Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 2 , Pages 172-176 , February 2006

Does Gynecologic Surgery Contribute to Low Back Problems in Later Life? An Analysis of the Women’s Health and Aging Study

Presented as a poster to the Academy of Physical Medicine and Rehabilitation, October 8−9, 2004, Phoenix, AZ.

  • Jeffery J. Ericksen, MD, ME

      Affiliations

    • Department of Physical Medicine & Rehabilitation, Virginia Commonwealth University, Richmond, VA
    • Corresponding Author InformationReprint requests to Jeffery J. Ericksen, MD, Dept of Physical Medicine & Rehabilitation, PO Box 980677, Richmond, VA 23298-0677
    • ,
  • Jonathan F. Bean, MD, MS

      Affiliations

    • Department of Physical Medicine & Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA
    • ,
  • Dan K. Kiely, MPH, MA

      Affiliations

    • Hebrew SeniorLife, Boston, MA
    • ,
  • Gregory E. Hicks, PhD, PT

      Affiliations

    • Department of Physical Therapy & Rehabilitation Science, University of Maryland School of Medicine, Baltimore, MD
    • ,
  • Suzanne G. Leveille, PhD

      Affiliations

    • Department of General Internal Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA

References 

  1. Lavsky-Shulan M , Wallace RB , Kohout FJ , Lemke JH , Morris MC , Smith IM . Prevalence and functional correlates of low back pain in the elderly (the Iowa 65+ Rural Health Study) . J Am Geriatr Soc . 1985;33:23–28
  2. Leveille SG , Bean J , Bandeen-Roche K , Jones R , Hochberg M , Guralnik JM . Musculoskeletal pain and risk for falls in older disabled women living in the community . J Am Geriatr Soc . 2002;50:671–678
  3. Leveille SG , Guralnik JM , Hochberg M , et al.   Low back pain and disability in older women (independent association with difficulty but not inability to perform daily activities) . J Gerontol A Biol Sci Med Sci . 1999;54:M487–M493
  4. Mapel DW , Shainline M , Paez K , Gunter M . Hospital, pharmacy, and outpatient costs for osteoarthritis and chronic back pain . J Rheumatol . 2004;31:573–583
  5. Luo X , Pietrobon R , Sun SX , Liu GG , Hey L . Estimates and patterns of direct health care expenditures among individuals with back pain in the United States . Spine . 2004;29:79–86
  6. Scientific approach to the assessment and management of activity related spinal disorders. A monograph for clinicians. Report of the Quebec Task Force on Spinal Disorders . Spine . 1987;12(7 Suppl):1–59
  7. Mixter WJ , Barr JS . Rupture of the intervertebral disk with involvement of the spinal canal . N Engl J Med . 1934;211:210–215
  8. Lee D . Principles of the integrated model of function and its application to the lumbopelvic-hip region . In:  Lee D editors. The pelvic girdle (an approach to the examination and treatment of the lumbopelvic-hip region) . 3rd ed.. Philadelphia: Churchill Livingstone; 2004;p. 41–54
  9. Snijders CJ , Vleeming A , Stoeckart R . Transfer of lumbosacral load to the iliac bones and legs. Part 1: Biomechanics of self bracing of the sacroiliac joints and its significance for treatment and exercise . Clin Biomech . 1993;8:285–294
  10. Vleeming A , Volkers AC , Snijders CJ , Stoeckart R . Relation between form and function in the sacroiliac joint. 2: Biomechanical aspects . Spine . 1990;15:133–136
  11. Vleeming A , Snijders CJ , Stoeckart R , Mens JM . The role of the sacroiliac joints in coupling between spine, pelvis, legs and arms . In:  Vleeming A ,  Mooney V ,  Dorman T ,  Snijders C ,  Stoeckart R editor. Movement, stability & low back pain . New York: Churchill Livingstone; 1997;p. 53–71
  12. McGill SM , Grenier S , Kavcic N , Cholewicki J . Coordination of muscle activity to assure stability of the lumbar spine . J Electromyogr Kinesiol . 2003;13:353–359
  13. Cholewicki J , Panjabi MM , Khachatryan A . Stabilizing function of trunk flexor-extensor muscles around a neutral spine posture . Spine . 1997;22:2207–2212
  14. Granata KP , Marras WS . Cost-benefit of muscle cocontraction in protecting against spinal instability . Spine . 2000;25:1398–1404
  15. Hodges PW . Is there a role for transversus abdominis in lumbo-pelvic stability? . Man Ther . 1999;4:74–86
  16. Hodges PW , Moseley GL . Pain and motor control of the lumbopelvic region (effect and possible mechanisms) . J Electromyogr Kinesiol . 2003;13:361–370
  17. Kavcic N , Grenier S , McGill SM . Determining the stabilizing role of individual torso muscles during rehabilitation exercises . Spine . 2004;29:1254–1265
  18. Panjabi M . The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement . J Spinal Disord . 1992;5:383–389
  19. Panjabi M . The stabilizing system of the spine. Part II. Neutral zone and instability hypothesis . J Spinal Disord . 1992;5:390–396
  20. Panjabi M . Clinical spinal instability and low back pain . J Electromyogr Kinesiol . 2003;13:371–379
