The Symmetry of Lower Back Pain as a Potential Screening Factor for Serious Pathology: A Survey Study

Background: Pain maps provide reliable information on pain location in various conditions. This study explored the feasibility of pain maps as a screening tools for serious underlying conditions. The pain symmetry was evaluated as the possible distinguishing feature. Methods: A Web-based survey on t...

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Autores principales:	Grzegorz Miękisiak, Rafał Załuski, Dariusz Szarek, Samuel D. Pettersson, Justyna Fercho, Adam Druszcz, Celina Pezowicz
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	low back pain red flags web survey disability Mathematics QA1-939
Acceso en línea:	https://doaj.org/article/e44d6b2e69c54af891f23fa66e0528d8
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spelling	oai:doaj.org-article:e44d6b2e69c54af891f23fa66e0528d82021-11-25T19:05:53ZThe Symmetry of Lower Back Pain as a Potential Screening Factor for Serious Pathology: A Survey Study10.3390/sym131119942073-8994https://doaj.org/article/e44d6b2e69c54af891f23fa66e0528d82021-10-01T00:00:00Zhttps://www.mdpi.com/2073-8994/13/11/1994https://doaj.org/toc/2073-8994Background: Pain maps provide reliable information on pain location in various conditions. This study explored the feasibility of pain maps as a screening tools for serious underlying conditions. The pain symmetry was evaluated as the possible distinguishing feature. Methods: A Web-based survey on the correlation of pain-related disability and pain pattern was developed. Respondents with lower back pain were asked to mark the exact location of their pain over the pain chart. The symmetry index was calculated and used to divide subjects into two groups that were then compared in terms of the prevalence of red flags for serious pathologies, as well as the pain-related disability measured with COMI and ODI instruments. Results: Of the 4213 respondents who completed the survey, 1018 were included in the study. The pain related disability was greater in respondents with asymmetrical pain patterns, as shown with all instruments. The distribution of red flags was also dependent on pain symmetry. The history of weight loss (6.70 vs. 1.76 <i>p</i> < 0.001) and fever (4.91 vs. 2.14 <i>p</i> < 0.001) were more prevalent with symmetrical pain patterns, and the history of trauma was more frequent with asymmetrical pain (21.41 vs. 10.71 <i>p</i> < 0.001). Conclusions: It was shown that the symmetry of pain is correlated to the prevalence of red flags and pain-related disability.Grzegorz MiękisiakRafał ZałuskiDariusz SzarekSamuel D. PetterssonJustyna FerchoAdam DruszczCelina PezowiczMDPI AGarticlelow back painred flagsweb surveydisabilityMathematicsQA1-939ENSymmetry, Vol 13, Iss 1994, p 1994 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	low back pain red flags web survey disability Mathematics QA1-939
spellingShingle	low back pain red flags web survey disability Mathematics QA1-939 Grzegorz Miękisiak Rafał Załuski Dariusz Szarek Samuel D. Pettersson Justyna Fercho Adam Druszcz Celina Pezowicz The Symmetry of Lower Back Pain as a Potential Screening Factor for Serious Pathology: A Survey Study
description	Background: Pain maps provide reliable information on pain location in various conditions. This study explored the feasibility of pain maps as a screening tools for serious underlying conditions. The pain symmetry was evaluated as the possible distinguishing feature. Methods: A Web-based survey on the correlation of pain-related disability and pain pattern was developed. Respondents with lower back pain were asked to mark the exact location of their pain over the pain chart. The symmetry index was calculated and used to divide subjects into two groups that were then compared in terms of the prevalence of red flags for serious pathologies, as well as the pain-related disability measured with COMI and ODI instruments. Results: Of the 4213 respondents who completed the survey, 1018 were included in the study. The pain related disability was greater in respondents with asymmetrical pain patterns, as shown with all instruments. The distribution of red flags was also dependent on pain symmetry. The history of weight loss (6.70 vs. 1.76 <i>p</i> < 0.001) and fever (4.91 vs. 2.14 <i>p</i> < 0.001) were more prevalent with symmetrical pain patterns, and the history of trauma was more frequent with asymmetrical pain (21.41 vs. 10.71 <i>p</i> < 0.001). Conclusions: It was shown that the symmetry of pain is correlated to the prevalence of red flags and pain-related disability.
format	article
author	Grzegorz Miękisiak Rafał Załuski Dariusz Szarek Samuel D. Pettersson Justyna Fercho Adam Druszcz Celina Pezowicz
author_facet	Grzegorz Miękisiak Rafał Załuski Dariusz Szarek Samuel D. Pettersson Justyna Fercho Adam Druszcz Celina Pezowicz
author_sort	Grzegorz Miękisiak
title	The Symmetry of Lower Back Pain as a Potential Screening Factor for Serious Pathology: A Survey Study
title_short	The Symmetry of Lower Back Pain as a Potential Screening Factor for Serious Pathology: A Survey Study
title_full	The Symmetry of Lower Back Pain as a Potential Screening Factor for Serious Pathology: A Survey Study
title_fullStr	The Symmetry of Lower Back Pain as a Potential Screening Factor for Serious Pathology: A Survey Study
title_full_unstemmed	The Symmetry of Lower Back Pain as a Potential Screening Factor for Serious Pathology: A Survey Study
title_sort	symmetry of lower back pain as a potential screening factor for serious pathology: a survey study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/e44d6b2e69c54af891f23fa66e0528d8
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The Symmetry of Lower Back Pain as a Potential Screening Factor for Serious Pathology: A Survey Study

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