Factors Associated with Low Back Pain Songket at Talang Aur Village Subdistrict Indralaya District Ogan Ilir

Background : Low back pain is a pain occuring below part of the back and capable of moving to feet particulary in the back and outside. In working, the songket workers sit on a non-laying chair. It will result in the emerge of the low back pain. Based on the issue, it is carried out a research aiming to recognize any factors corerlating with to the low back pain of the workers.Method : This research was conducted in 56 songket workers at Talang Aur village subdistrict Indralaya, district Ogan Ilir. This study uses cross sectional design. Data is processed and presented in frequency distribution tables, analyzed analytically by using chi square test. Data collected concist of secondary and primary data.Result : From the analysis of chi square test is known, there is a relation between of age and the low back pain (p value=0,045), there is no correlation between the working period and the low back pain (p value=0,3), there is no correlation between the long time of work and the low back pain (p value=0,860), there is no correlation between the resting time and the low back pain (p value=1,00), there is no correlation between the body mass index and the low back pain (p value=0,412),and there is a relation between the sitting potition in work and the low back pain (p value=0,455).Conclusion : Age has a significant statistical relationship with the complaint of low back pain. There was no statistically significant relationship between the period of employment, length of work, rest, and body mass index to the complaint of low back pain in songket producers at Talang Aur village year 2011

Gambaran Low Back Pain Pada Komunitas Fitness Center Dengan Instruktur Dan Tanpa Instruktur Di YOGYAKARTA

Prevalensi Low Back Pain (LBP) atau nyeri punggung bawah sepanjang hidup adalah antara 60-90% dan di AS sebanyak 30% atlet pernah mengalami LBP akut karena efek latihan yang mereka lakukan. Pada saat ini di Indonesia telah muncul komunitas-komunitas pusat kebugaran yang melakukan berbagai macam latihan untuk membentuk tubuh atau memperbaiki kebugaran mereka. Penelitian ini dilakukan untuk mengetahui demografi nyeri punggung bawah pada komunitas fitness center di Yogyakarta. Penelitian ini merupakan penelitian cross sectional dengan pendekatan secara observasi. Populasinya adalah semua anggota komunitas pusat kebugaran baik laki-laki maupun perempuan yang diambil secara acak sejumlah 90 sampel. Berdasarkan umur, sampel dibagi menjadi 3 kelompok umur yaitu 18-30, 31-50, dan >50 tahun. Penelitian dilakukan di 3 tempat yaitu Kartika Dewi Group, Lembah Fitness, dan Bahtera Fitness Center. Setelah diperoleh data yang dibutuhkan, kemudian dilakukan pengolahan data dengan menggunakan frequency, cross tabulation, dan uji Chi Square. Hasil analisis deskriptif menunjukkan sebanyak 36 dari 90 sampel atau 40% menyatakan pernah mengalami nyeri punggung bawah LBP setelah selama ini melakukan latihan di pusat kebugaran. Hasil uji statistik dengan menggunakan cross tabulation dan Chi square test menunjukkan tidak signifikannya pengaruh umur, jenis kelamin, dilatih oleh instruktur, lama dan frekuensi berlatih dengan timbulnya kejadian LBP dengan nilai p>0.05. Penelitian ini menunjukkan bahwa tidak ada pengaruh antara umur, jenis kelamin, dilatih oleh instruktur, lama berlatih dan frekuensi berlatih dengan timbulnya kejadian LBP pada komunitas pusat kebugaran dan kejadian LBP yang cukup tinggi pada komunitas pusat kebugaran yaitu sebesar 40%.The prevalence of life long low back pain (LBP) is about 60-90% and approximately 30% athletes in the US ever suffered from acute LBP because of exercise effect they had practiced. Nowadays, fitness communities have been growing in Indonesia with so many exercises for keeping body shape or health. This study was performed to find out LBP demography in fitness centre communities in Yogyakarta. A cross sectional study design was employed and an observational approach was used for data collection. Population and subject selected were all of community member either male or female taken by purposive method. Based on the age, samples were divided into 3 groups i.e. group of 18-30, 31-50, and >50 years. This study was done in 3 community fitness centers i.e. Kartika Dewi Group, Lembah Fitness, and Bahtera Fitness Centre. A special questionnaire was used to collect the data and frequency distribution, cross-tabulation and Chi-Square test were used for statistical analysis. Descriptive analysis result showed 36 out of 90 subjects or 40% ever suffered from LBP following exercise in fitness center. Statistical analysis by using cross tabulation and Chi square test showed that the influence of age, gender, trained by instructor, duration and frequency of exercise on LBP incidence was not significant and the P value was > 0.05. In conclusion, age, gender, trained by instructor, long duration and exercise frequency had no influence on LBP incidence in fitness center community. The LBP incidence was relatively high in fitness center community i.e. about 40% of the sample

