Journal CME, January 2022: Prevalence of low back pain and related disability in patients with femoroacetabular impingement syndrome-Prevalence of low back pain

Prevalence of low back pain - article.pdf

Pdf Summary

A recent study conducted by researchers at The Ohio State University explored the prevalence of low back pain (LBP) and its related disability in patients with femoroacetabular impingement syndrome (FAIS). FAIS is characterized by hip or groin pain due to bony abnormalities, reduced hip motion, and pain during specific movements.<br /><br />The study included 158 participants from a hip preservation clinic who were diagnosed with FAIS. These participants were categorized based on their LBP severity using a visual analog scale (VAS), with a score of 30 or higher indicating clinically significant LBP.<br /><br />Key findings include:<br />1. **High Prevalence of LBP**: Clinically significant LBP was prevalent in 60% (95 out of 158) of the participants. This is higher than previously reported prevalences of 27%-48%.<br />2. **Impact on Hip Function**: Those with clinically significant LBP reported significantly worse hip function compared to those without. This was quantified using the 33-item Hip Outcome Tool (iHOT33), with a mean difference of 10.1 points indicating worse hip function in those with LBP.<br />3. **LBP-Related Disability**: LBP-related disability was measured using the modified Oswestry Disability Index (ODI). A high level of disability (ODI ≥ 12) was reported by 86% of participants who had any degree of LBP.<br />4. **Correlations**: There were strong correlations between worse hip function and high LBP-related disability (ρ = 0.74), though correlations between LBP severity and hip function were weaker.<br /><br />The study concluded that clinically significant LBP is common among patients with FAIS and is strongly associated with worse hip function and LBP-related disability. It stresses the importance of evaluating and addressing LBP during treatment planning for FAIS to optimize outcomes. <br /><br />Understanding the interplay between hip and back pain can lead to more effective treatment strategies, potentially improving both spine and hip-related impairments.

Keywords

low back pain

LBP

femoroacetabular impingement syndrome

FAIS

hip function

disability

visual analog scale

Hip Outcome Tool

Oswestry Disability Index

treatment planning