Epidemiology of Non-Specific Back Pain in Children and Adolescents: a Systematic Review of Observational Studies

Robalo, Lina; Cruz, Eduardo; Nunes, Carla

doi:10.4172/2165-7025.1000266

Cited by 5 publications

(1 citation statement)

References 19 publications

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“…2 Nonspecific low back pain (NSLBP) is a common type not caused by an identifiable disease, 3 prevalent among both older adults 4 and the younger population. 5 LBP imposes a significant economic burden on healthcare, emphasizing the need for effective strategies to reduce its impact. 6 Clinical practice guidelines (CPGs) provide evidencebased recommendations to enhance client care, 7 aiding clinicians in accessing research evidence efficiently.…”

Section: Introductionmentioning

confidence: 99%

A Review of Clinical Practice Guidelines for Physiotherapy Management of Patients with Non-Specific Low Back Pain

Ranganathan,

Singh

2024

Natl J Community Med

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Background: Despite the availability of various clinical practice guidelines (CPGs) offering evidence-based recommendations, there exists a global diversity in physiotherapy practices for managing patients with non-specific low back pain (NSLBP). In this review, we aim to critically appraise and map the current evidence regarding physiotherapy management for patients with NSLBP. Methods: A search strategy was formulated and searched in MEDLINE, Scopus, EBSCOhost, PEDro and Google Scholar between 2013 and 2023 in English. Critical appraisal was performed using International Centre for Allied Health Evidence (iCAHE) guideline checklist. Results: A total of 12 CPGs met the selection criteria were synthesised. Exercise therapy, physical activity and manual therapy were consistently recommended for patients with NSLBP across most guidelines, irrespective of symptom duration. Cognitive-behavioural therapy was frequently advised for those with chronic NSLBP. However, notable absences of recommendations for electrotherapy, mechanical traction, bed rest, and lumbar corsets in NSLBP management. Moreover, emerging treatments such as shock wave therapy and cognitive-functional therapy were not extensively addressed in the guidelines. Conclusion: Multimodal and active forms of physiotherapy management were predominantly recommended in most of the guidelines. However, there is a clear necessity for updated CPG that effectively integrate biopsychosocial approaches into the management of patients with NSLBP.

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Section: Introductionmentioning

confidence: 99%

A Review of Clinical Practice Guidelines for Physiotherapy Management of Patients with Non-Specific Low Back Pain

Ranganathan,

Singh

2024

Natl J Community Med

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Physical activity and exercise in the prevention of musculoskeletal pain in children and adolescents

Molina-García

Ariza‐Vega

Estévez‐López

2022

Treatments, Mechanisms, and Adverse Reactions of Anesthetics and Analgesics

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Prevalence of low Back pain among adolescents in relation to the weight of school bags

Akbar

AlBesharah

Al-Baghli

et al. 2019

BMC Musculoskelet Disord

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BackgroundThe association between the weight of school bag and Low Back Pain (LBP) amongst students remains under intense debate worldwide. This study aimed to estimate the prevalence of LBP amongst public high school students (14 to 19 years) in Kuwait and to investigate the association between LBP and the weight of school bags.MethodsAn analytical cross-sectional study using multistage cluster random sampling with probability proportional to size was conducted on a total of 950 public high school students from all governorates. Data on LBP were collected through face-to-face interviews using a structured questionnaire. A 0–10 Numeric Pain Rating Scale was used to rate the intensity of LBP. The students’ height and weight in addition to the weight of their school bags were measured using appropriate weight and height scales. Logistic regression was used to investigate the association between the weight of school bags and LBP while adjusting for potential confounders.ResultsThe estimated lifetime, 6-month, and 1-month prevalence of LBP were 70.3% (95% CI: 67.30–73.21%), 49.1% (95% CI: 45.83–52.28%), and 30.8% (95% CI: 27.81–33.78%) respectively, with significantly higher prevalence amongst females compared to males (p < 0.001). The absolute weight of school bag was not significantly associated with LBP neither in univariable nor multivariable analysis. The relative weight of school bag (as a percentage of the body weight) was significantly associated with LBP in univariable analysis but not in multivariable analysis. The perceived heaviness of school bag, however, was found to be significantly associated with LBP throughout the analysis (p < 0.001).ConclusionIn conclusion, LBP amongst high school students in Kuwait seems to be very common with a prevalence resembling that of high-income countries. Our data suggest that the perceived heaviness of school bag is far more important than the actual bag weight. Current recommendations about the weight of school bags, which are not supported by evidence, should be revised to take into account the students’ perceived heaviness of school bag.

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Epidemiology of Non-Specific Back Pain in Children and Adolescents: a Systematic Review of Observational Studies

Cited by 5 publications

References 19 publications

A Review of Clinical Practice Guidelines for Physiotherapy Management of Patients with Non-Specific Low Back Pain

A Review of Clinical Practice Guidelines for Physiotherapy Management of Patients with Non-Specific Low Back Pain

Physical activity and exercise in the prevention of musculoskeletal pain in children and adolescents

Prevalence of low Back pain among adolescents in relation to the weight of school bags

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