Korean J Pain.  2018 Jul;31(3):199-205. 10.3344/kjp.2018.31.3.199.

The effect of stabilization exercise on pain-related disability, sleep disturbance, and psychological status of patients with non-specific chronic low back pain

Affiliations
  • 1Department of Physiotherapy, College of Medicine, University of Lagos, Nigeria. akoduashiyat@gmail.com

Abstract

BACKGROUND
Sleep disturbance and depression are becoming more recognized as important symptoms among individuals with chronic low back pain. This study evaluated the effect of stabilization exercise on pain-related disability, sleep disturbance and the psychological status of patients with non-specific chronic low back pain (NSCLBP).
METHODS
A total of 26 patients (M/F = 17/9) with NSCLBP with a mean age of 50.0 ± 15.5 took part in this study. Participants were recruited from selected hospitals in Lagos state. Ethical approval was sought and obtained from the health research and ethics committee of Lagos University Teaching Hospital Idi-araba, Lagos, Nigeria. Participants performed stabilization exercise for eight weeks consecutively and were assessed for pain-related disability, anxiety, depression, and sleep disturbance using the pain-disability index, hospital anxiety and depression scale, and the insomnia severity index at baseline, the 4th week, and the 8th week, post-intervention.
RESULTS
The participants studied recorded significant reduction in pain-related disability (P = 0.001). There was also improvement in the sleep quality (P = 0.001), depression level (P = 0.001), and anxiety level (P = 0.001), post intervention.
CONCLUSIONS
This study revealed that stabilization exercise is very useful in the management of sleep disturbance, pain-related disability, depression, and anxiety in NSCLBP patients.

Keyword

Anxiety; Depression; Disability evaluation; Exercise movement techniques; Low back pain; Psychological test; Sleep disorders

MeSH Terms

Anxiety
Depression
Disability Evaluation
Ethics Committees
Exercise Movement Techniques
Hospitals, Teaching
Humans
Low Back Pain*
Nigeria
Psychological Tests
Sleep Initiation and Maintenance Disorders
Sleep Wake Disorders

