Assessment of physical activity in patients with chronic low back or neck pain

ARDA, M. Nuri; KARA, Bilge; SOYSAL TOMRUK, MELDA

Assessment of physical activity in patients with chronic low back or neck pain

MELDA SOYSAL TOMRUK, (Dokuz Eylül Üniversitesi, Tıp Fakültesi, Fizik Tedavi ve Rehabilitasyon Anabilim Dalı, İzmir, Türkiye)

Bilge KARA, (Dokuz Eylül Üniversitesi, Tıp Fakültesi, Fizik Tedavi ve Rehabilitasyon Anabilim Dalı, İzmir, Türkiye)

M. Nuri ARDA (Dokuz Eylül Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, İzmir, Türkiye)

Turkish Neurosurgery

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Yıl: 2013 Cilt: 23 Sayı: 1 Sayfa Aralığı: 75 - 80 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Assessment of physical activity in patients with chronic low back or neck pain

Öz:

AMAÇ: Kronik bel-boyun ağrılı hastalarda fiziksel aktivite düzeyinin değerlendirilmesidir. YÖNTEM ve GEREÇLER: Çalışmamıza operasyon planlanan 32, ayaktan poliklinik kontrolüne gelen KBBA’sı olan 32 olgu ve 32 kontrol alınmıştır. Olguların fiziksel aktivite düzeyleri ‘Uluslararası Fiziksel Aktivite Anketi’ ile ölçüldü. Özürlülük düzeylerinin değerlendirmesinde ‘Oswestry Disabilite İndeksi ve ‘Neck Pain Disability Index’, yaşam kalitesi ölçümünde ‘Kısa Form-36, uyku değerlendirmesinde ‘Pittsburgh Uyku Kalite İndeksi, depresyon düzeylerinin ölçümünde ‘Beck Depresyon Ölçeği’ kullanıldı. BULGULAR: Gruplar arasında özürlülük, uyku kalitesi, depresyon, fiziksel aktivite düzeyi ve yaşam kalitesi ölçeğinin alt parametrelerinde anlamlı fark bulundu (p<0,05). Preoperatif hastaların uyku kalitesi dışındaki tüm değerlendirme sonuçları ayaktan gelen hastalardan anlamlı ölçüde düşüktü (p<0,05). Boyun hastalarının uyku kalitesi, özürlülük ve depresyon skorları bel ağrılı hastalardan anlamlı ölçüde düşük, yaşam kalitesi ve fiziksel aktivite düzeyleri anlamlı ölçüde yüksek bulundu (p<0,05). SONUÇ: Kronik bel ve boyun ağrılı hastaların fiziksel aktivite düzeylerinde değişiklikler bulunmuştur. Bel ağrısı olup operasyon planlanan hastaların boyun hastalarına göre fiziksel aktivite düzeyi, özürlülük, uyku, depresyon, yaşam kalitesi parametreleri daha fazla etkilenmiştir.

Anahtar Kelime:

Konular: Cerrahi

Kronik bel boyun ağrılı hastalarda fiziksel aktivitenin değerlendirilmesi

Öz:

