Associations between pain, kinesiophobia, disability and quality of life among patients with prolapsed lumber intervertebral disc (PLID)

Abstract

Purpose: To determine the pain, disability, kinesiophobia and quality of life among PLID patients in Bangladesh. Objective: To find out the socio-demographic information, understand the nature of current pain, identify the level of disability, find out about the kinesiophobia and explore the rate of functional limitations among the participants PLID. Methodology: It was a cross sectional study. Total 300 participants were attended willingly and conveniently for this study. Data was collected NPRS, RMDQ, TSK, SF-36 with Socio-demographic questions. SPSS version 20was used for data analysis. Result: Among the 300 participants, the most attended age group 44-56 years, Most of the participants were male (61%),came from urban areas(42%) andhouse wife(30%). In NPRS, 86% participants had severe back pain, 66% patients had unilateral and 30% had bilateral radiating pain. In NPRS, it was found that gender & education were significantly associated with back pain. This study found an association in between marital status, Gender, education and NPRS in Below Knee region andeducation, Gender and NPRS in Above Knee region was significant. In RMDQ, minimum disability score was 7 and maximum disability score was 22.There was 96.3% (n=289) had severe kinesiophobia according to TSK.From SF-36 score, the participant’s physical health of quality of life was poor and mental health, social, emotional quality of life was fair.Conclusion: From this study, it could be concluded that most of the participants had severe back pain; most of them had unilateral radiating pain. Maximum participants had disability and kinesiophobia along with poor physical health of quality of life and fair mental health, social, emotional quality of life. The major socio-demographic factors were associated with NPRS and MRI finding and RMDQ was significantly associated. The researcher also found that, gender and TSK was significantly associated and most of the sociodemographic factors were found significantly associated with different domains of SF-36 questionnaire. Key word: PLID, Pain, Disability, Kinesiophobia, Quality of life.