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Fulltext Effectiveness of Strengthening Exercises for the Elderly with Low Back Pain to Improve Symptoms and Functions: A Systematic Review

Ishak NA, Zahari Z, Justine M

Scientifica (Cairo), 2016;2016:3230427.
PMID: 27293970 DOI: 10.1155/2016/3230427

Objective. To determine the effect of strengthening exercises for older people with low back pain (LBP). Methods. This study is a systematic review of experimental study which evaluated the evidence regarding exercises for older people with LBP by using EBSCO Academic Search Premier, EBSCO EconLit, Science Direct, PUBMED, and PEDro from 2006 to 2016. Search strategy for each database was conducted by using keywords such as "low back pain", "older people", and "strengthening exercise". Boolean operators were used to combine keywords and manual exclusion was conducted to verify studies which met the inclusion criteria. The articles reviewed were evaluated and critically appraised by using PEDro scale and SPSS version 20 was used to analyze the data. Results. Three articles were found regarding strengthening exercise for older people with LBP whereas one study was conducted on multicomponent exercise. The mean, standard deviation, and variance of the PEDro score of all the studies were 5.67, 2.33, and 1.528, respectively. Overall, the qualities of all studies reviewed were fair. Two articles showed significant results when compared to control group (p < 0.05). Conclusions. Strengthening exercise is a beneficial treatment for older people with LBP in reducing pain intensity, disability, and improved functional performances.

Matched MeSH terms: Low Back Pain*
Low backache

Sivananthan KS

Family Practitioner, 1984;7:38-42.

Matched MeSH terms: Low Back Pain*
Low back pain

Khan SA

Family Practitioner, 1977;2:92-93.

Matched MeSH terms: Low Back Pain
Manual therapy researchers are misled by natural history and placebo effects

Menke JM

Spine (Phila Pa 1976), 2014 Nov 1;39(23):1997.
PMID: 25365716 DOI: 10.1097/BRS.0000000000000585
Matched MeSH terms: Low Back Pain/therapy*
Fulltext Changes in plantar pressure, force and contact area when carrying incremental loads among adults with and without low back pain

Harithasan D, Ajit Singh DK, Omar B

Jurnal Sains Kesihatan Malaysia, 2017;15(22):83-89.
MyJurnal

Plantar pressure, force and contact area information may provideinsights regarding stresses imparted to the foot when performing functional tasks. There is limited information regarding plantar pressure, force and contact area when carrying incremental loads (no load, 5 kg, 7.5 kg and 10 kg) using one hand between adults with and without low back pain (LBP). The aim of our study was to investigate the changes in the plantar pressure, force and contact area when carrying incremental loads (no load, 5 kg, 7.5 kg and 10 kg) using one hand between adults with and without low back pain (LBP). A total of 20 adults with non-specific LBP and 20 matched individuals without LBP were recruited according to the predefined recruitment criteria. Plantar pressure (PP), maximum force (MF) and contact area (CA were measured in standing position and during walking while carrying incremental loads (no load, 5 kg, 7.5 kg and 10 kg) using their right hand on a Matscan pressure assessment system. A two-way mixed analysis of variance (group× load) was conducted to analyse the data. No significant main effectof group was demonstrated on both the right and left foot during standing (PP: p = 0.74, p = 0.32; MF: p = 0.17, p = 0.67; CA: p = 0.25, p = 0.24) and walking (PP: p = 0.61, p = 0.48; MF: p = 0.19, p = 0.06; CA: p = 0.16, p = 0.26. Similarly, there was no interaction effect between the loads and groups on the PP (p = 0.89, p = 0.47), MF (p = 0.76, p = 0.83) and CA (p = 0.88, p = 0.20) on theright and left foot, respectively during standing. However, a significant interaction effect (p < 0.05), between the loads and groups was demonstrated on the PP, MF and CA on the left foot during walking. The results of our study suggest that stresses imparted to the foot alters during dynamic postures and this may be a compensatory mechanism. Plantar pressure, force and contact area were similar in adults both with and without LBP when standing and walking. Further biomechanical information that includes both kinematic and kinetic data in lumbopelvic and lower limbs in relation to the foot may be required to justify for prevention and management strategies among adults with LBP.

