Evaluation of factors associated with chronic low back pain in hemodialysis patients

Evaluation of factors associated with chronic low back pain in hemodialysis patients

Author Cristofolini, Tatiana Autor UNIFESP Google Scholar
Draibe, Sergio Autor UNIFESP Google Scholar
Sesso, Ricardo Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Background/Aims: Low back pain is a common and disabling symptom that has not been properly studied in hemodialysis patients. the aim of this study was to evaluate factors associated with chronic low back pain in these patients. Methods: We evaluated 205 patients undergoing chronic hemodialysis. Data were obtained through medical records, patient interviews and physical examination. Balance was evaluated through the Tinetti scale. the muscular strength was evaluated through the quadriceps muscle manual test and the Kendall scale graduation. Results: 74 patients (36.1%) had low back pain. They were older (p = 0.020), undergoing dialysis for a longer period (p = 0.071) and had more comorbidities than patients without lumbar pain. Among the patients with low back pain, 75.7% presented balance disorders and 59.5% muscular weakness. in multivariate analysis the factors related to low back pain were balance deficit (OR: 9.30; 95% CI: 2.77-31.20), muscular strength deficit (OR: 14.33; 95% CI: 4.55-45.19), arterial hypertension (OR: 4.51; 95% CI: 1.32-15.37), bone disease (OR: 43.39; 95% CI: 11.51-163.53) and cerebrovascular disease (OR: 20.21; 95% CI: 3.28-124.65). Conclusions: Chronic low back pain is common in hemodialysis patients and is associated with muscle weakness, balance disorders, and comorbidities. Copyright (C) 2008 S. Karger AG, Basel.
Keywords balance disorders
chronic renal failure
low back pain
muscle strength
Language English
Date 2008-01-01
Published in Nephron Clinical Practice. Basel: Karger, v. 108, n. 4, p. C249-C255, 2008.
ISSN 1660-2110 (Sherpa/Romeo, impact factor)
Publisher Karger
Extent C249-C255
Origin http://dx.doi.org/10.1159/000124328
Access rights Closed access
Type Article
Web of Science ID WOS:000256078800003
URI http://repositorio.unifesp.br/handle/11600/30355

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