Association between low back pain and various everyday performances : Activities of daily living, ability to work and sexual function

Igor Grabovac, Thomas Ernst Dorner, Igor Grabovac, Thomas Ernst Dorner

Abstract

Low back pain (LBP) is a widely prevalent chronic pain disorder associated with a high burden on individuals and society. In the subjective perception of patients with LBP, probably the most important health outcomes associated with LBP are those that effect everyday performance. Such outcomes include reduction in activities of daily living (ADL), in work ability (WA), and in sexual function. This narrative review aimed to (1) examine the association between LBP and the three mentioned outcomes of everyday performance, (2) to explain possible mediating factors promoting these associations, and (3) to discuss possible implications for treatment and rehabilitation. Studies have shown that LBP can generate anxiety of movement leading to movement avoidance (fear-avoidance beliefs), which may lead to deconditioning and further increasing problems with ADL, WA and decreasing sexual function. Furthermore, common mental disorders, such as depression, anxiety, and stress-related disorders, which also often co-occur with LBP can lead to adverse effects on everyday performance and vice versa, can be the consequence of such problems and aggravate LBP. Although there is no universally accepted treatment modality that fits every patient with LBP, physical training, comprehensive patient education, and workplace or home modifications have been shown to be able to interrupt the mutual influence between LBP and the described mediating factors, and have a beneficial effect on ADL, WA, and sexual function. For this, a multidisciplinary approach is necessary which includes multiprofessional care teams, participation of the patients, and involvement of different settings, such as workplace, home, and physical training facilities.

Keywords: Activities of daily living; Everyday functioning; Low back pain; Sexual function; Work ability.

Conflict of interest statement

I. Grabovac and T.E. Dorner declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Mediating factors between low back pain and adveres effects on everyday performances

