Low back pain in people with a stoma A postal survey

Iseult Wilson, Daniel Paul Kerr, Sheila Lennon

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

Purpose. To investigate whether low back pain (LBP) is a problem for people with a stoma.Method. Following ethical approval, a postal questionnaire was sent to the Ileostomy Association of Northern Ireland (n¼402).Results. The response rate was 81.6%. Two hundred ninety three (72.8%) were included in the analysis. The participants fell into three groups: those who never had LBP (n=102, 34.8%), those who had LBP but not within the last 6 months (n=26, 8.9%) and those who had LBP within the last 6 months (n¼165, 56.3%). Participants with LBP (n=165)compared the ease with which they could carry out everyday tasks: ‘before’ and ‘since’ surgery. There was a mean increased difficulty of between 1.75 and 2.26 points across all tasks. The Roland Morris Disability Questionnaire scores ranged from 0 to 24 with 50% having a score of 8/24 or higher. Some participants (n=76, 46.1%) believed that the stoma surgery was the reason for their back pain, followed by 27.9% (n=46) blaming weak muscles. Others (53.3%) thought their back pain was worsening. There was a significant rise in the incidence of first episode back pain within a year of surgery.Conclusions. These results suggest that LBP is a problem for people with a stoma.
Original languageEnglish
Pages (from-to)1937-1942
JournalDISABILITY AND REHABILITATION
Volume31
Issue number23
DOIs
Publication statusPublished - 2009

Bibliographical note

Reference text: 1. Martini FH, Timmons MJ, Tallitsch RB. Human anatomy,5th ed. California: Pearson Education Inc.; 2006. p 272, p275.
2. Richardson CA, Snijders CJ, Hides JA, Damen L, Pas MS,Storm J. The relation between the transverses abdominis muscles, sacroiliac joint mechanics, and low back pain. Spine
2002;15:27:399–405.
3. Kibler WB, Press J, Sciascia A. The role of core stability in athletic function. Sports Med 2006;36:189–198.
4. Kelsey JL, Golden AL. Occupational and workplace factors associated with low back pain. Occup Med 1988;3:7–16.
5. Waddell G. The back pain revolution, Chapter 1. Edinburgh: Churchill Livingstone; 2004.
6. Hodges PW, Richardson CA. Inefficient muscular stabilization of the lumbar spine associated with low back pain. Spine 1996;21:2640–2650.
7. Richardson CA, Jull G, Hodges P, Hides J. Therapeutic exercise for spinal segmental stabilization in low back pain. London: Churchill Livingstone; 1999.
8. Wilson IM, Kerr DP, Lennon S. Low back pain in people with a stoma: patients’ views. J Wound Ostomy Continence Nurs 2007;34:515–520.
9. Panjabi M. The stabilizing system of the spine: part I: function, dysfunction, adaptation and enhancement. J Spinal Disord 1992;5:383–389.
10. Panjabi M. The stabilizing system of the spine: part II: neutral zone and instability hypothesis. J Spinal Disord 1992;5:390– 397.
11. Liddle SD, Baxter GD, Gracey JH. Exercise and chronic low back pain: what works? Pain 2004;107:176–190.
12. Hayden JA, van Tulder MW, Malmivaara AV, Koes BW. Meta-analysis: exercise therapy for non-specific low back pain. Ann Intern Med 2005;142:765–775.
13. Wilson IM, Kerr DP, Lennon S. Low back pain in people with a stoma: focus group. 2005. Unpublished work.
14. Webster BS, Courtney TK, Huang Y-H, Matz S, Christiani DC. Survey of acute low back pain management by specialty group and practice experience. J Occup Environ Med
2006;48:723–732.
15. Fullen BM, Maher T, Bury G, Tynan A, Daly LE, Hurley DA. Adherence of Irish general practitioners to European guidelines for acute back pain: a prospective pilot study. Eur J
Pain 2007;11:614–623.
16. Hestbaek L, Leboeuf-Yde C, Manniche C. Is low back pain part of a general health pattern, or is it a separate and distinctive entity? A critical literature review of comorbidity
with low back pain. JManipulative Physiol Ther 2003;26:243– 252.
17. Hestbaek L, Leboeuf-Yde C, Kyvik KO, Vach W, Russell MB, Skadhauge L, Svendsen A, Manniche C. Comorbidity with low back pain. A cross-sectional population-based survey
of 12 to 22 year olds. Spine 2004;29:1483–1491.

Fingerprint

Dive into the research topics of 'Low back pain in people with a stoma A postal survey'. Together they form a unique fingerprint.

Cite this