Development of prediction model for risks of musculoskeletal chronic lumbopelvic pain in Indian women.
Chronic lumbopelvic pain
Indian women
Prediction model
Risk factors
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
29 Sep 2024
29 Sep 2024
Historique:
received:
24
11
2023
accepted:
31
07
2024
medline:
30
9
2024
pubmed:
30
9
2024
entrez:
29
9
2024
Statut:
epublish
Résumé
Chronic lumbopelvic pain (CLPP) and its associated disabilities significantly affect women's social, professional, and personal lives. However, the specific factors contributing to CLPP in women remain unclear. To address this gap, this prospective cross-sectional study aims to identify the risk factors predicting CLPP in women and develop a prediction model that can predict CLPP in women. The study was conducted across Delhi, India, where free health camps were held, and 2400 women were assessed. Among the assessed individuals, the study revealed a high prevalence rate of CLPP among Indian women, standing at 70.4%. Seven risk factors namely, hamstring muscle tightness (> 20° on passive knee extension test), increased lumbar lordosis (> 11.5 cm of the lumbar lordotic index), reduced hip flexibility (> 15 cm on bent knee fallout test), altered foot posture (≥ 20 on foot posture index score), increased perception of psychological stress (> 25 on cohen's perceived stress scale-10 score), reduced physical activity level (< 475 metabolic/minute on international physical activity questionnaire) and reduced performance of transversus abdominis muscle (≤ 5 on deep muscle contraction scale score) strongly predict the risks of CLPP in women. Identifying these risk factors is crucial for effectively preventing and managing CLPP symptoms, especially considering its high prevalence among Indian women. Health professionals should prioritize raising awareness about CLPP and its causative factors, as well as implementing strategies for early detection and intervention.
Identifiants
pubmed: 39343792
doi: 10.1038/s41598-024-69063-6
pii: 10.1038/s41598-024-69063-6
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
22566Subventions
Organisme : Pfizer Inc. and Eli Lilly and Company, New York, NY 10017
ID : 55988369
Informations de copyright
© 2024. The Author(s).
Références
Wong, W. S. & Fielding, R. Prevalence and characteristics of chronic pain in the general population of Hong Kong. J. Pain 12, 236–245 (2011).
pubmed: 20875775
doi: 10.1016/j.jpain.2010.07.004
Hoy, D. et al. A systematic review of the global prevalence of low back pain. Arthritis Rheum. 64, 2028–2037 (2012).
pubmed: 22231424
doi: 10.1002/art.34347
Bergström, C., Persson, M., Nergård, K.-A. & Mogren, I. Prevalence and predictors of persistent pelvic girdle pain 12 years postpartum. BMC Musculoskelet. Disord. 18, 399 (2017).
pubmed: 28915804
pmcid: 5602957
doi: 10.1186/s12891-017-1760-5
Smith, B. H. et al. The impact of chronic pain in the community. Fam. Pract. 18, 292–299 (2001).
pubmed: 11356737
doi: 10.1093/fampra/18.3.292
Hansen, A. et al. Postpartum pelvic pain—the ‘pelvic joint syndrome’: A follow-up study with special reference to diagnostic methods. Acta Obstet. Gynecol. Scand. 84, 170–176 (2005).
pubmed: 15683379
doi: 10.1111/j.0001-6349.2005.00687.x
Bang, A., Kalkonde, Y., Deshmukh, M., Deshmukh, S. & Bang, A. Healthcare seeking behavior for back and Joint pain in rural Gadchiroli, India: A population-based cross-sectional study. Indian J. Community Med. 39, 229 (2014).
pubmed: 25364147
pmcid: 4215504
doi: 10.4103/0970-0218.143026
Buchbinder, R. et al. Low back pain: A call for action. Lancet 391, 2384–2388 (2018).
pubmed: 29573871
doi: 10.1016/S0140-6736(18)30488-4
Tavafian, S. S., Gregory, D. & Montazeri, A. The experience of low back pain in Iranian women: A focus group study. Health Care Women Int. 29, 339–348 (2008).
pubmed: 18389431
doi: 10.1080/07399330701876356
Parashar, M., Singh, M., Kishore, J., Pathak, R. & Panda, M. Prevalence and correlates of stress among working women of a tertiary health centre in Delhi, India. Indian J. Med. Specialities 8, 77–81 (2017).
