Doctors’ attitudes and beliefs regarding acute low back pain management: A systematic review

Fullen, Brona M.; Baxter, G. David; O'Donovan, Barry G. G.; Doody, Catherine; Daly, Leslie; Hurley, Deirdre A.

doi:10.1016/j.pain.2008.01.003

Cited by 70 publications

(58 citation statements)

References 40 publications

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“…This will be essential to confirming these findings and determining the potential of Tai Chi to reduce LBP recurrence in healthcare workers. Tai Chi practice could potentially be a low-cost treatment modality for this high-risk population, augmenting the already available approaches that include narcotics, physical therapy, surgery, NSAIDs, and exercise [32].…”

Section: Discussionmentioning

confidence: 99%

Tai Chi for Preventing Recurrence of Low Back Pain in Healthcare Workers

K¹

2016

PMRD

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Work-related Low Back Pain (LBP) is estimated to occur in approximately 5% of industry workers each year, resulting in the loss of 100 million work days and 9 billion dollars annually in the United States [1,2]. Approximately 34% of people who experience acute LBP will have recurrent episodes [3], with a resultant work disability rate of 17%. Recurrences are typically more severe than the initial episode of LBP and have longer lengths of disability and higher associated healthcare costs [3]. LBP not only has physical, but also psychological consequences. For example, affected individuals may be unable to perform their jobs or may require modifications or restrictions in order to return to work. Further, untreated and/or inadequately managed acute pain can lead to chronic pain [4], further contributing to LBP-related morbidity. As a result of its substantial impact, LBP is considered to be a national health problem [5].Healthcare workers, who are involved in direct patient care i.e., nursing professionals, have an increased risk for and a higher prevalence of LBP. According to one study, [6] working-life incidence rates and prevalence of LBP were 65% and 30% respectively for Orthopedic nurses. Activities such as turning and lifting patients and prolonged standing make this group particularly susceptible to work-related LBP and recurrent LBP.Conventionally it is often claimed that up to 90% of LBP episodes spontaneously resolve within one month, despite the lack of strong and supporting evidence [7,8]. In addition, 80-90% of acute LBP cases are non-specific, without an identifiable structural pathology at the time of diagnosis, and the exact cause or mechanism of injury is not fully understood despite considerable research [9,10]. Further, the experience of pain is not only a result of physiologic factors, but it can also be due to cognitive, behavioral, socio-cultural, spiritual, and environmental factors. Thus treating acute and preventing recurrent LBP is complex.Studies have demonstrated that chronic and/or recurrent LBP occurs significantly less frequently among patients who exercise regularly following the initial LBP treatment phase compared to those who are inactive [11]. Work absenteeism is also significantly lower among patients who are physically active. Stretching and strengthening exercises are linked to a reduction in disability and improved pain and functional outcomes [12][13][14]. Specifically, exercises which target the spinal stabilizing muscles, especially the lumbar multifidus group, have been found to significantly lower the risk of recurrent LBP [15][16][17]. In addition, when recurrent low back pain did occur, it was less severe than the initial injury. Exercise is a low-cost treatment option with too little to no side effects, but systematic reviews of the literature indicate a mixed view of its value [18][19][20][21].Tai Chi is a form of exercise that is particularly well-suited for retraining and strengthening the lumbar stabilizing muscles. Tai Chi has been shown to relieve stress and t...

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Section: Discussionmentioning

confidence: 99%

Tai Chi for Preventing Recurrence of Low Back Pain in Healthcare Workers

K¹

2016

PMRD

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“…Die Behandlungen spiegeln diesen Aspekt jedoch oft nicht wieder. Häufig werden monomodale Behandlungsstrategien, die z. T. weniger von der Befundlage als von den jeweiligen Präferenzen des behandelnden Arztes bestimmt werden, angewendet [6,7,8,9]. Neben deutlich gestiegenen Operationszahlen, z.…”

Section: Retrospektive Verlaufsstudie Wiederholter Stationärer Behandunclassified

Langzeiteffekte interventioneller Behandlungen von chronischen Schmerzen des Bewegungssystems

Niemier¹

2012

Schmerz

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“…Semi-structured interviews were undertaken on the broad categories outlined in the results of a systematic review [8]. These included doctor-related factors (impact of specific LBP education, specialty), patient-related factors (need for reassurance), and policy factors (impact of the health and medico-legal services).…”

Section: Semi-structured Interviewsmentioning

confidence: 99%

“…Results of a recent systematic review on this topic highlighted three main categories impacting on doctors' decision-making processes: doctor-related factors (specialty, beliefs, education), patient-related factors (reassurance, demand), and policy factors (health service and the medico-legal system) [8].…”

Section: Introductionmentioning

confidence: 99%

“…However, extrapolation of the impact of patient-related factors and policy factors (health care system and the medico-legal system) from other studies is not appropriate to the ROI. Healthcare systems vary from a predominantly private system in the USA (72% of population) and ROI (52%), to a predominately public healthcare in the UK (86%), Greece (75%), and Germany (76%) [18], and as previously found, both doctors and patients are negatively influenced by such factors [8]. Despite the enormous cost of chronic LBP in the ROI, and the limited availability of secondary care services, no research has been undertaken on the impact of the health service on doctors' management of patients with chronic LBP, earlier.…”

Section: Introductionmentioning

confidence: 99%

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