Complaint Of Low Back Pain Research Articles

Chiropractic Care for the Pregnant Body

Chiropractic care is a commonly used treatment modality for musculoskeletal pain in pregnancy. Low back pain, pelvic pain, and other neuromuscular complaints are prevalent in pregnancy and contribute to significant maternal discomfort in many women. Nonpharmacologic therapies to relieve pain are increasingly important during pregnancy because of the opioid epidemic. Chiropractic treatment is one of the potential therapies that offers intervention without medications. This article provides an evidence-based review of the epidemiology of chiropractic use in obstetrics, commonly treated conditions, related physiology of pregnancy, and safety of spinal manipulation.

Faktor yang Berhubungan dengan Keluhan Nyeri Punggung Bawah (Low Back Pain) pada Penenun di Desa Letneo Selatan Kecamatan Insana Barat Kabupaten Timor Tengah Utara

Abstract
 Low Back Pain (LBP) is pain in the back area between the lower ribs and lumbosacral (around the coccyx). The exact incidence of LBP in Indonesia varies from 7.6% to 37%. Cases in East Nusa Tenggara (Kupang City) for diseases of the muscle system and connective tissue show a total of 12,756 cases with a percentage of 7.3%, which ranks sixth out of 10 most diseases in Kupang City in 2018. The purpose of this study was to analyze the factors associated with complaints of low back pain in weavers in South Letneo Village, Insana Barat Sub-District, Timor Tengah Utara District in 2020. This study was an analytic observational study with a cross-sectional design. The sample used in this study consisted of 42 people. Data were analyzed using chi-square with a significance level of α = 0.05. The results showed that of the four research variables studied, all of them had a relationship with complaints of low back pain. The p-value for each variable as follows: age (0,000); working period (0.001); length of work (0,000) and work posture (0.002). Weavers need to have correct work posture and do stretching to minimize the risk of LBP.

Comparison of knowledge and behavior in preventing low back pain (LBP) in nursing students

This study aims to present a comparison of knowledge and behavior in their preventing LBP in nursing students. A descriptive and analytical design using a stratified random sampling technique, Kruskal-Wallis and Mann-Whitney methods, were used for this research, with 284 nursing students as the sample. The research showed that there is a correlation between knowledge of LBP (p=0.001, α=0.05) and LBP preventative behavior (p=0.002, α=0.05) and LBP complaints, which is quite high among nursing students at the Faculty of Nursing (FON) Universitas Indonesia (UI) across all programs study. There is a correlation between knowledge of LBP, LBP preventative behavior, and LBP prevalence, which is quite high among nursing students at FON UI.

Different Effectiveness of Dry Needle with Laser After Myofascial Release Added on Complaints of Myogenous Back Pain

Low back pain (LBP) complaints are prevalent that many people experience daily. Dry needling physiotherapy technology for myogenic LBP complaints has not been widely used in the clinical setting than laser. In contrast, it turns out that the application of laser for pain cases was not effectively socialized. In this study, the efficacy of dry laser needling was compared after the addition of myofascial release for myogenic LBP complaints. The research method was experimental study used two groups before and after the test design. The subjects were determined by reasoned sampling. The subjects were all patients with complaints of myogenic LBP who met the research criteria. The number of subjects in group I was 37 subjects, and group II was 36 subjects with myogenic LBP. The research was conducted from March to October 2020 at Sunafa physiotherapy practice, Colomadu, Karanganyar. There was a significant effect of dry needling with the myofascial release on pain reduction in patients with myogenic LBP (p=0,000). Also, there was a significant effect of laser with the myofascial release on pain reduction in patients with myogenic LBP (p=0,000). Dry needles and laser after adding myofascial release effectively reduce pain in patients with myogenic LBP.

Spinal Epidural varicosity resembling prolapsed intervertebral disc on MRI: A diagnostic dilemma for lumbar canal stenosis

Sciatica is generally caused by such well-recognized entity as lumbar disc herniation in neurosurgical practice. However rare patholo­gies such as epidural varices may mimic them by causing radicular symptoms. In this case report, we present a 20-years-old man with the complaint of low back pain and bilateral sciatica (Lt>Rt) & neurogenic claudication who was operated for right L5–S1 disc herniation. The lesion interpreted as an extruded disc herniation pre­operatively on MRI but was found to be an epidural varix compressing the nerve roots intraoperatively. The varicosity of veins was found in epidural space causing canal stenosis.

