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:: Volume 9, Issue 4 (Fall 2017) ::
Iran J War Public Health 2017, 9(4): 185-190 Back to browse issues page
Factors Related to Low Back Pain Severity in Veterans with Unilateral Below Knee Amputation
E. Faraji 1, A.H. Barati 2, H. Sadeghi 3, H.R. Fateh 4, M. Allami * 5
1- Sport Injuries & Corrective Exercise Department, Physical Education & Sport Sciences Faculty, Kharazmi University, Tehran, Iran
2- Sport Injuries & Corrective Exercise Department, Physical Education & Sport Sciences Faculty, Shahid Beheshti University, Tehran, Iran
3- Sport Injuries and Corrective Exercise Department, Physical Education and Sport Sciences Faculty, Kharazmi University, Tehran, Iran
4- Physical Medicine & Rehabilitation Department, Medicine Faculty, Tehran University, Tehran, Iran
5- Department of Medical & Rehabilitation Devices, Janbazan Medical and Engineering Research Center (JMERC), Tehran, Iran , iranassistive@gmail.com
Abstract:   (679 Views)

Aims: Low back pain as a common health issue is more problematic than other complications of amputation. Due to the etiology of amputation in veterans, different factors may be related to the severity of back pain. The aim of this study was to evaluate the factors related to the severity of low back pain in veterans with unilateral below-knee amputation.
Instruments & Methods: In this descriptive correlational study, 62 male veterans with unilateral below-knee amputation in 2016 were selected using available sampling method from Center of Orthosis and Prosthetics Kowsar in Tehran. The severity of back pain and disability caused by low back pain were evaluated by Numeric Pain Rating Scale (NPRS) and Oswestry Disability Index (ODI), respectively. Biomechanical evaluations were carried out using surface electromyography. Data was analyzed by SPSS 20 software using Pearson correlation coefficient, Spearman's rank correlation coefficient, simple linear regression and Chi square test.
Findings: There was a significant correlation between pain severity and asymmetry index of superficial lumbar multifidus muscle (r=0.31; p=0.01). Asymmetry index of superficial lumbar multifidus muscle could predict 0.09 of pain severity (p<0.05). The severity of low back pain were also correlated significantly with smoking history (r=0.21; p=0.04), psychological disorders (r=0.25; p=0.02), prosthetic height (r=0.21; p=0.04) and the use of auxiliary device (r=0.03; p=0.27).
Conclusion: Muscle asymmetry due to the use of the prosthesis, prosthesis height, amputation-associated psychological disorders and smoking are the factors related to the severity of low back pain in veterans with unilateral below-knee amputation.

Keywords: Low Back Pain, Veterans, Amputees, Electromyography
Full-Text [PDF 461 kb]   (181 Downloads)    
Type of Study: Research | Subject: Veteran’s Health
Received: 2017/04/12 | Accepted: 2017/05/23 | Published: 2017/11/11
* Corresponding Author Address: Janbazan Medical and Engineering Research Center (JMERC), No. 17, Farokh Street, Moghadas Ardabili Street, Yaman Street, Shahid Chamran Highway, Tehran, Iran
English Expanded Abstract [HTML 26 KB]  (3 Download)
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Faraji E, Barati A, Sadeghi H, Fateh H, Allami M. Factors Related to Low Back Pain Severity in Veterans with Unilateral Below Knee Amputation. Iran J War Public Health. 2017; 9 (4) :185-190
URL: http://ijwph.ir/article-1-682-en.html


Volume 9, Issue 4 (Fall 2017) Back to browse issues page
مجله طب جانباز Iranian Journal of War and Public Health
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