Characterizing and Understanding the Low Back Pain Experience Among Persons with Lower Limb Loss
العنوان: | Characterizing and Understanding the Low Back Pain Experience Among Persons with Lower Limb Loss |
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المؤلفون: | Sheri P. Silfies, Courtney M. Butowicz, Brad D. Hendershot, Shawn Farrokhi, Jennifer M. C. Vendemia |
المصدر: | Pain Medicine. 21:1068-1077 |
بيانات النشر: | Oxford University Press (OUP), 2019. |
سنة النشر: | 2019 |
مصطلحات موضوعية: | Adult, 030506 rehabilitation, medicine.medical_specialty, Multivariate analysis, medicine.medical_treatment, Population, Context (language use), Disability Evaluation, 03 medical and health sciences, 0302 clinical medicine, medicine, Humans, education, education.field_of_study, Rehabilitation, business.industry, General Medicine, Low back pain, Oswestry Disability Index, Cross-Sectional Studies, Anesthesiology and Pain Medicine, Lower Extremity, Physical therapy, Anxiety, Self Report, Neurology (clinical), medicine.symptom, 0305 other medical science, business, Low Back Pain, Psychosocial, 030217 neurology & neurosurgery |
الوصف: | Objective This study preliminarily characterizes and compares the impact of lower limb loss and development of chronic low back pain (cLBP) on psychosocial factors, as well as the relationship between these factors and low back pain–related functional disability. Design Cross-sectional study. Methods Participants were adults, active duty or retired military, with traumatic lower limb loss with and without chronic low back pain. Psychosocial factors and low back pain–related functional disability were measured using common clinical self-report questionnaires. The presence of psychosocial factors was compared between those with and without cLBP using multivariate analysis of covariance (P Results There were no statistically significant differences among psychosocial factors between those with vs without cLBP (F(4, 13) = 0.81, P = 0.54, η2= 0.19). Employment status (ρ = 0.43, P = 0.02), anxiety (ρ = 0.45, P = 0.04), and kinesiophobia (ρ = 0.47, P = 0.04) were moderately associated with low back pain–related disability. Conclusions Psychological (i.e., anxiety) and social (i.e., employment status) factors may influence how persons with traumatic lower limb loss respond to self-reported measures of low back pain–related disability. The findings suggest that the Modified Oswestry Disability Index identifies cLBP-related functional disability in the context of lower limb loss. These results support the interdependence among biological, psychological, and social factors, which should be collectively considered during the development of rehabilitative strategies to treat secondary musculoskeletal conditions within this population. |
تدمد: | 1526-4637 1526-2375 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d8719106f6a26df81038468e875d5804 https://doi.org/10.1093/pm/pnz293 |
حقوق: | OPEN |
رقم الأكسشن: | edsair.doi.dedup.....d8719106f6a26df81038468e875d5804 |
قاعدة البيانات: | OpenAIRE |
تدمد: | 15264637 15262375 |
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