The Effects of a Daily Short Duration Mobility and Exercise Program on Individuals with Chronic Low Back Pain: A Pilot Study

Purpose: Low back pain has been a well-researched topic and it is estimated to affect nearly 82% of Americans at some point in their life. The purpose of this study was to determine whether the effects of a daily short duration mobility program produce significantly different results in pain and disability when compared to the same amount of brisk daily walking. Methods: A randomized control trial of 15 participants with a primary complaint of chronic low back pain for at least three months were assigned to a walking group (N=5) or a dynamic stretching group (N=10). All participants received 5 outcome measures: Visual Analog Scale (VAS), Fear Avoidance Behavior Questionnaire (FABQ), Pain Catastrophizing Scale, SF-36 and oswestry Disability Index (ODI). Subjects placed into the walking group were asked to walk at a brisk, self-selected pace for 12 minutes at least 5 days a week. Brisk was defined as at least a 4 on a 0-10 RPE scale. Participants in the mobility group were instructed in a 12 minute stretching program, which they were also asked to perform at least 5 days a week. Mobility group participants were provided a you tube link with the stretching program. Both groups were given accountability logs and were contacted once a week to assure adherence. Subjects performed the walking or mobility programs for 3 weeks after which they were re-evaluated using the same criteria as used in the initial evaluation. Alpha level ≤ 0.05 was selected for significance for all comparisons. Results: The stretching group showed significantly improved scores related to fear avoidance behavior questionnaire (p=0.019) and the pain catastrophizing scale (p=0.026) when compared to the walking group. Additionally, significant differences were noted in the stretching group for Visual Analog Scale (p=0.011), oswestry disability index (p=0.017), SF-36 Energy/Fatigue (p=0.047), SF-36 Pain (p=0.027) and SF-36 General Health (p=0.041). Conclusion: In conclusion, a daily short duration mobility and exercise program was more effective than walking in decreasing fear avoidance behavior and pain catastrophizing in subjects with chronic low back pain. Clinical Relevance: This study is clinically relevant given that it demonstrates prescription of a mobility program may be more beneficial than a walking program for patients with chronic low back pain. Additionally, this study supports the use of a telehealth application in the treatment of chronic low back pain.

The Correlation between Body Mass Index and Lifting Frequency with Low Back Pain Complaints on Rice Transport Workers in Warehouse of Perum BULOG Subdivre Pematangsiantar

Introduction: Rice transport workers are at risk for Low Back Pain (LBP) complaints because their workis lifting heavy loads repeatedly and affected by individual characteristics. This research aimed to analyzethe strength of the correlation between body mass index and lifting frequency with LBP complaints on ricetransport workers in Perum BULOG Pematangsiantar Subdivre.Methods: This type of research was an observational research with a cross sectional design. The samplingtechnique used total populated sampling with 30 respondents. The variables researched included body massindex, lifting frequency, and LBP complaints.Data were collected by observation, filling out research questionnaires, and Nordic Body Map (NBM). Thedata analysis used was the Spearman correlation.Results: The strength of the correlation between body mass index with low back pain complaints had a valueof r = 0.203, the strength of the correlation between the lifting frequency with low back pain complaints hada value of r = 0.415.Conclusion: Body mass index with LBP complaints had a weak and positive correlation. The liftingfrequency with LBP complaints had a moderate and positive corelation.

Usia Dan Posisi Kerja Pengrajin Payet Berpengaruh Terhadap Keluhan Low Back Pain

Low Back Pain (LBP) is one of the musculoskeletal disorders, psychological disorders and the result of wrong mobilization. LBP is one of the most common health problems in the industrial community, one of which is Payet Craftsmen. The purpose of this study was to determine the relationship between age and work position with LBP complaints on Halidah Sequin Craftsmen in Cempaka Sub-District. Analytical research design with approach cross sectional. The sample in this study were workers who met the inclusion criteria amounting to 25 people. Data analysis used chi-square test. Test results of research was the age variable is sig value 0.122 (> 0.05). meaning that there is no relationship between age variable with LBP complaints on Halidah Sequin Craftsmen in Cempaka Sub-District. While test results of research was the variable work position is a sig value of 0.022 (< 0.05). meaning that there is a relationship between work position variable and LBP complaints on Halidah Sequin Craftsmen in Cempaka Sub-District, with an Odds Ratio of 8,000 means that respondents who have high risk work positions are 8 more risk to complain of LBP compared to respondents who have moderate risk work positions.

