Department of Physical Therapy, Faculty of Health Sciences.
NPO Fukushiyogunet, Tagawa, Japan.
J Back Musculoskelet Rehabil. 2024;37(6):1489-1498. doi: 10.3233/BMR-230319.
Caregivers in Japan experience a high prevalence of low back pain (LBP), with age, sex, individual pain experiences, and central sensitization symptoms potentially influencing its chronic progression.
To determine the prevalence of LBP among caregivers, as well as its relation to age and sex, and explore work status, psychological factors, and central sensitization symptoms as contributing factors to chronic LBP (CLBP).
A large-scale cross-sectional survey was conducted among 1214 caregivers in 35 geriatric healthcare facilities. The survey assessed LBP and CLBP prevalence, work status, psychological factors, and central sensitization-related symptoms. Multivariate logistic regression analysis was used to identify factors influencing CLBP.
Among 936 valid respondents, the LBP prevalence was 69.2%. No significant sex differences were found in the prevalence of LBP and CLBP. Old age, higher pain severity, and severe symptoms related to central sensitization increased the risk of CLBP. However, work status and psychological factors did not significantly contribute to CLBP.
There is a high prevalence of LBP among caregivers, age and individual pain experience significantly impact CLBP. These findings emphasize the need for therapeutic strategies to manage pain intensity, especially in the acute phase, to prevent the progression to chronicity.
在日本，照料者普遍存在腰痛（LBP）的问题，年龄、性别、个体疼痛经历和中枢敏化症状可能会影响其慢性进展。
确定照料者中腰痛的患病率，以及其与年龄和性别的关系，并探讨工作状况、心理因素和中枢敏化症状作为慢性腰痛（CLBP）的促成因素。
在 35 家老年保健机构中对 1214 名照料者进行了大规模的横断面调查。该调查评估了腰痛和 CLBP 的患病率、工作状况、心理因素以及与中枢敏化相关的症状。采用多变量逻辑回归分析来确定影响 CLBP 的因素。
在 936 份有效应答中，腰痛的患病率为 69.2%。在腰痛和 CLBP 的患病率方面，未发现性别差异。年龄较大、疼痛程度较高以及与中枢敏化相关的严重症状增加了 CLBP 的风险。然而，工作状况和心理因素对 CLBP 没有显著影响。
照料者中腰痛的患病率较高，年龄和个体疼痛经历显著影响 CLBP。这些发现强调了需要采取治疗策略来控制疼痛强度，特别是在急性期，以防止进展为慢性疼痛。
