Quality of Life and Low Back Pain

  • A. Montazeri
  • S. J. Mousavi


Low back pain (LBP) is a major medical, social, and economic problem in both developed and developing countries. It often affects all life domains from fairly basic self-care activities to advance and complex social interactions, work, and leisure activities and eventually has a profound impact on quality of life. Cross-sectional and prospective studies showed that health related quality of life (HRQOL) is affected in patients with LBP. The aim of treatment of orthopedic conditions, including LBP, is often improving the functional ability and quality of life of the patient, and, therefore, HRQOL should be considered as an important outcome in clinical trials investigating LBP. Although, in recent years there has been a trend to supplement measurements of functional status and quality of life in studies of low back pain, overall HRQOL was rarely assessed as primary end-point in studies of low back pain. Clinical trials showed that HRQOL significantly improved after various modes of  rehabilitation program,  back education, exercise therapy, surgical treatments, and pharmacological treatment. Beliefs about back pain, pain catastrophizing, anxiety, depression, fear avoidance relating to work are important predictors of HRQOL in patients with chronic LBP.


Health Related Quality Lumbar Disc Herniation Pain Catastrophising Fear Avoidance Belief Functional Restoration Program 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

List of Abbreviations:


allgemeine depressionsskele


brief pain inventory


Center for Epidemiological Studies depression questionnaire


 chronic low back pain


coping strategy questionnaire




euroQOL five items questionnaire


fear avoidance beliefs questionnaire


hospital anxiety and depression scale


health related quality of life


low back pain


life events and difficulties schedule


Munich  functional restoration program


musculoskeletal outcomes data evaluation and management system


McGill pain questionnaire


multidisciplinary rehabilitation program


musculoskeletal disease


North American Spine Society lumbar spine outcome assessment instrument


Norwegian pain questionnaire


numerical rating scale


non-steroidal anti-inflammatory drugs


Oswestry disability index


pain coping and cognition list


pain disability index


quality of life


quality of well-being scale


rheumatoid arthritis


Roland-Morris disability questionnaire


12-item medical outcomes study short form health survey


36-item medical outcomes study short form health survey


visual analogue scale


World Health Organization’s quality of life questionnaire (short version)


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Copyright information

© Springer Science+Business Media LLC 2010

Authors and Affiliations

  • A. Montazeri
    • 1
  • S. J. Mousavi
    • 2
  1. 1.Professor in Public Health and EpidemiologyIranian Institute for Health Sciences Research (IHSR)TehranIran
  2. 2.Faculty of Rehabilitation Sciences, Department of Physical TherapyTehran University of Medical SciencesTehranIran

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