Article

The abdominal muscles play a vital role in lumbar stability. The
stoma surgery creates a permanent flaw in the abdominal wall and this may
increase the risk of low back pain for people with a stoma. PURPOSE: To determine
whether there was a difference in back pain experience between the two stoma
groups: ileostomy and colostomy. Method: A postal questionnaire sent to people in
Northern Ireland with an ileostomy or colostomy. RESULT: Over half (56.7%, n =
417) had back pain in the last 6 months and the primary perceived cause was the
stoma surgery. There was a statistically significant deterioration in functional
activities in those with back pain when 'today' was compared with 'before
surgery'. Those with a colostomy had generally poorer outcomes in respect of pain
and disability, than those with an ileostomy. CONCLUSION: Low back pain in people
with a stoma is a real and complex issue, especially as there are significant
differences between those with an ileostomy when compared with people with a
colostomy. Many factors are likely to contribute to a person developing low back
pain, not least, the underlying reason for the surgery and the surgical procedure
itself.

Langue : ANGLAIS