AIM: To investigate physical activity level in patients with chronic low back and neck pain. MaterIal and Methods: 32 preoperative patients, 32 outpatients with low back or neck pain and 32 healthy controls were included in study. The physical activity level of the participants was evaluated with the International Physical Activity Questionnaire. The Oswestry Disability Index and Neck Pain Disability Index, Short Form-36, Pittsburgh Sleep Quality Index and Beck Depression Inventory were used for assessment of disability, quality of life, sleep quality and depression. Results: Statistical significant differences was found in disability, sleep quality, depression, physical activity level and quality of life scores between three groups (p<0.05). All scores of preoperative patients were significantly lower than outpatients except sleep parameter (p<0.05). Sleep quality, disability and depression scores of patients with chronic neck pain were significantly lower and physical activity level and quality of life scores were significantly higher than patients’ with chronic low back pain (p<0.05). ConclusIon: Physical activity modification was found in patients with chronic low back and neck pain. Physical activity level, disability, sleep, depression and quality of life scores of preoperative patients with low back pain more affected than neck patients.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Abenhaim L, Rossignol M, Valat JP, Nordin M, Avouac B, Blotman F, Charlot J, Dreiser RL, Legrand E, Rozenberg S, Vautravers P: The role of activity in the therapeutic management of back pain. Report of the International Paris Task Force on Back Pain. Spine 25: 1–33, 2000
2. Ainsworth BE, Youmans CP: Tools for physical activity counseling in medical practice. Obes Res 10 (suppl 1): 69–75, 2002
3. Auvinen J, Tammelin T, Taimela S, Zitting P, Karppinen J: Associations of physical activity and inactivity with low back pain in adolescents. Scand J Med Sci Sports 18: 188–194, 2008
4. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J: An inventory for measuring depression. Arch Gen Psychiatry 4: 561–571, 1961
5. Bousema EJ, Verbunt JA, Seelen HAM, Vlaeyen JWS, Andre Knottnerus J: Disuse and physical deconditioning in the first year after the onset of back pain. Pain 130: 279–286, 2007
6. Campello M, Nordin M, Weiser S: Physical exercise and low back pain. Scand J Med Sci Sports 6: 63–72, 1996
7. Convertino VA, Bloomfield SA, Greenleaf JE: An overview of the issues: Physiological effects of bed rest and restricted physical activity. Med Sci Sports Exerc 29: 187–190, 1997
8. Coˆte ́ P, van der Velde G, Cassidy JD, Carroll LJ, Hogg-Johnson S, Holm LW, Garragee EJ, Haldeman S, Nordin M, Hurwitz EL, Guzman J, Peloso PM: The burden and determinants of neck pain in workers. Results of the bone and joint decade 2000– 2010 task force on neck pain and its associated disorders. Eur Spine J 17: 60–74, 2008
9. Craig C, Marshall A, Sjostrom M, Bauman A, Booth M, Ainsworth B, Pratt M, Ekelund U, Yngve A, Sallis JF, Oja P: International Physical Activity Questionnaire: 12 country reliability and validity. Med Sci Sports Exerc 35 (8): 1381-1395, 2003
10. Currie SR, Wilson KG, Curran D: Clinical significance and predictors of treatment response to cognitive behavioral therapy for insomnia secondary to chronic pain. Journal of Behavioral Medicine 25: 135-153, 2002
11. Fairbank J, Pynsent P: The Oswestry Disability Index. Spine 25: 2940-2953, 2000
12. Geisser ME, Robinson ME, Miller QL, Bade SM: Psychosocial factors and functional capacity evaluation among persons with chronic pain. J Occup Rehabil 13: 259–276, 2003
13. Greenleaf JE: Intensive exercise training during bed rest attenuates deconditioning. Med Sci Sports Exerc 29: 207–215, 1997
14. Hall AM, Kamper SJ, Maher CG, Latimer J, Ferreira ML, Nicholas MK: Symptoms of depression and stres mediate the effect of pain on disability. Pain 152: 1044-1051, 2011
15. Harreby M, Hesselsoe G, Kjer J, Neergaard K: Low back pain and physical exercise in leisure time in 38-year-old men and women: A 25-year prospective cohort study of 640 school children. Eur Spine J 6: 181–186, 1997
16. Hartvigsen J, Christensen K: Active lifestyle protects against incident low back pain in seniors: A population-based 2-year prospective study of 1387 Danish twins aged 70–100 years. Spine 32: 76–81, 2007
17. Hasenbring M, Marienfeld G, Kuhlendahl D, Soyka D: Risk factors of chronicity in lumbar disc patients. A prospective investigation of biologic, psychologic, and social predictors of therapy outcome. Spine 19: 2759–2765, 1994
18. Hisli N: Reliability and validity of Beck Depression Inventory among university students. J Turk Psychol 7: 3-13, 1989
19. Hogg-Johnson S, van der Velde G, Carroll LJ, Holm LW, Cassidy JD, Guzman J, Cote P, Haldeman S, Ammendolia C, Carragee E, Hurwitz E, Nordin M, Peloso P: The burden and determinants of neck pain in the general population. Results of the bone and joint decade 2000–2010 task force on neck pain and its associated disorders. Eur Spine J 17: 39–51, 2008
20. Hoogendoorn WE, van Poppel MN, Bongers PM, Koes BW, Bouter LM: Physical load during work and leisure time as risk factors for back pain. Scand J Work Environ Health 25: 387–403, 1999
