IJPR.2022.184

Type of Article:  Original Research

Volume 11; Issue 1 (February 2023)

Page No.: 4442-4452

DOI: https://dx.doi.org/10.16965/ijpr.2022.184

Influence of work, home and lifestyle related factors during COVID-19 lockdown on presentation of pain and functional status among school teachers with chronic nonspecific low back pain – An Online Survey

Anisha Gulati ¹, Sharvari Sardeshmukh ², Suruchi Sawant ², Seeba Mohamed Ibrahim ², Avani Shah ², Shreeya Salunkhe ².

^*1 Assistant Professor, Musculoskeletal Physiotherapy, Department of Physiotherapy, MGM School of Physiotherapy, Navi Mumbai, India.

² Intern, MGM School of Physiotherapy, Navi Mumbai, India.

Corresponding Author: Dr. Anisha Gulati (PT), Assistant Professor, Musculoskeletal Physiotherapy, Department of Physiotherapy, MGM School of Physiotherapy, Navi Mumbai, India. E-Mail: agulati@mgmsopnm.edu.in

ABSTRACT

Introduction: Large numbers of teachers are affected by Low Back Pain (LBP) and often report limitations in performing daily activities. The prevalence of LBP was high in the population that was confined to their houses due to COVID-19 lockdown.

Objective: To study the Influence of Work, Home and Lifestyle related factors during COVID-19 lockdown on presentation of pain and functional status among school teachers with chronic nonspecific LBP.

Methods: A total of 229 school teachers residing in India participated in the study. A self-administered, structured questionnaire, composed of 18 questions including various domains of life was administered; along with 13 activities of daily living and a scale to rate the difficulty level while performing.

Results: Among work related activities: Prolonged sitting (p = 0.022), Gadget use (p=0.058), Twisting and turning (p = 0.035) and walking (0.036); whereas, among Home related activities: Lifting and carrying (p = 0.060) and House chores (p = 0.036) had an influence on pain. Body mass index (p=0.005) and emotional status (p=0.01) had significant correlation with intensity of pain. The most difficulty was reported in performing prolonged sitting activity.

Conclusion: Covid-19 lockdown had a significant influence on work and home-related activities and lifestyle of Indian school teachers which ultimately had an effect on LBP and functional status.

Keywords: Low back pain, school teachers, functional status, COVID-19 lockdown.