Unusual presentation of lumbar chordoma on bone scintigraphy in a young patient

Chordoma is a rare bone cancer which arises from undifferentiated notochordal remnants in the axial skeleton. It generally has slow-growing and locally aggressive behavior. This tumor is usually diagnosed by CT and MRI modalities and the role of SPECT/CT is still debated. It shows reduced or normal uptake of radioisotope on bone scanning and increased tracer uptake is infrequently reported. Here we present a 33-year-old man with complaint of low back pain and numbness of his right leg. The whole body bone scan showed relatively uniform radiotracer activity throughout the skeleton. A focal increased uptake in the second lumbar vertebra was noted on SPECT/CT images. SPECT/CT also demonstrated multiple lytic lesions in lumbar vertebrae. The lesions were proven to be chordoma on biopsy. Lumbar chordoma could be one of the differential diagnoses for lytic lesions of the vertebrae which show absent or minimal tracer uptake on bone scintigraphy and SPECT/CT imaging. Our case was unusual as the patient was very young for chordoma diagnosis and bone scan showed increased uptake adjacent to the involved vertebral lesion detected by SPECT/CT.

Examination of Spinal Canal Anatomy with MRI Measurements in Lomber Disc Herniation Patients: An Anesthesiologist Viewpoint.

Background and Aim:The aim of this study is to investigate the magnetic resonance imaging (MRI) of patients with lumbar disc herniation (LDH) to identify the challenges associated with neuraxial anesthesia.Materials and Methods:The MRI images in the supine position of 203 patients admitted to hospital with complaints of lower back pain were studied. Medial sagittal slices of the lumbar spine were imaged from L1 to S1. LDH is classified as either bulging, extrusion, or protrusion.Results:For this study, 83 males and 120 females with a mean age of 43.18 ± 14.68 years were recruited. The highest herniation level was observed at L4–L5 in 145 (71.4%) patients: 76 instances of disc bulging (37.4%), 56 instances of extrusion (27.6%), and 13 instances of protrusion (6.4%). The longest distance between the skin and spinal cord was 60.06 ± 1.61 mm at L5–S1; the longest distance at width of the epidural space was 6.09 ± 1.95 mm at L3–L4. According to the disc herniation groups, no significant differences were found between the skin-to-dura distance, width of the epidural space, and depth of skin level to spinous process (P > 0.05). Moreover, the anterior dura to cord distances was significantly different from normal patients (P < 0.05). Indeed, there was a statistically weak and negative correlation between both the length and age of the lumbar spinal canal (P < 0.05, r = −0.295).Conclusions:Lumbar disc pathologies can cause anatomical derangements in the spinal canal, which may cause neurologic deficits by neuraxial blockade.

Biofilm-forming fluconazole-resistant Candida auris causing vulvovaginal candidiasis in an immunocompetent patient: A case report

Rationale: Candida auris is a potential emerging pathogen among Candida and causes serious health threats globally. Patient concerns: We reported a case of vulvovaginal candidiasis caused by Candida auris. A 26-year-old female presented with complaints of vaginal discharge, itching and low back pain. Diagnosis: High vaginal swab culture yielded Candida. The strain was confirmed as Candida auris by amplification and sequencing the internal transcribed spacer region. Antifungal susceptibility testing revealed that the isolate was resistant to fluconazole, amphotericin B and clotrimazole and susceptible to ketoconazole and nystatin. The isolate also exhibited biofilm forming ability. Interventions: Her symptoms did not subside with initial management with fluconazole and clotrimazole. Later, she was started on ketoconazole therapy. The patient responded well to ketoconazole. Outcome and lessons: To the best of our knowledge, this is the first report about the presence of a drug resistant biofilm forming Candida auris strain isolated from a vaginal swab sample from Chennai area. Biofilm forming ability might contribute to its drug resistance. Nucleic acid analysis helps in rapid and accurate identification of such rare species.

