A Systematic Review on the Prevalence of Low Back Pain in Nigeria

Bello, Bashir; Adebayo, Halima Bello

doi:10.5812/mejrh.45262

Cited by 29 publications

(22 citation statements)

References 16 publications

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“…The annual LBP prevalence rates of 33%–74% estimated in Nigeria ( Bello and Bello, 2017 ) is higher than the prevalence rates of 14%–51% reported in other African countries ( Louw et al, 2007 ). The burden, however, seems to be greater among rural dwellers than urban dwellers as the prevalence rates of 40%–74% ( Omokhodion, 2002 ; Tella et al, 2013 ) found in rural Nigeria is higher than the 44% rate found in urban Nigeria ( Omokhodion, 2004 ).…”

Section: Introductionmentioning

confidence: 59%

Motor control exercise and patient education program for low resource rural community dwelling adults with chronic low back pain: a pilot randomized clinical trial

Ibrahim¹,

Akindele²,

Ganiyu³

2018

J Exerc Rehabil

101

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This pilot randomized clinical trial assessed the feasibility of implementing motor control exercise (MCE) and patient education (PE) program for the management of chronic low back pain (CLBP) in a low resource rural Nigerian community. Thirty patients with CLBP were recruited and randomly assigned to MCE, PE, or MCE plus PE groups. The MCE program was provided twice a week while the PE program was provided once a week all for 6 weeks. Feasibility was assessed through recruitment rate, treatment compliance, retention/dropout rate, report of adverse events, perceived helpfulness, overall satisfaction, and clinical outcome of pain (numeric pain rating scale) and functional disability (Oswestry Disability Index). Many patients were willing to participate in the study and the recruitment rate was 77%. Treatment compliance in all the three groups were >65% for supervised treatment sessions and <50% for prescribed home program. Retention rate was high and greater overall satisfaction with the interventions was reported. Compared with the baseline, all the three groups improved significantly in pain and disability (P<0.05) after 6 weeks. Pairwise comparison revealed that the MCE plus PE group was superior to the PE group for pain and to the MCE for disability (P<0.05), with large effect size. It was concluded that the designed interventions are promising and conducting a full-scale randomized clinical trial in the future is feasible to confirm the effectiveness of the interventions for the management CLBP in rural Nigeria. (Trial registration: ClinicalTrials.gov, NCT03398174)

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Section: Introductionmentioning

confidence: 59%

Motor control exercise and patient education program for low resource rural community dwelling adults with chronic low back pain: a pilot randomized clinical trial

Ibrahim¹,

Akindele²,

Ganiyu³

2018

J Exerc Rehabil

101

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“…The one-year prevalence of LBP (57%) among Africans 7 is much higher than the global annual LBP prevalence (39%) 2 . The prevalence rate of 33–74% reported for Nigerians 8 is higher than the 14–51% reported for other African nations 9 and also among the Western nations (20–56%) 10 . Moreover, the one-year prevalence rate ranging between 40% and 74%11, 12 in rural Nigeria is considerably greater than the range 38–44% reported for urban areas 13, 14.…”

Section: Introductionmentioning

confidence: 92%

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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“…Chronic LBP appears to be a major cause of disability in Nigeria with an estimated annual prevalence of 33-74% [49]. The burden, however, is unduly greater in rural areas compared to urban areas as the oneyear prevalence rate of 74% found in rural Nigeria is higher than the 44% found in urban Nigeria [50,51].…”

Section: Introductionmentioning

confidence: 96%

Development of the Hausa Version of the Pain Catastrophizing Scale: Translation, Cross-Cultural Adaptation and Psychometric Evaluation in Mixed Urban and Rural Patients with Chronic Low Back Pain

Ibrahim

Akindele

Kaka

et al. 2020

Preprint

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Background: Catastrophizing has been recognized as an important contributor to chronicity in individuals with chronic pain syndromes including low back pain (LBP). The Pain Catastrophizing Scale (PCS) is perhaps the most widely used questionnaire to evaluate the degree of pain catastrophizing. However, its use is limited in Hausa-speaking countries due to the lack of a validated translated version.Objective: To translate and cross-culturally adapt the PCS into Hausa (Hausa-PCS) and evaluate its psychometric properties in mixed urban and rural patients with chronic LBP.Methods: The original PCS was translated and cross-culturally adapted into Hausa in accordance with established guidelines. To evaluate psychometric properties, a consecutive sample of 200 patients with chronic LBP was recruited from urban and rural Nigerian hospitals. Validity was evaluated by exploring content validity (skewness and item-total correlation), factorial structure (exploratory factor analysis [EFA] and confirmatory factor analysis [CFA]), concurrent validity (Spearman’s rho) and known-groups validity. Reliability was evaluated by calculating internal consistency (Cronbach’s α), intraclass correlation coefficient (ICC), standard error of measurement (SEM), minimal detectable change (MDC) and limits of agreement with 95% confidence interval (LOA95%).Results: The Hausa-PCS demonstrated good face and content validity. Both EFA and CFA confirmed a 3-factor structure similar to the original English version. The concurrent validity was supported as 83% (5/6) of the a priori hypotheses were confirmed. Known-groups comparison showed that the questionnaire was unable to differentiate between male and female or urban and rural patients (p > 0.05). Internal consistency and ICC was adequate for the Hausa-PCS total score (α = 0.84; ICC = 0.90) and the subscale helplessness (α = 0.78; ICC = 0.89) but for the subscales rumination (α = 0.69; ICC =0.68) and magnification (α = 0.41; ICC = 0.43). The LOA95% for the Hausa-PCS total score was between –8.10 and +9.75, with SEM and MDC of 3.47 and 9.62 respectively. Conclusion: The Hausa-PCS was successfully developed and psychometrically adequate in terms of factorial structure, concurrent validity, internal consistency and test-retest reliability when applied in mixed urban and rural patients with chronic LBP. However, the internal consistency and reliability coefficients (ICC) for the individual subscales are questionable. Thus, we support the use of the total score when evaluating pain catastrophizing for clinical or research purposes.

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A Systematic Review on the Prevalence of Low Back Pain in Nigeria

Cited by 29 publications

References 16 publications

Motor control exercise and patient education program for low resource rural community dwelling adults with chronic low back pain: a pilot randomized clinical trial

Motor control exercise and patient education program for low resource rural community dwelling adults with chronic low back pain: a pilot 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

Development of the Hausa Version of the Pain Catastrophizing Scale: Translation, Cross-Cultural Adaptation and Psychometric Evaluation in Mixed Urban and Rural Patients with Chronic Low Back Pain

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