The Effect of Depressive Emotional State on the Efficacy of Physical Therapy in Patients with Low Back Pain

Authors : Fatma Tezel Mayalı, Bengi Oz, Demet Gulpek, Ozlem Yoleri, Beyza Taskın Topaloglu, Hikmet Koçyigit

Pages : 6-13

Doi:10.19127/mbsjohs.74107

View : 29 | Download : 13

Publication Date : 2016-08-25

Article Type : Research Paper

Abstract :  Objective: The aim was to investigate the effect of depressive emotional state on the efficacy of physical therapy in patients with chronic mechanical low back pain insert ignore into journalissuearticles values(LBP);. Methods: Sixty patients with chronic LBP were included in the study. The patients were evaluated by a psychiatrist according to the Hamilton Depression Rating Scale insert ignore into journalissuearticles values(HAM-D); and separated into 2 groups regarding the cut off score. Group 1 consisted of 31 patients without depressive emotion while group 2 included 29 patients with depressive emotion. An exercise program consisting of lumbar dynamic stabilization exercises was instructed to all of the patients for 8 weeks. Infrared, ultrasound and TENS were applied to both groups for 15 seans. The pain was evaluated by visual analog scale insert ignore into journalissuearticles values(VAS);, disabilite and quality of life was evaluated by Oswestry disability index and the Short-Form 36insert ignore into journalissuearticles values(SF-36); at baseline and 3rd and 8th weeks. Results: İmprovement at pain severity during ADL, rest and sitting position was found to be significantly higher in group 2 compared to group 1 patients at the 8th week insert ignore into journalissuearticles values(p<0.05);. Oswestry scores and some subscale of SF-36; physical functioning, general health perception, vitality, mental health scores of group 2 were significantly higher compared to group 1 at baseline and the 8th week insert ignore into journalissuearticles values(p<0.05);. Improvement of oswestry scores between groups was not significantly different at 8th week insert ignore into journalissuearticles values(p>0.05);, but improvement of some SF-36 subscale scores insert ignore into journalissuearticles values(pain, emotional role functioning, mental health); of groups significantly lower in group 2 compared to group 1 at the 8th weeks insert ignore into journalissuearticles values(p<0.05);. Conclusions: Patients with chronic LBP and a depressive emotional state are inclined to have more disability and poorer quality of life, while physical therapy and exercises yield to less improvement in scores of pain and some subscales of the SF-36 in these patients than those without depressive affect.  
Keywords : Chronic low back pain, depression, physical therapy