Objective: To investigate musculoskeletal disorders and risk factors of low back pain in multiple sclerosis (MS) patients.
Methods: In this study, patients in our hospital with confirmed MS with an expanded disabilitystatus scale (EDSS) score between 4 to 7 were selected. Data of MS history, pain, musculoskeletal disorders, muscle strength and spasticity in lower limbs were collected.
Results: Among 190 patients, there were 61 males and 129 females, with an average age of(54.9±9.2) years old. The mean disease duration was(19.3±9.9) years, and the median EDSS score was 6. Forty-two patients were relapsing-remitting type, 45 patients were primary progressive type, and 93 patients were secondary progressive type. The most common musculoskeletal disorders were described as follows:knee osteoarthritis (15 cases), claw toe (13 cases) and genu recurvatum (12 cases). Seventy-nine patients with prevalence low back pain was higher than in patients with a progressive type(secondary: =2.958, =0.007 9, primary(=2.629, =0.039 8) and in patients who had a visual dysfunction at EDSS score(=1.411, =0.012 4). The prevalence was reduced in male patients(=0.306, =0.001 4).
Conclusions: The progressive type of MS and visual dysfunction increased the risk of low back pain in these patients.
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| http://dx.doi.org/10.3969/j.issn.1003-0034.2017.04.012 | DOI Listing |
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