Silva Juscelio Pereira da, Jesus-Moraleida Fabianna de, Felício Diogo Carvalho, Queiroz Bárbara Zille de, Ferreira Manuela Loureiro, Pereira Leani Souza Máximo
Departamento de Fisioterapia e Terapia Ocupacional, Universidade Federal de Minas Gerais. Av. Antonio Carlos 6627, Pampulha. 31270-901 Belo Horizonte MG Brasil.
Departamento de Fisioterapia, Faculdade de Medicina, Universidade Federal do Ceará. Fortaleza CE Brasil.
Cien Saude Colet. 2019 Jul 22;24(7):2679-2690. doi: 10.1590/1413-81232018247.14172017.
This cross-sectional study evaluated the association of biopsychosocial factors with disability in older adults with a new episode of acute low back pain. Older patients with a new episode of acute low back pain were included and those with cognitive alterations and severe motor impairment were excluded. Disability was assessed using the Roland Morris Disability Questionnaire. The biopsychosocial factors (clinical, functional, health status, psychological and social variables) were evaluated by a structured multidimensional questionnaire and physical examination. A multivariate linear regression was used to analyze data with a statistical significance of 0.05. A total of 386 older individuals with a mean age of 71.6 (± 4.2) years and disability of 13.7 (± 5.7) points were enrolled. Our regression analyses identified that worse physical and mental health (assessed through SF-36), low falls self-efficacy, trouble sleeping due to pain, worse kinesiophobia levels, higher body mass indexes, lumbar morning stiffness, increased pain intensity, female gender and worse functional mobility were significantly associated with baseline disability (p < 0.05). Low back pain-related disability is significantly associated with worse biopsychosocial health conditions in older adults.
这项横断面研究评估了生物心理社会因素与新发急性腰痛的老年人残疾之间的关联。纳入了患有新发急性腰痛的老年患者，排除了有认知改变和严重运动障碍的患者。使用罗兰·莫里斯残疾问卷评估残疾情况。通过结构化的多维问卷和体格检查评估生物心理社会因素（临床、功能、健康状况、心理和社会变量）。采用多元线性回归分析数据，统计学显著性水平为0.05。共纳入386名年龄平均为71.6（±4.2）岁、残疾评分为13.7（±5.7）分的老年人。我们的回归分析发现，较差的身心健康（通过SF-36评估）、较低的跌倒自我效能感、因疼痛导致睡眠困难、较高的运动恐惧水平、较高的体重指数、腰部晨僵、疼痛强度增加、女性以及较差的功能活动能力与基线残疾显著相关（p<0.05）。老年患者中，与腰痛相关的残疾与较差的生物心理社会健康状况显著相关。