doi: 10.1016/j.injms.2017.02.001
O’Sullivan, P. B. & Beales, D. J. Diagnosis and classification of pelvic girdle pain disorders—Part 1: A mechanism based approach within a biopsychosocial framework. Man. Ther. 12, 86–97 (2007).
pubmed: 17449432
doi: 10.1016/j.math.2007.02.001
Valat, J. P., Goupille, P. & Védere, V. Low back pain: Risk factors for chronicity. Rev. Rhum. Engl. Ed. 64, 189–194 (1997).
pubmed: 9090769
Linton, S. J. & Halldén, K. Can we screen for problematic back pain? A screening questionnaire for predicting outcome in acute and subacute back pain. Clin. J. Pain 14, 209–215 (1998).
pubmed: 9758070
doi: 10.1097/00002508-199809000-00007
Delitto, A. et al. Low back pain. J. Orthop. Sports Phys. Ther. 42, A1–A57 (2012).
pubmed: 22466247
pmcid: 4893951
doi: 10.2519/jospt.2012.42.4.A1
Brooks, J. Canada’s first private MRI clinic: Does it signal a shift to two-tiered medicine?. CMAJ 149, 1155–1158 (1993).
pubmed: 8221456
pmcid: 1485489
Williams, H. J. & Davies, A. M. The effect of X-rays on bone: A pictorial review. Eur. Radiol. 16, 619–633 (2006).
pubmed: 16237551
doi: 10.1007/s00330-005-0010-7
Nandi, N. & Bhadra, B. Low back ache in working women of reproductive age group in an urban area. N. Indian J. OBGYN 5, 43–46 (2018).
doi: 10.21276/obgyn.2018.5.1.10
Airaksinen, O. et al. Chapter 4 European guidelines for the management of chronic nonspecific low back pain. Eur. Spine J. 15, s192–s300 (2006).
pubmed: 16550448
pmcid: 3454542
doi: 10.1007/s00586-006-1072-1
Saleem, S. M. & Jan, S. S. Modified Kuppuswamy socioeconomic scale updated for the year 2021. Indian J. Forensic Community Med. 8, 1–3 (2021).
doi: 10.18231/j.ijfcm.2021.001
Grotle, M., Brox, J. I. & Vollestad, N. K. Cross-cultural adaptation of the norwegian versions of the roland-morris disability questionnaire and the oswestry disability index. J. Rehabil. Med. 35, 241–247 (2003).
pubmed: 14582557
doi: 10.1080/16501970306094
Kwong, E. et al. Inter-rater reliability of the Active Straight-Leg Raise and One-Leg Standing tests in non-pregnant women. J. Rehabil. Med. 45, 1058–1064 (2013).
pubmed: 23995959
doi: 10.2340/16501977-1213
Alzahrani, H., Mackey, M., Stamatakis, E., Zadro, J. R. & Shirley, D. The association between physical activity and low back pain: A systematic review and meta-analysis of observational studies. Sci. Rep. 9, 8244 (2019).
pubmed: 31160632
pmcid: 6547713
doi: 10.1038/s41598-019-44664-8
Maciel, S. C., Jennings, F., Jones, A. & Natour, J. The development and validation of a low back pain knowledge questionnaire—LKQ. Clinics 64, 1167–1175 (2009).
pubmed: 20037704
pmcid: 2797585
doi: 10.1590/S1807-59322009001200006
Laird, R. A., Gilbert, J., Kent, P. & Keating, J. L. Comparing lumbo-pelvic kinematics in people with and without back pain: A systematic review and meta-analysis. BMC Musculoskelet. Disord. 15, 229 (2014).
pubmed: 25012528
pmcid: 4096432
doi: 10.1186/1471-2474-15-229
Betsch, M. et al. Determination of the amount of leg length inequality that alters spinal posture in healthy subjects using rasterstereography. Eur. Spine J. 22, 1354–1361 (2013).
pubmed: 23479027
pmcid: 3676572
doi: 10.1007/s00586-013-2720-x
Nishida, C., Ko, G. T. & Kumanyika, S. Body fat distribution and noncommunicable diseases in populations: Overview of the 2008 WHO Expert Consultation on Waist Circumference and Waist-Hip Ratio. Eur. J. Clin. Nutr. 64, 2–5 (2010).
pubmed: 19935820
doi: 10.1038/ejcn.2009.139
Davis, D. S., Quinn, R. O., Whiteman, C. T., Williams, J. D. & Young, C. R. Concurrent validity of four clinical tests used to measure hamstring flexibility. J. Strength Cond. Res. 22, 583–588 (2008).
pubmed: 18550977
doi: 10.1519/JSC.0b013e31816359f2
Jamaluddin, S. et al. Reliability and accuracy of the tape measurement method with a nearest reading of 5 mm in the assessment of leg length discrepancy. Singap. Med. J. 52, 681–684 (2011).
