Prevalence of low back pain in different educational levels: a systematic review

Batista, Alexandre Apolinário de Souza; Oliveira, Vinícius Cunha

doi:10.1590/1980-5918.030.s01.ar04

Cited by 14 publications

(7 citation statements)

References 50 publications

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“…Our findings support previous evidence in high- and middle-income countries, suggesting that a low level of education is associated with a risk of LBP and associated functional limitations (Batista Henschke & Oliveira 2017 ; Dionne et al 2001 ; Reisbord & Greenland 1985 ). These associations could reflect variations in behavioural and environmental risk factors as well as variations in living and work conditions.…”

Section: Discussionsupporting

confidence: 91%

Biopsychosocial factors associated with chronic low back pain-related activity limitations in Burundi

Nduwimana

Nindorera²,

Sinzakaraye³

et al. 2022

S. Afr. j. physiother.

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Background: Chronic low back pain (CLBP) is an increasing burden worldwide. The biopsychosocial factors associated with CLBP-related activity limitations have not yet been investigated in Burundi.Objective: The aim of our study was to investigate the biopsychosocial factors that influence the CLBP-related activity limitations in a Burundian sample population.Method: We carried out a cross-sectional study of 58 adults with nonspecific CLBP from Bujumbura city. Univariate and bivariate analyses were used to investigate the association between biopsychosocial factors and CLBP activity limitations. Sequential multiple regression analyses were subsequently used to predict CLBP activity limitations.Results: Fifty-eight individuals with a mean age of 41.3 ± 10.20, 58.6% of female gender, were recruited. The univariate and bivariate analyses demonstrated that educational level, gender, healthcare coverage, profession, height, pain intensity, depression and physical fitness were significantly associated with CLBP-related activity limitations (p range, 0.001 to 0.05). The multivariate regression analysis showed that the significant biopsychosocial factors accounted for 49% of the variance in self-reported activity limitations. Predictors of activity limitations were education level (β = −0.369; p = 0.001), abdominal muscle endurance (β = −0.339; p = 0.002) and depression (β = 0.289; p = 0.011).Conclusions: Our study provides evidence of biopsychosocial factor associations with CLBP-related activity limitations in Burundi. Evidence-based management and prevention of CLBP in Burundi should incorporate a biopsychosocial model.Clinical implications: Biopsychosocial factors should be regularly evaluated in people with chronic low back pain and efforts to improve the burden of chronic low back pain in Burundi should take these factors into account.

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Section: Discussionsupporting

confidence: 91%

Biopsychosocial factors associated with chronic low back pain-related activity limitations in Burundi

Nduwimana

Nindorera²,

Sinzakaraye³

et al. 2022

S. Afr. j. physiother.

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“…The present ndings of participants with less than a university-level education having signi cantly greater pain intensity and more ADL limitations than were reported by participants with a university education are consistent with prior reports identifying lesser education as being associated with risk of LBP and associated disability. 39,40,41 These associations could re ect variations in behavioral and environmental risk factors as well as variations in living and work conditions. For example, people without a university education are more likely to have jobs that are associated with lumbar spine strain, and are less likely to have adequate access to health services and to have developed adaptive stress coping strategies.…”

Section: Discussionmentioning

confidence: 99%

Biopsychosocial Factors Associated with Chronic Low Back Pain in Burundi

Nduwimana¹,

Nindorera²,

Sinzakaraye³

et al. 2021

Preprint

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Background and purpose: Chronic low back pain (CLBP) is an increasing burden worldwide. The biopsychosocial factors associated with CLBP have not yet been investigated in Burundi. The aim of this study was to investigate the biopsychosocial factors that influence the CLBP-related outcomes of self-reported pain intensity, limitations in activities of daily living (ADLs), and social participation (SP) restrictions in a Burundian sample population.Methods: We carried out a cross-sectional study of 58 adults with non-specific CLBP from Bujumbura city. Measures of pain intensity, ADL limitations, SP restrictions, and biopsychosocial factors were analyzed with descriptive, inferential, and correlational statistics.Results: The biopsychosocial factors found to be associated with CLBP outcomes were body mass index (BMI), education level, gender, healthcare coverage, depression, trunk muscles endurance, and perceived exertion. Self-reported pain intensity was found to be significantly associated with a sub-university education level, depressiveness, high perceived exertion, low spine extensor muscles endurance, and low abdominal muscles endurance (p range, <0.001 to <0.05). Greater disability, in terms of ADL limitations and SP restrictions, was associated with sub-university education level, female gender, lack of healthcare coverage, high BMI, depressiveness, low spine extensor muscles endurance, and low abdominal muscles endurance, and high perceived exertion (p range, <0.001 to <0.05). Conclusions: This study provides evidence of biopsychosocial factor associations with CLBP-related pain, ADL limitations, and SP restrictions in Burundi. Significantly associated factors were consistent with factors that have been associated with CLBP outcomes in high-income countries, with the addition of lack of healthcare coverage as a significant factor in Burundi. Evidence-based management of CLBP in Burundi should incorporate a biopsychosocial model.

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“…As regards teaching and postural orientations, in the physiotherapists' perceptions, the patients' low level of education was one of the aspects that hampered their understanding of the need to include postural care in their everyday routine. Regarding their low level of education, there are reports in the literature that individuals with higher level of education demonstrate lower prevalence of low back pain when compared to those with intermediate or lower levels [29]. Therefore, another issue to be taken into consideration is the ways and means of communication used (even regarding language) and stimulating learning.…”

Section: Discussionmentioning

confidence: 99%

Challenges in postural orientations for workers away from work with low back pain

Rocha

Alencar

2018

Fisioter. mov.

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Introduction: Postural orientations are necessary in cases of low back pain, and challenges arise in chronic cases. Objective: To investigate the challenges in the postural orientation of workers in a situation of absence from work and with chronic low back pain. Methods: The study was divided into two steps. In the first stage, physiotherapists that were taking part in the “Low Back Pain Project” at the Reference Center for Worker’s Health in Santos-SP were invited, and a script was used to conduct individual interviews that were recorded for thematic content analysis. In the second stage, there was a selection of workers that were patients attended by the Physical Therapy sector, with chronic low back pain and in a situation of absence from work, and a Discussion Group was conducted with the patients and physical therapists, which was also recorded for content analysis. Results: In stage 1, three physiotherapists aged 26 to 33 years old participated. The statements revealed: intense work demands, little understanding of the patients’ difficulties, “stigmas” related to the situation of absence from work, among others. In stage 2, fourteen workers participated, aged between 47 and 50, of both sexes and different professions along with the three physiotherapists. The group evidenced: difficulties in daily living activities outside the therapeutic environment, disrespect to physical restrictions at work, fear of returning to work, among others. Conclusion: Challenges related to work organization aspects and psychosocial issues were found, and it is necessary to advance in the teaching-learning processes.

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Prevalence of low back pain in different educational levels: a systematic review

Cited by 14 publications

References 50 publications

Biopsychosocial factors associated with chronic low back pain-related activity limitations in Burundi

Biopsychosocial factors associated with chronic low back pain-related activity limitations in Burundi

Biopsychosocial Factors Associated with Chronic Low Back Pain in Burundi

Challenges in postural orientations for workers away from work with low back pain

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