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Comprehensive Rehabilitation of Low Back Pain in the Perspective of...
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Comprehensive Rehabilitation of Low Back Pain in the Perspective of Human Health

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: 30 June 2024 | Viewed by 3589

Special Issue Editor

Prof. Dr. Józef Opara

E-Mail Website
Guest Editor
Department of Physiotherapy, Jerzy Kukuczka Academy of Physical Education, 40-065 Katowice, Poland
Interests: stroke rehabilitation; spasticity, LBP; rehabilitation in paraplegia (SCI); Spondylotic Cervical Myelopathy (SCM); clinimetrics; quality of life measures; rehabilitation after TBI; rehabilitation in PD; rehabilitation in MS

Special Issue Information

Dear Colleagues,

Low Back Pain (LBP), being a serious problem of Human Health, is the fifth most common reason for physician visits and affects nearly 60–80% of people throughout their lifetime. The first experience of acute low back pain is typically between the ages of 20 and 40. The symptoms of LBP usually improve within a few weeks from the time they start, with 40–90% of people recovering by six weeks. Chronic LBP (longer than 12 weeks) is associated with sleep problems, depression, and/or anxiety, in many cases causing disability. To discuss comprehensively the issue of LBP as the problem of human health one should take into consideration at least the following aspects: causes, symptoms, diagnosis, classifications, differential diagnosis, prognosis, medication, non-pharmacological therapy, surgery, comprehensive rehabilitation, guidelines on physiotherapy, the role of physical activity, costs, quality of life psychological consequences, prevention.

We invite manuscript submissions for inclusion in a Special Issue of the Healthcare titled "Comprehensive Rehabilitation of Low Back Pain in the Perspective of Human Health". We welcome brief reports, original research reports, or review articles on topics related to the following areas of inquiry:

  • Prevalence of LBP
  • Classifications of LBP
  • Prognosis in LBP
  • Non-pharmacological therapy in LBP
  • Guidelines on physiotherapy in LBP
  • The role of physical activity in primary and secondary prevention of LBP
  • Quality of life in chronic LBP
  • Psychological consequences of chronić LBP
  • Prevention of LBP

Prof. Dr. Józef Opara
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • Low Back Pain (LBP)
  • diagnosis
  • prognosis
  • medication
  • non-pharmacological therapy
  • comprehensive rehabilitation
  • guidelines on physiotherapy
  • role of physical activity
  • quality of life
  • prevention

Published Papers (4 papers)

