Pain intensity, physical activity, quality of life, and disability in patients with mechanical low back pain: a cross-sectional study

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dc.contributor.authorEkediegwu, Ezinne C.
dc.contributor.authorOnwukike, Chukwuneke V.
dc.contributor.authorOnyeso, Ogochukwu K.
dc.date.accessioned2025-12-08T22:57:01Z
dc.date.available2025-12-08T22:57:01Z
dc.date.issued2024
dc.descriptionOpen access article. Creative Commons Attribution 4.0 International license (CC BY 4.0) applies
dc.description.abstractBackground Poorly managed mechanical low back pain (MLBP) and its sequelae, such as severe pain, physical inac- tivity, and disability, negatively impact patients’ quality of life (QoL). The study aimed to determine the pain intensity (PI), physical activity (PA), QoL, and disability, the association between selected sociodemographic variables and PI, PA, QoL, and disability, and the relationship between PI, PA, QoL, and disability among Nigerians with chronic MLBP. Methods This cross-sectional study employed a consecutive sampling technique. Outcome measures included the Numeric Pain Scale, International Physical Activity Questionnaire-Short Form, WHO Quality-of-Life Brief, and Oswestry Disability Index for PI, PA, QoL, and disability, respectively. Descriptive statistics were used to summarize participants’ sociodemographic variables. Chi-square, Spearman’s correlation, and structural equation modeling (SEM) were used for inferential analyses. Results Two hundred and fifty chronic MLBP patients comprising 154 females and 96 males, completed the study. The mean PA, PI, QoL, and disability levels were 1118.03MET ± 615.30, 5.97 ± 2.69, 73.45% ± 14.21, and 21.7% ± 18.94, respectively. There was a significant correlation between PA and QoL (rho = 0.36, p = 0.001), PA and disability (rho = −0.42, p = 0.010), QoL and disability (rho = −0.21, p = 0.008), QoL and PI (rho = −6.72, p = 0.025), PI and dis- ability (rho = 0.90, p = 0.022). Aside from age and PA (χ2 = 8.52, p = 0.045), there was no significant association between the sociodemographic variables and PI, PA, QoL, or disability. SEM showed a strong positive association between PI and disability (β = 0.80, p < 0.001). Conclusion Individuals with chronic MLBP had a low PA, moderate QoL, and significant disability. Incorporating PA, QoL, and disability assessments may enhance the evaluation and management of MLBP.
dc.description.peer-reviewYes
dc.identifier.citationEkediegwu, E. C., Onwukike, C. V., & Onyeso, O. K. (2024). Pain intensity, physical activity, quality of life, and disability in patients with mechanical low back pain: A cross-sectional study. Bulletin of Physical Therapy, 29, Article 1. https://doi.org/10.1186/s43161-023-00167-2
dc.identifier.urihttps://hdl.handle.net/10133/7242
dc.language.isoen
dc.publisherSpringer
dc.publisher.facultyHealth Sciences
dc.publisher.institutionNnamdi Azikiwe University,
dc.publisher.institutionUniversity of Lethbridge
dc.publisher.urlhttps://doi.org/10.1186/s43161-023-00167-2
dc.subjectActivities of daily living
dc.subjectLow back pain
dc.subjectNigeria
dc.subjectPhysiotherapy
dc.subjectQuality of life
dc.subjectPain intensity
dc.subjectPhysical activity
dc.subject.lcshBackache--Research--Nigeria
dc.titlePain intensity, physical activity, quality of life, and disability in patients with mechanical low back pain: a cross-sectional study
dc.typeArticle
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