Low back pain in people with a stoma A postal survey

Iseult Wilson, Daniel Paul Kerr, Sheila Lennon

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


Purpose. To investigate whether low back pain (LBP) is a problem for people with a stoma.Method. Following ethical approval, a postal questionnaire was sent to the Ileostomy Association of Northern Ireland (n¼402).Results. The response rate was 81.6%. Two hundred ninety three (72.8%) were included in the analysis. The participants fell into three groups: those who never had LBP (n=102, 34.8%), those who had LBP but not within the last 6 months (n=26, 8.9%) and those who had LBP within the last 6 months (n¼165, 56.3%). Participants with LBP (n=165)compared the ease with which they could carry out everyday tasks: ‘before’ and ‘since’ surgery. There was a mean increased difficulty of between 1.75 and 2.26 points across all tasks. The Roland Morris Disability Questionnaire scores ranged from 0 to 24 with 50% having a score of 8/24 or higher. Some participants (n=76, 46.1%) believed that the stoma surgery was the reason for their back pain, followed by 27.9% (n=46) blaming weak muscles. Others (53.3%) thought their back pain was worsening. There was a significant rise in the incidence of first episode back pain within a year of surgery.Conclusions. These results suggest that LBP is a problem for people with a stoma.
Original languageEnglish
Pages (from-to)1937-1942
Issue number23
Publication statusPublished (in print/issue) - 2009

Bibliographical note

Reference text: 1. Martini FH, Timmons MJ, Tallitsch RB. Human anatomy,5th ed. California: Pearson Education Inc.; 2006. p 272, p275.
2. Richardson CA, Snijders CJ, Hides JA, Damen L, Pas MS,Storm J. The relation between the transverses abdominis muscles, sacroiliac joint mechanics, and low back pain. Spine
3. Kibler WB, Press J, Sciascia A. The role of core stability in athletic function. Sports Med 2006;36:189–198.
4. Kelsey JL, Golden AL. Occupational and workplace factors associated with low back pain. Occup Med 1988;3:7–16.
5. Waddell G. The back pain revolution, Chapter 1. Edinburgh: Churchill Livingstone; 2004.
6. Hodges PW, Richardson CA. Inefficient muscular stabilization of the lumbar spine associated with low back pain. Spine 1996;21:2640–2650.
7. Richardson CA, Jull G, Hodges P, Hides J. Therapeutic exercise for spinal segmental stabilization in low back pain. London: Churchill Livingstone; 1999.
8. Wilson IM, Kerr DP, Lennon S. Low back pain in people with a stoma: patients’ views. J Wound Ostomy Continence Nurs 2007;34:515–520.
9. Panjabi M. The stabilizing system of the spine: part I: function, dysfunction, adaptation and enhancement. J Spinal Disord 1992;5:383–389.
10. Panjabi M. The stabilizing system of the spine: part II: neutral zone and instability hypothesis. J Spinal Disord 1992;5:390– 397.
11. Liddle SD, Baxter GD, Gracey JH. Exercise and chronic low back pain: what works? Pain 2004;107:176–190.
12. Hayden JA, van Tulder MW, Malmivaara AV, Koes BW. Meta-analysis: exercise therapy for non-specific low back pain. Ann Intern Med 2005;142:765–775.
13. Wilson IM, Kerr DP, Lennon S. Low back pain in people with a stoma: focus group. 2005. Unpublished work.
14. Webster BS, Courtney TK, Huang Y-H, Matz S, Christiani DC. Survey of acute low back pain management by specialty group and practice experience. J Occup Environ Med
15. Fullen BM, Maher T, Bury G, Tynan A, Daly LE, Hurley DA. Adherence of Irish general practitioners to European guidelines for acute back pain: a prospective pilot study. Eur J
Pain 2007;11:614–623.
16. Hestbaek L, Leboeuf-Yde C, Manniche C. Is low back pain part of a general health pattern, or is it a separate and distinctive entity? A critical literature review of comorbidity
with low back pain. JManipulative Physiol Ther 2003;26:243– 252.
17. Hestbaek L, Leboeuf-Yde C, Kyvik KO, Vach W, Russell MB, Skadhauge L, Svendsen A, Manniche C. Comorbidity with low back pain. A cross-sectional population-based survey
of 12 to 22 year olds. Spine 2004;29:1483–1491.


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