Disrupted everyday life in the trajectory of low back pain: A longitudinal qualitative study of the cross-sectorial pathways of individuals with low back pain over time

Rossen, Camilla Blach; Høybye, Mette Terp; Jørgensen, Lene Bastrup; Bruun, Louise Deigaard; Hybholt, Lisbeth

doi:10.1016/j.ijnsa.2021.100021

Cited by 9 publications

(6 citation statements)

References 35 publications

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“…The relatively large proportion of patients who had seen more than one healthcare provider in the last month because of LBP (44%) highlights the complexity and multifaceted nature of LBP management and the importance of achieving continuity of care and effective coordination between healthcare providers (Rossen et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

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Usual care for low back pain and barriers to best practice: A cross‐sectional study in Danish general practice

Arnbak,

Jensen,

Lund

et al. 2024

Musculoskeletal Care

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ObjectivesTo describe the current content of low back pain (LBP) care in Danish general practice, the patients' self‐management activities, and the clinicians' experienced barriers to providing best practice care.MethodsThis cross‐sectional observational study included adults with LBP seeking care in Danish general practice from August 2022 to June 2023. Patient‐reported information included demographics, pain intensity, medical history, treatments, and self‐management strategies. Clinicians provided data specific to each consultation, detailing the content of these consultations, and barriers to best practice in the specific cases.ResultsThe study involved 71 clinicians from 42 general practice clinics, with patient‐reported data from 294 patients, and clinician‐reported data from 283 (95%) consultations. The mean age for the included patients was 53 years, 56% were female, and 31% had been on sick leave for LBP during the previous 3 months. Moreover, 44% had seen two or more healthcare professionals in the previous month, 55% had previously undergone diagnostic imaging for LBP, 81% reported using any type of analgesics, and 14% reported using opioids. The majority (91%) reported engaging in self‐management activities to alleviate pain. Consultations typically included a physical examination (84%), information about the cause of the pain (74%), and management advice (68%), as reported by clinicians or patients. In general, clinicians reported consultation elements more frequently than patients. Clinicians reported providing best practice care in 84% of cases, with time constraints (23%) and patient expectations (10%) being the most common barriers.ConclusionsThis study provides detailed insights into the management of LBP in Danish general practice. It reveals a complex landscape of patient engagement, varying management strategies, and differing perceptions of care content between patients and clinicians. Patients were often engaged in self‐management activities and clinicians reported few barriers to providing best practice care.

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Section: Discussionmentioning

confidence: 99%

“…It is associated with social isolation, economic burden, and early retirement (Fernandez et al., 2017). Patients with LBP often express frustration and hopelessness when they talk about their experiences with the healthcare system (MacNeela et al., 2015; Rossen et al., 2021).…”

Section: Introductionmentioning

confidence: 99%

Usual care for low back pain and barriers to best practice: A cross‐sectional study in Danish general practice

Arnbak,

Jensen,

Lund

et al. 2024

Musculoskeletal Care

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“…This can be rationalized by the finding that about three quarter of the cupping group subjects had either moderate or severe LBP (table 4) before applying cupping therapy which may prevent them to engage in routine activities of daily living. Also, LBP forces older adults to avoid visiting others and limit certain activities, causing them to restrict social relationships (35) .Whereas, the severity of LBP among the cupping group following cupping therapy was reduced (table 4)and this consequently leads to improvement in their functional ability subscales. The result of the present study is in accordance with a study done by Volpato et al (2020) (36) who found that a significant improvement in general activity, work, relationships, walking ability, enjoyment in life were observed post cupping treatment.…”

Section: Table (1):-distribution Of the Cupping And Control Groups Ac...mentioning

confidence: 99%

Effect of Wet Cupping Therapy on Low Back Pain Severity and Functional Ability among Community Dwelling Older Adults

Alfauomy

Elgamal

Fatah

2023

Egyptian Journal of Nursing and Health Sciences

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Low back pain (LBP) is a common symptom among older adults and a major cause of functional disability due to its high prevalence and persistence. Pain-related disability affects functional and psychosocial status which leads to poor quality of life of the older adults. Cupping therapy has become common approach used for management of LBP which has several advantages; as it is simple, cost effective, and safe method with low side effects than other current therapeutics. Objective: to determine the effect of wet cupping therapy on low back pain severity and functional ability among community dwelling older adults. Design: A quasi-experimental research design was used in this study. Setting: the orthopedic outpatient clinic of Damanhour National Medical Institute, El-Behaira Governorate, Egypt. Subjects: The study subjects comprised fifty (50) older adults with LBP divided randomly into two matched groups of 25 subjects. Tools: three tools were used for data collection:1) Socio-demographic characteristics and Clinical Data of the Community Dwelling Older Adults with LBP Structured Interview schedule ,2) Iowa Pain Thermometer (IPT), 3) Modified Oswestry Low Back Pain Disability Questionnaire. Results: the wet cupping group had a highly statistical significant reduction in pain severity (P= 0.008) and significant improvement in functional ability (P= 0.001) post cupping therapy compared to pre cupping therapy with a statistically significant difference between the wet cupping and control groups. Conclusion: wet cupping therapy had affected positively the severity of LBP and functional ability among older adults in the cupping group. Recommendations: Coordination with different health care settings and heath care team members to facilitate integration of wet cupping therapy in care of older adults with LBP as an effective treatment method.

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“…Alongside the burden of individuals and healthcare systems is economic burden which has increased during recent decades [ 4 ]. Moreover, people with back pain tend to become caught in health care in a cycle of different specialists [ 5 , 6 ]. Due to there being no curative treatment for back pain, self-management is necessary, which is dependent on collaboration with health care professionals [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

User perspectives on systematic data collection regarding back pain managed in general practice – a qualitative study

Morgan

Kongsted

Nørgaard

2022

BMC Musculoskelet Disord

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Background Back pain is a main driver of disability and the most prevalent reason why people in Demark visit a general practitioner (GP). However, little is known about back pain management in primary care. For new strategies to be sustainable and to accommodate the recommendations for evidence-based practice, patients’ perspectives are paramount to complement clinical expertise and research evidence. This study aimed to identify recommendations for systematic data collection in a nationwide cohort regarding the management of back pain in general practice from the perspectives of GPs and patients. Method We applied an adapted exploratory sequential design using focus groups and individual interviews. Seven GPs and ten patients with back pain participated, and four focus groups and seventeen individual interviews were conducted. Data were analyzed using abductive reasoning. Results Both GPs and patients with back pain found that 1) recruitment to a cohort should take place through the GPs, 2) the heterogeneity of patients with back pain and their need for individualized treatment and care should be considered, and 3) data from the cohort should feed into a flowchart or guideline to illustrate a generic patient pathway and visually assist both the patient and GP to obtain an overview and, thus, structure the patient pathway. Conclusion GPs and patients with back pain both considered the nationwide cohort with the overall aim to investigate back pain management as being extremely relevant in relation to improve t the patient pathway. User perspectives should be explored and integrated into health care interventions.

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Disrupted everyday life in the trajectory of low back pain: A longitudinal qualitative study of the cross-sectorial pathways of individuals with low back pain over time

Cited by 9 publications

References 35 publications

Usual care for low back pain and barriers to best practice: A cross‐sectional study in Danish general practice

Usual care for low back pain and barriers to best practice: A cross‐sectional study in Danish general practice

Effect of Wet Cupping Therapy on Low Back Pain Severity and Functional Ability among Community Dwelling Older Adults

User perspectives on systematic data collection regarding back pain managed in general practice – a qualitative study

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