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Duque Vera IL, Urrutia Illera IM. Level of physical activity and degree of disability in patients with chronic low back pain. Hacia Promoc. Salud [Internet]. 2017 Jan. 1 [cited 2024 Nov. 23];22(1):113-22. Available from: https://revistasojs.ucaldas.edu.co/index.php/hacialapromociondelasalud/article/view/3699
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Abstract
Objective: To determine the level of physical activity and the level of disability in patients with chronic low back pain in a Colombian population and to establish the possible association between these variables. Materials and Methods: In an outpatient rehabilitation unit in Manizales (Colombia), patients with chronic low back pain completed both the Baecke Physical Activity Questionnaire and Oswestry Lumbar Pain Inability. Results: A total of 125 patients participated in the study. The average value of the Baecke index was 7.9 ± 0.9, with values for men and women of 7.8 ± 0.1 and 8.0 ± 0.7 respectively, without being able to demonstrate a statistically significant difference between the Sexes. The average value of the Oswestry index was 40.7 ± 18.3 with average values for males and females of 38.4 ± 18.8 and 42.4±17.7 respectively. There was no statistically significant difference between the sexes. A Pearson correlation coefficient > 0.05 showed no relationship between the level of physical activity and the degree of disability in the patients. Conclusions: Results describe a population of patients with chronic low back pain who, compared to other studies in these patients, may be considered as more active and less disabled but in which there is no correlation between the level of physical activity and the degree of disability. Thus, patients with chronic low back pain appear to vary physical activity levels independently of the degree of disability.
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References
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16. Dale D, Welk G, Mattews C. Methods for assessing physical activity and challenges for research: Welk GJ. Champaign Human Kinetics; 2002.
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26. Heneweer H, Staes F, Aufdemkampe G, van Rijn M, Vanhees L. Physical activity and low back pain: a systematic review of recent literature. Eur Spine J. 2011 Jun; 20(6):826-45.
27. Pinto RZ, Ferreira PH, Kongsted A, Ferreira ML, Maher CG, Kent P. Self-reported moderate-to-vigorous leisure time physical activity predicts less pain and disability over 12 months in chronic and persistent low back pain. Eur J Pain. 2014 Sep; 18(8):1190-8.
28. van Weering M, Vollenbroek-Hutten MM, Kotte EM, Hermens HJ. Daily physical activities of patients with chronic pain or fatigue versus asymptomatic controls. A systematic review. Clin Rehabil. 2007 Nov; 21(11):1007-23.
29. Miranda H, Viikari-Juntura E, Punnett L, Riihimaki H. Occupational loading, health behavior and sleep disturbance as predictors of low-back pain. Scand J Work Environ Health. 2008 Dec; 34(6):411-9.
30. Heneweer H, Vanhees L, Picavet HS. Physical activity and low back pain: a U-shaped relation? Pain. 2009 May; 143(1-2):21-5.
31. Smeets RJ, Wittink H, Hidding A, Knottnerus JA. Do patients with chronic low back pain have a lower level of aerobic fitness than healthy controls?: are pain, disability, fear of injury, working status, or level of leisure time activity associated with the difference in aerobic fitness level? Spine. 2006 Jan 1; 31(1):90-7; discussion 8.
32. Fairbank JC, Couper J, Davies JB, O'Brien JP. The Oswestry low back pain disability questionnaire. Physiotherapy. 1980 Aug; 66(8):271-3.
33. Sanderson PL, Todd BD, Holt GR, Getty CJ. Compensation, work status, and disability in low back pain patients. Spine (Phila Pa 1976). 1995 Mar 01; 20(5):554-6.
34. Lin C, McAuley J, Macedo L, Barnett D, Smeets R, Verbunt J. Relationship between physical activity and disability in low back pain: a systematic review and meta-analysis. Pain. 2010; 152(3):607-13.
35. Chou R. Low back pain (chronic). Am Fam Physician. 2011; 84(4):437-8.
36. Carlsson AM. Assessment of chronic pain. I. Aspects of the reliability and validity of the visual analogue scale. Pain. 1983 May; 16(1):87-101.
