regulations in the prescription of incapacities in patients with acute low back pain. Design and Setting: Descriptive cross-sectional study. Methods: Descriptive cross-sectional study. A non-probability sampling was carried out in patients with temporary incapacity for work; medical care was evaluated through the Unique Process Evaluation Form (CUEP) for prescription of incapacity to obtain the percentage of compliance through an assessment scale. Results: Of the 10 items that make up the CUEP, four of them showed results in green, five in yellow and one in red. Conclusion: Compliance with regulations was partially achieved (73%). There are areas of opportunity in the continuous improvement of medical attention focused on incapacity, the permanent application of this evaluation instrument will allow to achieve that objective.


2020 ◽  
Vol 138 (4) ◽  
pp. 287-296
Author(s):  
Luiza Faria Teixeira ◽  
Juliano Bergamaschine Mata Diz ◽  
Silvia Lanziotti Azevedo da Silva ◽  
Joana Ude Viana ◽  
João Marcos Domingues Dias ◽  
...  

2019 ◽  
Vol 20 (7) ◽  
pp. 819-829 ◽  
Author(s):  
Wei-Ju Chang ◽  
Valentina Buscemi ◽  
Matthew B. Liston ◽  
James H. McAuley ◽  
Paul W. Hodges ◽  
...  

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
R. Meier ◽  
C. Emch ◽  
C. Gross-Wolf ◽  
F. Pfeiffer ◽  
A. Meichtry ◽  
...  

Abstract Background Low back pain (LBP) is one of the most common musculoskeletal disorders, causing significant personal and social burden. Current research is focused on the processes of the central nervous system (particularly the sensorimotor system) and body perception, with a view to developing new and more efficient ways to treat chronic low back pain (CLBP). Several clinical tests have been suggested that might have the ability to detect alterations in the sensorimotor system. These include back-photo assessment (BPA), two-point discrimination (TPD), and the movement control tests (MCT). The aim of this study was to determine whether the simple clinical tests of BPA, TPD or MCT are able to discriminate between nonspecific CLBP subjects with altered body perception and healthy controls. Methods A cross-sectional study was conducted. At one point in time, 30 subjects with CLBP and 30 healthy controls were investigated through using BPA, TPD and MCT on the lower back. Correlations among the main covariates and odds ratios for group differences were calculated. Results MCT showed an odds ratio for the presence of CLBP of 1.92, with a statistically significant p-value (0.049) and 95%CI. The TPD and BPA tests were unable to determine significant differences between the groups. Conclusions Of the three tests investigated, MCT was found to be the only suitable assessment to discriminate between nonspecific CLBP subjects and healthy controls. The MCT can be recommended as a simple clinical tool to detect alterations in the sensorimotor system of nonspecific CLBP subjects. This could facilitate the development of tailored management strategies for this challenging LBP subgroup. However, further research is necessary to elucidate the potential of all the tests to detect alterations in the sensorimotor system of CLBP subjects. Trial registration No trial registration was needed as the study contains no intervention. The study was approved by the Swiss Ethics Commission of Northwest and Central Switzerland (EKNZ) reference number 2015–243.


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