Hygeia Public Health 2017, 52(3): 304-309pl

Rehabilitation effects in patients 40 to 60 years of age with low back pain and associated depression disorders

Marta Wolanin ^1/, Aneta Rybczyńska ^2/, Rafał Sapuła ^3/, Adam Topolski ^1/, Antoni Wolanin ^4/

1/ Zamojska Klinika Rehabilitacji, Wyższa Szkoła Zarządzania i Administracji w Zamościu
2/ Katedra Fizjoterapii, Wyższa Szkoła Zarządzania i Administracji w Zamościu
3/ Wyższa Szkoła Informatyki i Zarządzania w Rzeszowie
4/ Oddział Kardiochirurgii, Samodzielny Publiczny Szpital Wojewódzki im. Papieża Jana Pawła II w Zamościu

Summary
Introduction. There is a strong relationship between depressive disorders and chronic pain. The severity of the pain causes deterioration of mental state (severity of depressive symptoms and anxiety), and vice versa - the worse the mental state, the stronger the pain.
Aim. The impact of depression on the effects of rehabilitation in pain syndromes of lumbar spine.
Material and method. It involved 62 people aged 40 to 60 years. The study included 31 patients (mean age 50.74±6.42 years) with low back pain and accompanying depression. The control group also included 31 people (mean age 51.71±6.49 years) with low back pain without depression. Documentation: Questionnaire Disability Roland Morris (RMDQ), Oswestry Disability Questionnaire (ODI), visual-analog pain scale (VAS).
Results. After rehabilitation a statistically significant improvement was reported in the study group and the control group. The rehabilitation also significantly influenced the decrease in feeling pain measured by VAS, both in the study and the control group. There was a significant increase in the number of people with a minimum degree of disability (by ODI) or lack of disability (by RMDQ). The coexistence of depressive disorders did not result in such improvement in patients´ functioning as reported in the control group. Both before and after rehabilitation there were patients classified as severely or severely disabled (ODI) or with high or low disability (RMDQ).
Conclusion. The applied rehabilitation in people aged 40-60 years diagnosed with L-S pain syndrome was effective in both depressive and depressive disorders, but the existing depressive disorders were probably a factor reducing the rehabilitation effect.

Key words:  low back pain, depression disorders, rehabilitation, disability level