Relation between functionality and personal factors in the elderly with low back pain

Authors

  • Bruno Márcio Venâncio Guimarães UNIFOR
  • Gilvânia Carlos Pinho UNIFOR
  • Letí­cia Araújo dos Santos UNIFOR
  • Patrí­cia Aparecida Ribeiro UNIFOR
  • Camila Medeiros Costa UNIFOR
  • Wellerson Costa Faria UNIFOR
  • André Carvalho Costa UNIFOR
  • Andrei Pereira Pernambuco UNIFOR

DOI:

https://doi.org/10.33233/fb.v20i6.2913

Keywords:

personal factors, elderly, body mass index, low back pain

Abstract

Introduction: Aging is a dynamic, progressive and irreversible process, resulting from physiological changes. Some personal factors may interfere with the process and predispose elderly to comorbidities, such as low back pain, resulting in functional impairment. Objective: To evaluate the association between some personal factors and the functionality of the elderly with low back pain. Methods: The sample included 26 elderly people with low back pain. Data collection was performed through the Identification and Screening Card, MEEM, WHODAS 2.0, Kinesiophobia Cover Scale, McGill Pain Questionnaire, Catastrophic Thoughts on Pain Scale, Life Satisfaction Scale. For analysis of association between the variables, the Pearson correlation test and the multiple stepwise regression were used. All tests were performed with a significance level adjusted for α = 0.05. Results: Seven explanatory models were created, and the model that contained the variables: ADL, cognition, mobility, interpersonal relationships, selfcare, participation and weight explained the participants' functional levels in 99.9%. Conclusion: Functional levels in the elderly with low back pain depend on multiple interacting factors. This interaction, although important, is neglected during the thinking and clinical decision making of physiotherapists.

Author Biographies

Bruno Márcio Venâncio Guimarães, UNIFOR

Graduado em Fisioterapia pelo Centro Universitário de Formiga (UNIFOR/MG), Formiga/MG

Gilvânia Carlos Pinho, UNIFOR

Graduada em Fisioterapia pelo Centro Universitário de Formiga (UNIFOR/MG), Formiga/MG

Letí­cia Araújo dos Santos, UNIFOR

Graduada em Fisioterapia pelo Centro Universitário de Formiga (UNIFOR/MG), Formiga/MG

Patrí­cia Aparecida Ribeiro, UNIFOR

Graduada em Fisioterapia pelo Centro Universitário de Formiga (UNIFOR/MG), Formiga/MG

Camila Medeiros Costa, UNIFOR

Acadêmica do curso de Biomedicina do Centro Universitário de Formiga (UNIFOR/MG), Formiga/MG

Wellerson Costa Faria, UNIFOR

Docente do curso de Fisioterapia do Centro Universitário de Formiga (UNIFOR/MG), Formiga/MG

André Carvalho Costa, UNIFOR

Docente do curso de Fisioterapia do Centro Universitário de Formiga (UNIFOR/MG), Formiga/MG

Andrei Pereira Pernambuco, UNIFOR

Docente do curso de Fisioterapia do Centro Universitário de Formiga (UNIFOR/MG), Formiga/MG, Docente do curso de Fisioterapia da Universidade de Itaúna (UIT), Itaúna/MG

References

Fechine BRA, Trompieri N. O processo de envelhecimento: as principais alterações que acontecem com o idoso com o passar dos anos. Rev Cient Int 2012;20(1):106-32.

Ministério da Saúde (BR). Estatuto do Idoso [Internet]. 2003. Disponí­vel em: http://bvsms.saude.gov.br/bvs/publicacoes/estatuto_idoso_3edicao.pdf

Ehrlich EG. Low back pain. Bulletin of the World Health Organization 2003;81:671-6.

Mitnitski A, Collerton, J, Martin-Ruiz C, Jagger, C, von Zglinicki T, Rockwood K et al. Age-related frailty and its association with biological markers of ageing. BMC Med 2015;13:1-9. doi: 10.1186/s12916-015-0400-x

Peleg R, Press Y, Freud T, Liberman O, Keren A. Chronic pain and geriatric syndromes in community-dwelling patients aged ≥ 65 years. J Pain Res 2018;11:1171-80. doi: 10.2147/JPR.S160847

Maher C, Underwood M, Buchbinder R. Non-specific low back pain. The Lancet 2017;389:736-47. doi: 10.3238/arztebl.2017.0883

Morone NE, Greco CM, Moore CG, Rollman BL, Lane B, Morrow LA et al. A mind-body program for older adults with chronic low back pain: a randomized clinical trial. JAMA Intern Med 2016;176:329-37. doi: 10.1001/jamainternmed.2015.8033

World Health Organization. Obesity and overweight [Internet]. 2018. Disponível em: http://www.who.int/en/news-room/fact-sheets/detail/obesity-and-overweight.

