Bioelectrical impedance analysis and change disability post physiotherapy for patients with lower back pain attending rehabilitation care unit in Erbil

Background and objective: Determining the relationship between body compartments and Lower Back Pain (LBP) will increase our understanding about how body compartments can affect LBP disability. This study aimed to assess the association between body compartments and LBP disability pre and post-physi...

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Main Authors: Reem Burkan Aldhahi, Dler Qader Omer, Sherwan Rahman Sulaiman
Format: Article
Language:English
Published: Hawler Medical University 2023-08-01
Series:Zanco Journal of Medical Sciences
Subjects:
Online Access:https://zjms.hmu.edu.krd/index.php/zjms/article/view/912
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author Reem Burkan Aldhahi
Dler Qader Omer
Sherwan Rahman Sulaiman
author_facet Reem Burkan Aldhahi
Dler Qader Omer
Sherwan Rahman Sulaiman
author_sort Reem Burkan Aldhahi
collection DOAJ
description Background and objective: Determining the relationship between body compartments and Lower Back Pain (LBP) will increase our understanding about how body compartments can affect LBP disability. This study aimed to assess the association between body compartments and LBP disability pre and post-physiotherapy. Methods: A prospective study conducted in the main two governmental physiotherapy departments in Erbil. One Hundred patients were diagnosed with LBP and referred to physiotherapy units. All patients were assessed before starting physiotherapy and body compartments were measured by bioelectrical impedance analysis (BEIA). LBP disability was measured for each patient by a modified Oswestry disability index (ODI). After completing six sessions of physiotherapy all patients were reassessed regarding body composition, obesity measures, and LBP disability. Results: Regarding the body fat percentage (BFP), 61% of females and 56.7% of males were obese. Results showed a positive significant correlation (P = 0.013) between BFP and LBP disability after physiotherapy, while a negative significant correlation (P = 0.026) between total body water (TBW) and LBP disability. There was a significant improvement in disability after physiotherapy (P <0.001). Eleven percent of patients succeeded to reach minimal clinically important difference (MCID ≥ 30%). Body composition and other obesity measurements were not significantly different before and after physiotherapy. Conclusions: LBP disability is positively associated with BFP and negatively associated with TBW. The physiotherapy protocol performed in the physiotherapy units was able to significantly improve disability although a low number of patients reached MCID ≥ 30%. Body compartments were not significantly different before and after physiotherapy.
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spelling doaj.art-ee5d964eb21840d2905b0358a98766d12023-08-24T07:05:53ZengHawler Medical UniversityZanco Journal of Medical Sciences1995-55881995-55962023-08-0127215516610.15218/zjms.2023.018Bioelectrical impedance analysis and change disability post physiotherapy for patients with lower back pain attending rehabilitation care unit in ErbilReem Burkan Aldhahi0Dler Qader Omer1Sherwan Rahman Sulaiman2Department of Basic Sciences, College of Medicine, Hawler Medical University, Erbil, Iraq.Department of Basic Sciences, College of Medicine, Hawler Medical University, Erbil, Iraq.Department of Basic Sciences, College of Medicine, Hawler Medical University, Erbil, Iraq.Background and objective: Determining the relationship between body compartments and Lower Back Pain (LBP) will increase our understanding about how body compartments can affect LBP disability. This study aimed to assess the association between body compartments and LBP disability pre and post-physiotherapy. Methods: A prospective study conducted in the main two governmental physiotherapy departments in Erbil. One Hundred patients were diagnosed with LBP and referred to physiotherapy units. All patients were assessed before starting physiotherapy and body compartments were measured by bioelectrical impedance analysis (BEIA). LBP disability was measured for each patient by a modified Oswestry disability index (ODI). After completing six sessions of physiotherapy all patients were reassessed regarding body composition, obesity measures, and LBP disability. Results: Regarding the body fat percentage (BFP), 61% of females and 56.7% of males were obese. Results showed a positive significant correlation (P = 0.013) between BFP and LBP disability after physiotherapy, while a negative significant correlation (P = 0.026) between total body water (TBW) and LBP disability. There was a significant improvement in disability after physiotherapy (P <0.001). Eleven percent of patients succeeded to reach minimal clinically important difference (MCID ≥ 30%). Body composition and other obesity measurements were not significantly different before and after physiotherapy. Conclusions: LBP disability is positively associated with BFP and negatively associated with TBW. The physiotherapy protocol performed in the physiotherapy units was able to significantly improve disability although a low number of patients reached MCID ≥ 30%. Body compartments were not significantly different before and after physiotherapy.https://zjms.hmu.edu.krd/index.php/zjms/article/view/912low back paindisabilitybioelectrical impedance analysistotal body waterobesity measure
spellingShingle Reem Burkan Aldhahi
Dler Qader Omer
Sherwan Rahman Sulaiman
Bioelectrical impedance analysis and change disability post physiotherapy for patients with lower back pain attending rehabilitation care unit in Erbil
Zanco Journal of Medical Sciences
low back pain
disability
bioelectrical impedance analysis
total body water
obesity measure
title Bioelectrical impedance analysis and change disability post physiotherapy for patients with lower back pain attending rehabilitation care unit in Erbil
title_full Bioelectrical impedance analysis and change disability post physiotherapy for patients with lower back pain attending rehabilitation care unit in Erbil
title_fullStr Bioelectrical impedance analysis and change disability post physiotherapy for patients with lower back pain attending rehabilitation care unit in Erbil
title_full_unstemmed Bioelectrical impedance analysis and change disability post physiotherapy for patients with lower back pain attending rehabilitation care unit in Erbil
title_short Bioelectrical impedance analysis and change disability post physiotherapy for patients with lower back pain attending rehabilitation care unit in Erbil
title_sort bioelectrical impedance analysis and change disability post physiotherapy for patients with lower back pain attending rehabilitation care unit in erbil
topic low back pain
disability
bioelectrical impedance analysis
total body water
obesity measure
url https://zjms.hmu.edu.krd/index.php/zjms/article/view/912
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AT sherwanrahmansulaiman bioelectricalimpedanceanalysisandchangedisabilitypostphysiotherapyforpatientswithlowerbackpainattendingrehabilitationcareunitinerbil