Reduced pressure pain thresholds in response to exercise in chronic fatigue syndrome but not in chronic low back pain: an experimental study

Objective The aims of this study were to examine (i) base line pressure pain thresholds in patients with chronic fatigue syndrome and those with chronic low back pain compared with healthy subjects, (ii) the change in mean pain threshold in response to exercise, and (iii) associations with exercise induced increase in nitric oxide Participants Twenty six patients with chronic fatigue syndrome suffering of chronic pain, 21 patients with chronic low back pain and 31 healthy subjects Methods Participants underwent a submaximal aerobic exercise protocol on a bicycle ergometer, preceded and followed by venous blood sampling (nitric oxide) and algometry (hand arm calf low back) Results Patients with chronic fatigue syndrome presented overall lower pain thresholds compared with healthy sub jects and patients with chronic low back pain (p<0 05) No significant differences were found between healthy subjects and patients with chronic low back pain After submaximal aerobic exercise, mean pain thresholds decreased in patients with chronic fatigue syndrome and increased in the others (p<0 01) At baseline nitric oxide levels were significantly higher in the chronic low back pain group After controlling for body mass index no significant differences were seen be tween the groups at baseline or in response to exercise Nitric oxide was not related to pain thresholds in either group Conclusion The results suggest hyperalgesia and abnormal central pain processing during submaximal aerobic exercise in chronic fatigue syndrome, but not in chronic low back pain Nitric oxide appeared to be unrelated to pain processin

Segmental stabilizing exercises and low back pain: What is the evidence?

Study design: A systematic review of randomized controlled trials. Objectives: To evaluate the effectiveness of segmental stabilizing exercises for acute, subacute and chronic low back pain with regard to pain, recurrence of pain, disability and return to work. Methods: MEDLINE, EMBASE, CINAHL, Cochrane Controlled Trials Register, PEDro and article reference lists were searched from 1988 onward. Randomized controlled trials with segmental stabilizing exercises for adult low back pain patients were included. Four comparisons were foreseen: (1) effectiveness of segmental stabilizing exercises versus treatment by general practitioner (GP); (2) effectiveness of segmental stabilizing exercises versus other physiotherapy treatment; (3) effectiveness of segmental stabilizing exercises combined with other physiotherapy treatment versus treatment by GP and (4) effectiveness of segmental stabilizing exercises combined with other physiotherapy treatment versus other physiotherapy treatment. Results: Seven trials were included. For acute low back pain, segmental stabilizing exercises are equally effective in reducing short-term disability and pain and more effective in reducing long-term recurrence of low back pain than treatment by GP. For chronic low back pain, segmental stabilizing exercises are, in the short and long term, more effective than GP treatment and may be as effective as other physiotherapy treatments in reducing disability and pain. There is limited evidence that segmental stabilizing exercises additional to other physiotherapy treatment are equally effective for pain and more effective concerning disability than other physiotherapy treatments alone. There is no evidence concerning subacute low back pain. Conclusion: For low back pain, segmental stabilizing exercises are more effective than treatment by GP but they are not more effective than other physiotherapy interventions

Occurrence of Low Back Pain in the Mechanical Part UPT Mechanization in Crops and Horticulture Department of Riau Province

