A Critical Review of Low Back Pain Guidelines

2017 ◽  
Vol 65 (9) ◽  
pp. 388-394 ◽  
Author(s):  
Laran Chetty
Keyword(s):  
Health Care ◽  
Low Back Pain ◽  
Back Pain ◽  
Clinical Practice ◽  
Health Care Professionals ◽  
Critical Review ◽  
Clinical Guidelines ◽  
Research Evidence ◽  
Low Back ◽  
Agree Instrument

Low back pain (LBP) remains one of the most common and challenging musculoskeletal conditions encountered by health care professionals and is a leading cause of absenteeism. Clinical guidelines are often considered best evidence in health care. The aim of this critical review was to assess the quality and recommendations of LBP guidelines using the Appraisal of Guidelines Research and Evaluation (AGREE) instrument. Electronic databases were used to identify LBP guidelines published between 2000 and 2015. Nine guidelines were selected for review from a total of 17. Only five guidelines effectively addressed the AGREE scoring. On the basis of the appraisal and domain scores, only four guidelines were strongly recommended. Improved translation of research evidence from guidelines to clinical practice is needed.

Prevalence of Work Related Low Back Pain in Healthcare Professionals

2020 ◽  
pp. 26-30
Author(s):  
OJS Admin
Keyword(s):  
Health Care ◽  
Low Back Pain ◽  
Back Pain ◽  
Health Care Professionals ◽  
Healthcare Professionals ◽  
Preventive Measures ◽  
The Other ◽  
Low Back ◽  
Work Related ◽  
Causative Factors

Health care professionals experience more low back pain than most of the other groups. Occupational and social stresses, no use of preventive measures, poor body mechanics, excessive movements and not seeking medical care are considered as the causative factors for back pain.

scholarly journals Reviewing the Diagnostic Classifications used for Low Back Pain in Physiotherapy-related Research.

2019 ◽  
Author(s):  
Steve Milanese ◽  
David Worth
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Clinical Practice ◽  
Clinical Assessment ◽  
Full Text ◽  
Research Evidence ◽  
Low Back ◽  
Physiotherapy Practice ◽  
Standard Clinical Practice ◽  
Practice Gap

Background: The evidence-to-practice gap, where clinical practice does not reflect the findings from research evidence, has been identified as a concern in allied health disciplines such as physiotherapy. Failure to provide care according to current (research) evidence raises the potential that patients are receiving care that is either not needed, is ineffective, less effective than current research indicates, or potentially harmful. For research evidence to be translatable to clinical practice, the research should be seen to be applicable, i.e. the clinician should be able to recognise that the research study sample reflects their patient population. Method: This study presents a pragmatic clinical review of patient sampling from high level primary research trials investigating physical therapy for low back pain. Only studies where full text copies were freely accessible to clinicians were reviewed. The review collated the characteristics of the study subjects and explored how they related to standard clinical practice. Results: A total of 63 full text randomised controlled trials papers were identified and reviewed. Across the studies reviewed, the clinical presentations of included subjects were variably described, with inconsistencies in the diagnostic labels used, the characteristics of the symptoms reported and the nature of the exclusion criteria applied. Of concern was the lack of reporting of patient’s clinical presentation according to standard clinical assessment findings to allow the clinician to gauge the applicability of the study. Conclusion: A core principle of clinical physiotherapy practice is the clinical assessment of the patient to identify the patient’s specific presentation to individualise rehabilitation and exclude serious pathology. To close the evidence-practice gap, we either need to revisit standard clinical practice or focus on the reporting of the research evidence to ensure its applicability.

scholarly journals Identifying relations between posture and pain in lower back pain patients: a narrative review

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Sai Kripa ◽  
Harmanpreet Kaur
Keyword(s):  
Health Care ◽  
Low Back Pain ◽  
Back Pain ◽  
Health Care Professionals ◽  
Low Back ◽  
Strenuous Activity ◽  
Anterior Pelvic Tilt ◽  
Unpleasant Feeling ◽  
Flat Back ◽  
Pain Patients