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Reference

1. Freburger JK, Holmes GM, Agans RP, Jackman AM, Darter JD, Wallace AS, et al. The rising prevalence of chronic low back pain. Arch Intern Med. 2009; 169:251–258. PMID: 19204216.
Article
2. Hanney WJ, Kolber MJ, Beekhuizen KS. Implications for physical activity in the population with low back pain. Am J Lifestyle Med. 2009; 3:63–70.
Article
3. Gore M, Sadosky A, Stacey BR, Tai KS, Leslie D. The burden of chronic low back pain: clinical comorbidities, treatment patterns, and health care costs in usual care settings. Spine (Phila Pa 1976). 2012; 37:E668–E677. PMID: 22146287.
4. Manchikanti L, Singh V, Datta S, Cohen SP, Hirsch JA. American Society of Interventional Pain Physicians. Comprehensive review of epidemiology, scope, and impact of spinal pain. Pain Physician. 2009; 12:E35–E70. PMID: 19668291.
5. Dunn KM, Croft PR. Epidemiology and natural history of low back pain. Eura Medicophys. 2004; 40:9–13. PMID: 16030488.
6. Dunn KM, Jordan KP, Croft PR. Contributions of prognostic factors for poor outcome in primary care low back pain patients. Eur J Pain. 2011; 15:313–319. PMID: 20728385.
Article
7. Kundermann B, Krieg JC, Schreiber W, Lautenbacher S. The effect of sleep deprivation on pain. Pain Res Manag. 2004; 9:25–32. PMID: 15007400.
8. Brand S, Kirov R. Sleep and its importance in adolescence and in common adolescent somatic and psychiatric conditions. Int J Gen Med. 2011; 4:425–442. PMID: 21731894.
Article
9. Naughton F, Ashworth P, Skevington SM. Does sleep quality predict pain-related disability in chronic pain patients? The mediating roles of depression and pain severity. Pain. 2007; 127:243–252. PMID: 17055168.
Article
10. van de Water AT, Eadie J, Hurley DA. Investigation of sleep disturbance in chronic low back pain: an age- and gender-matched case-control study over a 7-night period. Man Ther. 2011; 16:550–556. PMID: 21652257.
Article
11. de Paula Lima PO, de Oliveira RR, Costa LO, Laurentino GE. Measurement properties of the pressure biofeedback unit in the evaluation of transversus abdominis muscle activity: a systematic review. Physiotherapy. 2011; 97:100–106. PMID: 21497243.
Article
12. Millisdotter M, Strömqvist B. Early neuromuscular customized training after surgery for lumbar disc herniation: a prospective controlled study. Eur Spine J. 2007; 16:19–26. PMID: 16421747.
Article
13. Akodu AK, Akinbo SR, Odebiyi DO. Effect of stabilization exercise on pain and disability in patients with chronic low back pain. Indian J Physiother Occup Ther. 2015; 9:170–175.
Article
14. Akodu AK, Akinbo SR, Odebiyi DO. Effect of stabilization exercise on lumbar multifidus muscle thickness in patients with non-specific chronic low back pain. Iran Rehabil J. 2014; 12:6–10.
15. Balagué F, Mannion AF, Pellisé F, Cedraschi C. Clinical update: low back pain. Lancet. 2007; 369:726–728. PMID: 17336636.
Article
16. Moon MS, Lee BJ, Kim SS. Spinal deformity. Indian J Orthop. 2010; 44:123–126. PMID: 20418998.
Article
17. Hicks GE, Fritz JM, Delitto A, McGill SM. Preliminary development of a clinical prediction rule for determining which patients with low back pain will respond to a stabilization exercise program. Arch Phys Med Rehabil. 2005; 86:1753–1762. PMID: 16181938.
Article
18. Akodu AK, Tella BA, Olujobi OD. Effect of stabilization exercise on pain and quality of life of patients with non-specific chronic low back pain. Afr J Physiother Rehabil Sci. 2015; 7:7–11.
Article
19. Wilke HJ, Wolf S, Claes LE, Arand M, Wiesend A. Stability increase of the lumbar spine with different muscle groups. A biomechanical in vitro study. Spine (Phila Pa 1976). 1995; 20:192–198. PMID: 7716624.
20. Koumantakis GA, Watson PJ, Oldham JA. Trunk muscle stabilization training plus general exercise versus general exercise only: randomized controlled trial of patients with recurrent low back pain. Phys Ther. 2005; 85:209–225. PMID: 15733046.
Article
21. Shakeri H, Fathollahi Z, Karimi N, Arab AM. Effect of functional lumbar stabilization exercises on pain, disability, and kinesiophobia in women with menstrual low back pain: a preliminary trial. J Chiropr Med. 2013; 12:160–167. PMID: 24396316.
Article
22. Nava-Bringas TI, Roeniger-Desatnik A, Arellano-Hernández A, Cruz-Medina E. Adherence to a stability exercise program in patients with chronic low back pain. Cir Cir. 2016; 84:384–391. PMID: 26769530.
Article
23. Balasubramaniam A, Bharathi M. Effect of motor control exercises on psychological variables in chronic low back pain in computer professionals. Int J Pharma Bio Sci. 2016; 7:490–494.
Article
24. Antunes RS, de Macedo BG, Amaral TS, Gomes HA, Pereira LS, Rocha FL. Pain, kinesiophobia and quality of life in chronic low back pain and depression. Acta Ortop Bras. 2013; 21:27–29. PMID: 24453639.
25. Sethi V, Pragyadeep . Impact of short duration (4 weeks) core stability exercise on depression, anxiety and stress status of adult patients with chronic low back pain. J Pharm Biomed Sci. 2012; 23:1–4.
26. Ramond A, Bouton C, Richard I, Roquelaure Y, Baufreton C, Legrand E, et al. Psychosocial risk factors for chronic low back pain in primary care--a systematic review. Fam Pract. 2011; 28:12–21. PMID: 20833704.
Article
27. Sribastav SS, Peiheng H, Jun L, Zemin L, Fuxin W, Jianru W, et al. Interplay among pain intensity, sleep disturbance and emotion in patients with non-specific low back pain. PeerJ. 2017; 5:e3282. PMID: 28533953.
Article
28. Bair MJ, Robinson RL, Katon W, Kroenke K. Depression and pain comorbidity: a literature review. Arch Intern Med. 2003; 163:2433–2445. PMID: 14609780.
29. Bair MJ, Wu J, Damush TM, Sutherland JM, Kroenke K. Association of depression and anxiety alone and in combination with chronic musculoskeletal pain in primary care patients. Psychosom Med. 2008; 70:890–897. PMID: 18799425.
Article
30. Hung CI, Liu CY, Fu TS. Depression: an important factor associated with disability among patients with chronic low back pain. Int J Psychiatry Med. 2015; 49:187–198. PMID: 25930736.
31. Xu Z, Su H, Zou Y, Chen J, Wu J, Chang W. Sleep quality of Chinese adolescents: distribution and its associated factors. J Paediatr Child Health. 2012; 48:138–145. PMID: 21470332.
Article
32. Schuh-Hofer S, Wodarski R, Pfau DB, Caspani O, Magerl W, Kennedy JD, et al. One night of total sleep deprivation promotes a state of generalized hyperalgesia: a surrogate pain model to study the relationship of insomnia and pain. Pain. 2013; 154:1613–1621. PMID: 23707287.
Article
33. Sezgin M, Hasanefendioğlu EZ, Sungur MA, Incel NA, Çimen ÖB, KanÇk A, et al. Sleep quality in patients with chronic low back pain: a cross-sectional study assesing its relations with pain, functional status and quality of life. J Back Musculoskeletal Rehabil. 2015; 28:433–441.
Article
34. Batterham PJ, Glozier N, Christensen H. Sleep disturbance, personality and the onset of depression and anxiety: prospective cohort study. Aust N Z J Psychiatry. 2012; 46:1089–1098. PMID: 22899700.
Article
35. Spira AP, Stone K, Beaudreau SA, Ancoli-Israel S, Yaffe K. Anxiety symptoms and objectively measured sleep quality in older women. Am J Geriatr Psychiatry. 2009; 17:136–143. PMID: 19155746.
Article
36. Lee HJ, Choi EJ, Nahm FS, Yoon IY, Lee PB. Prevalence of unrecognized depression in patients with chronic pain without a history of psychiatric diseases. Korean J Pain. 2018; 31:116–124. PMID: 29686810.
Article
37. Wang HY, Fu TS, Hsu SC, Hung CI. Association of depression with sleep quality might be greater than that of pain intensity among outpatients with chronic low back pain. Neuropsychiatr Dis Treat. 2016; 12:1993–1998. PMID: 27563244.
38. Kelly GA, Blake C, Power CK, O'keeffe D, Fullen BM. The association between chronic low back pain and sleep: a systematic review. Clin J Pain. 2011; 27:169–181. PMID: 20842008.
39. Siengsukon C, Emmanuel NM, Sharma NK. Relationship between low back pain and sleep quality. J Nov Physiother. 2013; 3:168.
Article
40. O'Donoghue GM, Fox N, Heneghan C, Hurley DA. Objective and subjective assessment of sleep in chronic low back pain patients compared with healthy age and gender matched controls: a pilot study. BMC Musculoskelet Disord. 2009; 10:122. PMID: 19799778.
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