Evidence base and future research directions in the management of low back pain

Abbott, Allan

doi:10.5312/wjo.v7.i3.156

Cited by 5 publications

(4 citation statements)

References 48 publications

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“…A wide range of treatment options are available within primary care [ 19 , 20 ] but there is still insufficient knowledge on how to direct individuals with BP to the right treatment option at the right time [ 21 , 22 ] and how to prevent acute BP and NP from becoming chronic [ 23 ]. Consequently, a clinical and research priority is to, at an early stage, identify subgroups of patients with nonspecific BP and NP who are at risk of developing long-standing disability, in order to optimize treatment [ 17 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

Comparison of the Swedish STarT Back Screening Tool and the Short Form of the Örebro Musculoskeletal Pain Screening Questionnaire in patients with acute or subacute back and neck pain

Forsbrand

Grahn

Hill

et al. 2017

BMC Musculoskelet Disord

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BackgroundPatients with back and neck pain are often seen in primary care and it is important to provide them with tailored interventions based on risk stratification/triage. The STarT Back Screening Tool (SBT) is a widely used screening questionnaire which has not yet been validated for a population with back and/or neck pain with short duration. Our aim was to compare the concurrent validity of the SBT and the short form of the ÖMPSQ including psychometric properties and clinical utility in a primary care setting.MethodsPatients who applied for physiotherapy by direct access (January 2013 to January 2014) at 35 primary care centers in south Sweden, with acute or subacute back and/or neck pain, aged 18–67 years, who were not currently on sick leave or had been on sick leave less than 60 days were asked to complete the SBT and ÖMPSQ-short questionnaire (n = 329). We used the Spearman’s rank correlations to study correlations, cross tabulation and Cohen’s kappa to analyze agreement of patient classification. Clinical utility was described as clinician scoring miscalculations and misclassifications of total and/or subscale scores.ResultsCompleted SBT (9-items) and ÖMPSQ-short (10-items) data were available for 315/329 patients respectively. The statistical correlation for SBT and ÖMPSQ-short total scores was moderately strong (0.62, p < 0.01). In subgroup analyses, the correlations were 0.69 (p < 0.01) for males and 0.57 (p < 0.01) for females. The correlations were lower among older age groups, especially females over 50 years (0.21, p = 0.11). Classification to high or low risk for long-term pain and disability had moderate agreement (κ = 0.42). Observed classification agreement was 70.2%. The SBT had fewer miscalculations (13/315) than the ÖMPSQ-short (54/315).ConclusionsThe correlation between the SBT and the ÖMPSQ-short scores were moderately strong for individuals with acute or subacute back and/or neck pain. SBT seemed to be clinically feasible to use in clinical practice. We therefore suggest that SBT can be used for individuals with both BP and/or NP in primary care settings but it is important to be aware of that SBT’s agreement with the ÖMPSQ-short was poor among females aged over 50 years.Trial registrationClinicalTrials.gov ID: NCT02609750 Registered: November 18, 2015.

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Section: Introductionmentioning

confidence: 99%

Comparison of the Swedish STarT Back Screening Tool and the Short Form of the Örebro Musculoskeletal Pain Screening Questionnaire in patients with acute or subacute back and neck pain

Forsbrand

Grahn

Hill

et al. 2017

BMC Musculoskelet Disord

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“…[1][2][3][4] Its etiology, in most cases (up to 85%), is unknown or nonspecific. 1 Studies indicate that approximately 80% of the population will have one or more episodes of low back pain at some time during their life, being one of the most frequently encountered conditions in clinical practice.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Self-Reported Spinal Pain in Brazil: Results of the National Health Research