Borba A. A relação entre a intensidade lombalgia e a funcionalidade nos idosos [Dissertação]. Porto Alegre: Pontifí­cia Universidade Católica do Rio Grande do Sul; 2015.

Clohesy N, Schneiders A. A preliminary investigation examining patient reported outcome measures for low back pain and utilisation amongst chiropractors in Australia: facilitators and barriers to clinical implementation. Chiropractic & Manual Therapies 2018;26:38. doi: 10.1186/s12998-018-0208-9

Pinto AH, Lange C, Pastore CA, Llano PMP, Castro DP, Santos F. Capacidade funcional para atividades da vida diária de idosos da Estratégia de Saúde da Famí­lia da zona rural. Ciênc Saúde Coletiva 2016;21:3545-55. doi: 10.1590/1413-812320152111.22182015

[WHO] World Health Organization. International Classification of functioning, disability and health: ICF [Internet]. 2001. Disponível em: https://www.who.int/classifications/icf/en/

Gregg CD, McIntosh G, Hall H, Watson H, Williams D, Hoffman CW. The relationship between the Tampa Scale of Kinesiophobia and low back pain rehabilitation outcomes. Spine J 2015;15:2466-2471. doi: 10.1016/j.spinee.2015.08.018

Junior JS, Nicholas MK, Pereira IA, Pimenta CAM, Asghari A, Cruz RM. Validação da Escala de Pensamentos Catastróficos sobre Dor. Acta Fisiátr 2008;15:31-6.

Baliza GA, Lopes RA, Dias RC. O papel da catastrofização da dor no prognóstico e tratamento de idosos com osteoartrite de joelho: uma revisão crítica da literatura. Rev. Bras Geriatr Gerontol 2014;17:439-449. doi: 10.1590/S1809-98232014000200020

Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica. Diretrizes brasileiras de obesidade [Internet]. 4.ed. 2016. Disponí­vel em: http://www.abeso.org.br/uploads/downloads/92/57fccc403e5da.pdf

Hsu H-C. Trajectories and covariates of life satisfaction among older adults in Taiwan. Arch Gerontol Geriatr 2012;55:210-216. doi: 10.1016/j.archger.2011.08.011

Treede RD, Rief W, Barke A, Aziz Q, Bennett MI, Benoliel R. Chronic pain as a symptom or a disease: the IASP Classification of Chronic Pain for the: International Classification of Diseases (ICD-11). Pain 2019;160:19-27. doi: 10.1097/j.pain.0000000000001384

Nicholas M, Vlaeyen JWS, Rief W, Barke A, Aziz Q, Benoliel R et al. The IASP classification of chronic pain for ICD-11: chronic primary pain. Pain 2019;160:28-37. doi: 10.1097/j.pain.0000000000001390

Bertolucci PHF, Brucki SMD, Campacci SR, Juliano Y. O Mini-Exame do Estado Mental em uma população geral: impacto da escolaridade. Arq Neuro-Psiquiatr 1994;52:1-7. http://doi.org/10.1590/S0004-282X1994000100001

Chaves MLF. Testes de avaliação cognitiva: Mini-exame do estado mental [Dissertação]. Departamento Cientí­fico de Neurologia Cognitiva e do Envelhecimento da ABN; 2008.

Silveira C, Parpinelli MA, Pacagnella RC, Camargo R, Costa ML, Zanardi DM et al. Adaptação transcultural da Escala de Avaliação de Incapacidades da Organização Mundial de Saúde (WHODAS 2.0) para o Português. Rev Assoc Med Bras 2013;59:234-240. doi: 10.1016/j.ramb.2012.11.005

Siqueira FB, Teixeira S, Fuscaldi L, Magalhães LC. Análise das propriedades psicométricas da versão brasileira da escala tampa de cinesiofobia. Acta Ortop Bras 2007;15:19-24. doi: 10.1590/S1413-78522007000100004

Melzack R. The short-form McGill Pain Questionnaire. Pain Med 1987;30:191-7.

Pimenta CAM, Mota DDCF, Cruz DALM. Dor e cuidados paliativos. São Paulo: Manole; 2006. p. 29-44.

