Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Lumbar Pain in Patients with Multiple Sclerosis and Knowledge about Physiotherapeutic Methods of Combating

Version 1 : Received: 9 November 2023 / Approved: 9 November 2023 / Online: 9 November 2023 (14:51:37 CET)

A peer-reviewed article of this Preprint also exists.

Odzimek, M.; Brola, W.; Opara, J. Lumbar Pain in Patients with Multiple Sclerosis and Knowledge about Physiotherapeutic Methods for Combating Pain. Healthcare 2023, 11, 3062. Odzimek, M.; Brola, W.; Opara, J. Lumbar Pain in Patients with Multiple Sclerosis and Knowledge about Physiotherapeutic Methods for Combating Pain. Healthcare 2023, 11, 3062.

Abstract

Background. The purpose of the study was to evaluate the intensity and frequency of low back pain (LBP) in people with multiple sclerosis (PwMS) and the patient's knowledge of physiotherapeutic methods of combating. Methods. In this study, patients with confirmed multiple sclerosis were selected. The study was carried out using an original survey questionnaire and a numerical pain intensity scale (Visual Analogue Scale). PwMS were divided into 3 age groups: 18-30 years, 31-50 years, and over 50 years. Results. Ninety PwMS (68 women and 22 men) aged 18 to 60 years were included in the study. The mean duration of the disease was 9.5±4.9 years, and the mean EDSS was 3.5±1.6. Most of the patients had a relapse-remitting form. 68.9% of PwMS felt lower back pain (n = 62). The relationship tested was statistically significant (p=0.0000012), and the strength of the relationship was high (rc=0.695). The average level of low back pain among PwMS was 4.7 out of 10 on the VAS scale. The prevalence of LBP was higher in female patients (p<0.001), with a secondary progressive form (p<0.001) and with a longer duration of the disease (p=0.023). The most widely used methods of LBP therapy were kinesitherapy and manual therapy. Conclusions. LBP is common in multiple sclerosis. A female sex, a secondary progressive form of MS, and a longer duration of the disease increased the risk of LBP. It is important to implement properly planned physiotherapy activities and educate patients on how to combat LBP.

Keywords

Low back pain (LBP); multiple sclerosis (MS); physiotherapy

Subject

Public Health and Healthcare, Other

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