REFERENCES

[1]. Burton AK, Balagué F, Cardon G, Eriksen HR, Henrotin Y, Lahad A, Leclerc A, Müller G, Van Der Beek AJ, COST B13 Working Group on Guidelines for Prevention in Low Back Pain. European guidelines for prevention in low back pain: November 2004. European Spine Journal. 2006 Mar;15(Suppl 2):s136.
[2]. Beyen TK, Mengestu MY, Zele YT. Low back pain and associated factors among teachers in Gondar Town, North Gondar, Amhara Region, Ethiopia. Occup Med Health Aff. 2013;1(5):10-4172.
[3]. Maher C, Underwood M, Buchbinder R. Non-specific low back pain. The Lancet. 2017 Feb 18;389(10070):736-47.
[4]. Gupta G, Sharma A. Prevalence of Low Back Pain among Higher Secondary School Teachers of Kanpur, India. J Orthop Physiother. 2018;1(1):103.
[5]. Thong IS, Jensen MP, Miró J, Tan G. The validity of pain intensity measures: what do the NRS, VAS, VRS, and FPS-R measure? Scandinavian journal of pain. 2018 Jan 26;18(1):99-107.
[6]. Soni P. Effects of COVID-19 lockdown phases in India: an atmospheric perspective. Environment, Development and Sustainability. 2021 Jan 6:1-2.
[7]. Raman R, Rajalakshmi R, Surya J, Ramakrishnan R, Sivaprasad S, Conroy D, Thethi JP, Mohan V, Netuveli G. Impact on health and provision of healthcare services during the COVID-19 lockdown in India: a multicentre cross-sectional study. BMJ open. 2021 Jan 1;11(1):e043590.
[8]. Wong AY, Forss KS, Jakobsson J, Schoeb V, Kumlien C, Borglin G. Older adult’s experience of chronic low back pain and its implications on their daily life: Study protocol of a systematic review of qualitative research. Systematic reviews. 2018 Dec;7(1):1-6.
[9]. Gupta G, Sharma A. Prevalence of Low Back Pain among Higher Secondary School Teachers of Kanpur, India. J Orthop Physiother. 2018;1(1):103.
[10]. Bandpei MA, Ehsani F, Behtash H, Ghanipour M. Occupational low back pain in primary and high school teachers: prevalence and associated factors. Journal of manipulative and physiological therapeutics. 2014 Nov 1;37(9):702-8.
[11]. Yue P, Liu F, Li L. Neck/shoulder pain and low back pain among school teachers in China, prevalence and risk factors. BMC public health. 2012 Dec;12(1):1-8.
[12]. Bauer J, Unterbrink T, Hack A, Pfeifer R, Buhl-Grießhaber V, Müller U, Wesche H, Frommhold M, Seibt R, Scheuch K, Wirsching M. Working conditions, adverse events and mental health problems in a sample of 949 German teachers. International archives of occupational and environmental health. 2007 Apr;80(5):442-9.
[13]. Alias AN, Karuppiah K, How V, Perumal V. Prevalence of musculoskeletal disorders (MSDS) among primary school female teachers in Terengganu, Malaysia. International Journal of Industrial Ergonomics. 2020 May 1;77:102957.
[14]. Bane JV, Aurangabadkar S, Karajgi A. Physical and Self-Perceived Occupational Stress Associated with Work from Home Situation in Teachers during the COVID-19 Pandemic.
[15]. Berner K, Jacobs K. The gap between exposure and implementation of computer workstation ergonomics in the workplace. Work. 2002 Jan 1;19(2):193-9.
[16]. Omokhodion FO, Sanya AO. Risk factors for low back pain among office workers in Ibadan, Southwest Nigeria. Occupational Medicine. 2003 Jun 1;53(4):287-9.
[17]. Hasegawa T, Katsuhira J, Oka H, Fujii T, Matsudaira K. Association of low back load with low back pain during static standing. Plos one. 2018 Dec 18;13(12):e0208877.
[18]. Adams MA, Hutton WC. The effect of posture on the fluid content of lumbar intervertebral discs. Spine. 1983 Sep 1;8(6):665-71
[19]. Urquhart DM, Phyomaung PP, Wluka AE, Sim MR, Forbes A, Jones G, Davies M, Cicuttini FM. Is there a relationship between occupational activities and low back pain in obese, middle-aged women?. Climacteric. 2014 Feb 1;17(1):87-91.
[20]. Kebede A, Abebe SM, Woldie H, Yenit MK. Low Back Pain and Associated Factors among Primary School Teachers in Mekele City, North Ethiopia: A Cross-Sectional Study. Occupational therapy international. 2019 Jul 8;2019.
[21]. Cheung TW, Clemson L, O’Loughlin K, Shuttleworth R. Erognomic education on housework for women with upper limb repetitive strain injury (RSI): a conceptual representation of therapists’ clinical reasoning. Disability and rehabilitation. 2018 Dec 18;40(26):3136-46
[22]. Balagué F, Mannion AF, Pellisé F, Cedraschi C. Non-specific low back pain. The lancet. 2012 Feb 4;379(9814):482-91.
[23]. Furtado RN, Ribeiro LH, Abdo BD, Descio FJ, Martucci Junior CE, Serruya DC. Dor lombar inespecífica em adultos jovens: fatores de risco associados. Revista Brasileira de Reumatologia. 2014 Oct;54(5):371-7.
[24]. World Health Organization. WHO guidelines on physical activity and sedentary behaviour: web annex: evidence profiles. InWHO guidelines on physical activity and sedentary behaviour: web annex: evidence profiles 2020.
