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13. Residents of Mountainous Areas Have a Higher Low Back Pain Prevalence Than Flat Areas of Chongqing, China: A Cross-Sectional Study

Author

Ren,Xiaomin, Bai,Dingqun, Zhang,Yuan, Lin,Haidan, Zhang,Shu, Li,Danyang, Wei,Hui, and Yue,Shouwei

Subjects
Anesthesiology and Pain Medicine, Journal of Pain Research
Abstract

Xiaomin Ren,1 Dingqun Bai,2 Yuan Zhang,3 Haidan Lin,2 Shu Zhang,2 Danyang Li,1 Hui Wei,1 Shouwei Yue1 1Rehabilitation Center, Qilu Hospital of Shandong University, Jinan, People’s Republic of China; 2Department of Physical Medicine & Rehabilitation, the First Affiliated Hospital of Chongqing Medical University, Chongqing, People’s Republic of China; 3Clinical Epidemiology Unit, Qilu Hospital of Shandong University, Jinan, People’s Republic of ChinaCorrespondence: Shouwei Yue; Hui Wei, Rehabilitation Center, Qilu Hospital of Shandong University, Jinan, 250012, People’s Republic of China, Tel +18560086655 ; +18560083563, Fax +531 82166115, Email shouweiy@sdu.edu.cn; 83926275@qq.comBackground and Purpose: Epidemiological studies on low back pain in residents living in mountainous areas are scarce. The study was aimed at investigating the prevalence and associated factors of low back pain in Chongqing, relatively impoverished mountainous areas of China.Materials and Methods: This was a cross-sectional study conducted at selected community or village health service centers in Chongqing over a 2-month period (May 2021 to June 2021), which included adults of Chongqing aged > 18 years with or without low back pain (N=1820) chosen by stratified, cluster-sampling. Associated factors of low back pain including sociodemographic characteristics, lifestyle, and occupational features were collected, along with medical history, Oswestry Disability Questionnaire (ODI), and Numerical Rating Scale (NRS) of patients with low back pain, and carried out for at least 20 minutes per respondent. Univariate and multivariate logistic regression models were utilized for statistical analysis.Results: Overall, 30.5% of 1704 respondents presented with low back pain, with 26.3% living in flat areas and 35.6% in mountainous areas. The associated factors of low back pain were mountainous area residence (OR 1.4, 95% CI 1.1– 1.8), advanced age (OR 1.8, 95% CI 1.3– 2.5 for those aged 45– 59 years, OR 2.3, 95% CI 1.6– 3.4 for those aged 60– 74 years, and OR 2.1, 95% CI 1.2– 3.6 for those aged ≥ 75 years), married or remarried (OR 1.9, 95% CI 1.1– 3.2), divorced or widowed (OR 2.7, 95% CI 14– 5.4), moderate labor intensity (OR 1.4, 95% CI 1.1– 1.8), frequent stoop (OR 1.6, 95% CI 1.1– 2.4), and depressed mood (OR 1.6, 95% CI 1.2– 2.1). Residents in the mountainous areas had a higher score on Oswestry Disability Questionnaire (8.3 [SD 6.3] vs 6.2 [SD 4.3]) than those in flat areas.Conclusion: Mountainous areas in Chongqing had higher prevalence of low back pain as 35.6%, compared with 26.3% in flat areas, with more severe dysfunction in low back pain patients. Multifactorial analysis found that the factors associated with low back pain in Chongqing residents included mountain residence, labor intensity, stoop, psychological factors and frequency of exercise.Keywords: low back pain, prevalence, associated factors, China

Published
2023

24. Quality of clinical practice guidelines relevant to rehabilitation of knee osteoarthritis: A systematic review.

Author

Zhang, Lechi, Wang, Yanqin, Ye, Tianfen, Hu, Yinqi, Wang, Shujia, Qian, Tingting, Wu, Chengfan, Yue, Shouwei, Sun, Xiubin, and Zhang, Yang

Subjects
KNEE osteoarthritis, ONLINE information services, MEDICAL databases, CINAHL database, REGULATION of body weight, MEDICAL information storage & retrieval systems, AEROBIC exercises, CONFIDENCE intervals, SYSTEMATIC reviews, PHYSICAL therapy, GAIT in humans, COLD therapy, MEDICAL protocols, TAI chi, QUALITY assurance, WALKING, DESCRIPTIVE statistics, MEDLINE, STATISTICAL correlation, PATIENT education, DATA analysis software, DISEASE management
Abstract

Objective: This systematic review summarized the rehabilitation recommendations for treating and managing knee osteoarthritis (OA) in practice guidelines and evaluated their applicability and quality using the Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument. Data Sources: PubMed, the Cochrane Library, EMBASE, CINAHL, PEDro, Guideline central, Guideline International Network and Agency for Healthcare Research and Quality (AHRQ) were used to search for relevant studies published between 1 January 2008 and 31 May 2022. Methods: AGREE II was used to evaluate the included guidelines quality, SPSS 25.0 statistical software was used for data analysis, and the intra-group correlation coefficient value was calculated to verify the consistency between the raters. The two-way random effects model was used to calculate concordance scores, and each domain's total scores were calculated. Additionally, the median and interquartile range for domain and total scores were calculated. Results: Twenty-four guidelines recommending knee OA rehabilitation were included. Inter-rater consistency evaluation ranged from 0.62 to 0.90. The domains where the guideline's overall and rehabilitation parts scored highest and lowest were scope and purpose (domain 1) and applicability (domain 5), respectively. The highly recommended rehabilitation opinions included aerobic exercise programs (21/24), weight control (16/24), self-education and management (16/24), gait/walking aids (7/24), and tai chi (6/24). However, the orthopedic insole and hot/cold therapy roles remain controversial. Conclusion: The clinical practice guidelines' overall quality for knee OA rehabilitation is good; however, the applicability is slightly poor. Therefore, we should improve the promoting factors and hindering factors, guideline application recommendations, tools, and resources when developing relevant guidelines. [ABSTRACT FROM AUTHOR]

