Physiotherapeutic treatment Schedule for chronic low back pain: influence on pain, quality of life and functional capacity

Arins, Mariana Regina; Murara, Nicole; Bottamedi, Xayani; Ramos, Juliano dos Santos; Woellner, Simone Suzuki; Soares, Antonio Vinicius

doi:10.5935/1806-0013.20160069

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ORIGINAL ARTICLES • Rev. dor 17 (3) • Jul-Sep 2016 • https://doi.org/10.5935/1806-0013.20160069 copy

Physiotherapeutic treatment Schedule for chronic low back pain: influence on pain, quality of life and functional capacity

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

BACKGROUND AND OBJECTIVES:

Low back pain is a public health problem affecting population regardless of social and economic class. Segmental stabilization is a kinesiotherapeutic technique being considered treatment option for this disorder. Primary objective of this study was to evaluate the effects of a treatment schedule for low back pain based on segmental stability principles. The secondary objective was to propose and adaptation of Nottingham Health Profile, which is a tool to evaluate quality of life.

METHODS:

This is a pre-experimental study involving 25 chronic low back pain patients of both genders, mean age of 50.5 years. The study consisted of 16 sessions of a segmental stabilization exercises program, carried out twice a week during six months. Measurement tools were: visual analog scale, Roland-Morris questionnaire and two versions of Nottingham Health Profile, namely translated and modified.

RESULTS:

At treatment completion, all patients had significant improvement in variables controlled by the study. Modified Nottingham Health Profile version had strong and significant correlation with the translated version (r 0.88) and with functional incapacity level evaluated by Roland Morris questionnaire (r 0.85).

CONCLUSION:

Proposed treatment schedule was beneficial for patients involved in the study. Modified version of Nottingham Health Profile may be used to evaluate quality of life perception especially of chronic low back pain patients.

Keywords:
Chronic low back pain; Functional capacity; Physiotherapy; Quality of life

	VAS	VAS	RM	RM	NHP	NHP	MNHP	MNHP
	Pre	Post	Pre	Post	Pre	Post	Pre	Post
Mean	3	0.7	7.4	3.4	14	8,5	23	11
SD	2.3	1	5.2	3.5	6.9	8,2	14	10
p value	< 0.000		< 0.000		< 0.000		< 0.000

MNHP	NHP	RM	VAS
r	0.88^* * significant correlation coefficient (p<0.05).	0.85^* * significant correlation coefficient (p<0.05).	0.31^* * significant correlation coefficient (p<0.05).
p value	<0.0001	<0.0001	0.0296

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[1] Correspondence to: Rua São José, 490, Centro, 89202-010 Joinville, SC, Brasil. E-mail: provinicius.soares@gmail.com

Personal data				Date:
Name:		Age:	Gender	Time diag.	Weight:	Height:
Occupation:	Work time:	Company:
Treatment type and duration:	Pain evaluation (analog visual scale)
Drugs:	Pain intensity: (1 2 3 4 5 6 7 8 9 10)
		Answers
Questions		Yes	Sometimes	No			Domain
		(2)	(1)	(0)
1. I am tired all the time							EL
2. I feel pain at night							P
3. Things are leaving me discouraged/depressed							ER
4. My pain is unbearable							P
5. I take drugs to sleep							S
6. I forgot how to do things that please me							ER
7. I feel pain during exercises (waking, running, cycling, others)							P
8. I am extremely irritated (“with nerves on edge”)							ER
9. I fell pain when changing position							P
10. I feel lonely							SI
11. I am only able to walk at home							PS
12. I have difficulty to bend down							PS
13. I feel pain to bend down and pick objects on the floor							P
14. Everything for me demands lots of effort							EL
15. I wake up at night and can no longer sleep							S
16. I am unable to walk outdoors							PS
17. I feel difficult to make contact with people							SI
18. Pain impairs my leisure activities							P
19. I have difficulty to go up and down ladders or steps							PS
20. I feel pain during sexual activity							P
21. I feel pain to pick things on top							PS
22. I feel pain when walking							P
23. Currently I lose temper very easily							ER
24. I feel that there is no one close in whom to trust							SI
25. I stay awake most part of the night							S
26. I feel as if I were losing control							ER
27. I feel pain in the upright position							P
28. It is difficult to dress myself							PS
29. I lose energy very easily							EL
30. I feel pain when urinating or defecating							D
31. I have difficulty to remain standing up for a long time							PS
32. I take a long time to get to sleep							S
33. I feel myself as a weight to other people							SI
34. Concerns are keeping me awake at night							ER
35. I feel that life is not worth living							ER
36. I sleep badly at night							S
37. I have difficulty in relating to other people							PS
38. I need help to walk outdoors (crunches, stick or someone supporting)							PS
39. I feel pain to go up and down ladders or slopes							P
40. I wake up feeling depressed							ER
41. Days seem too long							ER
42. I feel pain when I am sitting							P