Greendale, G. A., Nili, N. S., Huang, M.-H., Seeger, L. & Karlamangla, A. S. The reliability and validity of three non-radiological measures of thoracic kyphosis and their relations to the standing radiological Cobb angle. Osteoporos. Int. 22, 1897–1905 (2011).
pubmed: 20938766
doi: 10.1007/s00198-010-1422-z
de Oliveira, T. S. et al. Validity and reproducibility of the measurements obtained using the flexicurve instrument to evaluate the angles of thoracic and lumbar curvatures of the spine in the sagittal plane. Rehabil. Res. Pract. 2012, 1–9 (2012).
Hart, D. L. & Rose, S. J. Reliability of a noninvasive method for measuring the lumbar curve. J. Orthop. Sports Phys. Ther. 8, 180–184 (1986).
pubmed: 18802227
doi: 10.2519/jospt.1986.8.4.180
Malliaras, P., Hogan, A., Nawrocki, A., Crossley, K. & Schache, A. Hip flexibility and strength measures: Reliability and association with athletic groin pain. Br. J. Sports Med. 43, 739–744 (2009).
pubmed: 19282303
doi: 10.1136/bjsm.2008.055749
Cohen, S., Kamarck, T. & Mermelstein, R. A global measure of perceived stress. J. Health Soc. Behav. 24, 385 (1983).
pubmed: 6668417
doi: 10.2307/2136404
Keenan, A.-M., Redmond, A. C., Horton, M., Conaghan, P. G. & Tennant, A. The Foot Posture Index: Rasch analysis of a novel, foot-specific outcome measure. Arch. Phys. Med. Rehabil. 88, 88–93 (2007).
pubmed: 17207681
doi: 10.1016/j.apmr.2006.10.005
Oliveira, C. B. et al. Psychometric properties of the deep muscle contraction scale for assessment of the drawing-in maneuver in patients with chronic nonspecific low back pain. J. Orthop. Sports Phys. Ther. 47, 432–441 (2017).
pubmed: 28504068
doi: 10.2519/jospt.2017.7140
Guthold, R., Ono, T., Strong, K. L., Chatterji, S. & Morabia, A. Worldwide variability in physical inactivity. Am. J. Prev. Med. 34, 486–494 (2008).
pubmed: 18471584
doi: 10.1016/j.amepre.2008.02.013
Moons, K. G. M. & Harrell, F. E. Sensitivity and specificity should be de-emphasized in diagnostic accuracy studies. Acad. Radiol. 10, 670–672 (2003).
pubmed: 12809422
doi: 10.1016/S1076-6332(03)80087-9
Florkowski, C. M. Sensitivity, specificity, receiver-operating characteristic (ROC) curves and likelihood ratios: Communicating the performance of diagnostic tests. Clin. Biochem. Rev. 29(Suppl 1), S83–S87 (2008).
pubmed: 18852864
pmcid: 2556590
Sushil, P., Chawla, J. K., Kumar, P. & Duggal, T. Exploring Indian women’s perception and care seeking behavior towards lumbopelvic pain: A qualitative study. J. Hum. Behav. Soc. Environ. 33, 685–697 (2023).
doi: 10.1080/10911359.2022.2082621
Klenerman, L. et al. The prediction of chronicity in patients with an acute attack of low back pain in a general practice setting. Spine 20, 478–484 (1995).
pubmed: 7747233
doi: 10.1097/00007632-199502001-00012
Bewick, V., Cheek, L. & Ball, J. Statistics review 14: Logistic regression. Crit. Care 9, 112–118 (2005).
pubmed: 15693993
pmcid: 1065119
doi: 10.1186/cc3045
Greiner, M., Pfeiffer, D. & Smith, R. D. Principles and practical application of the receiver-operating characteristic analysis for diagnostic tests. Prev. Vet. Med. 45, 23–41 (2000).
pubmed: 10802332
doi: 10.1016/S0167-5877(00)00115-X
Radwan, A. et al. Evaluation of intra-subject difference in hamstring flexibility in patients with low back pain: An exploratory study. J. Back Musculoskelet. Rehabil. 28, 61–66 (2015).
