Relationships between the quality of life and the intensity of pain and functional efficiency in women and men with degenerative changes in the lumbar spine
-
Published:2023-03-31
Issue:1
Volume:23
Page:68-73
-
ISSN:
-
Container-title:Fizjoterapia Polska
-
language:
-
Short-container-title:Fiz Pol
Author:
Puszczałowska-Lizis Ewa1, Szymański Dominik2, Wawrzykowska Iwona3, Lizis Sabina1
Affiliation:
1. University of Rzeszow, Medical College, Institute of Health Sciences, Rzeszów, Poland 2. Poradnia Rehabilitacji Narządu Ruchu „SPINETIC” w Warszawie/"SPINETIC" Motor Organ Rehabilitation Clinic in Warsaw, Poland 3. Samorządowy Ośrodek Zdrowia w Miedzianej Górze/Local Government Health Center in Miedziana Gora, Poland
Abstract
Introduction. Back pain is a serious medical and social problem. The aim of this study was relationships between the quality of life and the intensity of pain and functional efficiency in women and men with degenerative changes in the lumbar spine.
Material and methods. The study involved 53 women and 52 men, who, due to chronic pain in the lumbar spine due to degenerative changes, were qualified for therapy at the Local Government Health Center in Miedziana Gora. The research tool was NRS scale, Oswestry Distability Index ODI and shortened version of the survey WHOQOL-BREF. The collected research results were analysed with the use of Mann-Whitney U test, Chi-square test and Spearman rank correlation.
Results. Statistically significant differences in the values of the ODI questionnaire relating to the category "care" (p = 0.046) were found. In men, statistically significant negative associations between body build and the WHOQOL-BREF survey values concerning the somatic (p = 0.012), psychological (p = 0.007) and social (p = 0.022) domains were found. Statistically significant positive associations between the intensity of pain and functional capacity according to the ODI were found in both sexes (p < 0.001). Statistically significant negative relationships between the NRS value and the psychological domain were noted in women (p = 0.023), and with the somatic (p < 0.001), psychological (p = 0.006), socjal (p = 0.013) and environmental (p < 0.001) domain in men.
Wnioski. In terms of functional efficiency, men with back pain caused by degenerative changes are characterized by greater limitations in terms of activities related to care. In men, the increase in BMI is accompanied by a decrease in the quality of life in the somatic, psychological and social domains. In both sexes, the increase in the intensity of back pain affects the deterioration of functional efficiency. In women, the increase in the intensity of pain was associated with a decrease in the quality of life in the psychological domain, and in men in the somatic, psychological, social and environmental domains.
Publisher
DJ Studio Dariusz Jasinski
Subject
Philosophy,Law,Law,Sociology and Political Science,Infectious Diseases,Public Health, Environmental and Occupational Health,General Veterinary,General Immunology and Microbiology,Molecular Medicine,Infectious Diseases,Public Health, Environmental and Occupational Health,Immunology,Microbiology,Infectious Diseases,Public Health, Environmental and Occupational Health,General Veterinary,General Immunology and Microbiology,Molecular Medicine,Pharmacology (medical),Infectious Diseases,Drug Discovery,Pharmacology,Immunology,Infectious Diseases,Immunology,Surfaces, Coatings and Films,Condensed Matter Physics,Instrumentation,Soil Science
Reference21 articles.
1. Abbasimoghadam M.A., Dabiran S., Safdari R., Djafarian K., Quality of life and its relation to sociodemographic factors among elderly people living in Tehran. Geriatr. Gerontol. Int. 2009; 9 (3): 270-275. 2. Darzi M.T., Pourhadi S., Hosseinzadeh S., Ahmadi M.H., Dadian M., Comparison of quality of life in low back pain patients and healthy subjects by using WHOQOL-BREF. J. Back Musculoskelet. Rehabil. 2014; 27(4): 507-512. 3. Sarah S.E., Al-Disoky M.Sc., Yassin M., El-Ghoul M.D., Khaled S., Heissam M.D., Rehab A., Mohamed M.D., Prevalence of low back pain and its effect on quality of life among patients attending Abokhalefa Center, Ismailia Governorate. Med. J. Cairo Univ. 2015; 83(1): 385-394. 4. Šmite D., Ancâne G., Psychosomatic aspects of chronic low back pain syndrome. Proc. Latv. Acad. Sci. 2011; 64(5-6): 202-208. 5. Trzebiatowski J., Jakość życia w_perspektywie nauk społecznych i_medycznych –systematyzacja ujęć definicyjnych. GWP, Gdańsk 2011.
|
|