Low back pain in military police activity: analysis of prevalence, associated factors, and ergonomics.

Introduction:Low back pain is a frequent occupational complaint, corresponding to a considerable portion of leaves of absence that lead to economic loss. This symptom is frequently observed in military police officers, which carry around mandatory gear, which increases overload of the lumbar spine.Objectives:This study aimed to evaluate the prevalence of low back pain among military police officers, to identify associated factors, and to assess ergonomic hazards.Methods:This is a cross-sectional study, which analyzed the presence of low back pain, the degree of disability (with the Orwestry Disability Index), and possible associated factors in 2 subgroups of military police officers in the South region of the state of Santa Catarina.Results:Our sample consisted in 221 military police officers; 194 wore belt holsters and 27 wore drop leg holsters. The first group showed a higher prevalence of low back pain (74.2%) and pain chronification (70.1%). A higher prevalence of pain was observed in the extremes of age and also among police officers who had been on the job longer. The mean Orwestry Disability Index was higher in the group wearing belt holsters.Conclusions:Protection gear carried around by military police officers may be related to low back pain complaints; a better weight distribution of this equipment on the body may be beneficial in the prevention of low back pain. The drop leg holster was demonstrated to be a possible solution, allowing weight distribution to the lower limbs and decreasing overload of the lumbar spine due to equipment weight.

Clinical Profile of Patients Presenting with Low Back Pain to Out Patient Department of a Tertiary Level Hospital

Introduction Low back pain is experienced by most of the people at some point of life. In our setting, there are very limited data on low back pain. This study aims to elaborate demographic and clinical profile of patients presenting to outpatient department of Orthopedics, in Tribhuvan University Teaching Hospital with complaints of low back pain.&#x0D; MethodsA descriptive cross-sectional observational study was carried out in 150 patients who presented with complaints of lower back pain in outpatient department of Orthopedics of TU Teaching Hospital from May to November 2019. The demographics including age, gender, occupation, and clinical data- duration of symptoms, body mass index, VAS score and radiculopathy along with Body Mass Index of each patient were recorded in a proforma separately.&#x0D; ResultsOut of total 150 patients, male: female ratio was 1:1.9. The average age of patients was 42.1 years The average height, weight and body mass index of patients were 157 cm, 61.81kg and 24.83kg/m2 respectively. The mean visual analogue score of patients was 5.41. Occupationally, predominant number of patients were housewives (41.3%). Seventy nine patients (52.7%) had low back pain alone. Seventy one patients (47.3%) had low back pain associated with radicular symptoms, out of which 74.6% had unilateral radiculopathy.&#x0D; ConclusionLow back pain is most commonly seen in fourth decade of life. More females as compared to males are affected with low back pain. The radiculopathy associated with low backache is mostly unilateral.

Clinical Profile of Patients Presenting with Low Back Pain to Out Patient Department of a Tertiary Level Hospital

Introduction: Low back pain is experienced by most of the people at some point of life. In our setting, there are very limited data on low back pain. This study aims to elaborate demographic and clinical profile of patients presenting to outpatient department of Orthopedics, in Tribhuvan University Teaching Hospital with complaints of low back pain. Methods: A descriptive cross-sectional observational study was carried out in 150 patients who presented with complaints of lower back pain in outpatient department of Orthopedics of TU Teaching Hospital from May to November 2019. The demographics including age, gender, occupation, and clinical data- duration of symptoms, body mass index, VAS score and radiculopathy along with Body Mass Index of each patient were recorded in a proforma separately. Results: Out of total 150 patients, male: female ratio was 1:1.9. The average age of patients was 42.1 years. The average height, weight and body mass index of patients were 157 cm, 61.81kg and 24.83kg/m2 respectively. The mean visual analogue score of patients was 5.41. Occupationally, predominant number of patients were housewives (41.3%). Seventy nine patients (52.7%) had low back pain alone. Seventy one patients (47.3%) had low back pain associated with radicular symptoms, out of which 74.6% had unilateral radiculopathy. Conclusion: Low back pain is most commonly seen in fourth decade of life. More females as compared to males are affected with low back pain. The radiculopathy associated with low backache is mostly unilateral.

