Department of Physiotherapy, Speech-Language Pathology and Audiology, and Occupational Therapy, Program in Rehabilitation Sciences, Faculty of Medicine at University of São Paulo, São Paulo, São Paulo, Brazil.
Department of Faculty of Physical Education and Physical Therapy at Federal University of Amazonas, Manaus, Amazonas, Brazil.
J Manipulative Physiol Ther. 2022 Jan;45(1):45-56. doi: 10.1016/j.jmpt.2022.03.017. Epub 2022 Jun 24.
The purpose of this study was to identify social and clinical factors associated with levels of functional disability (FD) in older adults with low back pain (LBP) in the city of Manaus, Amazonas, Brazil.
A cross-sectional study of 557 adults with LBP aged ≥60 years was completed. Sociodemographic and clinical features, pain intensity (Numeric Rating Scale), FD (Roland Morris Disability Questionnaire), physical activity (International Physical Activity Questionnaire-short version), body mass index, educational level, health perception, emotional level, and self-reported diseases were evaluated. Statistical analysis was used to verify the association between quantitative variables and a group; Student t test or Mann-Whitney test, and analysis of variance (normality assumption) or Kruskal-Wallis test (non-parametric), P value of less than .05.
There were 81.3% female participants, 54.9% self-reported their race and/or skin color as brown, and 37.8% were sedentary. Pain intensity scores were 6.26 ± 2.19 in female participants and 5.82 ± 1.84 in male participants. Mean FD scores were 11.68 ± 6.08 for female participants and 9.61 ± 5.76 for males participants, although 39.7% of the total group presented with severe disability (score ≥14) and FD was associated with female sex (P = .001), physical activity (P≤ 0.001), body mass index (P≤ .001), emotional level (P < .001), and health perception (P < .001).
In this group of older adults with LBP, FD was associated with female sex, level of physical activity, body mass index, emotional level, and health perception. Many factors that were identified with FD are modifiable; therefore, interventions, such as nutrition education and re-conceptualization of self-emotional and health perception, may have potential to help in preventing and reducing FD.
本研究旨在确定与巴西亚马逊州玛瑙斯市老年腰痛（LBP）患者功能障碍（FD）水平相关的社会和临床因素。
完成了一项针对 557 名年龄≥60 岁的 LBP 成年人的横断面研究。评估了社会人口统计学和临床特征、疼痛强度（数字评分量表）、FD（Roland Morris 残疾问卷）、身体活动（国际体力活动问卷-短版）、体重指数、教育水平、健康感知、情绪水平和自报疾病。使用 Student t 检验或 Mann-Whitney 检验对定量变量和组之间的关系进行了统计分析，并进行方差分析（正态性假设）或 Kruskal-Wallis 检验（非参数），P 值小于.05。
参与者中 81.3%为女性，54.9%自我报告其种族和/或肤色为棕色，37.8%为久坐不动者。女性参与者的疼痛强度评分为 6.26±2.19，男性参与者为 5.82±1.84。女性参与者的平均 FD 评分为 11.68±6.08，男性参与者为 9.61±5.76，但总人群中有 39.7%存在严重残疾（评分≥14），且 FD 与女性性别（P=.001）、身体活动（P≤0.001）、体重指数（P≤.001）、情绪水平（P<.001）和健康感知（P<.001）相关。
在本研究中，LBP 老年患者的 FD 与女性性别、身体活动水平、体重指数、情绪水平和健康感知相关。许多与 FD 相关的因素是可改变的；因此，营养教育和重新概念化自我情绪和健康感知等干预措施可能有助于预防和减少 FD。
