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Exploring factors influencing low back pain in people with non-dysvascular lower limb amputation: a national survey

Devan, Hemakumar; Hendrick, Paul; Hale, Leigh; Carman, Allan; Dillon, Michael; Riberio, Dan

Authors

Hemakumar Devan hemakumar.devan@otago.ac.nz

Paul Hendrick paul.hendrick@nottingham.ac.uk

Leigh Hale leigh.hale@otago.ac.uk

Allan Carman allan.carman@aut.ac.nz

Michael Dillon Michael.Dillon@latrobe.edu.au

Dan Riberio daniel.ribeiro@otago.ac.nz



Abstract

Background: Chronic low back pain (LBP) is a common musculoskeletal impairment in people with lower limb amputation. Given the multifactorial nature of LBP, exploring the factors influencing the presence and intensity of LBP is warranted.
Objective: To investigate which physical, personal, and amputee-specific factors predicted presence and intensity of low back pain (LBP) in persons with non-dysvascular transfemoral (TFA) and transtibial amputation (TTA).
Design: A retrospective cross-sectional survey.
Setting: A national random sample of people with non-dysvascular TFA and TTA.
Participants: Participants (N = 526) with unilateral TFA and TTA due to non-dysvascular aetiology (i.e. trauma, tumours, and congenital causes) and a minimum prosthesis usage of one year since amputation were invited to participate in the survey. The data from 208 participants (43.4% response rate) were used for multivariate regression analysis
Methods (Independent variables): Personal (i.e. age, body mass, gender, work status, and presence of comorbid conditions), amputee-specific (i.e. level of amputation, years of prosthesis use, presence of phantom limb pain, residual limb problems, and non-amputated limb pain), and physical factors (i.e. pain provoking postures including standing, bending, lifting, walking,sitting, sit-to stand, and climbing stairs).
Main outcome measures (Dependent variables): LBP presence and intensity.
Results: A multivariate logistic regression model showed that the presence of two or more comorbid conditions (prevalence odds ratio (POR) = 4.34, p = .01), residual limb problems (POR 22 = 3.76, p

Journal Article Type Article
Journal PM&R
Print ISSN 1934-1482
Electronic ISSN 1934-1482
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 9
Issue 10
APA6 Citation Devan, H., Hendrick, P., Hale, L., Carman, A., Dillon, M., & Riberio, D. (in press). Exploring factors influencing low back pain in people with non-dysvascular lower limb amputation: a national survey. PM&R, 9(10), doi:10.1016/j.pmrj.2017.02.004
DOI https://doi.org/10.1016/j.pmrj.2017.02.004
Keywords activity, cross-sectional, low back pain, musculoskeletal, risk factors
Publisher URL http://www.pmrjournal.org/article/S1934-1482(17)30175-2/abstract
Copyright Statement Copyright information regarding this work can be found at the following address: http://eprints.nottingh.../end_user_agreement.pdf

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf





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