Low Back Pain (LBP) is pain felt in the lower back area, may be a local pain (inflammation), or radicular pain or both. Low back pain is a disease that most experienced workers, where the incidence of lower back pain knows no differences in age, sex, occupation, social status, or level of education / knowledge, can all be affected. More than 70% of people in his life ever experienced lower back pain, with an average peak incidence 35-55 years old. This research was conducted at the Department of Food Crops and Horticulture Riau province in July 2014. The study design was cross-sectional with a number of respondents as many as 32 workers. The data collection is done with low back pain in the form of body mapping instrument checklist, and instrument variables collection of knowledge, work period &nbsp;and age of workers with the questionnaire as a tool in data collection. Analysis of the data using linear regression. These results indicate that there is a significant relationship between the worker's age and years of service with the incidence of low back pain. These results indicate that an increase of 1 point the worker's age there will be an increase of 0,084 points low back pain on workers and an increase of 1 point tenure there will be an increase of 0.097 points low back pain in workers. Suggested to the Department of Food Crops and Horticulture Riau province to hold a morning exercise every week to strengthen bone mass, decrease chronic joint pain in the waist, back and knee recalling the events of low back pain is related to age and work period

Spinal cord stimulation for predominant low back pain in failed back surgery syndrome: study protocol for an international multicenter randomized controlled trial (PROMISE study)

Background: Although results of case series support the use of spinal cord stimulation in failed back surgery syndrome patients with predominant low back pain, no confirmatory randomized controlled trial has been undertaken in this patient group to date. PROMISE is a multicenter, prospective, randomized, open-label, parallel-group study designed to compare the clinical effectiveness of spinal cord stimulation plus optimal medical management with optimal medical management alone in patients with failed back surgery syndrome and predominant low back pain. Method/Design: Patients will be recruited in approximately 30 centers across Canada, Europe, and the United States. Eligible patients with low back pain exceeding leg pain and an average Numeric Pain Rating Scale score >= 5 for low back pain will be randomized 1:1 to spinal cord stimulation plus optimal medical management or to optimal medical management alone. The investigators will tailor individual optimal medical management treatment plans to their patients. Excluded from study treatments are intrathecal drug delivery, peripheral nerve stimulation, back surgery related to the original back pain complaint, and experimental therapies. Patients randomized to the spinal cord stimulation group will undergo trial stimulation, and if they achieve adequate low back pain relief a neurostimulation system using the Specify (R) 5-6-5 multi-column lead (Medtronic Inc., Minneapolis, MN, USA) will be implanted to capture low back pain preferentially in these patients. Outcome assessment will occur at baseline (pre-randomization) and at 1, 3, 6, 9, 12, 18, and 24 months post randomization. After the 6-month visit, patients can change treatment to that received by the other randomized group. The primary outcome is the proportion of patients with >= 50% reduction in low back pain at the 6-month visit. Additional outcomes include changes in low back and leg pain, functional disability, health-related quality of life, return to work, healthcare utilization including medication usage, and patient satisfaction. Data on adverse events will be collected. The primary analysis will follow the intention-to-treat principle. Healthcare use data will be used to assess costs and long-term cost-effectiveness. Discussion: Recruitment began in January 2013 and will continue until 2016

Therapy for Low Back Pain with Acupuncture and Turmeric

Background: Low Back pain (LBP) is the most common musculoskeletal disorder, affecting 70% - 85% of the adult population, and twelve months after onset of LBP, 45% - 75% of patients are still sick. Low back pain in Traditional Chinese Medicine (TCM) is usually associated with kidney or renal meridians. In She syndrome, lower back pain is often caused by pathogen wind, damp, cold, heat and blood stasis, whereas in the Xi syndrome lower back pain usually caused by deficiency of Jing, Qi, Yin, or Yang of the kidney. Purpose: To know the effect of acupuncture therapy at Pishu (BL 20), Shenshu (BL 23), Dachangshu (BL 25), Waiguan (TE 5) as well as herbal therapy using turmeric (Curcuma domestica) on low back pain sufferers. Methods: Acupuncture therapy at Pishu (BL 20), Shenshu (BL 23), Dachangshu (BL 25), Waiguan (TE 5) were given 12 times, 3 times a week. Herbal therapy was given for 30 days, taken 3 times a day with a dose of turmeric 1 gram. Results: This therapy could reduce the scale of low back pain from scale 8 to 0 and the spasme scale from 3 to 0, that also reducing the frequency of low back pain. Conclusion: Acupuncture therapy at Pishu (BL 20), Shenshu (BL 23), Dachangshu (BL 25), Waiguan (TE 5) and herbal therapy with 3 g of turmeric (Curcuma domestica) could resolve lower back pain

Global, regional, and national burden of low back pain, 1990-2020, its attributable risk factors, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021.

