creators_name: Agwubike, EO creators_name: Ezeukwu, AO creators_id: leo_ninus@yahoo.com editors_name: Kakkilaya, Srinivas editors_id: BS Kakkilaya type: journale datestamp: 2012-11-09 17:37:19 lastmod: 2012-11-09 17:37:19 metadata_visibility: show title: Comparison of Subjective and Objective Physical Functions in Patients with Chronic Low Back Pain ispublished: pub subjects: OJHAS full_text_status: public keywords: Objective; subjective; Chronic low back pain; Roland-Morris; Back Performance abstract: Purpose: To compare the subjective and objective physical function scores of patients with Chronic Low Back Pain (CLBP). Method: A cross- sectional survey design was used. Fifty-one patients with CLBP of mechanical origin were recruited from the physiotherapy out patient clinics of the University of Nigeria Teaching Hospital and the National Orthopedic Hospital both in Enugu, Nigeria. The box numerical scale, Roland-Morris Questionnaire (RMQ-24) and the Back Performance Scale (BPS) were used to assess the present pain intensity, the subjective and objective functional status of the participants respectively. Pearson correlation was used to determine relationships. Multiple Regressions were used to determine the predictors of objective function. Alpha level was set at 0.5. Results: The mean age and Body Mass Index of the participants were 49.04 ± 14.33 years and 26.57 ± 4.29 kg/m2 respectively. The mean Pain Intensity, subjective disability (RMQ) and objective disability (BPS) scores were 6.33 ± 2.09, 9.76 ± 5.14 and 6.43 ± 2.9 respectively. Stepwise multiple regressions showed that when all the variables were entered only marital status was a significant predictor of objective physical function. Conclusion: There is no significant association between subjective and objective functions in patients with CLBP. However, marital status (married) is a significant predictor of objective function in CLBP. date: 2011-07-30 date_type: published publication: Online Journal of Health and Allied Sciences volume: 10 number: 2 publisher: BS Kakkilaya refereed: TRUE referencetext: 1. Kovacs FM, Abraia V, Pozo F, Heinbaun DG, Beltran J, Matro I, Perezde AC, Pena A, Zea GM, Morillas L. Local and remote sustained trigger point therapy for exarcebation of chronic low back pain: A randomized double blind controlled multi centre study. Spine. 1997;22(7):788-797 2. Browsher D, Rigge M, Sopp L. Prevalence of chronic pain in the British population: A telephone survey of 1037 households. Pain Clinic. 1991;4:223-230 3. Andersson HI, Ejlertsson G, Leden I, Rosenberg, C. Chronic Pain in a geographically defined general population: Studies of difference in age, gender, social class and pain localization. Clinical Journal of Pain. 1993;9:174-182 4. Elliot AM, Smith BH, Penny KI, Smith WC, Chambers WA. The epidemiology of chronic pain in the community. Lancet. 1999;354:124-124 5. Barry LC, Gou Z, Kerns RD, Duong BD, Reid MC. Functional self-efficacy and pain related disability among older veterans with chronic pain in primary care setting. Pain. 2003;104:131-137 6. Weiner DK, Rudy TE, Kim Y, Gola S. Do medical factors predict disability in older adults with persistent low back pain? Pain. 2004;112:214-220 7. Jette AM. State of the art in functional status assessment. In: Rothstein JM , Rothstein JMS, editors. Measurement in Physical therapy. New York : Churchill Livingstone.1985;137-168 8. Brox Ji, Storham K, Holm I, Friis A, Reikeras O. Disability, pain, psychological factors and physical performance in healthy controls and patients with sub-acute and chronic low back pain: A case control study. I Rehabil Med. 2005;37:95-97 9. Anderson GB. Epidemiological features of chronic low back pain. Lancet. 1999;354:581-587 10. Fairbank JC, Couper J, Davies JB, O’Brien JP. The Oswestry low back pain disability questionnaire. Physiotherapy.1980;66:271-273 11. Pollard CA. Preliminary validity study of the pain disability index. Percep Mot Skills. 1984;59:974 12. Abrahamowicz M, Abenhaim L, Wood-Danphinee S, Lamping DL, Williams, JI. The Quebec back pain disability scale: Measurement properties. Spine.1995;20:341-352 13. Kopec JA, Esdaile JM. Spine update: Functional disability scales for back pain. Spine. 1995;20:1943-1949 14. Harper AC, Harper DA, Lambert LJ, De klerk NH, Andrews HB, Ross FM, Straker LJ, Lo SK. Development and validation of the Curtin back screening questionnaire (CBSQ): A discriminative disability measure. Pain. 1995;60:73-81 15. Roland M, Morris R. A study of the natural history of back pain. Part 1: Development of a reliable and sensitive measure of disability in low back pain. Spine.1983;8:141-144 16. Strands LI, Moe-Nilssen R, Ljungrgren AE. Back performance scale for the assessment of mobility related activities in people with back pain. Physical Therapy. 2002;82(12):1213-1223 17. Simmonds MJ, Olson SL, Jones S, Hussein T, Lee CE, Novy D, Radwan H. Psychometric characteristics and clinical usefulness of physical performance test in patients with low back pain. Spine. 1998;23:2412-2421 18. McDowell I, Newell C. Measuring Health: A Guide to Rating Questionnaire (2nd Edition), Oxford University Press. Oxford; 1996. pp335-337 19. Magnussen L, Strand LI, Lvgren H. Reliability and validity of the back performance scale: observing activity limitation in patients with back pain. Spine. 2004;29(8):903-907 20. Adegoke BOA, Ezeukwu AO. Pain intensity, self-efficacy and physical performance in patients with chronic low back pain. International Journal of Therapy and Rehabilitation. 2010;17(10):524-534 21. Slaker MA, Hall HF, Atkinson JH, Garfin SR. Pain and impairement beliefs in chronic low back pain: Validation of pain and impairement relationships scale (PAIRS). Pain. 1991;44:51-56 22. Lackner JM, Carosella AM, Feuerstein M. Pain expectancies, pain and functional self-efficacy expectancies as determinants of disability in patients with chronic low back disorders. J Consult Clin Psychol. 1996;64:212-220 23. Kaplan GM, Wurtele SK, Gillis D. Maximal effort during fuctional capacity evaluations: an examination of psychological factors. Arch Phys Med Rehabil. 1996;77:161-164 24. Wadell G, Main CJ, Morris EW, DiPaola M, Gray ICM. Chronic low back pain, psychological distress and illness behaviour. Spine. 1984;9:209-213. citation: Agwubike, EO and Ezeukwu, AO (2011) Comparison of Subjective and Objective Physical Functions in Patients with Chronic Low Back Pain. [Journal (On-line/Unpaginated)] document_url: http://cogprints.org/7970/1/2011-2-13.pdf