Matched MeSH terms: Low Back Pain*
Fulltext Kinesiophobia, Pain, Muscle Functions, and Functional Performances among Older Persons with Low Back Pain

Ishak NA, Zahari Z, Justine M

Pain Res Treat, 2017;2017:3489617.
PMID: 28634547 DOI: 10.1155/2017/3489617

OBJECTIVES: This study aims (1) to determine the association between kinesiophobia and pain, muscle functions, and functional performances and (2) to determine whether kinesiophobia predicts pain, muscle functions, and functional performance among older persons with low back pain (LBP).
METHODS: This is a correlational study, involving 63 institutionalized older persons (age = 70.98 ± 7.90 years) diagnosed with LBP. Anthropometric characteristics (BMI) and functional performances (lower limb function, balance and mobility, and hand grip strength) were measured. Muscle strength (abdominal and back muscle strength) was assessed using the Baseline® Mechanical Push/Pull Dynamometer, while muscle control (transverse abdominus and multifidus) was measured by using the Pressure Biofeedback Unit. The pain intensity and the level of kinesiophobia were measured using Numerical Rating Scale and Tampa Scale of Kinesiophobia, respectively. Data were analyzed using Pearson's correlation coefficients and multivariate linear regressions.
RESULTS: No significant correlations were found between kinesiophobia and pain and muscle functions (all p > 0.05). Kinesiophobia was significantly correlated with mobility and balance (p = 0.038, r = 0.263). Regressions analysis showed that kinesiophobia was a significant predictor of mobility and balance (p = 0.038).
CONCLUSION: We can conclude that kinesiophobia predicted mobility and balance in older persons with LBP. Kinesiophobia should be continuously assessed in clinical settings to recognize the obstacles that may affect patient's compliance towards a rehabilitation program in older persons with LBP.

Matched MeSH terms: Low Back Pain*
Altered breathing pattern valuation relatively to dyspnea assessment and treatment for low back pain: Effects of clinical practice

Mohan V, Paungmali A, Sitilertpisan P

Musculoskelet Sci Pract, 2017 02;27:e1-e2.
PMID: 27697391 DOI: 10.1016/j.math.2016.09.004
Matched MeSH terms: Low Back Pain*
Fulltext Challenges in determining occupational related chronic low back pain among employees: a review of the literature

Tam, Jenn Zhueng, Sharifa Ezat Wan Puteh, Noor Hassim Ismail

Malaysian Journal of Public Health Medicine, 2014;14(3):0-0.
MyJurnal

Chronic low back pain is a common preventable occupational health illness affecting most workers. Large amount of financial and benefit cost had been spent by the developed countries to prevent, treat and rehabilitate a large number of workers who are exposed to hazards that are attributed to low back pain. Efforts on primary prevention of low back pain had been challenging due to difficulties in affirming work- relatedness of chronic back pain among workers. As such, efforts have to be focused on existing literatures to propose acceptable variables to develop the definition of workrelatedness specific to chronic low back pain. Such identified variables or factors could be used to develop a set of criteria in defining work- related chronic back pain. Literature search using specific work- related and chronic low back pain key words were used. Comparable articles were judged and a summarized result was obtained. These variables could be grouped into individual characteristics, health behaviours, physical conditions at work, work organizations and ergonomic factors. With proper methodology and statistical analysis, tools could be developed to aid physicians in determining work- related chronic low back pain among employees.

Matched MeSH terms: Low Back Pain*
Fulltext Back pain and associated factors among rubber tappers in Pahang. [Sakit belakang dan faktor-faktor yang mempengaruhinya dikalangan penoreh getah di Pahang.]

Abu Hassan Shaari, Hasbullah Abdul Rahman

Malaysian Journal of Public Health Medicine, 2003;3(1):48-51.
MyJurnal

Backache is a common health problem associated with non ergonomic working environment. A cross sectional study amongst the rubber tappers was conducted to determine the prevalence of low back pain and ergonomic factors related to it. The respondents were 116 male rubber tappers from Felda scheme in the state of Pahang who were selected by random sampling. The result showed prevalence of low back pain was 60.3% and has significant association with history of backache (p<0.05). Rubber tappers were 6 times more higher to develop low back pain if they had history of backache (Odd Ratio =6.24, 95% CI). There were no significant association between socio-demographic factors and low back pain. Ergonomic factors such as bending during tapping, respondents’ height and duration of the tapping showed no significant association with low back pain. Further study should be done in ergonomic aspect to explore the problem.
Key words: Low back pain, rubber tapper, Felda, ergonomic.

Matched MeSH terms: Low Back Pain*
Fulltext Low back pain problem amongst port crane operator

Kadir, Z. A., Mohammad, R., Othman, N.