[25]. Ghezelbash F, Shirazi-Adl A, Plamondon A, Arjmand N, Parnianpour M. Obesity and obesity shape markedly influence spine biomechanics: a subject-specific risk assessment model. Annals of biomedical engineering. 2017 Oct;45(10):2373-82.
[26]. Li Y, Shi JJ, Ren J, Guan HS, Gao YP, Zhao F, Sun J. Relationship between obesity and lumbar disc herniation in adolescents. Zhongguo gu shang= China journal of orthopaedics and traumatology. 2020 Aug 1;33(8):725-9.
[27]. Zhang TT, Liu Z, Liu YL, Zhao JJ, Liu DW, Tian QB. Obesity as a risk factor for low Back pain. Clinical spine surgery. 2018 Feb 1;31(1):22-7.
[28]. Heneweer H, Staes F, Aufdemkampe G, van Rijn M, Vanhees L. Physical activity and low back pain: a systematic review of recent literature. European Spine Journal. 2011 Jun;20(6):826-45.
[29]. Smeets R, Köke A, Lin CW, Ferreira M, Demoulin C. Measures of function in low back pain/disorders: Low back pain rating scale (LBPRS), oswestry disability index (ODI), progressive isoinertial lifting evaluation (PILE), quebec back pain disability scale (QBPDS), and roland‐morris disability questionnaire (RDQ). Arthritis care & research. 2011 Nov;63(S11):S158-73.
[30]. Shiri R, Solovieva S, Husgafvel-Pursiainen K, Telama R, Yang X, Viikari J, Raitakari OT, Viikari-Juntura E. The role of obesity and physical activity in non-specific and radiating low back pain: the Young Finns study. InSeminars in arthritis and rheumatism 2013 Jun 1 (Vol. 42, No. 6, pp. 640-650). WB Saunders.
[31]. Joukamaa M. Depression and back pain. Acta Psychiatrica Scandinavica. 1994 Feb;89:83-6.
[32]. Bletzer J, Gantz S, Voigt T, Neubauer E, Schiltenwolf M. Chronic low back pain and psychological comorbidity: A review. Schmerz (Berlin, Germany). 2017 Apr 1;31(2):93-101.
[33]. Oliveira DS, Vélia Ferreira Mendonça L, Sofia Monteiro Sampaio R, Manuel Pereira Dias de Castro-Lopes J, Ribeiro de Azevedo LF. The impact of anxiety and depression on the outcomes of chronic low back pain multidisciplinary pain management—A multicenter prospective cohort study in pain clinics with one-year follow-up. Pain Medicine. 2019 Apr 1;20(4):736-46.
[34]. Pinheiro MB, Ferreira ML, Refshauge K, Maher CG, Ordoñana JR, Andrade TB, Tsathas A, Ferreira PH. Symptoms of depression as a prognostic factor for low back pain: a systematic review. The Spine Journal. 2016 Jan 1;16(1):105-16.
[35]. Edwards R, Berde C. Pain assessment. Essentials of pain medicine. 3rd ed. USA: Elsevier Saunders. 2011 Jan 1:28-33.
[36]. Magee DJ, Manske RC. Orthopedic physical assessment-E-Book. Elsevier health sciences; 2020 Dec 11.
[37]. Beach TA, Parkinson RJ, Stothart JP, Callaghan JP. Effects of prolonged sitting on the passive flexion stiffness of the in vivo lumbar spine. The Spine Journal. 2005 Mar 1;5(2):145-54.
[38]. Pearcy MA, Portek I, Shepherd JA. The effect of low-back pain on lumbar spinal movements measured by three-dimensional X-ray analysis. Spine. 1985 Mar 1;10(2):150-3
[39]. Sullivan MS, Shoaf LD, Riddle DL. The relationship of lumbar flexion to disability in patients with low back pain. Physical therapy. 2000 Mar 1;80(3):240-50.
[40]. Kemppi C, Laimi K, Salminen JJ, Tuominen R. Perceived relative importance of pain-related functions among patients with low back pain. Journal of rehabilitation medicine. 2012 Feb 5;44(2):158-62.
[41]. Zhao Y, Yu B, Yu G, Li W. Study on the water-heat coupled phenomena in thawing frozen soil around a buried oil pipeline. Applied thermal engineering. 2014 Dec 22;73(2):1477-88.
[42]. Yiengprugsawan V, Hoy D, Buchbinder R, Bain C, Seubsman SA, Sleigh AC. Low back pain and limitations of daily living in Asia: longitudinal findings in the Thai cohort study. BMC musculoskeletal disorders. 2017 Dec;18(1):1-7.
[43]. Leveille SG, Guralnik JM, Hochberg M, Hirsch R, Ferrucci L, Langlois J, Rantanen T, Ling S. Low back pain and disability in older women: independent association with difficulty but not inability to perform daily activities. Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences. 1999 Oct 1;54(10):M487-93.
[44]. Zawadka M, Smołka J, Skublewska-Paszkowska M, Łukasik E, Zieliński G, Byś A, Gawda P. Altered squat movement pattern in patients with chronic low back pain. Annals of Agricultural and Environmental Medicine: AAEM. 2020 Feb 27;28(1):158-62.
[45]. Simonet E, Winteler B, Frangi J, Suter M, Meier ML, Eichelberger P, Baur H, Schmid S. Walking and running with non-specific chronic low back pain: What about the lumbar lordosis angle?. Journal of Biomechanics. 2020 Jul 17;108:109883.

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