Low back pain and its correlations with poor sleep quality among health care providers

Alhamam, Naif; Buhalim, Rayan A; AlSaeed, Mohammed N.; AlFuraikh, Bashayer F.; Aljughaiman, Musaad S.

doi:10.1016/j.jtumed.2021.09.002

Cited by 2 publications

(3 citation statements)

References 30 publications

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“…On the other hand, osteoporosis was associated with a decreased risk of lower back pain six months after surgery. This may be because patients who have osteoporosis are more likely to have weaker bones, which results in less pressure being placed on the spine and a reduced risk of lower back pain after surgery [19]. According to the findings of the study, age, gender, and occupation are major characteristics that are connected with a person's level of disability.…”

Section: Discussionmentioning

confidence: 92%

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Prevalence of Low Back Pain and Its Related Risk Factors and Disability Following Lumbar Discectomy: A Single-Center Study

Al Mulhim,

Alalwan,

Alkhars

et al. 2023

Cureus

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BackgroundLumbar disc herniation is considered the most common cause of sciatica, which is a contributing factor to disability. Surgical management of lumbar disc herniation in the form of discectomy is superior to conservative management in terms of better recovery and pain relief. However, recurrence, residual back pain, and disability are common expected complications following surgery. Therefore, this study aims to determine the prevalence of low back pain and its related risk factors and disability following discectomy at King Fahad Hospital in the Al-Ahsa region. MethodologyA cross-sectional study was conducted at King Fahad Hofuf Hospital in the Al-Ahsa region among patients who were admitted and underwent lumbar spine discectomy in the last six years either due to traumatic or degenerative causes. The study used an anonymous questionnaire consisting of the patient's sociodemographic data, medical and surgical history, spine disease history, and surgical history. The preoperative Glasgow Coma Scale score, neurological status, and American Spinal Cord Impairment Scale score were noted. In addition, immediate postoperative neurological status and minor complications were recorded. Moreover, more than six months postoperatively, the Numeric Analogue Scale and the Oswestry low back pain disability index questionnaire were administered. ResultsA total of 201 patients were included in the study. The majority of the patients were male (59.7%), with ages ranging from 41 to 60 years (51.7). Most patients underwent one surgery (83.6%) in the form of discectomy alone (90.5%) at L3-L4 (58.7%), for which the intervertebral disc was the most common degenerative indication for surgery. All patients (100%) had low back pain preoperatively, and most patients (50.7%) had no back pain six months postoperatively. Preoperatively, 58.2% had diminished neurological status, while only 29.9% showed a deficit postoperatively. Postoperative low back pain was significantly associated with office-based jobs (p = 0.021, 60.5%) and a high number of surgeries (p = 0.004, 74.1%). The following factors were observed to be risk factors for having lower back pain: six months postoperatively, being unemployed (p = 0.024, odds ratio = 4.38, 338% increased risk), having an office-based job (p = 0.012, odds ratio = 3.98, 298% increased risk), and the underlying cause of the problem being degenerative (p = 0.003, odds ratio = 3.34, 234% increased risk). Low back pain-related severe disability postoperatively was significantly associated with increased age >40 (28-50%; p = 0.045), female gender (p = 0.012, 44.4%), and being unemployed (p = 0.002, 51.4%). The level of disability six months postoperatively was moderate in 40.4% of the patients. ConclusionsLumbar discectomy is a successful procedure for relieving low back pain among patients with degenerative spine disease, with an improvement that involves neurological status. However, residual back pain may still occur in less than half of the patients despite appropriate management, such as being ...

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Section: Discussionmentioning

confidence: 92%

“…Scores are interpreted as follows: 0-4: no disability, 5-14: mild disability, 15-24: moderate disability, 25-34: severe disability, and 35-50: complete disability. This valid and reliable instrument was used in previous studies globally and locally in Saudi Arabia to evaluate low back pain-related disability [18,19].…”

Section: Study Instrumentmentioning

confidence: 99%

Prevalence of Low Back Pain and Its Related Risk Factors and Disability Following Lumbar Discectomy: A Single-Center Study

Al Mulhim,

Alalwan,

Alkhars

et al. 2023

Cureus

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“…Insomnia has also been associated with pain and sleep disturbances in various body parts in nurses [ 29 , 30 ]. Low back pain is associated with lower sleep quality [ 31 ]. Nurses who sleep for less than 7 h have more chronic discomfort in the neck and shoulders [ 32 ] and patients with chronic musculoskeletal pain report more insomnia [ 33 ].…”

Section: Introductionmentioning

confidence: 99%

Sleep Quality as a Mediator of Burnout, Stress and Multisite Musculoskeletal Pain in Healthcare Workers: A Longitudinal Study

Vieira,

Mininel,

Sato

2023

Healthcare

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This study aimed to verify whether sleep quality is a mediator of the relationship between burnout, stress and multisite pain in healthcare workers in a longitudinal study with 12 months of follow-up during the COVID-19 pandemic. Online questionnaires were used for data collection. The sociodemographic questionnaire contained personal and occupational data. The short version of the Copenhagen Psychosocial Questionnaire (COPSOQ II-Br) was used to assess burnout and stress. The Pittsburgh Sleep Quality Index (PSQI-Br) assessed sleep quality over one month. The Nordic Musculoskeletal Questionnaire (NMQ) aimed to identify the presence of multisite musculoskeletal pain in the last 12 months and the last 7 days. Mediation analysis was used to verify whether the effect of the predictor variables (burnout and stress) on the dependent variable (number of pain sites in the last 12 months and 7 days) was due to an intervening variable (sleep quality). Stress and burnout were associated with multisite pain in healthcare workers in the last 12 months and the last 7 days. Sleep quality was a significant mediator of this association in the last 12 months, indicating that some of the association between burnout, stress and multisite pain can be explained by poor sleep quality. Thus, a comprehensive approach to long-term multisite pain should consider psychosocial aspects such as burnout, stress and sleep quality.

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Low back pain and its correlations with poor sleep quality among health care providers

Cited by 2 publications

References 30 publications

Prevalence of Low Back Pain and Its Related Risk Factors and Disability Following Lumbar Discectomy: A Single-Center Study

Prevalence of Low Back Pain and Its Related Risk Factors and Disability Following Lumbar Discectomy: A Single-Center Study

Sleep Quality as a Mediator of Burnout, Stress and Multisite Musculoskeletal Pain in Healthcare Workers: A Longitudinal Study

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