Low Back Pain in the Elderly, Emotional Factors and Psychological Intervention:
Manuela Andrade Feijo 1, Derrick Patrick Artioli 2* and Gladson
Ricardo Flor Bertolini3
1Especialista em Saúde do Idoso: Abordagem Interdisciplinar - UNIFESP, Brazil
2Department of Physiotherapy, Centro UniversitárioLusíada - UNILUS, Brazil
3Doutor em Ciências da Saúde Aplicadas ao Aparelho Locomotor pela Faculdade de Medicina de Ribeirão Preto - USP, Brazil
*Corresponding Author: Derrick Patrick Artioli, Department of Physiotherapy,
Centro UniversitárioLusíada - UNILUS, Brazil.
June 21, 2022; Published: July 15, 2022
Background and Objectives: Low back pain is one of the most common symptoms in elderly populations, both in Brazil and worldwide. The objective of this study was to analyze psychoemotional factors in low back pain in the elderly, whether psychologists are being incorporated into the rehabilitation process, and the methodological quality.
Methodology: We searched for clinical trials with control group in the Pubmed, Scielo and LILACS databases, associating low back pain to the following terms: depression; anxiety; psychology; emotional aspects.
Results: A total of 203 studies were found, and seven were selected.
Questionnaires and scales showed to be the most used means for designating and controlling psychological aspects, such as depression, anxiety, pain catastrophizing, kinesiophobia and fears, and beliefs about low back pain, which were the most commonly found symptoms. Of the seven studies, only two contained psychologists as part of the team; a third study was carried out directly by these professionals.
Conclusion: Thus, even if these psychic factors are recognized as aggravating the low back pain in the elderly, addressing psychological care is not happening. More studies with higher methodological quality are necessary for a more reliable conclusion.
Keywords:Guideline; Neck complaints; Shoulder complaints; Upper extremity complaints; Complaints of arm, neck and shoulder (CANS); Non-specific; Diagnosis and treatment
- Teixeira LF., et al. “Factors associated with attitudes and beliefs of elders with acute low back pain: Data from the study back complaints in the elders (BACE)”. Brazilian Journal of Physical Therapy 6 (2016): 553-560.
- Mansell G., et al. “Exploring what factors mediate treatment effect: example of the start back study high-risk intervention”. The Journal of Pain 11 (2016): 1237-1245.
- Hofmann J., et al. “Effects of behavioural exercise therapy on the effectiveness of a multidisciplinary rehabilitation for chronic non-specific low back pain: study protocol for a randomised controlled trial”. BMC Musculoskeletal Disorders 14 (2013):
- Figueiredo VF., et al. “Incapacidade funcional, sintomas depressivos e dor lombar em idosos”. Fisioterapia em Movimento 3 (2013): 549-557.
- Gotfryd AO., et al. “Analysis of epidemiology, lifestyle, and psychosocial factors in patients with back pain admitted to an orthopedic emergency unit”. Einstein (São Paulo)2 (2015): 243-248.
- Wippert PM., et al. “Development and content of the behavioral therapy module of the MiSpEx intervention: randomized, controlled trial on chronic nonspecific low bak pain”. Schmerz6 (2015): 658-663.
- Cedraschi C., et al. “Core outcome measure index for low back patients: do we miss anxiety and depression?” European Spine Journal 1 (2016): 265-274.
- Pilz B., et al. “The Brazilian version of STarT Back Screening Tool - translation, cross-cultural adaptation and reliability”. Brazilian Journal of Physical Therapy 5 (2014): 453-461.
- Hall AM., et al. “Does pain-catastrophising mediate the effect of tai chi on treatment outcomes for people with low back pain?” Complementary Therapies in Medicine 25 (2016): 61-66.
- Jadad AR., et al. “Assessing the quality of reports of randomized clinical trials: Is blinding necessary?” Controlled Clinical Trials 1 (1996): 1-12.
- Heapy AA., et al. “Interactive voice response-based self-management for chronic back pain: The COPES noninferiority randomized trial”. JAMA Internal Medicine 6 (2017): 765-773.
- Durmus D., et al. “Does microwave diathermy have an effect on clinical parameters in chronic low back pain? A randomized-controlled trial”. Journal of Back and Musculoskeletal Rehabilitation 4 (2014): 435-443.
- Durmus D., et al. “How effective is a modified exercise program on its own or with back school in chronic low back pain? A randomized-controlled clinical trial”. Journal of Back and Musculoskeletal Rehabilitation 4 (2014): 553-561.
- Monticone M., et al. “A multidisciplinary rehabilitation programme improves disability, kinesiophobia and walking ability in subjects with chronic low back pain: results of a randomised controlled pilot study”. European Spine Journal 10 (2014): 2105-2113.
- Borys C., et al. “Effectiveness of a multimodal therapy for patients with chronic low back pain regarding pre-admission healthcare utilization”. PLoS One11 (2015): 1-13.
- Vincent HK., et al. “Resistance exercise, disability, and pain catastrophizing in obese adults with back pain”. Medicine and Science in Sports and Exercise 9 (2014): 1693-1701.
- O’Connell NE and Ward SP. “Low back pain: what have clinical guidelines ever done for US?” Journal of Orthopaedic and Sports Physical Therapy 2 (2018): 54-57.