21. Hoogendoorn WE, Bongers PM, Vet de HCW, van Mechelen W, Bouter LM: High physical work load and low job satisfaction increase the risk of sickness absence due to low back pain: Results of a prospective cohort study. Occup Environ Med 59: 323–328, 2002
22. Hurwitz EL, Morgenstern H, Chias C: Effects of recreational physical activity and back exercises on low back pain and psychological distress: Findings from UCLA Low Back Pain Study. Am J Public Health 95: 1817–1824, 2005
23. Jacob T, Baras M, Zeev A, Epstein L: Physical activities and low back pain: A community-based study. Med Sci Sports Exerc 36: 9–15, 2004
24. Kocyigit H, Aydemir O, Fisek G, Olmez N, Memis A: Kısa Form- 36’nin Turkce versiyonunun guvenilirligi ve gecerliligi. Ilac ve Tedavi Dergisi 12: 102-106, 1999
25. Koes B, van Tulder M, Lin C, Macedo L, McAuley JH, Maher C: An updated overview of clinical guidelines for the manage- ment of nonspecific low back pain in primary care. Eur Spine J 19: 2075–2094, 2010
26. Kujala UM, Taimela S, Viljanen T, Jutila H, Viitasalo JT, Videman T, Battié MC: Physical loading and performance as predictors of back pain in healthy adults: A 5-year prospective study. Eur J Appl Physiol 73: 452–458, 1996
27. Lin CWC, McAuley JH, Macedo L, Barnett DC, Smeets RJ, Verbunt JA: Relationship between physical activity and disability in low back pain: A systematic review and meta- analysis. Pain 152: 607-613, 2011
28. Marchand F, Perretti M, McMahon SB: Role of the immune system in chronic pain. Nat Rev Neurosci 6: 521–532, 2005
29. Marty M, Rozenberg S, Duplan B, Thomas P, Duquesnoy B, Allaert F: Quality of sleep in patients with chronic low back pain: a case–control study. Eur Spine J 17: 839–844, 2008
30. Mayer T, Tabor J, Bovasso E, Gatchel RJ: Physical progress and residual impairment quantification after functional restoration. Part 1: lumbar mobility. Spine 19: 389–394, 1994
31. Menefee LA, Cohen MJ, Anderson WR, Doghramji K, Frank ED, Lee H: Sleep disturbance and nonmalignant chronic pain: A comprehensive review of the literature. Pain Med 1: 156-172, 2000
32. Mikkelsson LO, Nupponen H, Kaprio J, Kautiainen H, Kujala UM: Adolescent flexibility, endurance strength, and physical activity as predictors of adult tension neck low back pain, and knee injury: a 25-year follow up study. Br J Sports Med 40: 107–113, 2006
33. Moldofsky H: Sleep and pain. Sleep Med Rev 5: 385-396, 2001 34. Morin CM, Gibson D, Wade J: Self-reported sleep and mood disturbance in chronic pain patients. Clin J Pain 14: 311-314, 1998
35. Mouton CP, Calmbach WL, Dhanda R, Espino DV, Hazuda H: Barriers and benefits to leisure-time physical activity among older Mexican Americans. Arch Fam Med 9: 892–897, 2000
36. Musacchia XJ, Steffen JM, Fell RD: Disuse atrophy of skeletal muscle: Animal models. Exerc Sport Sci Rev 16: 61–87, 1988
37. Neerinckx E, Van Houdenhove B, Lysens R, Vertommen H, Onghena P: Attributions in chronic fatigue syndrome and fibromyalgia syndrome in tertiary care. J Rheumatol 27: 1051–1055, 2000
38. Pincus T, Vogel S, Burton AK, Santos R, Field AP: Fear avoidance and prognosis in back pain—a systematic review and synthesis of current evidence. Arthritis Rheum 54: 3999–4010, 2006
39. Pratley R, Nicklas B, Rubin M, Miller J, Smith A, Smith M, Hurley B, Goldberg A: Strength training increases resting metabolic rate and norepinephrine levels in healthy 50- to 65-yr-old men. J Appl Physiol 76: 133–137, 1994
40. Sjolie AN: Associations between activities and low back pain in adolescents. Scand J Med Sci Sports 14: 352–359, 2004
41. Smith MT, Haythornthwaite JA: How do sleep disturbance and chronic pain inter-relate? Insights from the longitudinal and cognitive behavioral clinical trials literature. Sleep Med Rev 8: 119-132, 2004
42. Tucer B, Yalcin BM, Ozturk A, Mazicioglu MM, Yilmaz Y, Kaya M: Risk factors for low back pain and its relation with pain related disability and depression in a Turkish sample. Turk Neurosurg 19: 327–332, 2009
43. van der Berg-Emons RJ, Schasfoort FC, de Vos LA, Bussmann JB, Stam HJ: Impact of chronic pain on everyday physical activity. Eur J Pain 11: 587–593, 2007
44. van Tulder MW, Koes BW, Bouter LM: A cost-of-illness study of back pain in the Netherlands. Pain 62: 233–240, 1995
45. van Weering M, Vollenbroek-Hutten MMR, Kotte Roessingh MMR, Hermens HJ: Daily physical activities of patients with chronic pain or fatigue versus asymptomatic controls. A systematic review. Clin Rehabil 21: 1007–1023, 2007
46. Vernon H, Mior S: The neck disability index: A study of reliability and validity. J Manipulative Physiol Ther 14 (7): 409-415, 1991
47. Vlaeyen JW, Kole-Snijders AM, Boeren RG, van Eek H: Fear of movement/ (re)injury in chronic low back pain and its relation to behavioral performance. Pain 62: 3–72, 1995
48. Watkins LR, Maier SF: The pain of being sick: Implications of immune-to-brain communication for understanding pain. Annu Rev Psychol 51: 29–57, 2000
49. Wessely S, Butler S, Chalder T, David A: The cognitive behavioural management of post-viral fatigue syndrome. Wiley 305–315, 1991
50. Wolff R, Clar C, Lerch C, Kleijnen J: Epidemiology of chronic non-malignant pain in Germany. Schmerz 25: 26–44, 2011
51. Yakut E, Duger T, Oksuz C, Yorukan S, Ureten K, Turan D, Firat T, Kiraz S, Krd N, Kayhan H, Yakut Y, Guler C: Validation of the Turkish version of the Oswestry Disability Index for patients with low back pain. Spine 29 (5): 581-585, 2004