References

    1. Hoy D, March L, Brooks P, et al. The global burden of low back pain: estimates from the Global Burden of Disease 2010 study. Ann Rheum Dis. 2014;73(6):968–974. doi: 10.1136/annrheumdis-2013-204428.
    1. Maher C, Underwood M, Buchbinder R. Non-specific low back pain. Lancet. 2017;389(10070):736–747. doi: 10.1016/S0140-6736(16)30970-9.
    1. World Health Organization . Low back pain. 0000.
    1. Hoy D, Toole MJ, Morgan D, et al. Low back pain in rural Tibet. Lancet. 2003;361(9353):225–226. doi: 10.1016/S0140-6736(03)12254-4.
    1. Choi BK, Verbeek JH, Tam WW, et al. Exercises for prevention of recurrences of low-back pain. Cochrane Database Syst Rev. 2010 doi: 10.1002/14651858.CD006555.pub2.
    1. Meucci RD, Fassa AG, Faria NM. Prevalence of chronic low back pain: systematic review. Rev Saude Publica. 2015 doi: 10.1590/S0034-8910.2015049005874.
    1. Dorner TE, Stein KV, Hahne J, et al. How are socio-demographic and psycho-social factors associated with the prevalence and chronicity of severe pain in 14 different body sites? A cross-sectional population-based survey. Wien Klin Wochenschr. 2018;130(1–2):14–22. doi: 10.1007/s00508-017-1223-x.
    1. Asemota AO, Haring SR, Schneider EB. Trends in hospitalizations and costs associated with low back pain in the United States: a growing burden. Journal of the American College of Surgeons. 2017;225(4):S143. doi: 10.1016/j.jamcollsurg.2017.07.321.
    1. Freburger JK, Holmes GM, Agans RP, et al. The rising prevalence of chronic low back pain. Arch Intern Med. 2009;169(3):251–258. doi: 10.1001/archinternmed.2008.543.
    1. Parreira P, Maher CG, Steffens D, et al. Risk factors for low back pain and sciatica: an umbrella review. Spine J. 2018;18(9):1715–1721. doi: 10.1016/j.spinee.2018.05.018.
    1. Mayer S, Spickschen J, Stein KV, et al. The societal costs of chronic pain and its determinants: the case of Austria. PLoS ONE. 2019;14(3):e0213889. doi: 10.1371/journal.pone.0213889.
    1. Wagner E. Costs of non-specific low back pain in Austria. Wien Med Wochenschr. 2012;162(5–6):92–98. doi: 10.1007/s10354-011-0050-3.
    1. Pieber K, Stein KV, Herceg M, et al. Determinants of satisfaction with individual health in male and female patients with chronic low back pain. J Rehabil Med. 2012;44(8):658–663. doi: 10.2340/16501977-1010.
    1. Edemekong PF, Levy SB. Activities of daily living (ADLs) Treasure Island: StatPearls; 2019.
    1. Mlinac ME, Feng MC. Assessment of activities of daily living, self-care, and independence. Arch Clin Neuropsychol. 2016;31(6):506–516. doi: 10.1093/arclin/acw049.
    1. Stamm TA, Pieber K, Crevenna R, et al. Impairment in the activities of daily living in older adults with and without osteoporosis, osteoarthritis and chronic back pain: a secondary analysis of population-based health survey data. BMC Musculoskelet Disord. 2016;17:139. doi: 10.1186/s12891-016-0994-y.
    1. Yiengprugsawan V, Hoy D, Buchbinder R, et al. Low back pain and limitations of daily living in Asia: longitudinal findings in the Thai cohort study. BMC Musculoskelet Disord. 2017;18(1):19. doi: 10.1186/s12891-016-1380-5.
    1. Leveille SG, Guralnik JM, Hochberg M, et al. Low back pain and disability in older women: independent association with difficulty but not inability to perform daily activities. J Gerontol A Biol Sci Med Sci. 1999;54(10):M487–M493. doi: 10.1093/gerona/54.10.M487.
    1. Kothe R, Kohlmann T, Klink T, et al. Impact of low back pain on functional limitations, depressed mood and quality of life in patients with rheumatoid arthritis. Pain. 2007;127(1):103–108. doi: 10.1016/j.pain.2006.08.011.
    1. Kose G, Hatipoglu S. The effect of low back pain on the daily activities of patients with lumbar disc herniation: a Turkish military hospital experience. J Neurosci Nurs. 2012;44(2):98–104. doi: 10.1097/JNN.0b013e3182478e57.
    1. Andersson GB. Epidemiological features of chronic low-back pain. Lancet. 1999;354(9178):581–585. doi: 10.1016/S0140-6736(99)01312-4.
    1. Miller K, Yarlas A, Wen W, et al. The impact of buprenorphine transdermal delivery system on activities of daily living among patients with chronic low back pain: an application of the international classification of functioning, disability and health. Clin J Pain. 2014;30(12):1015–1022. doi: 10.1097/AJP.0000000000000068.