37. Nederlandse V. Nederlandse Voedingsmiddelentabel. 32 ed: Gravenhage; 1979.
38. Durning J, Passmore R. Energy, work and leisure. 1st ed. London; 1967.
39. Fritz JM, Irrgang JJ. A comparison of a modified Oswestry Low Back Pain Disability Questionnaire and the Quebec Back Pain Disability Scale. Phys Ther. 2001 Feb; 81(2):776-88.
2. Ainsworth BE, Youmans CP. Tools for physical activity counseling in medical practice. Obes Res. 2002 Nov; 10 Suppl 1:69S-75S.
3. Manchikanti L, Singh V, Falco FJ, Benyamin RM, Hirsch JA. Epidemiology of low back pain in adults. Neuromodulation. 2014 Oct; 17 Suppl 2:3-10.
4. 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. 2008 Apr; 18(2):188-94.
5. Hoy D, Bain C, Williams G, March L, Brooks P, Blyth F, et al. A systematic review of the global prevalence of low back pain. Arthritis Rheum. 2012 Jun; 64(6):2028-37.
6. Poulain C, Kerneis S, Rozenberg S, Fautrel B, Bourgeois P, Foltz V. Long-term return to work after a functional restoration program for chronic low-back pain patients: a prospective study. Eur Spine J. 2010 Jul; 19(7):1153-61.
7. Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber-Moffett J, Kovacs F, et al. Chapter 4. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J. 2006 Mar; 15 Suppl 2: S192-300.
8. Rodrigues-De-Souza DP, Fernandez-De-Las-Peñas C, Martín-Vallejo FJ, Blanco-Blanco JF, Moro Gutiérrez L, Alburquerque-Sendín F. Differences in pain perception, health-related quality of life, disability, mood, and sleep between Brazilian and Spanish people with chronic non-specific low back pain. Braz J Phys Ther. 2016 Jun 16; 20(5):412-21.
9. Korovessis P, Repantis T, Zacharatos S, Baikousis A. Low back pain and sciatica prevalence and intensity reported in a Mediterranean country: ordinal logistic regression analysis. Orthopedics. 2012 Dec; 35(12): e1775-84.
10. Wise J. Physical activity programme reduces major disability in elderly people, study shows. Bmj. 2016 Sep 27; 354: i5262.
11. Coudeyre E, Tubach F, Rannou F, Baron G, Coriat F, Brin S, et al. Fear-avoidance beliefs about back pain in patients with acute LBP. Clin J Pain. 2007 Oct; 23(8):720-5.
12. Duque I, Parra JH, Duvallet A. Maximal aerobic power in patients with chronic low back pain: a comparison with healthy subjects. Eur Spine J. 2011 Jan; 20(1):87-93.
13. Notarnicola A, Fischetti F, Maccagnano G, Comes R, Tafuri S, Moretti B. Daily pilates exercise or inactivity for patients with low back pain: a clinical prospective observational study. Eur J Phys Rehabil Med. 2014 Feb; 50(1):59-66.
14. WHO. Steps to health. A European framework to promote physical activity for health. Copenhagen: World Health Organization Regional Office for Europe; 2007.
15. Chowdhury EA, Western MJ, Nightingale TE, Peacock OJ, Thompson D. Assessment of laboratory and daily energy expenditure estimates from consumer multi-sensor physical activity monitors. PLoS One. 2017; 12(2): e0171720.
16. Dale D, Welk G, Mattews C. Methods for assessing physical activity and challenges for research: Welk GJ. Champaign Human Kinetics; 2002.
17. Baecke JA, Burema J, Frijters JE. A short questionnaire for the measurement of habitual physical activity in epidemiological studies. Am J Clin Nutr. 1982 Nov; 36(5):936-42.
18. Vilaró J, Gimeno E, Sánchez N, Hernando C, Díaz I, Ferrer M, et al. Actividades de la vida diaria en pacientes con enfermedad pulmonar obstructiva crónica: validación de la traducción española y análisis comparativo de 2 cuestionarios. Med Clin. 2007; 129(9):232-6.
19. Jacobs DR, Jr., Ainsworth BE, Hartman TJ, Leon AS. A simultaneous evaluation of 10 commonly used physical activity questionnaires. Med Sci Sports Exerc. 1993 Jan; 25(1):81-91.
