Effects of workplace, family and cultural influences on low back pain: What opportunities exist to address social factors in general consultations?

Shaw, William S.; Campbell, Paul; Nelson, Candace C.; Main, Chris J.; Linton, Steven J.

doi:10.1016/j.berh.2013.09.012

Cited by 46 publications

(40 citation statements)

References 98 publications

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“…The aetiology of many pain conditions, such as back pain, is unclear and the identification of risk factors has been hampered by shortcomings in epidemiological study methods [1]. As a result, recent back pain research has focussed on understanding the characteristics of patients that affect recovery, chronicity and recurrence [39]. Most early studies on the causes of back pain concentrated on physical exposures, such as manual material handling, repetitive movements, awkward postures, and vibration [1].…”

Section: Influence Of Culture On Pain Perception Disability and Manmentioning

confidence: 99%

“…The emphasis should therefore move to research directed at the structural, social and cultural factors that shape the experience of pain. The prevailing biopsychosocial model of pain implicitly supports the notion that societal, lifestyle, and biological explanations of pain are interconnected and mutually reinforcing [11]. However, most research efforts to date are directed towards the biological and psychological aspects of pain, with the social aspect largely overlooked.…”

Section: Introductionmentioning

confidence: 99%

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Understanding cultural influences on back pain and back pain research

Henschke

Lorenz

Pokora

et al. 2016

Best Practice & Research Clinical Rheumatology

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Low back pain is highly prevalent and places a considerable burden on individuals, their families and communities. This back pain burden is unequally distributed around the world and within populations. Clinicians and researchers addressing back pain should be aware of the cultural, social and political context of back pain patients and how this context can influence pain perception, disability and health care use. Culture, which influences the beliefs and behaviour of individuals within a social group, could be considered an important contributor to the unequal distribution of back pain. However, there is paucity of high-quality research exploring the influence of culture on the experience and management of back pain. Further development and testing of specific tools, assessment methods and communication strategies are needed to improve our understanding of how cultural practices, values and identifications affect those dealing with back pain.

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Section: Influence Of Culture On Pain Perception Disability and Manmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Understanding cultural influences on back pain and back pain research

Henschke

Lorenz

Pokora

et al. 2016

Best Practice & Research Clinical Rheumatology

View full text Add to dashboard Cite

show abstract

“…We believe that optimal upskilling will require further research into the ‘social’ ‘in the biopsychosocial model 8. Issues relating to work, family, social support and loneliness do not seem to receive the attention they need.…”

Section: Call To Actionmentioning

confidence: 99%

Psychosocial factors in low back pain: letting go of our misconceptions can help management

et al. 2018

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“…When a patient presents with disability, clinicians need to explore the influence of contextual elements related to the patient’s occupation (work) and social context (ie, family) on the patient’s painful symptoms and disability 90. With a working adult population, assessing the presence of contextual factors that affect work disability is crucial as it will guide treatment.…”

Section: Domains and Their Operational Definitionsmentioning

confidence: 99%

“…Similar to the StartBack tool, it has been developed to predict who is likely to remain on prolonged sick leave. However, when a patient has persistent pain and is disabled from work, therapists need to explore the specific influence of workplace and social context on the patient’s disability 90. Hence, some elements of the first category are related to the patient’s subjective beliefs about work, as the patient’s attitude toward his/her job is a strong predictor of disability and pain 94–96.…”

Section: Domains and Their Operational Definitionsmentioning

confidence: 99%

Rehabilitation management of low back pain – it’s time to pull it all together!

Tousignant-Laflamme

Martel

Joshi

et al. 2017

JPR

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In the past, rehabilitation research initiatives for low back pain (LBP) have targeted outcome enhancement through personalized treatment approaches, namely through classification systems (CS). Although the use of CS has enhanced outcomes, common management practices have not changed, the prevalence of LBP is still high, and only selected patients meet the CS profile, namely those with a nociceptive context. Similarly, although practice guidelines propose some level of organization and occasionally a timeline of care provision, each mainly provides best practice for isolated treatment approaches. Moreover, there is no theoretical framework that has been proposed that guides the rehabilitation management process of mechanical LBP. In this commentary, we propose a model constituted of five domains (nociceptive drivers, nervous system dysfunction drivers, comorbidities drivers, cognitive–emotional drivers, and contextual drivers) grounded as mechanisms driving pain and/or disability in LBP. Each domain is linked to the International Classification of Functioning, Disability and Health, where once a patient is deemed suitable for rehabilitation, the clinician assesses elements of each domain in order to identify where the relative treatment efforts should be focused. This theoretical model is designed to provide a more comprehensive management overview, by appreciating the relative contribution of each domain driving pain and disability. Considering that the multiple domains driving pain and disability, and their interaction, requires a model that is comprehensive enough to identify and address each related issue, we consider that the proposed model has several positive implications for rehabilitation of this painful and highly prevalent musculoskeletal disorder.

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Effects of workplace, family and cultural influences on low back pain: What opportunities exist to address social factors in general consultations?

Cited by 46 publications

References 98 publications

Understanding cultural influences on back pain and back pain research

Understanding cultural influences on back pain and back pain research

Psychosocial factors in low back pain: letting go of our misconceptions can help management

Rehabilitation management of low back pain – it’s time to pull it all together!

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Effects of workplace, family and cultural influences on low back pain: What opportunities exist to address social factors in general consultations?

Cited by 46 publications

References 98 publications

Understanding cultural influences on back pain and back pain research

Understanding cultural influences on back pain and back pain research

Psychosocial factors in low back pain: letting go of our misconceptions can help management

Rehabilitation management of low back pain &ndash; it&rsquo;s time to pull it all together!

Contact Info

Product

Resources

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Rehabilitation management of low back pain – it’s time to pull it all together!