Journal of Advanced Research in Applied Sciences and Engineering Technology, 2015;1(1):13-26.
MyJurnal

Purpose of this study to be conducted is to identify the risk factor of low back pain amongst port crane operator and to improve the health management program in the company. The objectives of this study are to evaluate the major group of port crane operator that having low back pain problem, to analyse the risk factors that associated to low back pain problem (WBV, Awkward prolonged sitting and shift work-psychological) , individual characteristics (sport activity or hobby), to analyse the associated rate operator’s absence from work (medical leave) and low back pain problem and to propose the basic ergonomic assessment checklist for management to investigate health incident cases and fit-to-work (ergonomics) screening checklist for new recruitment. A survey research design through the distribution of the questionnaire and interview & field observation will
be used for research methodology. The population of this study consists of port crane operatorsRubber Tyred Gantry Operator (RTG). Questionnaire method used to collect all relevant information from correspondence. Interview also will be conducted to gain further details information. Data were analyzed with the usage of Statistical Package for the Social Sciences (SPSS) to make the process of analysis easier. As result, firstly, the study shown that there are association of risk factor for working posture and years of exposure with Low back Pain. The null hypothesis was rejected and there is probability that these risk factors have influence the low back pain. It was also concluded that the null hypothesis was accepted which means there are no correlation of risk factors for heavy physical works, previous job experience, previous accident with low back pain problem. Thirdly, the study
shown there are no correlation of rate operator’s absence from work (medical leave) with low back pain problem as the null hypothesis was accepted with p value <0.05
Keywords: Port, Low Back Pain, Ergonomics, Occupational Safety & Health, Rubber tyre gantry, Back Pain

Matched MeSH terms: Low Back Pain*
The science of respiratory characteristics in individuals with chronic low back pain: Interpreting through statistical perspective

Mohan V, Paungmali A, Sitilertpisan P

J Bodyw Mov Ther, 2018 01;22(1):11-12.
PMID: 29332732 DOI: 10.1016/j.jbmt.2017.03.017
Matched MeSH terms: Low Back Pain*
Fulltext Osteopoikilosis--a case report

Pan KL, Ibrahim S

Med J Malaysia, 2000 Sep;55 Suppl C:107-8.
PMID: 11200037

Osteopoikilosis is a rare, inheritable, sclerosing bone dysplasia; sometimes mistaken for osteoblastic bone metastases. We report a case in a 25 year-old lady.

Matched MeSH terms: Back Pain/drug therapy; Back Pain/etiology
Fulltext Interactive Low Back Pain Intervention Module Based on the Back School Program: A Cluster-Randomized Experimental Study Evaluating Its Effectiveness among Nurses in Public Hospitals

Ibrahim MI, Zubair IU, Shafei MN, Ahmad MI, Yaacob NM

Int J Environ Res Public Health, 2020 08 14;17(16).
PMID: 32824040 DOI: 10.3390/ijerph17165916

The prevalence of low back pain (LBP) among nurses is high. The main aim of this study was to evaluate the effectiveness of an interactive LBP module based on the Back School Program in improving Oswestry Disability Scores (ODSs) among nurses in government hospitals in Penang, Malaysia. A cluster-randomized experimental study was conducted within four public hospitals. These hospitals were randomized to intervention and control groups. A total of 284 nurses from the selected hospitals were randomly selected (142 in each group). An interactive LBP intervention module based on the Back School Program was designed and prescribed. Both the intervention and control groups were assessed using the Oswestry Disability Questionnaire at baseline and at the end of the third and sixth weeks. Out of 284 participants, 281 completed this study. A between-group comparison revealed that ODSs were significantly lower in the intervention group than in the control group at the ends of the third (p = 0.006) and sixth weeks (p < 0.001). Within-group changes revealed a significant reduction in ODSs within the intervention group from baseline to the third (p < 0.001) and sixth weeks (p < 0.001) of the intervention. This simple interactive LBP module was effective in reducing symptoms of LBP among nurses as early as three weeks, and this effect was sustained until the sixth week of the intervention.