    1. van Abbema R, Lakke SE, Reneman MF, et al. Factors associated with functional capacity test results in patients with non-specific chronic low back pain: a systematic review. J Occup Rehabil. 2011;21(4):455–473. doi: 10.1007/s10926-011-9306-4.
    1. Gillis A, MacDonald B. Deconditioning in the hospitalized elderly. Can Nurse. 2005;101(6):16–20.
    1. Smeets RJ, Wade D, Hidding A, et al. The association of physical deconditioning and chronic low back pain: a hypothesis-oriented systematic review. Disabil Rehabil. 2006;28(11):673–693. doi: 10.1080/09638280500264782.
    1. Spenkelink CD, Hutten MM, Hermens HJ, et al. Assessment of activities of daily living with an ambulatory monitoring system: a comparative study in patients with chronic low back pain and nonsymptomatic controls. Clin Rehabil. 2002;16(1):16–26. doi: 10.1191/0269215502cr463oa.
    1. Verbunt JA, Smeets RJ, Wittink HM. Cause or effect? Deconditioning and chronic low back pain. Pain. 2010;149(3):428–430. doi: 10.1016/j.pain.2010.01.020.
    1. Pieber K, Stamm TA, Hoffmann K, et al. Synergistic effect of pain and deficits in ADL towards general practitioner visits. Fam Pract. 2015;32(4):426–430. doi: 10.1093/fampra/cmv042.
    1. Ma VY, Chan L, Carruthers KJ. Incidence, prevalence, costs, and impact on disability of common conditions requiring rehabilitation in the United States: stroke, spinal cord injury, traumatic brain injury, multiple sclerosis, osteoarthritis, rheumatoid arthritis, limb loss, and back pain. Arch Phys Med Rehabil. 2014;95(5):986–995e1. doi: 10.1016/j.apmr.2013.10.032.
    1. Guo HR, Tanaka S, Cameron LL, et al. Back pain among workers in the United States: national estimates and workers at high risk. Am J Ind Med. 1995;28(5):591–602. doi: 10.1002/ajim.4700280504.
    1. Guo HR, Tanaka S, Halperin WE, et al. Back pain prevalence in US industry and estimates of lost workdays. Am J Public Health. 1999;89(7):1029–1035. doi: 10.2105/AJPH.89.7.1029.
    1. Leoni T, Böheim R. Fehlzeitenreport 2018. Vienna: Bundesarbeitskammer, Wirtschaftskammer Österreich und Hauptverband der österreichischen Sozialversicherungsträger; 2018.
    1. Dagenais S, Haldeman S. Evidence based management of low back pain. St. Louis: Mosby; 2011.
    1. Bovenzi M, Schust M, Mauro M. An overview of low back pain and occupational exposures to whole-body vibration and mechanical shocks. Med Lav. 2017;108(6):419–433. doi: 10.23749/mdl.v108i6.6639.
    1. Sundelin G, Harms-Ringdahl K, Öberg B, et al. The significance of occupational exposure for low back pain – a systematic review. Physiotherapy. 2015;101:e1456–e1457. doi: 10.1016/j.physio.2015.03.1422.
    1. Karahan A, Kav S, Abbasoglu A, et al. Low back pain: prevalence and associated risk factors among hospital staff. J Adv Nurs. 2009;65(3):516–524. doi: 10.1111/j.1365-2648.2008.04905.x.
    1. Nordstoga AL, Vasseljen O, Meisingset I, et al. Improvement in work ability, psychological distress and pain sites in relation to low back pain prognosis. Spine. 2019;44(7):E423–E429. doi: 10.1097/brs.0000000000002860.
    1. Nordstoga AL, Meisingset I, Vasseljen O, et al. Longitudinal associations of kinematics and fear-avoidance beliefs with disability, work ability and pain intensity in persons with low back pain. Musculoskelet Sci Pract. 2019;41:49–54. doi: 10.1016/j.msksp.2019.03.008.
    1. Taulaniemi A, Kuusinen L, Tokola K, et al. Bio-psychosocial factors are associated with pain intensity, physical functioning, and ability to work in female healthcare personnel with recurrent low back pain. J Rehabil Med. 2017;49(8):667–676. doi: 10.2340/16501977-2261.
    1. Tsuboi Y, Murata S, Naruse F, et al. Association between pain-related fear and presenteeism among eldercare workers with low back pain. Eur J Pain. 2019;23(3):495–502. doi: 10.1002/ejp.1323.
    1. Hemp P. Presenteeism: at work—but out of it. Harv Bus Rev. 2004;82(10):49–58, 155.
    1. Wieser S, Horisberger B, Schmidhauser S, et al. Cost of low back pain in Switzerland in 2005. Eur J Health Econ. 2011;12(5):455–467. doi: 10.1007/s10198-010-0258-y.
