Abstract

Background. Chronic low back pain (CLBP) is often associated with disability and decreased quality of life. Understanding the distinction between nociceptive and neuropathic pain is important, as each may differently affect physical activity and function.

Aim. To examine the association between pain type, physical activity, and regional function in individuals with CLBP.

Methodology. A total of 70 participants aged 20–55 years with CLBP were recruited. Pain type was classified using the Leeds Assessment of Neuropathic Symptoms and Signs (LANSS). Physical activity was assessed with the Global Physical Activity Questionnaire (GPAQ), and regional function was evaluated using the Oswestry Disability Index (ODI). An independent t-test was performed to analyze the data.

Results. The neuropathic pain group showed significantly higher pain intensity (p < 0.01), greater functional disability (p < 0.01), and lower levels of physical activity (p < 0.01) compared to the nociceptive group. A strong negative correlation was observed between physical activity and disability, emphasizing the role of active management in CLBP.

Conclusion. Individuals with neuropathic pain experience more severe disability and engage in less physical activity than those with nociceptive pain. Assessing the pain type is essential in determining appropriate rehabilitation strategies for managing CLBP.

Key words

chronic low back pain, neuropathic pain, nociceptive pain, physical activity, disability