Published
2023
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28. Comorbid depressive symptoms can aggravate the functional changes of the pain matrix in patients with chronic back pain: A resting-state fMRI study

Author

Zhang, Guangfang, primary, Ma, Junqin, additional, Lu, Weirong, additional, Zhan, Hongrui, additional, Zhang, Xuefei, additional, Wang, Kangling, additional, Hu, Yingxuan, additional, Wang, Xianglong, additional, Peng, Weiwei, additional, Yue, Shouwei, additional, Cai, Qingxiang, additional, Liang, Wen, additional, and Wu, Wen, additional

Published
2022
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30. sj-docx-1-cre-10.1177_02692155221144892 - Supplemental material for Quality of clinical practice guidelines relevant to rehabilitation of knee osteoarthritis: A systematic review

Author

Zhang, Lechi, Wang, Yanqin, Ye, Tianfen, Hu, Yinqi, Wang, Shujia, Qian, Tingting, Wu, Chengfan, Yue, Shouwei, Sun, Xiubin, and Zhang, Yang

Subjects
FOS: Clinical medicine, 110604 Sports Medicine, FOS: Health sciences, 110904 Neurology and Neuromuscular Diseases, 110314 Orthopaedics
Abstract

Supplemental material, sj-docx-1-cre-10.1177_02692155221144892 for Quality of clinical practice guidelines relevant to rehabilitation of knee osteoarthritis: A systematic review by Lechi Zhang, Yanqin Wang, Tianfen Ye, Yinqi Hu, Shujia Wang, Tingting Qian, Chengfan Wu, Shouwei Yue, Xiubin Sun, and Yang Zhang in Clinical Rehabilitation

Published
2022
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34. A new FGF1 variant protects against adriamycin-induced cardiotoxicity via modulating p53 activity

Author

Xiao, Mengjie, primary, Tang, Yufeng, additional, Wang, Jie, additional, Lu, Guangping, additional, Niu, Jianlou, additional, Li, Jiahao, additional, Liu, Qingbo, additional, Wang, Zhaoyun, additional, Huang, Zhifeng, additional, Guo, Yuanfang, additional, Gao, Ting, additional, Zhang, Xiaohui, additional, Yue, Shouwei, additional, and Gu, Junlian, additional

Published
2022
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50. Intrathecal injection of bone marrow stromal cells attenuates neuropathic pain via inhibition of P2X4R in spinal cord microglia.

Author

Teng, Yongbo, Zhang, Yang, Yue, Shouwei, Chen, Huanwen, Qu, Yujuan, Wei, Hui, and Jia, Xiaofeng

Subjects
MESENCHYMAL stem cells, SPINAL cord, DORSAL root ganglia, PURINERGIC receptors, PATHOLOGY
Abstract

Background: Neuropathic pain is one of the most debilitating of all chronic pain syndromes. Intrathecal (i.t.) bone marrow stromal cell (BMSC) injections have a favorable safety profile; however, results have been inconsistent, and complete understanding of how BMSCs affect neuropathic pain remains elusive.Methods: We evaluated the analgesic effect of BMSCs on neuropathic pain in a chronic compression of the dorsal root ganglion (CCD) model. We analyzed the effect of BMSCs on microglia reactivity and expression of purinergic receptor P2X4 (P2X4R). Furthermore, we assessed the effect of BMSCs on the expression of transient receptor potential vanilloid 4 (TRPV4), a key molecule in the pathogenesis of neuropathic pain, in dorsal root ganglion (DRG) neurons.Results: I.t. BMSC transiently but significantly ameliorated neuropathic pain behavior (37.6% reduction for 2 days). We found no evidence of BMSC infiltration into the spinal cord parenchyma or DRGs, and we also demonstrated that intrathecal injection of BMSC-lysates provides similar relief. These findings suggest that the analgesic effects of i.t. BMSC were largely due to the release of BMSC-derived factors into the intrathecal space. Mechanistically, we found that while i.t. BMSCs did not change TRPV4 expression in DRG neurons, there was a significant reduction of P2X4R expression in the spinal cord microglia. BMSC-lysate also reduced P2X4R expression in activated microglia in vitro. Coadministration of additional pharmacological interventions targeting P2X4R confirmed that modulation of P2X4R might be a key mechanism for the analgesic effects of i.t. BMSC.Conclusion: Altogether, our results suggest that i.t. BMSC is an effective and safe treatment of neuropathic pain and provides novel evidence that BMSC's analgesic effects are largely mediated by the release of BMSC-derived factors resulting in microglial P2X4R downregulation. [ABSTRACT FROM AUTHOR]

Published
2019
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