Should physical therapists assess sleep quality in patients seeking care for low back pain?
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Universidade Federal de Minas Gerais
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Artigo de periódico
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Membros da banca
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Low back pain (LBP) is a highly prevalent condition affecting people of all ages. In the Global Burden of Disease Study 2015, where diseases are ranked according to how much disability they cause expressed in years lost with disability, LBP was ranked the highest contributor to disability in the world. The coexistence of other chronic conditions alongside LBP is thought to be an important contributor to pain and associated disability, which makes management of these patients even more challenging. Sleep disturbances are a common comorbidity of LBP. Sleep disturbance is a broad term that encompasses problems with the quality, timing, and amount of sleep, which cause impairments with functioning and distress during the daytime. Nearly 60% of patients with LBP report having disturbed sleep. More specifically, there is evidence suggesting that 1 in 2 patients with chronic LBP seeking care in secondary care settings have insomnia complaints. The relationship between sleep quality and pain intensity have been suggested to be bidirectional. While a poor night of sleep is associated with increased pain levels on the next day, a day with higher pain intensity leads to a poor night of sleep in patients with LBP regardless of pain duration. More importantly, sleep quality is associated not only with pain intensity but also with a wide range of patient moods, pain catastrophizing, and physical function. Taken together, this evidence suggests that sleep assessment might be important for effective management of LBP.
Abstract
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Dor lombar, Distúrbios do sono, Incapacidade - Avaliação, Fisioterapia
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https://academic.oup.com/ptj/article-abstract/99/8/961/5426224?redirectedFrom=fulltext