URBAN-RURAL DIFFERENCES IN REGARD TO LOW BACK PAIN-RELATED DISABILITY
Journal Title: Issues of Rehabilitation, Orthopaedics, Neurophysiology and Sport Promotion-IRONS - Year 2015, Vol 12, Issue 12
Abstract
Introduction and aim The aim of this study is to examine the potential differences between the dura- tion and intensity of low back pain (LBP) and how everyday activities are performed, taking into account detailed clinical and socio-demographic patient characteristics, in both urban and rural patients. Material and methods Rural (N = 21) and urban (N = 45) patients who reported LBP lasting for at least 3 months, aged from 18 to 60 years, treated operatively due to discopathy and degenerative changes in the lumbosacral spine, were asked to complete VAS scale, the Quebec Back Pain Disability Scale (QDS), and the Revised Oswestry Disability Index (RODI). Results Mean disability scores obtained from the RODI were 49,51% (SD 8,10) for the ur- ban and 51,43% (SD 16,16) for the rural groups. Mean total QDS scores were 47,78 (SD 20,55) for the urban population and 49,33 (SD 17,17) for the rural group. Urban and rural samples do not differ in regard to LBP-intensity (p = 0,086) and duration (p = 0,640). The sub-groups are not significantly statistically different in the total score of the QDS and RODI (p = 0,815 and p = 0,746, respectively). Conclusions Urban and rural residents do not differ in terms of back pain intensity and duration, advancement of degenerative disease, radiating pain, discopathy levels and self-re- ported disability. There is evidence of a link between LBP and loss of functionality or the advancement of degenerative disease in the urban group. The rural group dis- plays a correlation between LBP intensity and radiating pain; there is also a relation between loss of functionality and the Modic Scale in this group.
Authors and Affiliations
Ewa Misterska, Roman Jankowski, Maciej Głowacki, Hanna Krauss, Jacek Piątek, Iwona Ignyś
Keywords
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