Multidisciplinary Management of a Rare Case of a Huge LowGrade Chondrosarcoma of the Lumbar Spine: A Case Report

Introduction: Chondrosarcoma is the second most common primary bone sarcoma and arising in the spine. It is estimated to be 2% to 12% in incidence from various series. The use of neoadjuvant and adjuvant chemotherapy for chondrosarcomas is controversial. Low- and intermediate-grade chondrosarcomas respond poorly to chemotherapy. Although not much data on the efficacy of chemotherapy in the treatment of high-grade chondrosarcomas, it should be considered in any young patient with a high-grade tumor. Radiation is recommended when anything other than wide excision is performed for chondrosarcoma of any grade.Case Presentation: A 24-year old female presented to the clinic with a chief complaint of persistent low back pain and a lump in her back. Initially, the lump was the size of a tennis ball three years ago. At the time of the examination, the lump was at the size of a volleyball about 65 x 63 x 58 centimeters. Systemic and general examinations were unremarkable. There were no comorbid conditions. From the results of the Clinicopathological Conference conducted by neurologists, pathologists, radiologists, orthopedic spine and oncology surgeons, it is advisable to conduct investigations such as x-rays, CT scans, MRI, biopsy, and surgery is recommended for evaluation of expansion of chondrosarcoma, evolving the spinal cord, and for resection of tumors.Conclusion: Early diagnosis and complete resection of tumor and treatment of relevant symptoms represent a viable treatment for this rare disorder to achieve increased life expectancy, low recurrence of tumor, and improvement of quality of life.

CORRELATION BETWEEN WORK DURATION AND DRIVER SITTING POSITION WITH LOW BACK PAIN OF THE DRIVERS AT MALENGKERI STATION MAKASSAR

Low back pain or commonly known as lower back pain is a complaint of pain,stiffness, or muscle tension in the lumbar region below of the ribs to the bottom crease of the buttocks. It is usually accompained by the spread of pain to the limb area. One of the causes is the duration of work and the wrong sitting position. The purpose of this study is to determine the correlation between work duration and driver sitting position with low back pain of the drivers at Malengkeri Station Makassar. The type of research is quantitative with cross-sectional research design. This research was conducted at Station Tamalate Malengkeri Makassar in July 2018. The number of sample is 81 respondents by total sampling technique. The results of the analysis uvivariat showed that the number of respondents with low back pain complaint is 58 respondents (71.6%) and without complaint is 23 respondents (28.4%). Ideal work duration is 22 respondents (27.25) and not ideal is 59 respondents (72.8%). Good sitting position is 27 respondents (33.3%) and that are bad sitting position is 54 respondents (66.7%). The statistical test using is Chi-square analysis with a significance level of 0,005. The result showed there is a signficant correlation between work duration with low back pain (p=0.000 &lt; 0,05) and significant correlation between driver sitting position with low back pain (p=0.000 &lt; 0,05). It can be concluded that there is correlation between work duration and driving sitting position with low back pain of the drivers at Malengkeri Station Makassar. Keywords: Low back pain, duration of work, sitting position.

CLINICAL ANALYSIS OF PATIENTS WITH LOW BACK PAIN IN THE EMERGENCY DEPARTMENT

ABSTRACT Objective To describe the daily practice in an emergency service and to provide relevant data for future studies about the treatment of low back pain from the perspective of emergency medicine. Methods Analysis of hospital records and review of medical records. Results 2,434 patients were attended between January 1 and December 31, 2017 with the complaint of low back pain. Radiographs of the spine were performed in 15.7% of patients and computerized tomography scans in 7.6%. Eighty-five patients required hospitalization, with a mean hospital stay of 8.3 days. The rate of use was 52.7% for tricyclic or antiepileptic drugs and 12% for strong opioids among hospitalized patients. Conclusions A high prevalence of low back complaints was observed in the emergency care service (4.6% of total emergency room visits during the year), with low hospitalization potential. The rates of hospitalization and tomographic examinations were higher than those observed in similar studies, with a lower proportion of radiograph and strong opioid use as compared with the same studies. The paucity of national and international data for more in-depth comparisons makes clear the need for further studies and development of new recommendations specifically targeting this subset of patients. Level of evidence IV; Prognostic studies.

