Is there an association between back pain and stress incontinence in adults with cystic fibrosis? A retrospective cross-sectional study

Jane E Ashbrook; Carol Shacklady; Sue Johnson; Gillian Yeowell; Peter Charles Goodwin

doi:10.1016/j.jcf.2017.04.006

Is there an association between back pain and stress incontinence in adults with cystic fibrosis? A retrospective cross-sectional study

J Cyst Fibros. 2018 Jan;17(1):78-82. doi: 10.1016/j.jcf.2017.04.006. Epub 2017 May 3.

Authors

Jane E Ashbrook¹, Carol Shacklady², Sue Johnson¹, Gillian Yeowell², Peter Charles Goodwin³

Affiliations

¹ Manchester Adult Cystic Fibrosis Centre, Wythenshawe Hospital, Southmoor Rd, Manchester M23 9LT, United Kingdom.
² Department of Health Professions, Manchester Metropolitan University, 53 Bonsall Street, Manchester M15 6GX, United Kingdom.
³ Department of Health Professions, Manchester Metropolitan University, 53 Bonsall Street, Manchester M15 6GX, United Kingdom. Electronic address: p.goodwin@mmu.ac.uk.

PMID: 28476560
DOI: 10.1016/j.jcf.2017.04.006

Abstract

Background: Back pain and stress urinary incontinence (SUI) are common in adults with cystic fibrosis (CF). This study aimed to establish whether there is an association between back pain, lung function and stress urinary incontinence and its relative risk.

Method: This was a cross-sectional, retrospective analysis of the Manchester Musculoskeletal Screening Tool (MMST) data. It includes pain, (Short Form McGill Pain Questionnaire (SF-MPQ and VAS)) and International Consultation on Incontinence Short Form (ICIQ-UI-SF) measures. Associations were tested using Spearman's rank correlation coefficient. Relative risk of developing symptoms was calculated the sig level was p=0.05.

Results: ICIQ-UI-SF was associated with back pain (SF-MPQ) (Rho=0.32, p<0.001) and pain (VAS) (Rho=0.23, p<0.01). RR of developing SUI with back pain was 2; RR of developing back pain with SUI was 1.3.

Conclusions: An association is indicated between back pain (SF-MPQ and VAS), and SUI in adults with CF. This information is important when developing management strategies in the CF population.

Keywords: Back pain; Cross sectional study; Cystic fibrosis; Lung function; Stress urinary incontinence.

MeSH terms

Adult
Back Pain* / diagnosis
Back Pain* / physiopathology
Correlation of Data
Cross-Sectional Studies
Cystic Fibrosis* / complications
Cystic Fibrosis* / epidemiology
Cystic Fibrosis* / physiopathology
Disease Progression
Female
Humans
Male
Middle Aged
Outcome Assessment, Health Care
Respiration
Respiratory Function Tests / methods
Retrospective Studies
Severity of Illness Index
Surveys and Questionnaires
United Kingdom / epidemiology
Urinary Incontinence, Stress* / diagnosis
Urinary Incontinence, Stress* / physiopathology
Visual Analog Scale