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Chronic low back pain is associated with impaired bed turning ability: Evaluation by a mobility detection system

  • Author Footnotes
    1 Chueh-Ho Lin contributed equally to Chia-Huei Lin.
    Chia-Huei Lin
    Footnotes
    1 Chueh-Ho Lin contributed equally to Chia-Huei Lin.
    Affiliations
    School of Nursing, School of Medicine, National Defense Medical Center, Taipei, Taiwan

    Department of Nursing, Tri-Service General Hospital, Taipei, Taiwan
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  • Author Footnotes
    1 Chueh-Ho Lin contributed equally to Chia-Huei Lin.
    Chueh-Ho Lin
    Footnotes
    1 Chueh-Ho Lin contributed equally to Chia-Huei Lin.
    Affiliations
    Master Program in Long-Term Care, College of Nursing, Taipei Medical University, Taipei, Taiwan

    Center for Nursing and Healthcare Research in Clinical Practice Application, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan
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  • Liang-Cheng Chen
    Affiliations
    Department of Physical Medicine and Rehabilitation, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei, Taiwan
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  • Shun-Hwa Wei
    Affiliations
    Department of Physical Therapy and Assistive Technology, National Yang Ming Chiao Tung University, Taipei, Taiwan
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  • Wen-Hsu Sung
    Affiliations
    Department of Physical Therapy and Assistive Technology, National Yang Ming Chiao Tung University, Taipei, Taiwan
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  • Liang-Hsuan Lu
    Affiliations
    Department of Physical Therapy and Assistive Technology, National Yang Ming Chiao Tung University, Taipei, Taiwan
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  • Shin-Tsu Chang
    Affiliations
    School of Medicine, National Defense Medical Center, Taipei, Taiwan

    Department of Physical Medicine and Rehabilitation, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
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  • Yi-Hui Lin
    Affiliations
    Department of Radiation Oncology, Taichung Veterans General Hospital, Taichung, Taiwan
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  • Chun-Yi Lee
    Affiliations
    Department of Physical Medicine and Rehabilitation, Kaohsiung Armed Forces General Hospital Gangshan Branch, Kaohsiung, Taiwan
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  • Shang-Lin Chiang
    Correspondence
    Corresponding author: No. 325, Sec. 2, Cheng-gong Rd, Neihu District, Taipei 114, Taiwan.
    Affiliations
    Department of Physical Medicine and Rehabilitation, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei, Taiwan
    Search for articles by this author
  • Author Footnotes
    1 Chueh-Ho Lin contributed equally to Chia-Huei Lin.

      Highlights

      • Mobility Detection System provided objective assessments of bed turning kinematics.
      • Pain was associated with turn over time and time to reach peak pressure.
      • Sex and pain level were significantly associated with turning force/weight ratio.

      Abstract

      Background

      We aimed to assess and compare kinetics and kinematic variables of bed turning ability using a mobility detection system in patients with and without chronic low back pain and to observe the impacts of the disease on bed turning kinetics and kinematics.

      Methods

      Thirty-five patients with chronic low back pain were enrolled and compared to healthy controls (n = 34). Pain scores and disability level were assessed by Numeric Pain Rating Scale and the function questionnaires including Oswestry Disability Index and Roland Morris Disability Questionnaire. Bed turning ability was tested using the Mobile Detection System. Univariate and multivariate regression analysis were applied to compare the differences between groups.

      Findings

      Patients with chronic low back pain had significantly lower turning over and back force/weight ratio (p < 0.001) than those healthy controls. Turning over time was significantly longer in patients with Numeric Rating Scale score 3 than in those with Numeric Rating Scale score 2 (p = 0.015). Turning over and back force were significantly higher in male patients and patients with higher BMI after adjusting BMI and sex, respectively (all p < 0.001). When turning back, chronic low back pain patients with Numeric Rating Scale scores of 3 had lower turning back force/weight ratio than those with Numeric Rating Scale scores of 2 (p = 0.014). Male patients had higher turning back force/weight ratio after adjusting pain score (p = 0.001).

      Interpretation

      The novel Mobility Detection System can provide more objective assessments of bed turning kinetics and kinematics in patients with chronic low back pain.

      Keywords

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