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Abstract
Few data are available on the influence of daily life activities on pain in patients with low back pain (LBP). Therefore, on their first visit to a clinic for musculoskeletal disorders and manual medicine, 100 patients were asked by means of a questionnaire which activities of daily life caused them pain. This questionnaire was used prior to routine anamnesis (history, subjective examination) and physical examination and separate from a clinical diagnosis. An exclusion was made for patients with acute LBP, i.e. pain for less than 6 weeks. Four physicians each asked 25 unselected and undetermined LBP patients.
From the total patient group 85% experienced pain on sitting, 78% on a partly bent position, 73% on standing, 70% on standing up out of sitting, 66% on sauntering, 60% on total forward bending, 47% on lying down, 23% on walking and 15% experienced pain on cycling.
These results show that total forward bending provokes less pain than a partly bent forward position. An even larger contrast exists when comparing static sitting with dynamic sitting, such as during cycling. Static activities, even lying down, are more pain provoking than dynamic activities.
Data on which daily life activities provoke pain may play an essential role in the further elucidation of non-specific low back pain.
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