Matched MeSH terms: Low Back Pain/epidemiology; Low Back Pain/prevention & control*
Myelopathy and Reactive Microgliosis and Astrogliosis in Equine Back Pain

Mayaki AM, Abdul Razak IS, Mohd Adzahan N, Mazlan M, Abdullah R

J Equine Vet Sci, 2020 07;90:103019.
PMID: 32534783 DOI: 10.1016/j.jevs.2020.103019

Equine chronic back pain (CBP) has been linked to different pathologic processes, which directly or indirectly involve spinal structures. Thus, making diagnosis and management very challenging with most horses with the condition recommended for early retirement from athletic activity. This study described the spinal cord lesions and the development of reactive microgliosis and astrocytosis in the spinal cords of horse with CBP. Thoracolumbar spinal cord segments from three horses euthanized because of unresolved CBP were dissected and grossly and histopathologically examined. The expression of activated microglia and astrocytes were demonstrated immunohistochemically using polyclonal rabbit anti-Iba-1 and anti-glial fibrillary acidic protein antibodies, respectively. All horses had radiological evidence of varying degrees of kissing spine involving six to nine vertebrae with the majority of the lesions graded between 2 and 5. Grossly, there was myelomalacia with intramedullary hemorrhages. The gray matters of the spinal cords were characterized by hemorrhagic malacic lesions with medullary disintegration. Reactive microgliosis and astrocytosis were evident in the spinal dorsal horns. White matter lesions include axonal swollen and/or loss, satellitosis, and varying degrees of dilation of myelin sheaths with some containing macrophages. In conclusion, the presence of reactive microgliosis and astrogliosis in the spinal dorsal horn indicates that they are possible precipitating factors in the development of equine CBP.

Matched MeSH terms: Back Pain/etiology; Back Pain/veterinary
Fulltext Codfish vertebra sign

Amin OS

BMJ Case Rep, 2017 Feb 28;2017.
PMID: 28246115 DOI: 10.1136/bcr-2016-219119
Matched MeSH terms: Low Back Pain/etiology
Fulltext Prevalence and factors associated with low back pain among tea plantation workers in Cameron Highlands, Malaysia

Abdul Hadi H

Journal of Occupational Safety and Health, 2016;13(1):1-10.
MyJurnal

A cross sectional study was conducted among tea plantation workers in Cameron Highlands from July to December 2006 to study the prevalence of low back pain and factors associated with it. One hundred and six tea plantation field workers participated in the study. Data was collected using self-administered questionnaire. Time motion studies were also conducted for 3 different job categories. The prevalence of back pain experienced throughout their work in the plantation was 81.1% and the prevalence of low
back pain experienced in the past 12 months was 64.2%. Feeling the need to work as fast as possible was a significant predictor of low back pain and increased the risk by 3.5 times, therefore it is suggested that both the management and workers give serious attention to this particular aspect to reduce the incidence of low back pain.

Matched MeSH terms: Low Back Pain*
Fulltext Prevalence of low-back pain among public ambulance workers in Kelantan, Malaysia

Tuan Lonik EA, Tuan Kamauzaman TH, Abdullah AA, Nor J, Ab Hamid SA

Malaysian Journal of Public Health Medicine, 2017;17(1):126-135.
MyJurnal

This study is to determine the prevalence and the associated factors of low-back pain (LBP), which has multifactorial causes, among ambulance workers in Kelantan, Malaysia. The cross-sectional study involved ambulance workers in the emergency department in all government hospitals in Kelantan. Those who did not consent, complete or return the questionnaire as well as having rheumatic diseases were excluded from the study. The participants were asked to answer a self-administered questionnaire in English. Descriptive analyses and Chi-square test were used. A total of 168 respondents had completed the questionnaires with a response rate of 85.0%. Questionnaires with more than 95.0% items completed were included in the analysis (n=143). The respondents had a higher proportion of male than female (63.6% versus 36.4%). Assistant Medical Officer comprised of 60.0% of all respondents and the rest were nurses. The respondents’ age ranged between 23 to 58 years old with a mean age of 38.27 and standard deviation (SD) of 7.27. The mean duration of involvement in ambulance service was 9.68 years (SD 6.97). The majority (98.5%) of the respondents were Malay. Gender, smoking status and hobbies were the associated factors of LBP among ambulance workers. The modifiable risk factors should be emphasized to the ambulance workers as a measure to prevent the development of LBP.

Matched MeSH terms: Low Back Pain*
Fulltext School bag load and its effect on erector spinae muscle and low back pain among primary school children in Malaysia

Tamrin SBM, Ai LP, Hamzah R, Abdullah MY, Hanafi SS

Malaysian Journal of Medicine and Health Sciences, 2005;1(1):21-31.