AbstractPosture is a “body’s attitude or the positioning of the limbs when standing or sitting.” There are many examples of different postures which include lordotic posture, swayback posture, flat back, and anterior pelvic tilt. Everyone in some of the other parts of their life considers pain as an unpleasant feeling or sensation that is experienced. Specifically, low back pain can be relentless and daunting to many people who often recovered without the need of a health care professional or any treatment by changing their posture or performing the movement. Various factors are leading to low back pain other than the postural fault, for instance, age, sedentary lifestyle, anxiety, and sleep. However, for back pain, posture has become deep-rooted in people’s thoughts. Health care professionals have instructed people to correct their posture to fight back pain. As people become older, the posture becomes worse, but this does not appear to cause pain. If any person cannot move his/her body, that does not mean that they are having a problem involving posture; that is actually because of a problem relating to movement. A study proved that there is no difference in the lordotic angle of the populace having an issue with LBP. There is a decrease in the range and speed of the movement performed. What matters is the movement rather than the appearance of standing or sitting. The primary aim of this paper is to improve knowledge and understanding of the association between posture and LBP, as, speaking about recent researches, they have observed no association between posture and LBP. There are many studies published to support this evidence. People call the importance of posture and alignment for while performing a heavy deadlift, land a jump, or any strenuous activity. Therefore, an urge to write a paper on this topic is to change the mindset of many people worrying out there about their postural faults or their appearances by providing information about varying their static posture to conform to some ideal and keep moving to improve their function.

scholarly journals Implementing Evidence-Informed Policy into Practice for Health Care Professionals Managing People with Low Back Pain in Australian Rural Settings: A Preliminary Prospective Single-Cohort Study

Pain Medicine ◽  
2014 ◽  
Vol 15 (10) ◽  
pp. 1657-1668 ◽  
Author(s):  
Helen Slater ◽  
Andrew M. Briggs ◽  
Anne J. Smith ◽  
Samantha Bunzli ◽  
Stephanie J. Davies ◽  
...  
Keyword(s):  
Health Care ◽  
Cohort Study ◽  
Low Back Pain ◽  
Back Pain ◽  
Health Care Professionals ◽  
Low Back ◽  
Rural Settings ◽  
Single Cohort

Prognostic Factors for Duration of Sick Leave Due to Low-Back Pain in Dutch Health Care Professionals

2005 ◽  
Vol 15 (4) ◽  
pp. 591-605 ◽  
Author(s):  
Ivan A. Steenstra ◽  
Fieke S. Koopman ◽  
Dirk L. Knol ◽  
Eric Kat ◽  
Paulien M. Bongers ◽  
...  
Keyword(s):  
Health Care ◽  
Low Back Pain ◽  
Prognostic Factors ◽  
Back Pain ◽  
Sick Leave ◽  
Health Care Professionals ◽  
Low Back ◽  
Dutch Health ◽  
Dutch Health Care

scholarly journals Implementation of a Multidisciplinary Guideline for Low Back Pain: Process-Evaluation Among Health Care Professionals

2016 ◽  
Vol 27 (3) ◽  
pp. 422-433 ◽  
Author(s):  
Arnela Suman ◽  
Frederieke G. Schaafsma ◽  
Rachelle Buchbinder ◽  
Maurits W. van Tulder ◽  
Johannes R. Anema
Keyword(s):  
Health Care ◽  
Low Back Pain ◽  
Back Pain ◽  
Process Evaluation ◽  
Health Care Professionals ◽  
Low Back

scholarly journals Designing an online resource for people with low back pain: health-care provider perspectives

2016 ◽  
Vol 22 (2) ◽  
pp. 159 ◽  
Author(s):  
Mandy Nielsen ◽  
Gwendolen Jull ◽  
Paul W. Hodges
Keyword(s):  
Health Care ◽  
Low Back Pain ◽  
Back Pain ◽  
Health Care Provider ◽  
Care Provider ◽  
Health Care Professionals ◽  
Low Back ◽  
Care Providers ◽  
Management Options ◽  
Provider Perspectives

People with low back pain (LBP) seek education and information from the Internet. Existing LBP websites are often of poor quality, and disparities have been identified between patient and health-care provider evaluations of LBP websites. This study aimed to identify health-care provider perspectives on desirable content for a proposed LBP website and how this information should be presented. It complements an earlier study of LBP patient (consumer) perspectives. A qualitative descriptive study, encompassing focus groups and telephone interviews, was conducted with 42 health-care professionals practising in the LBP field. Four categories of information were identified: explaining LBP; treatment and management options; myth-busting information; and communication with health-care professionals. Presentation preferences included: use of visual media; interactivity; and useability and readability. Comparison with the consumer study identified differences with regard to: depth and breadth of diagnostic and treatment information; provision of lay person experiences and stories; and capacity for consumer-to-consumer interaction online. Views of both consumers and health-care providers are critical when developing an online LBP resource. Failure to address the needs of both stakeholder groups diminishes the potential of the resource to improve consumer outcomes.

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