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AB1403-HPR INVESTIGATION OF SPINE POSTURE, MOBILITY AND POSTURAL COMPETENCY IN LOW BACK PAIN PATIENTS WITH MODERATE TO SEVERE DISABILITY: A CASE-CONTROL STUDY

2019; BMJ; Linguagem: Inglês

10.1136/annrheumdis-2019-eular.7324

1468-2060

Derya Özer Kaya, Şeyda Toprak Çelenay,

Myofascial pain diagnosis and treatment

Background Low back pain (LBP) is the most common musculoskeletal complaint especially in women that causing disability and growing as a global burden (1,2). Changes in spine structures and alignment have been important in the occurrence of LBP (3,4). Objectives This study aimed to investigate spine posture, mobility and postural competency in women with and without LBP. Methods Thirty-four women with LBP having moderate to severe disability (age: 50.509.26 years; body mass index (BMI): 34.765.42 kg/m 2 ) and age-gender matched 37 asymptomatic healthy women (age: 48.948.99 years; BMI: 31.976.88 kg/m 2 ) were included. Oswetry Disability Index (ODI) was used for disability assessment (higher scores indicated more severe disability (0-50)). Overall spine posture, mobility, postural competency and spine check scores were evaluated using the Spinal Mouse (Idiag, Fehraltorf, Switzerland) device in standing position. The scores were evaluated between as poor "0" and "100" as perfect. T test was used for analysis. Results The mean score of ODI was 32.258.27 (moderate to severe disability). The scores of spine posture, mobility, postural competency and total spine check of women with LBP were found 24.7615.65; 25.1114.60; 36.6421.58; 30.2612.06, respectively; while, the scores of asymptomatic women were found 34.6716.27; 34.4521.47; 38.2115.18; 38.7215.06, respectively. Lower posture (p=0.011), mobility (p=0.037) and total spine check scores (p=0.011) were found in women with LBP compared to the controls; however, the postural competency was similar (p=0.722). Conclusion Women with LBP had poor spine posture, mobility and total spine check scores, but similar postural competency in comparison to controls. In the clinics, considering these parameters might be important while planning the optimal treatment for LBP. References [1] Hoy D, Bain C, Williams G, March L, Brooks P, Blyth F, Woolf A, Vos T, Buchbinder R. A systematic review of the global prevalence of low back pain. Arthritis Rheum 2012;64:2028-2037. [2] Buchbinder R, van Tulder M, berg B, Costa LM, Woolf A, Schoene M, Croft P; Lancet Low Back Pain Series Working Group. Low back pain: a call for action. Lancet. 2018 9;391(10137):2384-2388. [3] Alricsson M, Bjrklund G, Cronholm M, Olsson O, Viklund P, Svantesson U. Spinal alignment, mobility of the hip and thoracic spine and prevalence of low back pain in young elite cross-country skiers. J Exerc Rehabil. 2016;12(1):21-8. [4] Misir A, Kizkapan TB, Tas SK, Yildiz KI, Ozcamdalli M, Yetis M. Lumbar spine posture and spinopelvic parameters change in various standing and sitting postures. Eur Spine J. 2018 Nov 29. doi: 10.1007/s00586-018-5846-z. Disclosure of Interests None declared