BACKGROUND: Low back pain is highly prevalent and the main cause of years lived with disability (YLDs). We present the most up-to-date global, regional, and national data on prevalence and YLDs for low back pain from the Global Burden of Diseases, Injuries, and Risk Factors Study 2021. METHODS: Population-based studies from 1980 to 2019 identified in a systematic review, international surveys, US medical claims data, and dataset contributions by collaborators were used to estimate the prevalence and YLDs for low back pain from 1990 to 2020, for 204 countries and territories. Low back pain was defined as pain between the 12th ribs and the gluteal folds that lasted a day or more; input data using alternative definitions were adjusted in a network meta-regression analysis. Nested Bayesian meta-regression models were used to estimate prevalence and YLDs by age, sex, year, and location. Prevalence was projected to 2050 by running a regression on prevalence rates using Socio-demographic Index as a predictor, then multiplying them by projected population estimates. FINDINGS: In 2020, low back pain affected 619 million (95% uncertainty interval 554-694) people globally, with a projection of 843 million (759-933) prevalent cases by 2050. In 2020, the global age-standardised rate of YLDs was 832 per 100 000 (578-1070). Between 1990 and 2020, age-standardised rates of prevalence and YLDs decreased by 10·4% (10·9-10·0) and 10·5% (11·1-10·0), respectively. A total of 38·8% (28·7-47·0) of YLDs were attributed to occupational factors, smoking, and high BMI. INTERPRETATION: Low back pain remains the leading cause of YLDs globally, and in 2020, there were more than half a billion prevalent cases of low back pain worldwide. While age-standardised rates have decreased modestly over the past three decades, it is projected that globally in 2050, more than 800 million people will have low back pain. Challenges persist in obtaining primary country-level data on low back pain, and there is an urgent need for more high-quality, primary, country-level data on both prevalence and severity distributions to improve accuracy and monitor change. FUNDING: Bill and Melinda Gates Foundation

Core Fatigue and Low Back Pain

The objective of this study was to determine the relationship between core fatigue and low back pain. Nine college students with low back pain (M=2, F=7, ages 18-25) participated in the study by completing 4 different core exercises. Participants completed prone bridge test, left side plank, right side plank and the Sorensen test exercises for as long as possible with no form compensation or unbearable pain. After completion of each exercise, participants ranked their low back pain using the Visual Analog Scale (VAS). Mean age, height, and weight were recorded, and low back disability of the participants were assessed. The correlation between the pain rating and hold time per exercise was calculated. The correlation between VAS rating and right side plank hold time had the greatest positive correlation at 0.094. The correlation between VAS rating and plank hold time had a negative correlation at -0.593. The researcher found no correlation between a greater VAS pain rating and a shorter hold time. The null hypothesis is accepted; no significant correlation was found at R= +/- 1. Further research should be conducted with a larger sample size

Conservative management of low back pain

Back pain is prevalent worldwide, but back pain disability has reached epidemic proportions in many industrialised societies. Few patients have serious medical pathology or direct neurological involvement requiring surgery. Although the causes remain unclear, physical stress and its consequences on discs, facet joints and supporting soft tissues at work or leisure are important, sometimes aggravated by adverse psychosocial factors. Modern management emphasises the role of self-care, beginning in primary care with the first episode. Without root compression, bed rest should not exceed 48 hours. Emphasis is on encouraging a rapid return to physical fitness and other activities, including employment, acknowledging that returning to a normal life may require working through pain. Medication facilitates this. No one should remain in pain beyond six weeks without being referred to a specialist service for a physical and psychosocial assessment by appropriately trained professionals and with consultant support for investigation, pain management and rehabilitation when needed