2017

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Objective: To identify the prevalence and distribution of cases of self-reported spinal disorders by persons who are 18 years or older living in Brazil according to sociodemographic variables. Methods: We used the Pesquisa Nacional de Saúde (PNS, national health research), developed by the Brazilian Institute of Geography and Statistics (IBGE) in partnership with the Ministry of Health. The data obtained from the website of IBGE System of Automatic Recovery -SIDRA were analyzed using the SPSS Statistics software version 20.0, IBM. Results: In Brazil 19% of the adult population report chronic spinal pain, 15.26% (± 4.56) men and 20.08% (+/-4.11) women. After the age of 60, the prevalence is higher. Regarding skin color 18.26% (± 3.53) are white, 17.27% (± 6.65) are black and 17.93% (± 4.05) are brown, with no statistical difference. As for education, 23.55% (±5.70) had low or absent schooling (p < 0.001). The southern region of Brazil has the highest percentage (23.3%) of adults with chronic problems in the spine, and the state with the highest percentage is Paraná, with 26%. Conclusions: The results showed that there is a relationship between spinal pain and sociodemographic characteristics, pointing to the southern region as the most affected by spinal disorders when compared to other regions of the country.Keywords: Spine; Chronic pain; Epidemiology; Population surveys; Population. Statistics versión 20.0 de IBM. Resultados: En Brasil 19% de los adultos reporta dolor crónico en la columna vertebral,15,26% (± 4,56) hombres y 20,08% (± 4,11) mujeres. Después de los 60 años, la prevalencia es más alta. Con respecto al color de la piel 18,26% (± 3,53) son de color blanco, 17,27% (± 6,65) RESUMO

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“…Despite previous studies pointing the high prevalence of CLBP in Turkey, there was no analysis for the associated behavioral factors of CLBP. 15,16 Results of this study will help to develop public health strategies to ensure integration of active rehabilitation and education programs about cognitive health and to improve functional and pain outcomes 40 in patients. In the light of this study, we propose public health smoking and alcohol consumption cessation programs, development of guidelines to promote healthy eating, physical activity, and increasing the awareness of kinesitherapy and psychotherapy are advisable strategies to improve low back health.…”

Section: Discussionmentioning

confidence: 99%

Risk factors associated with chronic low back pain: an analysis of Turkey health survey data

Çınaroğlu

2018

Int J Community Med Public Health

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Background: Turkey, a developing country has low back disorders as the most common symptom among adults with 33% prevalence in 2014. The patient’s self reports are important to determine the condition as chronic low back pain (CLBP) is a symptom rather than the disease. However, there is a scarcity of knowledge about self-reported CLBP among adults from developing countries. Methods: A community-based cross-sectional population survey study conducted by face-to-face interviews. To identify socio-demographic factors, health, behavior, and comorbidities associated with (CLBP). 6729 adults (≥15 years) with self-reported CLBP and 12400 non-CLBP adults who participated 2014 Turkey Health Survey (THS) were included. Data on smoking, alcohol consumption, physical activity, healthy eating behavior, muscle strengthening activities, and kinesitherapist and psychotherapist visits were collected. Socio-demographic characteristics, comorbidities, and health of CLBP and non-CLBP adults were compared using logistic regression analysis. Results: Age, gender, marital status, occupational status and health insurance were associated with a higher likelihood to report CLBP (p<0.001). The likelihood of diabetes and hypertension was higher in patients with CLBP (p<0.001). Visiting a psychotherapist, smoking and healthy eating were associated with a higher likelihood of CLBP (p<0.001) whereas, alcohol consumption, physical activity, muscle strengthening activities and visiting kinesiotherapist were associated with a lower likelihood of CLBP (p<0.001). Conclusions: Reduced smoking and alcohol consumption, healthy eating, increased physical activity, kinesitherapy and psychotherapy can be employed to manage CLBP.

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Evidence base and future research directions in the management of low back pain

Cited by 5 publications

References 48 publications

Comparison of the Swedish STarT Back Screening Tool and the Short Form of the Örebro Musculoskeletal Pain Screening Questionnaire in patients with acute or subacute back and neck pain

Comparison of the Swedish STarT Back Screening Tool and the Short Form of the Örebro Musculoskeletal Pain Screening Questionnaire in patients with acute or subacute back and neck pain

Prevalence of Self-Reported Spinal Pain in Brazil: Results of the National Health Research

Risk factors associated with chronic low back pain: an analysis of Turkey health survey data

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