COVID-19 and its Impact on Back Pain

Angotti, Morgan L; Mallow, G. Michael; Wong, Arnold Y. L.; Haldeman, Scott; Samartzis, D

doi:10.1177/21925682211041618

Cited by 19 publications

(14 citation statements)

References 27 publications

(46 reference statements)

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“…73 Although telerehabilitation/telemedicine may facilitate home-based disease management, older people or underprivileged individuals may have difficulty in using telehealth. 27,74 Future studies should investigate the optimal strategies for delivering telerehabilitation/tele-exercise to older people or people in low-income countries.…”

Section: Changes In Exercise Formatsmentioning

confidence: 99%

Differential Effects of the COVID-19 Pandemic on Physical Activity Involvements and Exercise Habits in People With and Without Chronic Diseases: A Systematic Review and Meta-analysis

Kwok

Ngan

et al. 2022

Archives of Physical Medicine and Rehabilitation

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Section: Changes In Exercise Formatsmentioning

confidence: 99%

Differential Effects of the COVID-19 Pandemic on Physical Activity Involvements and Exercise Habits in People With and Without Chronic Diseases: A Systematic Review and Meta-analysis

Kwok

Ngan

et al. 2022

Archives of Physical Medicine and Rehabilitation

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“…Patients with spinal stenosis or other diseases often seek help from relatives and friends to deal with their stresses and concerns [ 52 ]. The COVID-19 outbreak and social isolation that came with it, negatively, affected many patients with chronic diseases [ 53 , 54 ]. Social media has become an essential platform for the public to access information and communicate with others instantly [ 55 , 56 ].…”

Section: Discussionmentioning

confidence: 99%

An exploratory study to understand how people use Twitter to share experiences or information about spinal stenosis

Wong

Kawchuk

2022

Chiropr Man Therap

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Background Spinal stenosis is a narrowing of the spinal canal that may compress neurological tissues resulting in pain and disability. Although previous qualitative studies have solicited data regarding the life experience of patients with spinal stenosis or their opinions on relevant non-surgical treatments, their data was collected from participants in a controlled setting. Therefore, it remains unclear whether patients’ or caregivers’ concerns/opinions about spinal stenosis would be different in a non-experimental environment. Since Twitter is a popular online platform for people to share information and interact, it may reveal people’s thoughts and attitudes about spinal stenosis. This study aimed to identify tweets that are related to spinal stenosis on Twitter, and to categorize them into common themes. Methods A social media monitoring and analysis software program (TalkWalker) was used to search relevant tweets using the keywords 'spinal stenosis' and 'stenosis' between 29 May 2019 and 24 June 2020. Two independent reviewers screened and conducted content analysis of the tweets and classified the tweets into different themes. Results Of 510 identified tweets, 362 tweets met the selection criteria. Five themes were identified: (1) compromised physical, psychological, and social wellbeing (n = 173); (2) diverse treatment options (n = 69); (3) coping strategies (n = 30); (4) dissemination of scientific information (n = 86); and (5) health policy (n = 4). Most of the tweets revealed negative impacts of spinal stenosis on patients' physical and psychosocial wellbeing. People with spinal stenosis shared their experiences and sought helps from others, while some people used Twitter to disseminate relevant information and research findings. Conclusions This is the first study exploring Twitter using an online analytical tool to identify themes related to spinal stenosis. The approach not only helps understand people’s concerns about spinal stenosis in an uncontrolled environment, but also can be adopted to monitor influences of diseases or public health education on Twitter users.

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“…Our study found that the overall use of telehealth by chiropractors rose to one in four (26%) compared to one in twenty (5%) before the COVID-19 pandemic began. While this increase may be considered substantial for a profession that has traditionally relied on doing things 'by hand', by comparison, a near tenfold uptake of telehealth has been reported within other healthcare professions, such as medicine [ 33 , 34 ] and physiotherapy [ 35 ]. Limited information does suggest that many chiropractors may have concerns that patient needs will not be met through telehealth [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

The impact and public health response of chiropractors to the COVID-19 pandemic: a survey across four continents

et al. 2022

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Background The unprecedented impact of COVID-19 on healthcare professionals has implications for healthcare delivery, including the public health guidance provided to patients. This study aims to assess the response and impact of COVID-19 on chiropractors internationally, and examines the public health response of chiropractors to the COVID-19 pandemic practising under a musculoskeletal spine-care versus subluxation-based care paradigm. Methods A survey was distributed to chiropractors in Australia, Canada, Denmark, Hong Kong, United Kingdom and United States (Oct. 2nd–Dec. 22nd, 2020) via professional bodies/publications, and social media. Questions were categorised into three domains: socio-demographic, public health response and business/financial impact. Multivariable logistic regression explored survey items associated with chiropractors practising under different self-reported paradigms. Results A total of 2061 chiropractors representing four global regions completed the survey. Our recruitment method did not allow the calculation of an accurate response rate. The vast majority initiated COVID-19 infection control changes within their practice setting, including increased disinfecting of treatment equipment (95%), frequent contact areas (94%) and increased hand hygiene (94%). While findings varied by region, most chiropractors (85%) indicated that they had implemented regulator advice on the use of personal protective equipment (PPE). Suspension of face-to-face patient care during the peak of the pandemic was reported by 49% of the participants with 26% implementing telehealth since the pandemic began. Chiropractors practising under a musculoskeletal spine-care paradigm were more likely to implement some/all regulator advice on patient PPE use (odds ratio [OR] = 3.25; 95% confidence interval [CI]: 1.57, 6.74) and practitioner PPE use (OR = 2.59; 95% CI 1.32, 5.08); trust COVID-19 public health information provided by government/World Health Organisation/chiropractic bodies (OR = 2.47; 95% CI 1.49, 4.10), and initiate patient telehealth in response to COVID-19 (OR = 1.46; 95% CI 1.02, 2.08) compared to those practising under a subluxation-based paradigm. Conclusions Chiropractors who responded to our survey made substantial infectious control changes in response to COVID-19. However, there was regional variation in the implementation of the advised practitioner and patient use of PPE and limited overall use of telehealth consultations by chiropractors during COVID-19. Musculoskeletal spine-care chiropractors were more adaptive to certain COVID-19 public health changes within their practice setting than subluxation-based chiropractors.

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COVID-19 and its Impact on Back Pain

Cited by 19 publications

References 27 publications

Differential Effects of the COVID-19 Pandemic on Physical Activity Involvements and Exercise Habits in People With and Without Chronic Diseases: A Systematic Review and Meta-analysis

Differential Effects of the COVID-19 Pandemic on Physical Activity Involvements and Exercise Habits in People With and Without Chronic Diseases: A Systematic Review and Meta-analysis

An exploratory study to understand how people use Twitter to share experiences or information about spinal stenosis

The impact and public health response of chiropractors to the COVID-19 pandemic: a survey across four continents

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