doi: 10.3233/BMR-140490
Heneweer, H., Staes, F., Aufdemkampe, G., van Rijn, M. & Vanhees, L. Physical activity and low back pain: A systematic review of recent literature. Eur. Spine J. 20, 826–845 (2011).
pubmed: 21221663
pmcid: 3099170
doi: 10.1007/s00586-010-1680-7
Chun, S.-W., Lim, C.-Y., Kim, K., Hwang, J. & Chung, S. G. The relationships between low back pain and lumbar lordosis: A systematic review and meta-analysis. Spine J. 17, 1180–1191 (2017).
pubmed: 28476690
doi: 10.1016/j.spinee.2017.04.034
Vad, V. B. et al. Low back pain in professional golfers. Am. J. Sports Med. 32, 494–497 (2004).
pubmed: 14977679
doi: 10.1177/0363546503261729
Almutairi, A. F., BaniMustafa, A., Bin Saidan, T., Alhizam, S. & Salam, M. The prevalence and factors associated with low back pain among people with flat feet. Int. J. Gen. Med. 14, 3677–3685 (2021).
pubmed: 34321913
pmcid: 8312604
doi: 10.2147/IJGM.S321653
Schneider, S., Randoll, D. & Buchner, M. Why do women have back pain more than men?. Clin. J. Pain 22, 738–747 (2006).
pubmed: 16988571
doi: 10.1097/01.ajp.0000210920.03289.93
Cruz-Díaz, D., Bergamin, M., Gobbo, S., Martínez-Amat, A. & Hita-Contreras, F. Comparative effects of 12 weeks of equipment based and mat Pilates in patients with Chronic Low Back Pain on pain, function and transversus abdominis activation. A randomized controlled trial. Complement. Ther. Med. 33, 72–77 (2017).
pubmed: 28735829
doi: 10.1016/j.ctim.2017.06.004
Hori, M., Hasegawa, H. & Takasaki, H. Comparisons of hamstring flexibility between individuals with and without low back pain: Systematic review with meta-analysis. Physiother. Theory Pract. 37, 559–582 (2021).
pubmed: 31317831
doi: 10.1080/09593985.2019.1639868
Vatandoost, S. et al. Altered muscle strength and flexibility among a subgroup of women with chronic nonspecific low back pain: Cross-sectional case-control study. Physiother. Theory Pract. 39, 1428–1436 (2023).
pubmed: 35196207
doi: 10.1080/09593985.2022.2043497
Griffin, D. W., Harmon, D. C. & Kennedy, N. M. Do patients with chronic low back pain have an altered level and/or pattern of physical activity compared to healthy individuals? A systematic review of the literature. Physiotherapy 98, 13–23 (2012).
pubmed: 22265381
doi: 10.1016/j.physio.2011.04.350
Woźniacka, R. et al. The association between high-arched feet, plantar pressure distribution and body posture in young women. Sci. Rep. 9, 17187 (2019).
pubmed: 31748559
pmcid: 6868125
doi: 10.1038/s41598-019-53459-w
Yazdani, F., Razeghi, M., Karimi, M. T., Raeisi Shahraki, H. & Salimi Bani, M. The influence of foot hyperpronation on pelvic biomechanics during stance phase of the gait: A biomechanical simulation study. Proc. Inst. Mech. Eng. H 232, 708–717 (2018).
pubmed: 29848172
doi: 10.1177/0954411918778077
Balasundaram, A. P. & Choudhury, D. Association between hyper-pronated foot and the degree of severity of disability in patients with non-specific low back pain. J. Bodyw Mov. Ther. 22, 757–760 (2018).
pubmed: 30100309
doi: 10.1016/j.jbmt.2017.11.012
Kuszewski, M. T., Gnat, R. & Gogola, A. The impact of core muscles training on the range of anterior pelvic tilt in subjects with increased stiffness of the hamstrings. Hum. Mov. Sci. 57, 32–39 (2018).
pubmed: 29136538
doi: 10.1016/j.humov.2017.11.003
Lim, H. S., Roh, S. Y. & Lee, S. M. The relationship between pelvic tilt angle and disability associated with low back pain. J. Phys. Ther. Sci. 25, 65–68 (2013).