Objective: A cross-sectional study was conducted to determine and evaluate the effects of schoolbag load on electromyography (EMG) activity of the erector spinae muscle.
Methods: Eighty-four primary schoolchildren were selected from two national medium primary schools in Seri Kembangan, 42 from Primary Two (P2) and 42 from Primary Five (PS), aged 8 and 11 respectively. Data were collected through interviews, anthropometries measurements, the weight of schoolbag load and surface electromyography (SEMG) of the erector spinae using Muscle Tester ME3000f'®. SurfaceAg-AgCl electrodes were used to measure: unloaded standing and walking, and loaded standing and walking.
Results: The study revealed that the erector spinae was found to be more efficient in loaded standing probably due to other trunk muscle co-activity compared to unloaded standing (p<0.05). However, the erector spinae was less efficient when loads were carried on the back while walking, compared to unloaded walking. When the schoolbag was carried over both shoulders, forces generated by the erector spinae were reduced and resulted in a more efficient use of the erector spinae compared to other asymmetrical carrying methods (p<0.05).
Conclusions: Bending slightly forward when carrying schoolbag was found to reduce the forces generated by the erector spinae compared to normal sagittal posture (p<0.05), however no significant difference was found between the different frontal postures. A significant inverse relationship (p<0.01) between the weight of schoolbag load and the average electromyography (AEMG), showed that the signifieance of the erector spinae muscle was reduced when a heavier schoolbag load was carried, owing to other trunk muscles co-activity. The study also revealed that apart from age of schoolchildren, family history of back pain, exposure to environmental tobacco smoke (ETS), weight of the schoolbag and method of carrying schoolbag also play important role as risk factors for back pain.
Keywords: Electromyography, schoolbag, primary school, back pain

Matched MeSH terms: Back Pain; Low Back Pain
Biomechanical factors associated with non-specific low back pain in adults: A systematic review

Abd Rahman NA, Li S, Schmid S, Shaharudin S

Phys Ther Sport, 2023 Jan;59:60-72.
PMID: 36516512 DOI: 10.1016/j.ptsp.2022.11.011

Low back pain (LBP) can result in increased direct medical and non-medical costs to patients, employers, and health care providers. This systematic review aimed to provide a better understanding of the biomechanical factors associated with chronic non-specific LBP in adults. SCOPUS, ScienceDirect, MEDLINE, and Web of Science databases were searched. In total, 26 studies were included and significant differences were noted between healthy controls and LBP patients in various motion. Biomechanical factors among adults with non-specific LBP were altered and differed as compared to healthy controls in various motion might be to compensate the pain during those motions. This review highlighted the biomechanical differences across those with non-specific LBP and healthy adults. Both groups showed a similar level of pain during functional tasks but LBP patients suffered from a moderate level of disability. Future studies should not rely on questionnaire-based pain scale only. The biomechanical factors summarized in this review can be used to diagnose non-specific LBP accurately, and as modifiable targets for exercise-based intervention.

Matched MeSH terms: Low Back Pain*
The global prevalence of low back pain in pregnancy: a comprehensive systematic review and meta-analysis

Salari N, Mohammadi A, Hemmati M, Hasheminezhad R, Kani S, Shohaimi S, et al.

BMC Pregnancy Childbirth, 2023 Dec 02;23(1):830.
PMID: 38042815 DOI: 10.1186/s12884-023-06151-x

BACKGROUND: Back pain during pregnancy is often considered as an unavoidable problem and can reduce the quality of life or disability of pregnant women. The aim of this study is to determine the global prevalence of back pain in pregnancy based on a systematic review and meta-analysis.
METHODS: In this study, Researchers systematically searched electronic databases PubMed, Scopus, Web of Science, Embase, ScienceDirect, and Google Scholar search engines for studies until September 2023. To analyze data, the random effects model was used, and the heterogeneity of the studies was checked with the I2 index. Data analysis was performed by software (Version 2 Comprehensive Meta-Analysis).
RESULTS: In the review of 28 studies with a sample size of 12,908 people, the I2 heterogeneity test showed high heterogeneity (I2: 98.4). Based on this, the random effects method was used to analyze the results. Therefore, the meta-analysis reported the global prevalence of back pain at 40.5 (95% CI: 33-48.4) during pregnancy. Also, according to the meta-analysis, the global prevalence of back pain in the first trimester of pregnancy is 28.3 (95%CI: 10.5-57.1), in the second trimester is 36.8 (95%CI: 30.4-43.7) and in the third trimester of pregnancy was reported as 47.8 (95% CI: 37.2-58.6).
CONCLUSION: In this meta-analysis, the overall prevalence of back pain in pregnant women was reported to be significant, so it is necessary for health policymakers to pay more attention to complications during pregnancy, in addition to increasing society's awareness of pregnant mothers, with timely diagnosis and treatment of such disorders, it can lead to improvement; and reduction in Complications caused by pregnancy and becoming more pleasant during pregnancy.

Matched MeSH terms: Back Pain/epidemiology

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