Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Back pain? Move, don’t rest!

20.09.2011
Move if you have back pain, this is the advice of a researcher at the Sahlgrenska Academy, University of Gothenburg.

Patients with acute low back pain who were advised to stay active despite the pain fared better than those who were told to adjust their activity in line with their pain.

The thesis looked at 109 patients with acute severe lowback pain. They were randomly advised in one of two ways: “stay active even though it hurts” or “adjust your activity to the pain”. They were also asked to keep a diary for seven days and to note how many steps they took each day, to what extent they could carry out their day-to-day activities and how they felt physically. They also completed a form to show whether they felt depressed or not.

In spite of having more pain, the group that was advised to be as active as possible recovered more quickly and did not feel depressed at the end of the follow-up.

“The other category, who had been advised from the very start to adjust their activity to their pain, were less mobile and felt slightly depressed compared to the patients who were active,” says Olaya-Contreras, a researcher at the Sahlgrenska Academy’s Department of Orthopaedics.

She believes that this could be because some people who are depressed and in pain experience the pain more acutely. Another explanation could be that the more acute the pain is perceived to be, the less a person wants or is able to move. This, according to Olaya-Contreras, is in line with previous research.

“I think that if you’re suffering with acute low back pain you should try to remain as active as possible and go about your daily business as well as you can. If you don’t keep moving, it’s easy to get locked into a downward spiral, as inactivity combined with pain can, in a worst case scenario, turn into long-term disability and an inability to work that, in turn, can lead to depressed mood and more pain.”

Olaya-Contreras therefore feels that the health service should introduce a routine investigation to determine the underlying psycho-social causes of patients’ back problems. This could measure the degree of perceived depression as well as anxiety and fear of movement.

“The results of the investigation and associated discussion could lead to patients taking a more active role and taking responsibility for their treatment,” says Olaya-Contreras. “I also believe that it can help patients to focus more on the positive resources they themselves have to handle the pain and master various physical movements even though it hurts.”

BACK PROBLEMS
Low back pain affects up to 80% of people of working age at some time in their lives, though most will get better. Low back pain can be recurring, and some people will continue to suffer with some degree of pain. In 85-90% of cases the pain cannot be attributed to a specific illness or injury.
For more information, please contact:
Patricia Olaya-Contreras, registered nurse and researcher at the Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, tel: +46 (0)31 342 6615, mobile: +46 (0)73 660 1737, e-mail: patricia.olaya@orthop.gu.se

Supervisor: Jorma Styf, professor, Sahlgrenska Academy, tel: +46 (0)31 342 6966, e-mail: jorma.styf@orthop.gu.se

Bibliographic data:
Journal: Clin J Pain. 2011 May;27(4):330-7
Title: Cross-validation of the Depression, Anxiety, and Positive Outlook Scale (DAPOS) for clinical use. Authors: Olaya-Contreras P, Styf J, Lundberg M, and Jansson B..

Helena Aaberg | idw
Further information:
http://www.gu.se
http://hdl.handle.net/2077/24625

More articles from Health and Medicine:

nachricht Satellites, airport visibility readings shed light on troops' exposure to air pollution
09.12.2016 | Veterans Affairs Research Communications

nachricht Oxygen can wake up dormant bacteria for antibiotic attacks
08.12.2016 | Penn State

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Electron highway inside crystal

Physicists of the University of Würzburg have made an astonishing discovery in a specific type of topological insulators. The effect is due to the structure of the materials used. The researchers have now published their work in the journal Science.

Topological insulators are currently the hot topic in physics according to the newspaper Neue Zürcher Zeitung. Only a few weeks ago, their importance was...

Im Focus: Significantly more productivity in USP lasers

In recent years, lasers with ultrashort pulses (USP) down to the femtosecond range have become established on an industrial scale. They could advance some applications with the much-lauded “cold ablation” – if that meant they would then achieve more throughput. A new generation of process engineering that will address this issue in particular will be discussed at the “4th UKP Workshop – Ultrafast Laser Technology” in April 2017.

Even back in the 1990s, scientists were comparing materials processing with nanosecond, picosecond and femtosesecond pulses. The result was surprising:...

Im Focus: Shape matters when light meets atom

Mapping the interaction of a single atom with a single photon may inform design of quantum devices

Have you ever wondered how you see the world? Vision is about photons of light, which are packets of energy, interacting with the atoms or molecules in what...

Im Focus: Novel silicon etching technique crafts 3-D gradient refractive index micro-optics

A multi-institutional research collaboration has created a novel approach for fabricating three-dimensional micro-optics through the shape-defined formation of porous silicon (PSi), with broad impacts in integrated optoelectronics, imaging, and photovoltaics.

Working with colleagues at Stanford and The Dow Chemical Company, researchers at the University of Illinois at Urbana-Champaign fabricated 3-D birefringent...

Im Focus: Quantum Particles Form Droplets

In experiments with magnetic atoms conducted at extremely low temperatures, scientists have demonstrated a unique phase of matter: The atoms form a new type of quantum liquid or quantum droplet state. These so called quantum droplets may preserve their form in absence of external confinement because of quantum effects. The joint team of experimental physicists from Innsbruck and theoretical physicists from Hannover report on their findings in the journal Physical Review X.

“Our Quantum droplets are in the gas phase but they still drop like a rock,” explains experimental physicist Francesca Ferlaino when talking about the...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

ICTM Conference 2017: Production technology for turbomachine manufacturing of the future

16.11.2016 | Event News

Innovation Day Laser Technology – Laser Additive Manufacturing

01.11.2016 | Event News

#IC2S2: When Social Science meets Computer Science - GESIS will host the IC2S2 conference 2017

14.10.2016 | Event News

 
Latest News

Researchers identify potentially druggable mutant p53 proteins that promote cancer growth

09.12.2016 | Life Sciences

Scientists produce a new roadmap for guiding development & conservation in the Amazon

09.12.2016 | Ecology, The Environment and Conservation

Satellites, airport visibility readings shed light on troops' exposure to air pollution

09.12.2016 | Health and Medicine

VideoLinks
B2B-VideoLinks
More VideoLinks >>>