Disability in people with chronic low back pain treated in primary care

Authors

DOI:

https://doi.org/10.1590/fm.2021.34121

Keywords:

Low back pain. Physical and functional performance. Primary care.

Abstract

Introduction: Low back pain is a common musculoskeletal problem and can become chronic, with varying degrees of disability. Objective: Analyze the factors associated with disability in individuals with chronic low back pain (CLBP), treated in primary care. Methods: Cross-sectional study with 82 basic health unit (BHU) users in the municipality of Florianópolis (Brazil) with CLBP. Sociodemographic and clinical variables, health status, lifestyle and treatment were investigated. Self-rated disability was investigated using the Roland Morris questionnaire (≥ 14 points). The χ2 or Fisher’s exact tests were used in inferential analysis for univariate association and the presence of disability. Multivariate association was analyzed by logistical regression, estimating the crude and adjusted odds ratios (OR) and their respective confidence intervals (95%CI). Results: Adults aged 40-59 years had a greater chance of developing disability (OR: 8.17; 95%: 1.21 – 55.0), while professionally active individuals (OR: 0.08; 95%CI: 0.02 – 0.33) who reported engaging in physical activity ≥ 3 times a week (OR: 0.19; IC95%: 0.04 – 0.83) had less chance of the same outcome when compared to the other participants. Conclusion: Factors related to disability were age, employment status and frequency of physical activity. Incentive strategies to return to work and engage in regular physical activity and exercise should be encouraged.

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Author Biographies

Micheline Henrique Araújo da Luz Koerich, Universidade do Estado de Santa Catarina (UDESC)

PhD in Nursing, Department of Physiotherapy (UDESC), Florianópolis, SC.

Betina Hörner Schlindwein Meirelles, Universidade Federal de Santa Catarina (UFSC)

PhD in Nursing, Department of Nursing (UFSC), Florianópolis, SC.

Maria Elena Echevaría-Guanilo, Universidade Federal de Santa Catarina (UFSC)

PhD in Nursing, Department of Nursing (UFSC), Florianópolis, SC.

Ana Lúcia Danielewicz, Universidade Federal de Santa Catarina (UFSC)

PhD in Public Health, Department of Physiotherapy (UFSC), Araranguá, SC

Debora Soccal Schwertner, Universidade do Estado de Santa Catarina (UDESC)

PhD in Motricity Sciences, Department of Physiotherapy (UDESC), Florianópolis, SC

Rodrigo José Knabben, Secretaria Municipal de Saúde (SMS)

Master in Human Movement Sciences, Municipal Health Department (SMS), Florianópolis

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Section

Original Article

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