Predictors of self-reported disability in community dwelling adults with non-specific chronic low back pain in rural Nigeria

Igwesi-Chidobe, Chinonso Nwamaka; Ezeonu, F.; Onwasigwe, CN; Kitchen, Sheila; Sorinola, Isaac Olubunmi; Godfrey, Emma

doi:10.1016/j.physio.2015.03.3467

Cited by 2 publications

(1 citation statement)

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“…This suggest that rural Nigerians are likely to suffer the burden more than their urban counterparts. In addition to the foregoing, a number of biomechanical factors such as heavy physical work, heavy manual lifting, sustained posture, and prolonged trunk flexion (mainly due to peasant farming)11, 12, 15 as well as psychosocial factors such as fear-avoidance beliefs, catastrophizing, anxiety, and illness perception16, 17 have been reported to be implicated in the etiology of LBP among rural Nigerians. Furthermore, it has been found in a qualitative study 18 that cultural/spiritual beliefs facilitate maladaptive coping strategies resulting in adverse impact of chronic low back pain (CLBP) in rural Nigeria.…”

Section: Introductionmentioning

confidence: 99%

Effects of motor control exercise and patient education program in the management of chronic low back pain among community-dwelling adults in rural Nigeria: a study protocol for a randomized clinical trial

Ibrahim

Akindele

Ganiyu

et al. 2019

Integrative Medicine Research

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Background The impact of chronic low back pain (CLBP) is disproportionally higher in rural Nigeria than in urban areas but lack access to rehabilitation. While exercise and education are commonly advocated interventions for the rehabilitation of CLBP, there is a paucity of community-based randomized clinical trials assessing their benefits among adults with CLBP in rural Nigeria. The purpose of this study is to investigate the effects of motor control exercise (MCE) and patient education (PE) in the management of CLBP among community-dwelling adults in rural Nigeria. Methods This is an assessor-blind, three-arm parallel randomized clinical trial and will be conducted at Tsakuwa Primary Health Care Center in Kano, Northwestern Nigeria. One hundred and twenty adults with CLBP will be recruited and randomized to one of three intervention arms; MCE plus PE, MCE, or PE groups. The MCE will be administered twice a week for 8 weeks while the PE will be provided once a week for 8 weeks. Participants will be assessed pre-intervention, immediately post-intervention and at 3-month post-intervention. Primary outcomes will be pain intensity and functional disability. Secondary outcomes will be quality of life, fear-avoidance beliefs, pain catastrophizing, back beliefs, global perceived recovery, and physical performance. Discussion This will be the first community-based trial to assess the benefits of exercise and education in the management of CLBP among adults in rural Nigeria. The study may provide a relatively inexpensive, assessable, and effective alternative intervention for reducing CLBP disability in a low-resource rural Nigerian community. Trial registration This study is registered at ClinicalTrial.gov and the trial registration number is NCT03393104.

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Section: Introductionmentioning

confidence: 99%

Effects of motor control exercise and patient education program in the management of chronic low back pain among community-dwelling adults in rural Nigeria: a study protocol for a randomized clinical trial

Ibrahim

Akindele

Ganiyu

et al. 2019

Integrative Medicine Research

View full text Add to dashboard Cite

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Pain intensity, physical activity, quality of life, and disability in patients with mechanical low back pain: a cross-sectional study

Ekediegwu,

Onwukike,

Onyeso

2024

Bull Fac Phys Ther

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Background Poorly managed mechanical low back pain (MLBP) and its sequelae, such as severe pain, physical inactivity, and disability, negatively impact patients’ quality of life (QoL). The study aimed to determine the pain intensity (PI), physical activity (PA), QoL, and disability, the association between selected sociodemographic variables and PI, PA, QoL, and disability, and the relationship between PI, PA, QoL, and disability among Nigerians with chronic MLBP. Methods This cross-sectional study employed a consecutive sampling technique. Outcome measures included the Numeric Pain Scale, International Physical Activity Questionnaire-Short Form, WHO Quality-of-Life Brief, and Oswestry Disability Index for PI, PA, QoL, and disability, respectively. Descriptive statistics were used to summarize participants’ sociodemographic variables. Chi-square, Spearman’s correlation, and structural equation modeling (SEM) were used for inferential analyses. Results Two hundred and fifty chronic MLBP patients comprising 154 females and 96 males, completed the study. The mean PA, PI, QoL, and disability levels were 1118.03MET ± 615.30, 5.97 ± 2.69, 73.45% ± 14.21, and 21.7% ± 18.94, respectively. There was a significant correlation between PA and QoL (rho = 0.36, p = 0.001), PA and disability (rho = −0.42, p = 0.010), QoL and disability (rho = −0.21, p = 0.008), QoL and PI (rho = −6.72, p = 0.025), PI and disability (rho = 0.90, p = 0.022). Aside from age and PA (χ2 = 8.52, p = 0.045), there was no significant association between the sociodemographic variables and PI, PA, QoL, or disability. SEM showed a strong positive association between PI and disability (β = 0.80, p < 0.001). Conclusion Individuals with chronic MLBP had a low PA, moderate QoL, and significant disability. Incorporating PA, QoL, and disability assessments may enhance the evaluation and management of MLBP.

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Predictors of self-reported disability in community dwelling adults with non-specific chronic low back pain in rural Nigeria

Cited by 2 publications

References 0 publications

Effects of motor control exercise and patient education program in the management of chronic low back pain among community-dwelling adults in rural Nigeria: a study protocol for a randomized clinical trial

Effects of motor control exercise and patient education program in the management of chronic low back pain among community-dwelling adults in rural Nigeria: a study protocol for a randomized clinical trial

Pain intensity, physical activity, quality of life, and disability in patients with mechanical low back pain: a cross-sectional study

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