The effect of stabilization exercise on pain-related disability, sleep disturbance, and psychological status of patients with non-specific chronic low back pain
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Background: Sleep disturbance and depression are becoming more recognized as important symptoms among individuals with chronic low back pain. This study evaluated the effect of stabilization exercise on pain-related disability, sleep disturbance and the psychological status of patients with non-specific chronic low back pain (NSCLBP).Methods: A total of 26 patients (M/F = 17/9) with NSCLBP with a mean age of 50.0 ± 15.5 took part in this study. Participants were recruited from selected hospitals in Lagos state. Ethical approval was sought and obtained from the health research and ethics committee of Lagos University Teaching Hospital Idi-araba, Lagos, Nigeria. Participants performed stabilization exercise for eight weeks consecutively and were assessed for pain-related disability, anxiety, depression, and sleep disturbance using the pain-disability index, hospital anxiety and depression scale, and the insomnia severity index at baseline, the 4th week, and the 8th week, post- intervention.Results: The participants studied recorded significant reduction in pain-related disability (P = 0.001). There was also improvement in the sleep quality (P = 0.001), depression level (P = 0.001), and anxiety level (P = 0.001), post intervention.Conclusions: This study revealed that stabilization exercise is very useful in the management of sleep disturbance, pain-related disability, depression, and anxiety in NSCLBP patients. (Korean J Pain 2018; 31: 199-205)
Abstract
Background: Sleep disturbance and depression are becoming more recognized as important symptoms among individuals with chronic low back pain. This study evaluated the effect of stabilization exercise on pain-related disability, sleep disturbance and the psychological status of patients with non-specific chronic low back pain (NSCLBP).Methods: A total of 26 patients (M/F = 17/9) with NSCLBP with a mean age of 50.0 ± 15.5 took part in this study. Participants were recruited from selected hospitals in Lagos state. Ethical approval was sought and obtained from the health research and ethics committee of Lagos University Teaching Hospital Idi-araba, Lagos, Nigeria. Participants performed stabilization exercise for eight weeks consecutively and were assessed for pain-related disability, anxiety, depression, and sleep disturbance using the pain-disability index, hospital anxiety and depression scale, and the insomnia severity index at baseline, the 4th week, and the 8th week, post- intervention.Results: The participants studied recorded significant reduction in pain-related disability (P = 0.001). There was also improvement in the sleep quality (P = 0.001), depression level (P = 0.001), and anxiety level (P = 0.001), post intervention.Conclusions: This study revealed that stabilization exercise is very useful in the management of sleep disturbance, pain-related disability, depression, and anxiety in NSCLBP patients. (Korean J Pain 2018; 31: 199-205)
참고문헌 (40)
- Freburger JK, "The rising prevalence of chronic low back pain", Arch Intern Med, 169, pp.251~258 (2009)[DOI]
- Hanney WJ, "Implications for physical activity in the population with low back pain", Am J Lifestyle Med, 3, pp.63~70 (2009)[DOI]
- Gore M, "The burden of chronic low back pain: clinical comorbidities, treatment patterns, and health care costs in usual care settings", Spine (Phila Pa 1976), 37, pp.E668~E677 (2012)[DOI]
- Manchikanti L, "Comprehensive review of epidemiology, scope, and impact of spinal pain", Pain Physician, 12, pp.E35~E70 (2009)
- Dunn KM, "Epidemiology and natural history of low back pain", Eura Medicophys, 40, pp.9~13 (2004)
- Dunn KM, "Contributions of prognostic factors for poor outcome in primary care low back pain patients", Eur J Pain, 15, pp.313~319 (2011)[DOI]
- Kundermann B, "The effect of sleep deprivation on pain", Pain Res Manag, 9, pp.25~32 (2004)[DOI]
- Brand S, "Sleep and its importance in adolescence and in common adolescent somatic and psychiatric conditions", Int J Gen Med, 4, pp.425~442 (2011)
- Naughton F, "Does sleep quality predict pain-related disability in chronic pain patients? The mediating roles of depression and pain severity", Pain, 127, pp.243~252 (2007)[DOI]
- van de Water AT, "Investigation of sleep disturbance in chronic low back pain: an age- and gender-matched case-control study over a 7-night period", Man Ther, 16, pp.550~556 (2011)[DOI]
- de Paula Lima PO, "Measurement properties of the pressure biofeedback unit in the evaluation of transversus abdominis muscle activity: a systematic review", Physiotherapy, 97, pp.100~106 (2011)[DOI]
