Functioning in neck and low back pain from a 12-year perspective: A prospective population-based study

Thelin, Anders; Holmberg, Sara; Thelin, Nils

doi:10.2340/16501977-0205

Cited by 69 publications

(45 citation statements)

References 33 publications

(31 reference statements)

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“…LBP is said to be the most common cause of functional disability and absence from work in the world (3). Additionally, LBP is the main source of functional disability and work absence through a significant part of the world (3), and it imposes colossal socioeconomic weight on people, families, groups, industry, and governments (4). Violinn (5) expressed that an expanding measure of research exhibited that low back torment is a noteworthy issue in the low and middle income countries.…”

Section: Contextmentioning

confidence: 99%

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

Bello

Adebayo

2017

Middle East J Rehabil Health Stud

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Context: Low back pain (LBP) is a common musculoskeletal disorder affecting the general population. The prevalence of LBP varies across the studied populations, geographic areas, and age groups.Evidence Acquisition: Prevalence of LBP in Nigeria is largely occupational based. The prevalence differs based on the type of occupation, population, or age group. Therefore, it is necessary to collect data that can help to identify a point or annual prevalence that guides practice and policy making. The databases of PubMed, Embase, CINAHL, SPORTDiscus, and SciELO were searched from the inception to May, 2016. A strategy was developed to search the databases. Articles were included if they reported the prevalence of LBP in Nigeria. The methodological quality of the included studies was assessed.Results: A total of 103 studies were yielded among which 12 studies were relevant. The 12-month prevalence of LBP was commonly reported, and it was estimated from 32.5% to 73.53%. All of the reviewed studies were occupational based and did not depict a true general population prevalence of LBP. Conclusions:The findings of the current review demonstrated a high prevalence of LBP among workers. Future studies with appropriate methodological design on a general population helps to identify the impact of LBP in Nigeria.

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Section: Contextmentioning

confidence: 99%

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

Bello

Adebayo

2017

Middle East J Rehabil Health Stud

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“…It is the leading cause of sickness absence and health care use. [18][19][20][21] In the UK the direct healthcare costs of back pain in 1998 was £1632 million. However the larger burden is that of the indirect costs related to lost production and informal care which were estimated to be at least £5,018 million.…”

Section: Economic Burden Of Low Back Painmentioning

confidence: 99%

“…The scoring for each item ranges from 0 (less than 1 day per week) to 3 (5 to 7 days per week). The scoring for items 2, 6,7,12, 14,16,18,20,21 and 23 is reversed.MZDI score = sum of all items.The range of the score is from 0 to 69 where higher score indicates more depressed. …”

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confidence: 99%

Identifying back pain subgroups: developing and applying approaches using individual patient data collected within clinical trials

Patel

Hee

Mistry

et al. 2016

Programme Grants Appl Res

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Total word count including appendix: 93,499 ii ABSTRACT BackgroundThere is good evidence that therapist delivered interventions have modest beneficial effects for people with low back pain (LBP). Identification of subgroups of people with LBP who may benefit from these different treatment approaches is an important research priority. Aim and objectivesOverall aim was to improve the clinical and cost-effectiveness of LBP treatment by providing patients, their clinical advisors, and health service purchasers with better information about which participants are most likely to benefit from which treatment To achieve these objectives required substantial methodological work including the development and evaluation of some novel statistical approaches. This programme of work was not designed to analyse main effect of interventions and no such interpretations should be made.iii MethodsFirstly, we reviewed the literature on treatment moderators and subgroups. We initially invited investigators of trials of therapist-delivered interventions for LBP with >179 participants to share their data with us; some further smaller trials offered to us were also included. Using these trials we developed a repository of individual participant data of therapist delivered interventions for LBP. Using this dataset we sought to identify which participant characteristics, if any, predict response to different treatments (moderators) for clinical and cost effectiveness outcomes.We did an ANCOVA to identify potential moderators to apply in our main analyses.Subsequently we developed and applied three methods of subgroup identification; recursive partitioning (interaction trees and subgroup identification based on a differential effect search), adaptive risk group refinement, and an individual participant data indirect network meta-analysis to identify sub-groups defined by multiple parameters. ResultsWe included data from 19 randomised controlled trials with 9,328 participants (mean age 49 years, 57% females). Our prespecified analyses using recursive partitioning and adaptive risk group refinement performed well and allowed us to identify some subgroups. The differences in the effect size in the different subgroups were typically small, and unlikely to be clinically meaningful. Increasing baseline severity on the outcome of interest was the strongest driver of sub-group identification that we identified. Additionally we explored the application of Bayesian indirect network metaanalysis. This method produced varying probabilities that a particular treatment choice would be most likely to be effective for a specific patient profile. ConclusionThese data lack clinical or cost-effectiveness justification for the use of baseline characteristics in the development of subgroups for back pain. The methodological developments from this work have the potential to be applied in other clinical areas.iv The pooled repository database will serve as a valuable resource to the LBP research community. FundingFunding from the NIHR Programme Grants for Ap...

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“…[5][6][7][8][9] Low back pain is the leading cause of activity limitation and work absence throughout much of the world, and it causes a great economic burden on individuals, communities and governments. [10][11][12][13] The point prevalence of LBP is 28.5% found in an Asian country. 14 The lifetime prevalence of low back pain is reported to be over 70%.…”

Section: Introductionmentioning

confidence: 99%

Lumbar flexion relaxation phenomenon in the patients with acute and subacute mechanical low back pain and normal subjects

Desai

Bisen

2017

Int J Res Med Sci

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Background: The purpose is to examine the myoelectrical activity of erector spinae muscle in patients with acute and sub-acute mechanical low back pain (MLBP) and normal subjects.Methods: A total of 30 patients 15 with MLBP and 15 normal subjects of both genders participated in the study with convenient sampling; all were aged between 20-50 years. The participants were asked to perform movement which was paced by computer running a program and the myoelectrical activity of erector spinae muscle in patients with acute and sub-acute mechanical low back pain and normal subjects were examined.Results: This study stated that patients with MLBP has increased or over activity of erector spinae muscle during complete lumbar flexion when the muscle should be electrically silent. This was observed with help of EMG graph where increase in activity was observed with increase in amplitude, duration and time in graph.Conclusions: There is increase in the amplitude, duration and time in flexion relaxation phenomenon (FRP) in mechanical low back pain patients when compared to normal subjects.

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Functioning in neck and low back pain from a 12-year perspective: A prospective population-based study

Abstract: Non-specific neck pain and low back pain at a given time impacted on the risk of limited physical and social functioning many years later. Current symptoms of depression and anxiety at the time for the second survey had a high impact on functional limitations.

Cited by 69 publications

References 33 publications

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

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

Identifying back pain subgroups: developing and applying approaches using individual patient data collected within clinical trials

Lumbar flexion relaxation phenomenon in the patients with acute and subacute mechanical low back pain and normal subjects

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