Evaluation of Disability and Physical Performance Based on Mechanical and Inflammatory Component in Chronic Low Back Pain.

IF 1.9 4区医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Alternative therapies in health and medicine Pub Date : 2025-07-01

Betül Ergün, Fatma Kızılay, Feyza Inceoğlu, Egemen Kızılay

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Abstract

Objective: The aim of this study was to perform the validity and reliability analysis of the Turkish-language version of the Mechanical and Inflammatory Low Back Pain Index (MILBPI), which is used to determine mechanical and inflammatory components in chronic low back pain (CLBP). The effects of mechanical and inflammatory components on disability and physical performance in patients with CLBP were investigated.

Material and method: In the first phase of the study, 120 CLBP patients aged 18-65 years were included in the Turkish-language version validity and reliability analysis of MILBPI. In the second phase of the study, the mechanical and inflammatory components of CLBP were determined in 50 patients using the Turkish-language version valid and reliable MILBPI and the effects of these components on disability and physical performance were investigated. Tests for walking, timed get-up and go, sitting and standing and trunk flexion were used to assess physical performance. Quebec Back Pain Disability Scale (QBPDS) was used to assess disability.

Results: Factor loadings of the index items were above 0.30 which explained 83.237% of the total variance. Cronbach's alpha coefficient was found 0.735. Test-retest analysis of the index was highly correlated. LBP score of the components was significantly associated with disability (P1 < .05). Inflammatory component had a statistically significant relationship with trunk flexion (P1 < .05), while the mechanical component had no significant effect on walking (P1 > .05).

Conclusion: According to the analyses in the first phase of our study, MILBPI is a valid and reliable scale in Turkish-language version. Additionally, the mechanical and inflammatory components of pain determined using MILBPI have an impact on some physical performance parameters and disability.

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基于机械和炎症因素的慢性腰痛的残疾和身体表现评估。

目的：本研究的目的是对土耳其语版的机械和炎症性腰痛指数（MILBPI）进行效度和信度分析，该指数用于确定慢性腰痛（CLBP）的机械和炎症成分。研究了机械和炎症成分对CLBP患者残疾和身体表现的影响。材料和方法：在第一阶段的研究中，120例年龄在18-65岁的CLBP患者被纳入土耳其语版本的MILBPI效度和信度分析。在研究的第二阶段，使用土耳其语版本的有效和可靠的MILBPI测定50例患者CLBP的机械和炎症成分，并研究这些成分对残疾和身体表现的影响。行走、定时起身和走动、坐立和躯干屈曲等测试被用来评估身体表现。采用魁北克背痛残疾量表（QBPDS）评估残疾。结果：各指标项的因子负荷均在0.30以上，解释总方差的83.237%。Cronbach’s alpha系数为0.735。该指标的重测分析呈高度相关。各组件LBP评分与失能有显著相关性（P1 < 0.05）。炎症成分与躯干屈曲有统计学意义（P1 < 0.05），而机械成分对行走无显著影响（P1 < 0.05）。结论：根据本研究第一阶段的分析，土耳其语版本的MILBPI量表是有效可靠的。此外，使用MILBPI测定的疼痛的机械和炎症成分对一些身体性能参数和残疾有影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Alternative therapies in health and medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-

CiteScore

0.90

自引率

0.00%

发文量

219

期刊介绍： Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field. Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.