Research Report Abstracts - Gesundheit

eS690
Research Report Platform Presentation
Number: RR-PL-1587 Thursday 23 June 09:15
RAI: Elicium 2
DO PEOPLE WITH PAIN-RELATED DISABILITY
DUE TO BACK PAIN ALSO HAVE REDUCED
LEVELS OF PHYSICAL ACTIVITY? A
SYSTEMATIC REVIEW
Lin C., McAuley J., Macedo L., Barnett D., Smeets R.,
Verbunt J.
Purpose: The purpose of this systematic review is to examine
the relationship between physical activity and pain-related
disability in non-specific low back pain (LBP).
Relevance: The impact of LBP on a patient’s daily functioning
can be expressed as a patient’s level of disability or
a reduction in physical functioning. It is generally assumed
that patients who feel more disabled will be those who are
less physically active, but the relationship between physical
activity and disability in LBP has not been confirmed.
Participants: We included 18 studies with a total of 2495
participants.
Methods: We searched in 6 electronic databases and the reference
list of relevant studies from inception to May 2010.
To be included, studies had to measure both disability and
physical activity in patients with LBP prospectively and
quantitatively. Disability had to be measured by self report,
while physical activity could be measured by self reports
or instruments of movement registration (e.g. pedometer,
accelerometer). Two reviewers independently screened
search results and extracted data. We contacted authors for
additional data.
Analysis: Included studies were grouped into acute/subacute
(3 months)
based on the duration of LBP. We pooled correlation coefficients
across studies using the random-effects model.
Results: The search identified 3213 records and 18 studies
were eligible for inclusion. Seven studies provided data
for acute/subacute LBP. Fourteen studies provided data for
chronic LBP. Most studies used a common questionnaire to
measure disability (e.g. the Roland-Morris Disability Questionnaire).
All of the eight studies which measured physical
activity using an instrument of movement registration used
an accelerometer. The pooled results showed a weak relationship
between physical activity and disability in acute
LBP (r = −0.08, 95% CI = −0.17 to 0.002), and a moderate
relationship in chronic LBP (r = −0.33, 95% CI = −0.51
to −0.15).
Conclusions: There is little correlation between physical
activity and disability in acute/subacute LBP. In chronic LBP,
the negative and moderate correlation indicates that people
with chronic LBP and high levels of disability also have low
levels of physical activity.
Implications: People with acute/subacute LBP appear to
vary in the levels of physical activity independent of
their pain-related disability. In chronic LBP, the relationship
between physical activity and disability highlights that
enhancing physical activity and reducing disability is an
important treatment goal, but further studies are required to
see if a person’s disability can be mediated by interventions
targeted at increasing physical activity.
Keywords: Physical activity; Disability; Low back pain
Funding acknowledgements: CL is funded by the National
Health and Medical Research Council, Australia.
Ethics approval: Not required.
Research Report Poster Display
Number: RR-PO-210-24-Wed Wednesday 22 June 13:00
RAI: Exhibit Halls2&3
UTILIZATION OF REHABILITATION SERVICES
FOR INPATIENT WITH CANCER IN TAIWAN: A
DESCRIPTIVE ANALYSIS FROM NATIONAL
HEALTH INSURANCE DATABASE
Lin H.-F. 1 ,WuY.-T. 2 , Tsauo J.-Y. 2
1National Taiwan University Hospital, Department of Physical
Medicine and Rehabilitation, Division of Physical
Therapy, Taipei, Taiwan, 2National Taiwan University, College
of Medicine, School and Graduate Institute of Physical
Therapy, Taipei, Taiwan
Purpose: The purpose of the study was to analyze rehabilitation
usage for people with cancer during their hospitalization
by National Health Insurance (NHI) Research database
between 2004 and 2008 in Taiwan.
Relevance: To identify the utilization of rehabilitation service
for inpatient with cancer helps to estimate rehabilitation
need of cancer patients during hospitalization.
Participants: Nil.
Methods: Datasets from Taiwan’s National Health Insurance
(NHI) Research database, inpatient expenditures by
admissions (DD file) and details of inpatient orders (DO file)
between 2004 and 2008, were used for analysis. Annual case
number and percentage of admissions coded with cancer were
calculated. Rehabilitation usages of cancer and non-cancer
cases during hospitalization were also analyzed.
Analysis: Statistical Analysis System (SAS version 9.1) was
used for data reduction and for descriptive statistics.
Results: Around three million hospital admissions per year
were identified between 2004 and 2008. At year 2004, 5.27%
of inpatients received rehabilitation services during hospitalization.
The percentage of inpatient rehabilitation service
mildly increased to 5.62% by the year 2008. A trend of
increasing inpatient coded cancer was found from 2004 to
2008. The percentages of inpatient coded cancer between
2004 and 2008 were 14.01%, 14.94%, 15.61%, 16.50%,
and 17.1% respectively. In cases received rehabilitation services,
only 6.44% coded cancer in 2004, and gradually
increased to 7.96% in 2008. In cases coded cancer, 2.41-
2.62% received rehabilitation service from 2004 to 2008.
However, 5.71–6.24% of non-cancer inpatients received