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      Dolor Lumbar en pacientes de consulta traumatológica. Variables socio-sanitarias relacionadas Translated title: Low back pain in trauma patients. Related social and health variables

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          Abstract

          Resumen Introducción: El dolor lumbar es patología prevalente influida por factores ambientales y personales: edad, sexo, nivel educativo, estrés, apoyo social y riesgos laborales, entre otros. Es objetivo de este trabajo es valorar la repercusión de variables sociodemográficas en trabajadores con lumbalgia así como su impacto en discapacidad. Material y Método: Estudio descriptivo en 351 pacientes diagnosticados de dolor lumbar. Se valora la influencia de: edad, sexo, hábitos de vida y limitaciones con el test Oswestry. Resultados: Las personas que participan son mayoritariamente hombres (44.9), de edad media 41± 1, y un nivel de estudios elemental (47.4). Los hábitos de vida más saludables se dan entre la población joven (81.4%) y en las mujeres (82.6%), el consumo de tabaco aumenta con la edad (en >50 años el 55% es fumador) y las mujeres toman menos alcohol (40.1% no consume), pero practican menos ejercicio físico (diario el 6.6%). En jóvenes es más efectiva la fisioterapia (57.7%), mientras que los mayores combinan fármacos y fisioterapia (45%). La repercusión de lumbalgia en incapacidad aumenta con la edad, especialmente en mujeres y mantiene una relación positiva con el grado de discapacidad del Oswestry (p<0.005). Limita la bipedestación y dificulta dormir variando los resultados con la edad. En las mujeres destacan las limitaciones para actividades cotidianas, deambulación y actividades sociales (p<0.005). Conclusiones: Las variables sociodemográficas y culturales influyen en el dolor lumbar, especialmente edad, sexo y hábitos de vida. El test de Oswestry utilizado correlaciona las limitaciones por lumbalgia con la repercusión en incapacidad laboral.

          Translated abstract

          Abstract Introduction: Low back pain is a prevalent pathology influenced by environmental and personal factors: age, gender, educational level, stress, social support and occupational risks, among others. The aim of this work is to assess the impact of socio-demographic variables of workers with low back pain and its disability impact. Material and method: Descriptive study of 351 low-back pain patients. The influence of gender, sex, life habits and limitations with the Oswestry questionnaire is assessed. Results: The participants, mainly men and an average age of 41 ± 1 years have an primary education. Youth population (81.4%) and women (82.6%) have the healthiest habits, tobacco consumption increases with age (> 50 years, 55%) and women drink less alcohol (40.1% don't consume) but practice less physical exercise (daily 6.6%). Physiotherapy is more effective for youth people (57.7%), while elderly people combine drugs and physiotherapy (45%). The impact of low back pain on disability increases with age, especially in women, keeping a positive relationship with the Oswestry Disability Questionnaire index (p <0.005). It limits the ability to stand and makes sleeping difficult, varying the results along age. In women, the limitations for daily activities, walking and social activities stand out (p <0,005). Conclusions: Socio-demographic and cultural variables, specially age, gender and lifestyle habits, have an influence on low-back pain. The Oswestry Questionnaire used correlates the limitations for low back pain with the repercussion in work disability.

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          The Epidemiology of low back pain.

          Low back pain is an extremely common problem that most people experience at some point in their life. While substantial heterogeneity exists among low back pain epidemiological studies limiting the ability to compare and pool data, estimates of the 1 year incidence of a first-ever episode of low back pain range between 6.3% and 15.4%, while estimates of the 1 year incidence of any episode of low back pain range between 1.5% and 36%. In health facility- or clinic-based studies, episode remission at 1 year ranges from 54% to 90%; however, most studies do not indicate whether the episode was continuous between the baseline and follow-up time point(s). Most people who experience activity-limiting low back pain go on to have recurrent episodes. Estimates of recurrence at 1 year range from 24% to 80%. Given the variation in definitions of remission and recurrence, further population-based research is needed to assess the daily patterns of low back pain episodes over 1 year and longer. There is substantial information on low back pain prevalence and estimates of the point prevalence range from 1.0% to 58.1% (mean: 18.1%; median: 15.0%), and 1 year prevalence from 0.8% to 82.5% (mean: 38.1%; median: 37.4%). Due to the heterogeneity of the data, mean estimates need to be interpreted with caution. Many environmental and personal factors influence the onset and course of low back pain. Studies have found the incidence of low back pain is highest in the third decade, and overall prevalence increases with age until the 60-65 year age group and then gradually declines. Other commonly reported risk factors include low educational status, stress, anxiety, depression, job dissatisfaction, low levels of social support in the workplace and whole-body vibration. Low back pain has an enormous impact on individuals, families, communities, governments and businesses throughout the world. The Global Burden of Disease 2005 Study (GBD 2005) is currently making estimates of the global burden of low back pain in relation to impairment and activity limitation. Results will be available in 2011. Further research is needed to help us understand more about the broader outcomes and impacts from low back pain. 2010 Elsevier Ltd. All rights reserved.
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            The Roland-Morris Disability Questionnaire and the Oswestry Disability Questionnaire.

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              Low back pain

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                Author and article information

                Journal
                mesetra
                Medicina y Seguridad del Trabajo
                Med. segur. trab.
                Escuela Nacional de Medicina del Trabajo. Instituto de Salud Carlos III (Madrid, Madrid, Spain )
                0465-546X
                1989-7790
                September 2019
                : 65
                : 256
                : 186-198
                Affiliations
                [1] Valencia orgnameGrupo Correos orgdiv1Área de Medicina del Trabajo orgdiv2Servicio de Prevención de Riesgos Laborales España
                [2] Valencia orgnameASPY Prevención orgdiv1Servicio de Prevención de Riesgos Laborales España
                [3] Valencia Valencia orgnameUniversitat de Valencia orgdiv1Departamento de Fisioterapia Spain
                [4] Pamplona Navarra orgnameUniversidad de Navarra orgdiv1Área de Medicina del Trabajo orgdiv2Servicio de Prevención de Riesgos Laborales Spain
                Article
                S0465-546X2019000300186 S0465-546X(19)06525600186
                a66fdff7-1112-4ea3-b754-5cb0a4ab59b2

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 11 June 2019
                : 21 August 2019
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 19, Pages: 13
                Product

                SciELO Spain

                Categories
                Originales

                age,salud laboral,low back pain,sexo,gender,test Oswestry,edad,dolor lumbar,Oswestry Questionnaire,occupational health

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