- Millisdotter M, "Early neuromuscular customized training after surgery for lumbar disc herniation: a prospective controlled study", Eur Spine J, 16, pp.19~26 (2007)[DOI]
- Akodu AK, "Effect of stabilization exercise on pain and disability in patients with chronic low back pain", Indian J Physiother Occup Ther, 9, pp.170~175 (2015)
- Akodu AK, "Effect of stabilization exercise on lumbar multifidus muscle thickness in patients with non-specific chronic low back pain", Iran Rehabil J, 12, pp.6~10 (2014)
- Balague F, "Clinical update: low back pain", Lancet, 369, pp.726~728 (2007)[DOI]
- Moon MS, "Spinal deformity", Indian J Orthop, 44, pp.123~126 (2010)[DOI]
- Hicks GE, "Preliminary development of a clinical prediction rule for determining which patients with low back pain will respond to a stabilization exercise program", Arch Phys Med Rehabil, 86, pp.1753~1762 (2005)[DOI]
- Akodu AK, "Effect of stabilization exercise on pain and quality of life of patients with non-specific chronic low back pain", Afr J Physiother Rehabil Sci, 7, pp.7~11 (2015)
- Wilke HJ, "Stability increase of the lumbar spine with different muscle groups. A biomechanical in vitro study", Spine (Phila Pa 1976), 20, pp.192~198 (1995)[DOI]
- Koumantakis GA, "Trunk muscle stabilization training plus general exercise versus general exercise only: randomized controlled trial of patients with recurrent low back pain", Phys Ther, 85, pp.209~225 (2005)
- Shakeri H, "Effect of functional lumbar stabilization exercises on pain, disability, and kinesiophobia in women with menstrual low back pain: a preliminary trial", J Chiropr Med, 12, pp.160~167 (2013)[DOI]
- Nava-Bringas TI, "Adherence to a stability exercise program in patients with chronic low back pain", Cir Cir, 84, pp.384~391 (2016)
- Balasubramaniam A, "Effect of motor control exercises on psychological variables in chronic low back pain in computer professionals", Int J Pharma Bio Sci, 7, pp.490~494 (2016)
- Antunes RS, "Pain, kinesiophobia and quality of life in chronic low back pain and depression", Acta Ortop Bras, 21, pp.27~29 (2013)[DOI]
- Sethi V, "Impact of short duration (4 weeks) core stability exercise on depression, anxiety and stress status of adult patients with chronic low back pain", J Pharm Biomed Sci, 23, pp.1~4 (2012)
- Ramond A, "Psychosocial risk factors for chronic low back pain in primary care--a systematic review", Fam Pract, 28, pp.12~21 (2011)[DOI]
- Sribastav SS, "Interplay among pain intensity, sleep disturbance and emotion in patients with non-specific low back pain", PeerJ, 5, pp.e3282~ (2017)[DOI]
- Bair MJ, "Depression and pain comorbidity: a literature review", Arch Intern Med, 163, pp.2433~2445 (2003)[DOI]
- Bair MJ, "Association of depression and anxiety alone and in combination with chronic musculoskeletal pain in primary care patients", Psychosom Med, 70, pp.890~897 (2008)[DOI]
- Hung CI, "Depression: an important factor associated with disability among patients with chronic low back pain", Int J Psychiatry Med, 49, pp.187~198 (2015)[DOI]
- Xu Z, "Sleep quality of Chinese adolescents: distribution and its associated factors", J Paediatr Child Health, 48, pp.138~145 (2012)[DOI]
- Schuh-Hofer S, "One night of total sleep deprivation promotes a state of generalized hyperalgesia: a surrogate pain model to study the relationship of insomnia and pain", Pain, 154, pp.1613~1621 (2013)[DOI]
- Sezgin M, "Sleep quality in patients with chronic low back pain: a cross-sectional study assesing its relations with pain, functional status and quality of life", J Back Musculoskeletal Rehabil, 28, pp.433~441 (2015)[DOI]
- Batterham PJ, "Sleep disturbance, personality and the onset of depression and anxiety: prospective cohort study", Aust N Z J Psychiatry, 46, pp.1089~1098 (2012)[DOI]
- Spira AP, "Anxiety symptoms and objectively measured sleep quality in older women", Am J Geriatr Psychiatry, 17, pp.136~143 (2009)[DOI]
- 이호진, "Prevalence of unrecognized depression in patients with chronic pain without a history of psychiatric diseases", The Korean Journal of Pain, 31(2), pp.116~124 (2018), 대한통증학회
- Wang HY, "Association of depression with sleep quality might be greater than that of pain intensity among outpatients with chronic low back pain", Neuropsychiatr Dis Treat, 12, pp.1993~1998 (2016)[DOI]
- Kelly GA, "The association between chronic low back pain and sleep: a systematic review", Clin J Pain, 27, pp.169~181 (2011)[DOI]
- Siengsukon C, "Relationship between low back pain and sleep quality", J Nov Physiother, 3, pp.168~ (2013)
- O'Donoghue GM, "Objective and subjective assessment of sleep in chronic low back pain patients compared with healthy age and gender matched controls: a pilot study", BMC Musculoskelet Disord, 10, pp.122~ (2009)[DOI]
