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Abstract
Background: cervical disc disorder is associated with many problems and functional disabilities which affect quality of life for patients. Neck pain is as common as low back pain which are considered from associated problems with cervical disc. Aim: This study was conducted to assess problems and functional disabilities among patients with cervical disc and relationship with low back pain. Design and Setting: A descriptive exploratory correlational study design was used and data were collected from Physical Medicine and Rehabilitation Department and it's affiliated out patient clinic of Tanta Main University Hospital. Sample: Purposive sampling of (90) patients from previous mentioned setting during follow-up period. Tools : Three tools were used for data collection: Tool (I); Sociodemographic and Medical data of the patients, Tool (II); Neck Disability Index scale to examine the degree of disability resulted from cervical disc and its effect on daily activities. Tool (III); Roland-Morris Low Back Pain and Disability Questionnaire to assess pain-related disability resulting from low back pain . Results: As a result of this study, the majority (66.7%) of the patients had complete level of neck disability and (82.2%) of them had high level of disability due to low back pain. Moreover the majority of the patients (67.6%) had high level of disability due to low back pain associated with complete neck disability due to cervical disc. Significant positive correlation was noted between total score of neck disability index and total score of roland-morrislow back pain and disability. Conclusion and Recommendation : These results indicate that majority of the patients had complete level of neck disability and high level of disability due to low back pain. Significant positive correlation was noted between total score of neck disability index and total score of roland-morrislow back pain and disability. Further research must be done in many settings to evaluate whether disability prevention or interventions can improve functional disabilities. Keywords: Cervical disc, functional disability, Low Back Pain. DOI : 10.7176/JHMN/61-05 Publication date : April 30 th 2019
Highlights
IntroductionWhile often benign and episodic in nature, cervical disc may become debilitating resulting in severe pain either neck or low back pain and possibility neurologic sequelae (Todd 2011)
Cervical disc affects up to two-thirds of the population in their life time
The majority of the patients (67.6%) had high level of disability due to low back pain associated with complete neck disability due to cervical disc
Summary
While often benign and episodic in nature, cervical disc may become debilitating resulting in severe pain either neck or low back pain and possibility neurologic sequelae (Todd 2011). Cervical disc accounts for up to 36% of all spinal intervertebral disc disease, second only to lumbar disc, which accounts for 62% of all spinal intervertebral disc disease. Problems in the cervical part of spinal column are connected with neck, arm, forearm, low back pain which can significantly decrease patients' quality of life, this is due to pathological changes that are impacting cervical spinal nerves forming cervical and brachial plexuses (Kolenkiewicz etal, 2018). Low back pain can result from various pathologies and in 90% of patients, the main causes are degenerative changes in the intervertebral discs Low back pain can result from various pathologies and in 90% of patients, the main causes are degenerative changes in the intervertebral discs (Chiba etal. 2017)
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