scholarly journals The profile of people reporting with low back pain to a resource poor clinic in Cape Town

2010 ◽  
Vol 66 (2) ◽  
Author(s):  
D.L. Yates ◽  
J.M. Jelsma ◽  
R.E. Parker

In order to provide targeted information regarding understanding and  management  of  low  back  pain  (LBP),  it  is  necessary  to  understand  the life situation of patients. The objective of this study was to develop a profile of patients with LBP seeking care in an under-resourced area of Cape Town.The subjects were all patients attending a community health centre with a primary diagnosis of LBP. A self-designed questionnaire was used to gather relevant information such as BMI, smoking, physical activities at home and work and  potentially  stressful  life  events.  Questions  about  perceptions  of  LBP,  the role of health personnel, income and employment were included.  Subjects could also identify which information they would like to be given by their health care providers. Fifty  subjects  were  interviewed,  74%  were  female.  The  mean  ages  were  50.7  years  (SD  14.0)  and  54.1  years (SD  15.1)  for  males  and  females  respectively.  There  was  a  high  prevalence  of  smoking  and  obesity,  low  levels  of  education, and many reported high stress levels. There were a high percentage of manual workers and the nature of their activities could put them at risk for development and exacerbation of LBP. Few people knew what to expect with regard to the likely outcome of their pain and the majority identified the need for communication about the duration, prognosis, implications and management of LBP. Conclusion: A profile developed of the typical LBP patient in this community provided valuable information, which can be utilized to develop appropriate intervention strategies.

Pain ◽  
2010 ◽  
Vol 150 (3) ◽  
pp. 458-461 ◽  
Author(s):  
Pål Gulbrandsen ◽  
Henrik Bjarke Madsen ◽  
Jurate Saltyte Benth ◽  
Even Lærum

1998 ◽  
Vol 12 (1) ◽  
pp. 1-15 ◽  
Author(s):  
Christine Cedraschi ◽  
Margareta Nordin ◽  
Alf L. Nachemson ◽  
Thomas L. Vischer

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Luciana G. Macedo ◽  
Julie Richardson ◽  
Michele C. Battie ◽  
Mark Hancock ◽  
Matthew Kwan ◽  
...  

Abstract Background Low back pain (LBP) is a long-term health condition with an unpredictable pattern of symptomatic episodes, remission, and recurrence. Recently published systematic reviews suggest that exercise is the most effective intervention for preventing recurrences of LBP in persons that have recovered. Similar programs may also be effective in preventing flare-ups in persistent LBP. The aim of this study was to test the feasibility of the Back to Living Well program (Physical activity + Education + Self-management) developed to prevent recurrence or flare-ups of LBP. The study evaluated feasibility in terms of recruitment rate, adherence, satisfaction with the exercise and education sessions, and the data collection procedures. We also aimed to evaluate barriers and facilitators to the engagement in the program. Methods Seventeen participants with non-specific LBP recently discharged from care from physiotherapy, chiropractors or physician care (< 3 months) were referred to the study by health care providers or community advertisements between December 2018 and February 2019. Participants underwent a 12-week (1 session/week) individualized, group-based exercise in the community and 4 sessions (30 min each) of education. All participants completed an action plan weekly for 12 weeks and wore an activity monitor for 6 months. All participants responded to weekly pain measures and completed study questionnaires at baseline, 3- and 6-months. Feasibility outcomes included recruitment, attrition rates and satisfaction. At the end of the intervention, participants completed an end-of-program survey. Results Twenty-nine participants were screened for eligibility; 20 were deemed eligible, while 17 were included over a 2-month period meeting our feasibility targets. In total, 16 completed follow-up study questionnaires at 3 months, and 15 completed the 6-month follow-up. Fourteen participants responded to weekly messages, while 3 participants reported not having a mobile device or Internet access. In total, 15 participants responded to our end-of-program survey. Average age was 54.9 (11.7); 9 were female (53%), and the mean duration of LBP was 62.9 (69.7) months. All satisfaction responses in relation to the exercise program, education program and data collection procedures reached our threshold of 70% out of 100%. Reported barriers to engagement in the program included fear of injury, lack of motivation and travel. Facilitators included proximity to home, low cost, flexible schedule and friendly location. Conclusion The results show the program is feasible in terms of recruitment, low attrition, and patient satisfaction. Participants highlighted the excellent, relevant education program and the positive, personalized exercise. Future studies should evaluate the effectiveness of this intervention within a fully powered randomized controlled trial. Trial registration NCT03328689


10.2196/16101 ◽  
2020 ◽  
Vol 7 (1) ◽  
pp. e16101 ◽  
Author(s):  
Paul William Hodges ◽  
Jenny Setchell ◽  
Mandy Nielsen

People increasingly use the internet to obtain information about health complaints, including low back pain (LBP). LBP is the leading cause of disability internationally, and outcomes are worsening. There is an urgent need for resources that aid improvement of outcomes. There have been calls to engage consumers in the development of resources, but this has rarely been implemented. MyBackPain is a website that was developed with extensive involvement of consumers to ensure that the resource meets their needs for content and presentation. This paper aimed to describe the multistep process undertaken to develop the MyBackPain website and provide an extensive evaluation of its impact. Development of MyBackPain involved 10 steps, many of which have been published in the academic literature. These steps included consultation regarding consumer needs, evaluation of existing internet resources, identification of key messages to be reinforced, identification of frequently asked questions, consensus for content, content development (including development of algorithms to guide tailoring of the user experience), development of consumer-focused evidence-based treatment summaries, development of descriptions of health care providers, and testing. Evaluation included qualitative examination of people’s interactions with the website and its effects on their daily lives and an ongoing randomized controlled trial of impact of use of the site on people’s LBP-related health literacy, clinical outcomes, and treatment choices. It is hoped that the website can aid in the reduction of the massive burden of LBP and provide a template for the development of resources for other conditions.


2018 ◽  
Vol 18 (4) ◽  
pp. 691-711 ◽  
Author(s):  
Louisa Chou ◽  
Tom A. Ranger ◽  
Waruna Peiris ◽  
Flavia M. Cicuttini ◽  
Donna M. Urquhart ◽  
...  

2005 ◽  
Vol 9 (2) ◽  
pp. 173-183 ◽  
Author(s):  
Ruud M.A. Houben ◽  
Raymond W.J.G. Ostelo ◽  
Johan W.S. Vlaeyen ◽  
Pieter M.J.C. Wolters ◽  
Madelon Peters ◽  
...  

2021 ◽  
Vol 30 (4) ◽  
pp. 374
Author(s):  
PaulOladapo Ajayi ◽  
SamsonAyo Deji ◽  
KayodeRasaq Adewoye ◽  
OA Atoyebi ◽  
AyoKamal Alabi ◽  
...  

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