Efficacy of a conservative physical treatment regimen on psychological status and quality of life in Greek patients with chronic low back pain.

Q3 Medicine
Psychiatrike = Psychiatriki Pub Date : 2024-03-28 Epub Date: 2023-11-14 DOI:10.22365/jpsych.2023.027
Matthaios Petrelis, Konstantinos Soultanis, Ioannis Michopoulos, Vasileios Nikolaou
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引用次数: 0

Abstract

Chronic Low Back Pain (CLBP) is a very common health problem that has a great negative impact on the quality of life and the psychological well-being of backache patients. Literature findings have shown that a conventional physiotherapeutic approach is a beneficial choice for CLBP management. The aim of this study was to examine the short-term effects of a conservative physical treatment on depression, anxiety, somatic symptom disorders (SSD), quality of life, pain and disability in Greek individuals suffering from CLBP. Seventy-five CLBP patients were recruited using random systematic sampling. All subjects received ultrasound, low-level laser, massage, transcutaneous electrical nerve stimulation (ΤENS) and alongside an exercise program (sum of 10 sessions, 5 times per week). The intervention was assessed by comparing pre and post outcome measurements based on the Hospital Anxiety and Depression Scale (HADS), Somatic Symptom Scale-8 (SSS-8), EuroQol 5-dimension 5-level (EQ-5D-5L), Roland-Morris Disability Questionnaire (RMDQ) and Pain Numerical Rating Scale (PNRS) instruments. The mean age of the sample was 60.8 years (±14.4) and nearly one out of four (25.3%) was obese. After the end of the treatment, there were improvements in EQ-5D-5L indices and decreases in HADS, SSS-8, RMDQ and PNRS scores, which were found to be statistically significant. Greater effect size was found in PNRS (d=0.75), followed by EQ-5D-5L index value scale (d=0.42), SSS-8 (d=0.38), EQ-5D-5L VAS (d=0.36), RMDQ (d=0.29), HADS-A (d=0.16) and HADS-D (d=0.14). Men and women had similar changes in all under-study scales after the treatment, while besides pain scale, the pre-intervention scores as well as the degree of change in all scores were similar across all Body Mass Index (BMI) levels. In conclusion, convectional physical treatment was found to be an effective option in improving considerably the psychological status and quality of life, while also decreasing functional disability and pain in CLBP patients in the short run.

保守物理治疗方案对希腊慢性腰痛患者心理状态和生活质量的影响
慢性腰痛(Chronic Low Back Pain, CLBP)是一种非常常见的健康问题,对腰痛患者的生活质量和心理健康有很大的负面影响。文献研究表明,传统的物理治疗方法是CLBP管理的有益选择。本研究的目的是研究保守物理治疗对希腊CLBP患者的抑郁、焦虑、躯体症状障碍(SSD)、生活质量、疼痛和残疾的短期影响。采用随机系统抽样方法,招募75例CLBP患者。所有受试者均接受超声、低强度激光、按摩、经皮神经电刺激(ΤENS)和锻炼计划(共10次,每周5次)。通过比较医院焦虑抑郁量表(HADS)、躯体症状量表-8 (SSS-8)、EuroQol 5维5级量表(EQ-5D-5L)、Roland-Morris残疾问卷(RMDQ)和疼痛数值评定量表(PNRS)的前后结果测量来评估干预措施。样本的平均年龄为60.8岁(±14.4岁),近四分之一(25.3%)的人肥胖。治疗结束后,EQ-5D-5L指标改善,HADS、SSS-8、RMDQ、PNRS评分降低,差异均有统计学意义。PNRS量表的效应量较大(d=0.75),其次是EQ-5D-5L指数值量表(d=0.42)、SSS-8量表(d=0.38)、EQ-5D-5L VAS量表(d=0.36)、RMDQ量表(d=0.29)、HADS-A量表(d=0.16)和HADS-D量表(d=0.14)。治疗后,男性和女性在所有研究量表上都有相似的变化,而除了疼痛量表外,所有身体质量指数(BMI)水平的干预前评分以及所有评分的变化程度都相似。总之,常规物理治疗是一种有效的选择,可以显著改善CLBP患者的心理状态和生活质量,同时在短期内减少功能障碍和疼痛。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Psychiatrike = Psychiatriki
Psychiatrike = Psychiatriki Medicine-Medicine (all)
CiteScore
2.60
自引率
0.00%
发文量
37
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