Diener E, Emmons RA, Larsen RJ, Griffin S. The satisfaction with life scale. J Pers Assess 1985;49:71-75. doi: 10.1207/s15327752jpa4901_13

Veiga B, Pereira RAB, Pereira AMVB, Nickel R. Evaluation of functionality and disability of older elderly outpatients using the WHODAS 2.0. Rev Bras Geriatr Gerontol 2016;19:1015-21. doi: 10.1590/1981-22562016019.150053

Heuch I, Heuch I, Hagen K, Zwart J-A. A comparison of anthropometric measures for assessing the association between body size and risk of chronic low back pain: the HUNT study. PloS One 2015;10:e0141268. doi: 10.1371/journal.pone.0141268

Barros L, Moreira RA, Frota N, Araújo T, Caetano J. Qualidade de vida entre obesos mórbidos e pacientes submetidos í cirurgia bariátrica. Rev Eletr Enferm 2015;17(2):312-321. doi: 10.5216/ree.v17i2.27367

World obesity. Global Obesity Observatory [Internet]. 2016. Disponí­vel em: https://www.worldobesitydata.org

Kovacs F, Noguera J, Abraira V, Royuela A, Cano A, Gil del Real MT et al. The influence of psychological factors on low back pain-related disability in community dwelling older persons. Pain Medicine 2008;9:871-80. doi: 10.1111/j.1526-4637.2008.00518.x

Kovács MJ. Instituições de saúde e a morte: do interdito à comunicação. Psicologia: Ciência e Profissão 2011;31:482-503. doi: 10.1590/S1414-98932011000300005

Thomas EN, Pers YM, Mercier G, Cambiere JP, Frasson N, Ster F et al. The importance of fear, beliefs, catastrophizing and kinesiophobia in chronic low back pain rehabilitation. Ann Phys Rehabil Med 2010;53(1):3-14. doi: 10.1016/j.rehab.2009.11.002

Hartvigsen J, Natvig B, Ferreira M. Is it all about a pain in the back? Best Pract Res Clin Rheum 2013;27:613-23.

Hartvigsen J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S et al. What low back pain is and why we need to pay attention. Lancet 2018;391:2356-67. doi: 10.1016/S0140-6736(18)30480-X

Maher CG. Effective physical treatment for chronic low back pain. Orthop Clin North Am 2004;35:57-64. doi: 10.1016/S0030-5898(03)00088-9

Silva AG, Alvarelhão J, Queirós A, Rocha NP. Pain intensity is associated with self-reported disability for several domains of life in a sample of patients with musculoskeletal pain aged 50 or more. Disabil Health J 2013;6:369-376. doi: 10.1016/j.dhjo.2013.04.007

Foster NE, Anema JR, Cherkin D, Chou R, Cohen SP, Gross DP et al. Prevention and treatment of low back pain: evidence, challenges, and promising directions. Lancet 2018;391:2368-83. doi: 10.1016/S0140-6736(18)30489-6

McGrane N, Galvin R, Cusack T, Stokes E. Addition of motivational interventions to exercise and traditional physiotherapy: a review and meta-analysis. Physiotherapy 2015;101:1-12. doi: 10.1016/j.physio.2014.04.009

Pinheiro MB, Ferreira ML, Refshauge K, Maher CG, Ordoñana JR, Andrade TB. Symptoms of depression as a prognostic factor for low back pain: a systematic review. Spine J 2016;16:105-16. doi: 10.1016/j.spinee.2015.10.037

Moreira A. Contributo para a validação da versão 12 itens do WHODAS 2.0 [Dissertação]. Portugal: Universidade de Aveiro; 2011.

Maciel MG. Atividade fí­sica e funcionalidade do idoso. Motriz 2010;16:1024-32. doi: 10.5016/1980-6574.2010v16n4p1024

Zaitune MPA, Barros MBA, César CLG, Carandina L, Goldbaum M. Fatores associados ao sedentarismo no lazer em idosos, Campinas, São Paulo, Brasil. Cad Saúde Pública 2007;23:1329-38. doi: 10.1590/S0102-311X2007000600008

Downloads

Published

2019-12-19

Issue

Vol. 20 No. 6 (2019): Fisioterapia Brasil v20n6

Section

Original articles

License

Copyright (c) 2019 Bruno Márcio Venâncio Guimarães, Gilvânia Carlos Pinho, Letí­cia Araújo dos Santos, Patrí­cia Aparecida Ribeiro, Camila Medeiros Costa, Wellerson Costa Faria, André Carvalho Costa, Andrei Pereira Pernambuco

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors are authorized for non-exclusive distribution of the version of the work published in this journal (eg, publishing in an institutional repository or as a book chapter), with acknowledgment of authorship and initial publication in this journal.