doi: 10.1589/jpts.25.65
Kim, C.-H. & Han, J.-T. Comparison of hip and lumbopelvic movement while hip lateral rotating in individual with chronic low back pain. J. Korean Phys. Ther. 29, 241–245 (2017).
doi: 10.18857/jkpt.2017.29.5.241
Winters, M. V. et al. Passive versus active stretching of hip flexor muscles in subjects with limited hip extension: A randomized clinical trial. Phys. Ther. 84, 800–807 (2004).
pubmed: 15330693
doi: 10.1093/ptj/84.9.800
Richardson, C. A. et al. The relation between the transversus abdominis muscles, sacroiliac joint mechanics, and low back pain. Spine 27, 399–405 (2002).
pubmed: 11840107
doi: 10.1097/00007632-200202150-00015
Hides, J. A., Miokovic, T., Belavý, D. L., Stanton, W. R. & Richardson, C. A. Ultrasound imaging assessment of abdominal muscle function during drawing-in of the abdominal wall: An intrarater reliability study. J. Orthop. Sports Phys. Ther. 37, 480–486 (2007).
pubmed: 17877284
doi: 10.2519/jospt.2007.2416
Ferreira, P. H. et al. Changes in recruitment of transversus abdominis correlate with disability in people with chronic low back pain. Br. J. Sports Med. 44, 1166–1172 (2010).
pubmed: 19474006
doi: 10.1136/bjsm.2009.061515
Mens, J. M. & Pool-Goudzwaard, A. Contraction of the transverse abdominal muscle in pelvic girdle pain is enhanced by pain provocation during the task. Musculoskelet. Sci. Pract. 32, 78–83 (2017).
pubmed: 28898747
doi: 10.1016/j.msksp.2017.09.001
Hides, J. et al. An MRI investigation into the function of the transversus abdominis muscle during “drawing-in” of the abdominal wall. Spine 31, E175–E178 (2006).
pubmed: 16540858
doi: 10.1097/01.brs.0000202740.86338.df
Hodges, P. W. & Richardson, C. A. Contraction of the abdominal muscles associated with movement of the lower limb. Phys. Ther. 77, 132–142 (1997).
pubmed: 9037214
doi: 10.1093/ptj/77.2.132
Wang, Y. X. J. Postmenopausal Chinese women show accelerated lumbar disc degeneration compared with Chinese men. J. Orthop. Transl. 3, 205–211 (2015).
Meana, M. The meeting of pain and depression: Comorbidity in women. Can. J. Psychiatry 43, 893–899 (1998).
pubmed: 9825159
doi: 10.1177/070674379804300902
Chawla, J. K., Sushil, P. & Kumar, P. Psychological stress perceived with respect to general health among urban Indian women. J. Hum. Behav. Soc. Environ. 33, 94–107 (2023).
doi: 10.1080/10911359.2021.2013385
Banerjee, A., Deaton, A. & Duflo, E. Wealth, health, and health services in rural Rajasthan. Am. Econ. Rev. 94, 326–330 (2004).
pubmed: 19305517
pmcid: 2658609
doi: 10.1257/0002828041301902
Borooah, V. K., Diwakar, D., Mishra, V. K., Naik, A. K. & Sabharwal, N. S. Caste, inequality, and poverty in India: A re-assessment. Dev. Stud. Res. 1, 279–294 (2014).
doi: 10.1080/21665095.2014.967877
Zondervan, K. T. et al. The community prevalence of chronic pelvic pain in women and associated illness behaviour. Br. J. Gen. Pract. 51, 541–547 (2001).
pubmed: 11462313
pmcid: 1314045
Daniels, J. P. & Khan, K. S. Chronic pelvic pain in women. BMJ 341, c4834–c4834 (2010).
pubmed: 20923840
doi: 10.1136/bmj.c4834
Balagué, F., Mannion, A. F., Pellisé, F. & Cedraschi, C. Non-specific low back pain. Lancet 379, 482–491 (2012).
pubmed: 21982256
doi: 10.1016/S0140-6736(11)60610-7
Ozbay, F. et al. Social support and resilience to stress: From neurobiology to clinical practice. Psychiatry 4, 35–40 (2007).
pubmed: 20806028
pmcid: 2921311
Haldeman, S. et al. Creating a sustainable model of spine care in underserved communities: The World Spine Care (WSC) charity. Spine J. 15, 2303–2311 (2015).
pubmed: 26096472
doi: 10.1016/j.spinee.2015.06.046