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Research

11 pages, 861 KiB  
Article
Body Posture and Low Back Pain: Differences between Folk and Ballroom Dancers
by Maciej Kochman, Gabriela Cmela, Wojciech Kasperek, Agnieszka Guzik and Mariusz Drużbicki
Healthcare 2024, 12(2), 137; https://doi.org/10.3390/healthcare12020137 - 08 Jan 2024
Viewed by 763
Abstract
(1) Background: Dance is extremely diverse in its styles. Each of them presents different training, dynamics, and figures that may impact the body posture and the occurrence of low back pain. This observational study aimed to compare the sagittal curvatures and the range [...] Read more.
(1) Background: Dance is extremely diverse in its styles. Each of them presents different training, dynamics, and figures that may impact the body posture and the occurrence of low back pain. This observational study aimed to compare the sagittal curvatures and the range of motion (ROM) of the spine, as well as the low back pain occurrence and its intensity between folk and ballroom dancers. (2) Methods: Fifty-one participants took part in the study (nineteen folk dancers, fifteen ballroom dancers, and seventeen non-dancers) aged 18–32. Study groups did not differ in anthropometric parameters as well as in dancing experience and training frequency. Study procedures included a self-administered questionnaire and a physical examination of the sagittal spine curvatures and ROM. The questionnaire included questions about epidemiological data and the occurrence of chronic pain and its intensity using a Visual Analogue Scale (VAS). (3) Results: There was a significant difference in thoracic kyphosis angle between study groups (p = 0.02). The greatest angle was found in folk dancers and the lowest in ballroom dancers (40 vs. 33 respectively). We have found no significant differences in spine ROM, low back pain occurrence, and intensity between study groups (p > 0.05). We have found no correlation between low back pain and spine curvatures and ROM in dancers (p > 0.05), however, we found a very strong and negative correlation between thoracic spine range of motion and the pain intensity in non-dancers (R= −0.95, p = 0.003). The analysis also revealed that only in folk dancers, but not in ballroom dancers, the BMI correlates positively with dancing experience (R = 0.67, p = 0.002). (4) Conclusions: There are no differences in low back pain occurrence and pain intensity between folk and ballroom dancers, however, the prevalence of low back pain in dancers is very high. Folk dancers seem to have more flexed body posture compared to ballroom dancers. Full article
(This article belongs to the Special Issue Comprehensive Rehabilitation of Low Back Pain in the Perspective of Human Health)
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15 pages, 1347 KiB  
Article
Quality of Life, Disability Level, and Pain Intensity among Patients after Lumbar Disc Surgery: An Observational Three-Month Follow-Up Study
by Monika Michalak, Adam Druszcz, Maciej Miś, Małgorzata Paprocka-Borowicz and Joanna Rosińczuk
Healthcare 2023, 11(24), 3127; https://doi.org/10.3390/healthcare11243127 - 08 Dec 2023
Viewed by 702
Abstract
The prevalence of intervertebral disc degeneration in the lumbar region resulting in low back pain is high. One of the treatment options is neurosurgery. Previous studies and systematic reviews demonstrate the need to identify factors that affect the health-related quality of life of [...] Read more.
The prevalence of intervertebral disc degeneration in the lumbar region resulting in low back pain is high. One of the treatment options is neurosurgery. Previous studies and systematic reviews demonstrate the need to identify factors that affect the health-related quality of life of patients undergoing surgery. This study aimed to analyze the sociodemographic and clinical factors that affect the quality of life of patients undergoing lumbar disc surgery. A group of 128 patients was assessed for eligibility and qualified by radiological examinations for lumbar disc surgery by a neurosurgeon in the outpatient clinic. Finally, 110 patients were studied and evaluated 24 h and 3 months after surgery. Health-related quality of life (36-Item Short Form Survey, SF-36), disability level (Oswestry Disability Index, ODI), and pain intensity (Visual Analogue Scale, VAS) were assessed. The mean pain intensity before surgery was 7.8 ± 2.3 pts and decreased significantly 24 h after surgery, with a mean score of 3.8 ± 2.4 pts (p = 0.0000). After three months, the increase in pain intensity was at 4.8 ± 2.4 pts, but the score was still significantly better than before surgery (p = 0.0024). The mean ODI score before surgery was 29.3 ± 8.4 pts (slight disability), and three months after surgery, there was an insignificant increase to a mean value of 31.5 ± 10.4 pts (p = 0.0834). There was a statistically significant increase in quality-of-life scores at three months after surgery in the following domains: physical functioning (8.7%; p = 0.0176), bodily pain (26.2%; p = 0.0000), vitality (5.8%; p = 0.0132) and mental health (6.2%; p = 0.0163), and a decrease in role limitations due to physical problems (3.8; p = 0.0013) and general health perception (6.7%; p = 0.0112). In conclusion, the surgical procedure plays an important role in improving the quality of life of patients operated on for intervertebral disc degeneration. It was effective in reducing the pain level, especially 24 h after surgery; however, surgery did not affect the disability level. Full article
(This article belongs to the Special Issue Comprehensive Rehabilitation of Low Back Pain in the Perspective of Human Health)
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13 pages, 323 KiB  
Article
Lumbar Pain in Patients with Multiple Sclerosis and Knowledge about Physiotherapeutic Methods for Combating Pain
