ÉVALUATION DE LA PRÉVALENCE DES HANDICAPS FONCTIONNELS ASSOCIÉS AUX Lombalgies CHRONIQUES NON SPÉCIFIQUES

Déposez le
Freitas C1, Oliveira L.1
1Universidade Paulista, ICS-Fisioterapia, São Paulo, Brazil

Contexte: Non-specific chronic low back pain is a hightly prevalent symptomatology that compromises the quality of life and generates functional disabilities. There are few studies that address which are the most prevalent functional complaints in patients with low back pain.

Objectif : To evaluate which functional activities are most associated with non - specific chronic low back pain in adults.

Méthodologie: The individuals were recruited at Physiotherapy Clinic of Universidade Paulista.The selection criteria were: adults aged 20 to 50 years, of both genders, with chronic non-specific low back pain for more than three months The Oswestry Disability Index (ODI) questionnaire was applied to quantify functional disability and to evaluate the activities in which the patients feel more pain. For each response that the individual gave in the ODI questionnaire, the Visual Analog Scale (EVA) was used to assess the degree of pain that the individual felt when performing the movement, posture or activity described. Socio-demographic data was also collected through an evaluation form. Descriptive statistics are reported as well as the prevalence of participants with pain with each ODI item activity.

Résultats: A total of 71 participants (15 men; 56 women) were included with a mean age of 31.7 ± 8.8 years. The average score of functional disability was minimal (0.18) , the mean general pain experienced (first item of the ODI) was moderate (3.26± 2.86). The mean EVA score for the activities described in the items of the ODI questionnaire were: "weight lifting" (4.70 ± 2.26), "standing" (4.99 ± 2.52),”sitting”(3.75± 2.81), "traveling" (3.46 ± 2.61), "sleeping" (3.46 ± 2.84), "walking" (2.51 ± 2.64), "social life" (2.49 ± 2.84), "personal care" (2.10 ± 2.60) and "sexual life" (1.73 ± 2.44).
The prevalence of participants with pain for each ODI item was: " weight lifting" (98.5%), "standing" (97.1%), "traveling" (81.6%), "sitting" (80%), , "sleeping" (76.0%), "walking" (67.6%), "social life" (61. %), "personal care" (57.7%) and "sexual life" (46.4%).

Conclusion(s) : The “weight lifiting”, "standing", "traveling", "sitting" and “sleeping” activities were the most associated with the presence of pain. The pain presented in these activities was moderate, but the functional disability of ODI was minimal.

Implications It is important to reflect in clinical practice that patients, despite having moderate pain, their disability is minimal. In some activities patients complain of more pain

Mots clés: low back pain, chronic pain, functional disability

Remerciements de financement : Ce travail n'a pas été financé.

Topic: Musculoskeletal: spine; Orthopaedics

Approbation éthique requise : Oui
Institution: Universidade Paulista
Ethics committee: Ethics committee Universidade Paulista
Numéro d'éthique : 2278746


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