    1. Nagata T, Mori K, Ohtani M, et al. Total health-related costs due to absenteeism, presenteeism, and medical and pharmaceutical expenses in Japanese employers. J Occup Environ Med. 2018;60(5):e273–e80. doi: 10.1097/JOM.0000000000001291.
    1. Meystre-Agustoni G, Jeannin A, de Heller K, et al. Talking about sexuality with the physician: are patients receiving what they wish? Swiss Med Wkly. 2011;141:w13178. doi: 10.4414/smw.2011.13178.
    1. Stock SR, Cole DC, Tugwell P, et al. Review of applicability of existing functional status measures to the study of workers with musculoskeletal disorders of the neck and upper limb. Am J Ind Med. 1996;29(6):679–688. doi: 10.1002/(SICI)1097-0274(199606)29:6.
    1. Costa M, Marshman LA. Sex life and the Oswestry Disability Index. Spine J. 2015;15(6):1225–1232. doi: 10.1016/j.spinee.2015.02.022.
    1. Dorner TE, Stronegger WJ, Rebhandl E, et al. The relationship between various psychosocial factors and physical symptoms reported during primary-care health examinations. Wien Klin Wochenschr. 2010;122(3–4):103–109. doi: 10.1007/s00508-010-1312-6.
    1. Sjogren K, Fugl-Meyer AR. Chronic back pain and sexuality. International Rehabilitation Medicine. 1981;3(1):19–25. doi: 10.3109/03790798109167110.
    1. Bahouq H, Allali F, Rkain H, et al. Discussing sexual concerns with chronic low back pain patients: barriers and patients’ expectations. Clin Rheumatol. 2013;32(10):1487–1492. doi: 10.1007/s10067-013-2299-y.
    1. Bahouq H, Fadoua A, Hanan R, et al. Profile of sexuality in Moroccan chronic low back pain patients. BMC Musculoskelet Disord. 2013;14:63. doi: 10.1186/1471-2474-14-63.
    1. Berg S, Fritzell P, Tropp H. Sex life and sexual function in men and women before and after total disc replacement compared with posterior lumbar fusion. Spine J. 2009;9(12):987–994. doi: 10.1016/j.spinee.2009.08.454.
    1. Nikoobakht M, Fraidouni N, Yaghoubidoust M, et al. Sexual function and associated factors in Iranian patients with chronic low back pain. Spinal Cord. 2014;52(4):307–312. doi: 10.1038/sc.2013.151.
    1. Sidorkewicz N, McGill SM. Male spine motion during coitus: implications for the low back pain patient. Spine. 1976;39(20):1633–1639. doi: 10.1097/BRS.0000000000000518.
    1. Rosenbaum TY. Musculoskeletal pain and sexual function in women. J Sex Med. 2010;7(2 Pt 1):645–653. doi: 10.1111/j.1743-6109.2009.01490.x.
    1. Maigne JY, Chatellier G. Assessment of sexual activity in patients with back pain compared with patients with neck pain. Clin Orthop Relat Res. 2001;385:82–87. doi: 10.1097/00003086-200104000-00014.
    1. Pakpour AH, Nikoobakht M, Campbell P. Association of pain and depression in those with chronic low back pain: the mediation effect of patient sexual functioning. Clin J Pain. 2015;31(1):44–51. doi: 10.1097/AJP.0000000000000076.
    1. Rasmussen CD, Holtermann A, Jorgensen MB, et al. A multi-faceted workplace intervention targeting low back pain was effective for physical work demands and maladaptive pain behaviours, but not for work ability and sickness absence: Stepped wedge cluster randomised trial. Scand J Public Health. 2016;44(6):560–570. doi: 10.1177/1403494816653668.
    1. Pinheiro MB, Ferreira ML, Refshauge K, et al. Symptoms of depression as a prognostic factor for low back pain: a systematic review. Spine J. 2016;16(1):105–116. doi: 10.1016/j.spinee.2015.10.037.
    1. Gordon R, Bloxham S. A systematic review of the effects of exercise and physical activity on non-specific chronic low back pain. Healthcare (Basel) 2016 doi: 10.3390/healthcare4020022.
    1. Schuch FB, Vancampfort D, Richards J, et al. Exercise as a treatment for depression: a meta-analysis adjusting for publication bias. J Psychiatr Res. 2016;77:42–51. doi: 10.1016/j.jpsychires.2016.02.023.
    1. Pereira MG, Roios E, Pereira M. Functional disability in patients with low back pain: the mediator role of suffering and beliefs about pain control in patients receiving physical and chiropractic treatment. Braz J Phys Ther. 2017;21(6):465–472. doi: 10.1016/j.bjpt.2017.06.016.
    1. Sowah D, Boyko R, Antle D, et al. Occupational interventions for the prevention of back pain: Overview of systematic reviews. J Safety Res. 2018;66:39–59. doi: 10.1016/j.jsr.2018.05.007.

Source: PubMed

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