by Martyna Odzimek, Waldemar Brola and Józef Opara
Healthcare 2023, 11(23), 3062; https://doi.org/10.3390/healthcare11233062 - 29 Nov 2023
Viewed by 838
Abstract
Background: The purpose of this study was to evaluate the intensity and frequency of low back pain (LBP) in people with multiple sclerosis (PwMS) and patients’ knowledge of physiotherapeutic methods for combating LBP. Methods: This study included all MS patients attending consecutive follow-up [...] Read more.
Background: The purpose of this study was to evaluate the intensity and frequency of low back pain (LBP) in people with multiple sclerosis (PwMS) and patients’ knowledge of physiotherapeutic methods for combating LBP. Methods: This study included all MS patients attending consecutive follow-up visits for treatment related to MS between March and May 2023. Only current pain sensations in the lumbar spine were taken into account. The inclusion criteria were age 18–60 years, a definite diagnosis of MS according to the 2017 McDonald criteria, treatment with disease-modifying drugs (DMTs), and consent to participate in the study. This study was carried out using an original survey questionnaire and a Visual Analogue Scale. PwMS were divided into three age groups: 18–30 years, 31–50 years, and over 50 years. Results: Ninety PwMS (68 women and 22 men) were included in the study. The mean duration of the disease was 9.5 ± 4.9 years, and the mean EDSS was 3.5 ± 1.6. Most patients had a relapsing-remitting form of the disease. Overall, 68.9% of PwMS felt low back pain (n = 62). The relationship tested was statistically significant (p < 0.001), and the strength of the relationship was high (rc = 0.695). The average level of low back pain among PwMS was 4.7 out of 10 on the VAS. The prevalence of LBP was higher in female patients (p < 0.001), patients with a secondary progressive form of MS (p < 0.001), and patients with a longer duration of disease (p < 0.05). The most widely used methods for treating LBP were kinesitherapy and manual therapy. Conclusions: LBP is common in patients with multiple sclerosis. Female sex, a secondary progressive form of MS, and a longer duration of disease increase the risk of LBP. It is important to implement properly planned physiotherapy activities and educate patients on how to combat LBP. Full article
(This article belongs to the Special Issue Comprehensive Rehabilitation of Low Back Pain in the Perspective of Human Health)
20 pages, 2424 KiB  
Article
Comparative Analysis of Early and Long-Term Outcomes of Patients with Degenerative Lumbar Spine Disease Using the DIAM Stabilizer and Standard Rehabilitation Program: A Preliminary Prospective Randomized Controlled Trial with 1-Year Follow-Up
by Adam Druszcz, Maciej Miś, Małgorzata Paprocka-Borowicz, Joanna Rosińczuk and Bogdan Czapiga
Healthcare 2023, 11(22), 2956; https://doi.org/10.3390/healthcare11222956 - 13 Nov 2023
Viewed by 825
Abstract
Low back pain (LBP) is a leading cause of disability and work absenteeism. The cause of LBP may be degeneration of the intervertebral disc. LBP is characterized by considerable variability and tends to develop into chronic pain. Treatment of LBP includes conservative and [...] Read more.
Low back pain (LBP) is a leading cause of disability and work absenteeism. The cause of LBP may be degeneration of the intervertebral disc. LBP is characterized by considerable variability and tends to develop into chronic pain. Treatment of LBP includes conservative and rehabilitative treatments, surgery, and so-called minimally invasive treatment. One of the most commonly performed procedures is interspinous stabilization using a dynamic interspinous DIAM (device for intervertebral assisted motion) stabilizer. There is still no clear, strong evidence for the effectiveness and superiority of surgical treatment over conservative treatment. This study aimed to compare the early and long-term outcomes of patients with LBP using the DIAM interspinous stabilizer in relation to patients treated conservatively. A group of 86 patients was prospectively randomized into two comparison groups: A (n = 43), treated with the DIAM dynamic stabilizer for degenerative lumbar spine disease (mean age = 43.4 years ± SD = 10.8 years), and B (n = 43), treated conservatively. Pain severity was assessed using the visual analog scale (VAS), whereas disability was assessed using the Oswestry disability index (ODI). The difference in preoperative and postoperative ODI scores ≥ 15 points was used as a criterion for treatment effectiveness, and the difference in VAS scores ≥ 1 point was used as a criterion for pain reduction. In patients under general anesthesia, the procedure only included implantation of the DIAM system. Patients in the control group underwent conservative treatment, which included rehabilitation, a bed regimen, analgesic drug treatment and periarticular spinal injections of anti-inflammatory drugs. It was found that all patients (n = 43) continued to experience LBP after DIAM implantation (mean VAS score of 4.2). Of the 36 patients who experienced LBP with sciatica before the procedure, 80.5% (n = 29) experienced a reduction in pain. As for the level of fitness, the average ODI score was 19.3 ± 10.3 points. As for the difference in ODI scores in the pre-treatment results vs. after treatment, the average score was 9.1 ± 10.6. None of the patients required reoperation at 12 months after surgery. There were no statistically significant differences between the two groups in either early (p = 0.45) or long-term outcomes (p = 0.37). In conclusion, neurosurgical treatment with the DIAM interspinous stabilizer was as effective as conservative treatment and rehabilitation during the one-year follow-up period. Full article
(This article belongs to the Special Issue Comprehensive Rehabilitation of Low Back Pain in the Perspective of Human Health)
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