APA	SOYSAL TOMRUK M, KARA B, ARDA M (2013). Assessment of physical activity in patients with chronic low back or neck pain. , 75 - 80.
Chicago	SOYSAL TOMRUK MELDA,KARA Bilge,ARDA M. Nuri Assessment of physical activity in patients with chronic low back or neck pain. (2013): 75 - 80.
MLA	SOYSAL TOMRUK MELDA,KARA Bilge,ARDA M. Nuri Assessment of physical activity in patients with chronic low back or neck pain. , 2013, ss.75 - 80.
AMA	SOYSAL TOMRUK M,KARA B,ARDA M Assessment of physical activity in patients with chronic low back or neck pain. . 2013; 75 - 80.
Vancouver	SOYSAL TOMRUK M,KARA B,ARDA M Assessment of physical activity in patients with chronic low back or neck pain. . 2013; 75 - 80.
IEEE	SOYSAL TOMRUK M,KARA B,ARDA M "Assessment of physical activity in patients with chronic low back or neck pain." , ss.75 - 80, 2013.
ISNAD	SOYSAL TOMRUK, MELDA vd. "Assessment of physical activity in patients with chronic low back or neck pain". (2013), 75-80.

APA	SOYSAL TOMRUK M, KARA B, ARDA M (2013). Assessment of physical activity in patients with chronic low back or neck pain. Turkish Neurosurgery, 23(1), 75 - 80.
Chicago	SOYSAL TOMRUK MELDA,KARA Bilge,ARDA M. Nuri Assessment of physical activity in patients with chronic low back or neck pain. Turkish Neurosurgery 23, no.1 (2013): 75 - 80.
MLA	SOYSAL TOMRUK MELDA,KARA Bilge,ARDA M. Nuri Assessment of physical activity in patients with chronic low back or neck pain. Turkish Neurosurgery, vol.23, no.1, 2013, ss.75 - 80.
AMA	SOYSAL TOMRUK M,KARA B,ARDA M Assessment of physical activity in patients with chronic low back or neck pain. Turkish Neurosurgery. 2013; 23(1): 75 - 80.
Vancouver	SOYSAL TOMRUK M,KARA B,ARDA M Assessment of physical activity in patients with chronic low back or neck pain. Turkish Neurosurgery. 2013; 23(1): 75 - 80.
IEEE	SOYSAL TOMRUK M,KARA B,ARDA M "Assessment of physical activity in patients with chronic low back or neck pain." Turkish Neurosurgery, 23, ss.75 - 80, 2013.
ISNAD	SOYSAL TOMRUK, MELDA vd. "Assessment of physical activity in patients with chronic low back or neck pain". Turkish Neurosurgery 23/1 (2013), 75-80.