20. Cuppett M, Latin RW. A Survey of Physical Activity Levels of Certified Athletic Trainers. J Athl Train. 2002 Sep; 37(3):281-5.
21. Nielens H, Plaghki L. Cardiorespiratory fitness, physical activity level, and chronic pain: are men more affected than women? Clin J Pain. 2001 Jun; 17(2):129-37.
22. Harris A, Moe TF, Eriksen HR, Tangen T, Lie SA, Tveito TH, et al. Brief intervention, physical exercise and cognitive behavioural group therapy for patients with chronic low back pain (The CINS trial). Eur J Pain. 2017 Apr 27.
23. Abenhaim L, Rossignol M, Valat JP, Nordin M, Avouac B, Blotman F, et al. The role of activity in the therapeutic management of back pain. Report of the International Paris Task Force on Back Pain. Spine (Phila Pa 1976). 2000 Feb 15; 25(4 Suppl):1S-33S.
24. Heuch I, Heuch I, Hagen K, Zwart JA. Physical activity level at work and risk of chronic low back pain: A follow-up in the Nord-Trondelag Health Study. PLoS One. 2017; 12(4): e0175086.
25. Kim W, Jin YS, Lee CS, Hwang CJ, Lee SY, Chung SG, et al. Relationship between the type and amount of physical activity and low back pain in Koreans aged 50 years and older. Pm R. 2014 Oct; 6(10):893-9.
26. Heneweer H, Staes F, Aufdemkampe G, van Rijn M, Vanhees L. Physical activity and low back pain: a systematic review of recent literature. Eur Spine J. 2011 Jun; 20(6):826-45.
27. Pinto RZ, Ferreira PH, Kongsted A, Ferreira ML, Maher CG, Kent P. Self-reported moderate-to-vigorous leisure time physical activity predicts less pain and disability over 12 months in chronic and persistent low back pain. Eur J Pain. 2014 Sep; 18(8):1190-8.
28. van Weering M, Vollenbroek-Hutten MM, Kotte EM, Hermens HJ. Daily physical activities of patients with chronic pain or fatigue versus asymptomatic controls. A systematic review. Clin Rehabil. 2007 Nov; 21(11):1007-23.
29. Miranda H, Viikari-Juntura E, Punnett L, Riihimaki H. Occupational loading, health behavior and sleep disturbance as predictors of low-back pain. Scand J Work Environ Health. 2008 Dec; 34(6):411-9.
30. Heneweer H, Vanhees L, Picavet HS. Physical activity and low back pain: a U-shaped relation? Pain. 2009 May; 143(1-2):21-5.
31. Smeets RJ, Wittink H, Hidding A, Knottnerus JA. Do patients with chronic low back pain have a lower level of aerobic fitness than healthy controls?: are pain, disability, fear of injury, working status, or level of leisure time activity associated with the difference in aerobic fitness level? Spine. 2006 Jan 1; 31(1):90-7; discussion 8.
32. Fairbank JC, Couper J, Davies JB, O'Brien JP. The Oswestry low back pain disability questionnaire. Physiotherapy. 1980 Aug; 66(8):271-3.
33. Sanderson PL, Todd BD, Holt GR, Getty CJ. Compensation, work status, and disability in low back pain patients. Spine (Phila Pa 1976). 1995 Mar 01; 20(5):554-6.
34. Lin C, McAuley J, Macedo L, Barnett D, Smeets R, Verbunt J. Relationship between physical activity and disability in low back pain: a systematic review and meta-analysis. Pain. 2010; 152(3):607-13.
35. Chou R. Low back pain (chronic). Am Fam Physician. 2011; 84(4):437-8.
36. Carlsson AM. Assessment of chronic pain. I. Aspects of the reliability and validity of the visual analogue scale. Pain. 1983 May; 16(1):87-101.
37. Nederlandse V. Nederlandse Voedingsmiddelentabel. 32 ed: Gravenhage; 1979.
38. Durning J, Passmore R. Energy, work and leisure. 1st ed. London; 1967.
39. Fritz JM, Irrgang JJ. A comparison of a modified Oswestry Low Back Pain Disability Questionnaire and the Quebec Back Pain Disability Scale. Phys Ther. 2001 Feb; 81(2):776-88.
