Prevalence of Thai people with lumbar instability and associated factors: a cross-sectional study
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Date
2022
Authors
Chatprem, T.
Puntumetakul, R.
Siritaratiwat, W.
Hunsawong, T.
Boucaut, R.
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Journal of Pain Research, 2022; 15:3287-3297
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Abstract
Background: Lumbar instability has been extensively reported; however, the risk factors for lumbar instability remain poorly defined, and understanding this condition better would help health professionals and their patients.
Proposal: To determine the prevalence of lumbar instability in Thai people with chronic low back pain (CLBP) and explore the factors associated with lumbar instability in these patients.
Patients and Methods: Using multistage random sampling methods, 1762 participants with CLBP were enrolled in the study from six regions of Thailand. Data were collected using a paper-based questionnaire. Participants were interviewed by physical therapists in the hospital they attended. They were classified as having lumbar instability when they attained ≥ 7/14 items on the lumbar instability screening tool. Univariate and multivariate regression analysese were used to determine the possible factors associated with lumbar instability.
Results: There were 961 (54.54%) participants with lumbar instability and 801 (45.46%) participants without. The eight factors associated with lumbar instability were: (i) age ≥ 40 years (AOR: 1.36; 95% CI: 1.09– 1.69); (ii) body mass index ≥ 25 kg/m2 (AOR: 1.42; 95% CI: 1.16– 1.74); (iii) having an underlying disease (AOR: 1.32; 95% CI: 1.06– 1.65); (iv) frequent lifting ≥ 5 kg in occupational habits (AOR: 1.69; 95% CI: 1.36– 2.09); (v) prolonged walking ≥ 4 hours per day (AOR: 1.31; 95% CI: 1.04– 1.64); (vi) gardening in leisure time (AOR: 1.37; 95% CI: 1.10– 1.71); (vii) other area of pain (AOR: 1.24; 95% CI: 1.01– 2.52): and (viii) other area of numbness (AOR: 1.85; 95% CI: 1.50– 2.27). When considering only women, prior pregnancy was associated with lumbar instability with OR of 1.76 (95% CI: 1.36– 2.22), p-value < 0.0001.
Conclusion: When treating patients with CLBP who are suspected to have lumbar instability, healthcare professionals should consider associated factors that might be modifiable targets for interventions to improve outcomes.
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Data source: Data set, The data will be available for anyone who wishes to access it. The data will be accessible immediately following publication until 6 months after publication. Contact should be made via the corresponding author, rungthiprt@gmail.com.
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Copyright 2022 The author(s). This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. (https://creativecommons.org/licenses/by-nc/3.0/)