Exploring the Determinants of Physical and Mental Health among Patients with Non Specific Chronic Low Back Pain and Movement Control Impairment: A Cross-sectional Study
Introduction: Movement Control Impairment (MCI) is a subgroup of Non Specific Chronic Low Back Pain (NSCLBP) which account for lower physical and mental Health-Related Quality of Life (HR-QoL). Subgroup-focused research is considered a way to improve management outcomes. Exploring factors linked to...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2025-04-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/20881/78083_CE[Ra1]_F(SS)_QC(SD_OM)_PF1(AG_SS)_PFA(IS)_PB(AG_IS)_PN(IS).pdf |
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| Summary: | Introduction: Movement Control Impairment (MCI) is a subgroup of Non Specific Chronic Low Back Pain (NSCLBP) which account for lower physical and mental Health-Related Quality of Life (HR-QoL). Subgroup-focused research is considered a way to improve management outcomes. Exploring factors linked to and potentially affecting the quality of life in the most common MCI subgroup is crucial.
Aim: To investigate the pain intensity, functional disability and fear of movement relationship, as well as the univariate and multivariate impact on perceived physical and mental HR-QoL among NSCLBP patients with MCI.
Materials and Methods: This cross-sectional study was conducted between August 2022 and July 2024 at a rehabilitation institute in India. A total of 66 NSCLBP patients aged 18-45 years with clinically confirmed MCI based on positive prone instability test and Luomajoki MCI tests battery were recruited. The dependent outcome measure of HR-QoL and determinants of pain intensity, functional disability and fear of movement were measured with the 36-item Short Form survey, Numeric Pain Rating Scale, Oswestry Disability Index (ODI), and Fear-Avoidance Beliefs Questionnaire (FABQ), respectively. The Pearson’s correlation test, univariate and multiple linear regression analysis were performed for the outcomes of physical and mental health domains at p-value of <0.05.
Results: The mean scores for physical and mental health were 38.45±5.91 and 39.15±10.77, respectively. Physical health demonstrated a moderate inverse relationship with pain (r-value=-0.401, p-value=0.001), disability (r-value=-0.473, p-value <0.001) and fear (r-value=-0.516, p-value <0.001). Whereas, mental health has a low inverse relationship with pain intensity (r-value=-0.305, p-value=0.013), fear (r-value=-0.364, p-value=0.003) and moderate with disability (r-value=-0.520, p-value <0.001). The multivariate regression analysis indicated a significant change in physical (Adj. R²=32%, p-value <0.001) and mental health (Adj. R²=26%, p-value <0.001) collectively.
Conclusion: Pain intensity, functional disability and fear of movement in NSCLBP patients with MCI are inversely related to physical and mental HR-QoL. Relatively, fear of movement had a significant impact on physical health and functional disability had an impact on mental health. Clinicians must be aware of these predictors’ which might improve the way NSCLBP patients with MCI are assessed and treated to optimise the overall QoL. |
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| ISSN: | 2249-782X 0973-709X |