Nonspecific chronic low back pain patients are deconditioned and have an increased body fat percentage

Hodselmans, Audy Paul; Dijkstra, Pieter U.; Geertzen, Jan H. B.; Schans, Cees P. van der

doi:10.1097/mrr.0b013e328335213f

Cited by 18 publications

(22 citation statements)

References 21 publications

(20 reference statements)

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“…Individuals with CLBP often have an increased body fat percentage and body mass index (BMI), which may modulate pain through peripheral sensitization from increased systemic inflammation . Furthermore, increased fat infiltration of paraspinal musculature (particularly the lumbar multifidus) has been observed in CLBP, and could be associated with an increased BMI .…”

Section: Multidimensional Assessment Of Chronic Low Back Painmentioning

confidence: 99%

Domains of Chronic Low Back Pain and Assessing Treatment Effectiveness: A Clinical Perspective

et al. 2019

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Nonspecific chronic low back pain (CLBP) is a common clinical condition that has impacts at both the individual and societal level. Pain intensity is a primary outcome used in clinical practice to quantify the severity of CLBP and the efficacy of its treatment; however, pain is a subjective experience that is impacted by a multitude of factors. Moreover, differences in effect sizes for pain intensity are not observed between common conservative treatments, such as spinal manipulative therapy, cognitive behavioral therapy, acupuncture, and exercise training. As pain science evolves, the biopsychosocial model is gaining interest in its application for CLBP management. The aim of this article is to discuss our current scientific understanding of pain and present why additional factors should be considered in conservative CLBP management. In addition to pain intensity, we recommend that clinicians should consider assessing the multidimensional nature of CLBP by including physical (disability, muscular strength and endurance, performance in activities of daily living, and body composition), psychological (kinesiophobia, fear‐avoidance, pain catastrophizing, pain self‐efficacy, depression, anxiety, and sleep quality), social (social functioning and work absenteeism), and health‐related quality‐of‐life measures, depending on what is deemed relevant for each individual. This review also provides practical recommendations to clinicians for the assessment of outcomes beyond pain intensity, including information on how large a change must be for it to be considered “real” in an individual patient. This information can guide treatment selection when working with an individual with CLBP.

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Section: Multidimensional Assessment Of Chronic Low Back Painmentioning

confidence: 99%

Domains of Chronic Low Back Pain and Assessing Treatment Effectiveness: A Clinical Perspective

et al. 2019

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“…The test has been referred to as a reliable, valid, and feasible instrument for calculating VO2 max in patients with nonspecific low back pain 23 and stroke.…”

Section: Laboratory-based Testsmentioning

confidence: 99%

“…16,23,43 Thus, physiotherapists treating patients with MSCs in outpatient clinics should include an individually tailored exercise program in the treatment plan for these patients. For optimal health benefits, it is important that exercise programs are in accordance with current recommendations.…”

mentioning

confidence: 99%

Measuring Health-Related Physical Fitness in Physiotherapy Practice: Reliability, Validity, and Feasibility of Clinical Field Tests and a Patient-Reported Measure

Tveter¹,

Dagfinrud²,

Moseng³

et al. 2014

J Orthop Sports Phys Ther

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“…In addition, it has been shown that individuals with chronic LBP have reduced physical fitness levels compared with healthy asymptomatic subjects [24]. Moreover, it has been stated that chronic LBP sufferers have lower aerobic capacity and a higher fat percentage than their healthy controls [25]. It should be pointed out, however, that these findings mainly originate from a cross-sectional study setting, and thus may be biased.…”

Section: Introductionmentioning

confidence: 99%

Low back pain during military service predicts low back pain later in life

Mattila

Kyröläinen

Santtila³

et al. 2017

PLoS ONE

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The aim of the present study was to assess associations between physician diagnosed unspecified low back pain (LBP) during compulsory military service and self-reported LBP and physical fitness measured on average four years after military service. From a total of 1155 persons who had been pass medical examination for military service and who had completed physically demanding military training between 1997 and 2007, 778 men participated in a refresher military training course and physical tests. In this study, the association between LBP during military service and LBP in later life in addition to the association between LBP and physical fitness were examined. A total of 219 out of 778 participants (28%) had visited a physician due to some musculoskeletal symptom (ICD-10 M-diagnosis) during their military service. Seventy-four participants (9.5%) had visited a physician due to unspecified LBP during their service, and 41 (5.3%) had temporarily been absent from duty due to LBP. At the follow-up examination, 122 (15.7%) had reported LBP during the past month. LBP during military service was associated with self-reported LBP in the follow-up (p = 0.004). Of those who had been absent from duty due to LBP during their military service, 13 (31.7%) reported LBP during the past month. In risk factor analysis, no initial health behaviour and physical performance variables were associated with baseline LBP in the follow-up. The main finding of the present study was that unspecified LBP during military service predicts LBP in later life. On the basis of previous literature, it is also known that LBP is a common symptom and thus, one cannot expect to be symptomless the entire life. Interestingly, none of the health behaviours nor the physical performance studied in the follow-up were associated with baseline LBP. It appears that individuals prone to LBP have symptoms during physically demanding military service and also later in their life.

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Nonspecific chronic low back pain patients are deconditioned and have an increased body fat percentage

Cited by 18 publications

References 21 publications

Domains of Chronic Low Back Pain and Assessing Treatment Effectiveness: A Clinical Perspective

Domains of Chronic Low Back Pain and Assessing Treatment Effectiveness: A Clinical Perspective

Measuring Health-Related Physical Fitness in Physiotherapy Practice: Reliability, Validity, and Feasibility of Clinical Field Tests and a Patient-Reported Measure

Low back pain during military service predicts low back pain later in life

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