  21. Hodges PW . Changes in motor planning of feedforward postural responses of the trunk muscles in low back pain . Exp Brain Res . 2001;141:261–266
  22. O’Sullivan PB , Beales DJ , Beetham JA , et al.   Altered motor control strategies in subjects with sacroiliac joint pain during the active straight-leg-raise test . Spine . 2002;27:E1–E8
  23. Bergmark A . Stability of the lumbar spine. A study in mechanical engineering . Acta Orthop Scand Suppl . 1989;230:1–54
  24. Guralnik JM , Fried LP , Simonsick EM , Kasper JD , Lafferty ME . The Women’s Health and Aging Study (health and social characteristics of older women with disability) . Bethesda: National Institute on Aging; 1995; NIH Publication No. 95-4009
  25. Makela M , Heliovaara M , Sievers K , Knekt P , Maatela J , Aromaa A . Musculoskeletal disorders as determinants of disability in Finns aged 30 years or more . J Clin Epidemiol . 1993;46:549–559
  26. Hassett G , Hart DJ , Manek NJ , Doyle DV , Spector TD . Risk factors for progression of lumbar spine disc degeneration (the Chingford Study) . Arthritis Rheum . 2003;48:3112–3117
  27. Hartvigsen J , Christensen K , Frederiksen H , Pedersen HC . Genetic and environmental contributions to back pain in old age (a study of 2,108 Danish twins aged 70 and older) . Spine . 2004;29:897–901 discussion 902
  28. Andersen RE , Crespo CJ , Bartlett SJ , Bathon JM , Fontaine KR . Relationship between body weight gain and significant knee, hip, and back pain in older Americans . Obes Res . 2003;11:1159–1162
  29. Brynhildsen JO , Bjors E , Skarsgard C , Hammar ML . Is hormone replacement therapy a risk factor for low back pain among postmenopausal women? . Spine . 1998;23:809–813
  30. Vleeming A , Volkers AC , Snijders CJ , Stoeckart R . Relation between form and function in the sacroiliac joint. 2: Biomechanical aspects . Spine . 1990;15:133–136
  31. Hodges P , Kaigle Holm A , Holm S , et al.   Intervertebral stiffness of the spine is increased by evoked contraction of transversus abdominis and the diaphragm (in vivo porcine studies) . Spine . 2003;28:2594–2601
  32. van Dieen JH , Selen LP , Cholewicki J . Trunk muscle activation in low-back pain patients, an analysis of the literature . J Electromyogr Kinesiol . 2003;13:333–351
  33. Hides JA , Richardson CA , Jull GA . Multifidus muscle recovery is not automatic after resolution of acute, first-episode low back pain . Spine . 1996;21:2763–2769
  34. Hides JA , Stokes MJ , Saide M , Jull GA , Cooper DH . Evidence of lumbar multifidus muscle wasting ipsilateral to symptoms in patients with acute/subacute low back pain . Spine . 1994;19:165–172
  35. Rantanen J , Hurme M , Falck B , et al.   The lumbar multifidus muscle five years after surgery for a lumbar intervertebral disc herniation . Spine . 1993;18:568–574
  36. Marshall K , Walsh DM , Baxter GD . The effect of a first vaginal delivery on the integrity of the pelvic floor musculature . Clin Rehabil . 2002;16:795–799
  37. Thompson JF , Roberts CL , Currie M , Ellwood DA . Prevalence and persistence of health problems after childbirth (associations with parity and method of birth) . Birth . 2002;29:83–94
  38. Kjolhede P , Ryden G . Clinical and urodynamic characteristics of women with recurrent urinary incontinence after Burch colposuspension . Acta Obstet Gynecol Scand . 1997;76:461–467
  39. Svensson HO , Andersson GB , Hagstad A , Jansson PO . The relationship of low-back pain to pregnancy and gynecologic factors . Spine . 1990;15:371–375
  40. O’Sullivan P , Twomey LT , Allison GT . Evaluation of specific stabilizing exercise in the treatment of chronic low back pain with radiologic diagnosis of spondylolysis or spondylolisthesis . Spine . 1997;22:2959–2967
  41. Stuge B , Laerum E , Kirkesola G , Vollestad N . The efficacy of a treatment program focusing on specific stabilizing exercises for pelvic girdle pain after pregnancy (a randomized controlled trial) . Spine . 2004;29:351–359
  42. Smith BH , Elliott AM , Hannaford PC , Chambers WA , Smith WC . Factors related to the onset and persistence of chronic back pain in the community (results from a general population follow-up study) . Spine . 2004;29:1032–1040
  43. Akuthota V , Nadler S . Core strengthening . Arch Phys Med Rehabil . 2004;85(3 Suppl 1):S86–S92
  44. Hides J , Jull GA , Richardson CA . Long-term effects of specific stabilizing exercises for first-episode low back pain . Spine . 2001;26:E243–E248
  45. Sapsford R . Rehabilitation of pelvic floor muscles utilizing trunk stabilization . Man Ther . 2004;9:3–12
  46. Bo K . Urinary incontinence, pelvic floor dysfunction, exercise and sport . Sports Med . 2004;34:451–464

 Supported by the National Institute on Aging (grant no. NO1AG12112).No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.

PII: S0003-9993(05)01281-5

doi: 10.1016/j.apmr.2005.09.018

Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 2 , Pages 172-176 , February 2006

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