Slide 1: Mark – Intro
Slide 9: Mark – Physical Issues
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This meta-analysis shows that both overweight and obesity increase the risk of low back
pain. Overweight and obesity have the strongest association with seeking care for low
back pain and chronic low back pain.
However, BMI may reflect in High muscle mass
Limitation of the study – no information on the frequency and severity of LBP
Slide 10: Mark – Psychological Issues
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Paper 1 - To measure the presence of depression and somatization in patients with
chronic LBP and to study the associations of depression and somatization with somatic
dysfunction, LBP severity, back-specific functioning, and general health.
There are associations among depression, somatization and LBP in this study.
Paper 2 – Depression can be a risk factor for LBP, however the direction for these
relationships is often unclear as it has been difficult to quantify exposure variables (eg.
Occupational setting: frequency of lifting/workload)
Slide 11: Mark Holistic Ax – BPS Model
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The Biopsychosocial Model is a very important step in medical care as
it broadens the scope with which health and illness can be examined in
clinical practice. Considering this model leads to the patient being
interviewed as a person with an individual lifestyle and not simply as a
patient with a disease which has deviated them from normal functioning.
allows us to explore other areas which can be used to adjust patient’s lifestyle in order to
have a better quality of life
LOAD – What is load? Not just working and lifting stuff every day. Consider life stress
and sleep.
This model can be used to train medical professions in the art of good communication,
understanding
and compassion.
For our patient, one of the main things is social factor as he is alone and no family
nearby; this is one of the things that we can look at eg. Group ex, social events etc =
more activity
Slide 19: Mark – Tinetti
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‘The tinetti balance test is a rapid test that assesses the patient's balance and gait
analysis’
Quick and does not require huge space
However, it wouldn’t be suitable for our patient as the assessment will be too easy for
him. The test is more for balance and is more appropriate with other population
Slide 20: Mark – Brief Pain Inventory
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‘The BPI is a self-reported pain scale which includes questions related to pain severity
and pain interference on aspects such as general activity, mood, walking and sleep.
Would be acceptable to use to set baseline and to track changes, either weekly/monthly