Relationship of Predisposing and Enabling Factors with Unsafe Action of Nurse in the Inpatient Unit I of Rsud Dr. Saiful Anwar Malang

One of the factors causing occupational accidents and illnesses that occur in nurses in hospitals is abehavioral factor. The study was conducted to study the relationship between Predisposing, Enabling andReinforcing factors with unsafe behavior of nurses in the inpatient room 1 Dr. Saiful Anwar Malang “.This type of research is a quantitative research with analytic observational design with cross sectionalapproach. The sample in this study were nurses in Inpatient Room I as many as 42 nurses were analyzedusing the Chy Square Test and Fisher Exact. The method used is to use a questionnaire, observation andinterviews. Chy Square test results showed p = 0.818&gt; 0.05 that there is no relationship between knowledgeand unsafe actions. Fisher’s exact test results show p = 0.481&gt; 0.05 that there is no relationship between theOccupational Safety and Health policy with unsafe actions, Fisher’s exact test results show p = 1,000&gt; 0.05that there is no relationship between Standard Operational Procedure and no action safe, Fisher’s exact testresults show p = 0.158&gt; 0.05 that there is no relationship between Safety Training and occupational healthwith unsafe actions. Conducting routine socialization related to Operational Standards Procedures for howto appoint patients, conducting routine supervision related to unsafe actions of nurses when lifting patients,implementing reporting systems related to complaints of low back pain, implementing a reward system forworkers who behave safely and punishment for workers who acted insecure.

Nyeri Punggung Bawah Akibat Posisi Duduk yang Salah Pada Pesepeda

Background: Lower back pain still occurs in many cyclists. The sitting position is considered to be one of the factors causing complaints of low back pain. This study was conducted to determine the correlation between sitting position and complaints of low back pain in cyclists. Methods: This study employed the narrative review method by collecting ten research articles from the Google Scholar and PubMed databases, identifying keywords using the PEOs format, so that the keywords "Cyclist", "Sitting Position", "Lower Back Pain", and "All Study Design" were used. Results: All articles used were articles published starting in 2010. Seven articles stated that lower back pain occurred more frequently in a sitting position with large lumbar flexion. Six articles stated that the sitting position of a cyclist was affected by the position of the handlebars. Five articles stated that sitting with the lower handlebars resulted in greater lumbar flexion and anterior pelvic tilt. Five articles stated that prolonged lumbar flexion and anterior pelvic tilt resulted in a lower crossed syndrome. Four articles found that lower crossed syndrome contributes to lower back pain. Conclusion: There is a correlation between sitting position and complaints of low back pain in cyclists. However, there are limitations to the article which states that the statistical closeness of the correlation between sitting position and complaints of low back pain in cyclists.

A case of aggressive aortic prosthetic valve endocarditis aggressive caused by Staphylococcus lugdunensis

BackgroundStaphylococcus lugdunensis is a coagulase-negative Staphylococcus species, which are weak pathogenic bacteria generally. However, the acute and severe pathogenicity of Staphylococcus lugdunensis infective endocarditis may be due to the rapid growth of large vegetation and consequent valve destruction.Case presentationThe patient was an 81-year-old male who visited our hospital with chief complaints of low back pain and high fever. Four years before this visit, he had undergone aortic valve replacement for aortic regurgitation. He was found to be hypotensive. Although there is no heart murmur on auscultation and echocardiography revealed negative findings with aortic valve, a blood test showed increases in the white blood cell count and C-reactive protein concentration. On the next day, Gram-positive cocci were detected in a blood culture and echocardiography detected a large vegetation on the prosthetic valve with increased flow velocity. Therefore, he underwent redo aortic valve replacement emergently. Staphylococcus lugdunensis was identified in blood samples and vegetation culture. Consequently, the patient was treated with antibiotics for 5 weeks after the operation and discharged home.ConclusionsWe experienced rapidly progressive prosthetic valve endocarditis caused by Staphylococcus lugdunensis. Hence, Staphylococcus lugdunensis infective endocarditis requires aggressive treatment, and the pathogenicity of this coagulase-negative Staphylococcus with high drug susceptibility should not be underestimated.