Low Back Pain in a Natural Disaster

Angeletti, Chiara; Guetti, Cristiana; Ursini, Maria Laura; Taylor, Robert; Papola, Roberta; Petrucci, Emiliano; Ciccozzi, Alessandra; Paladini, Antonella; Marinangeli, Franco; Pergolizzi, Joseph V.; Varrassi, Giustino

doi:10.1111/papr.12087

Cited by 17 publications

(14 citation statements)

References 34 publications

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“…Included studies used a variety of data sources, including administrative databases, surveys and patient charts [8–10, 12–15, 25–37] (Table 1). Fifteen studies collected data retrospectively.…”

Section: Resultsmentioning

confidence: 99%

Prevalence of low back pain in emergency settings: a systematic review and meta-analysis

Edwards

Hayden

Asbridge

et al. 2017

BMC Musculoskelet Disord

129

102

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BackgroundLow back pain may be having a significant impact on emergency departments around the world. Research suggests low back pain is one of the leading causes of emergency department visits. However, in the peer-reviewed literature, there has been limited focus on the prevalence and management of back pain in the emergency department setting. The aim of the systematic review was to synthesize evidence about the prevalence of low back pain in emergency settings and explore the impact of study characteristics including type of emergency setting and how the study defined low back pain.MethodsStudies were identified from PubMed and EMBASE, grey literature search, and other sources. We selected studies that presented prevalence data for adults presenting to an emergency setting with low back pain. Critical appraisal was conducted using a modified tool developed to assess prevalence studies. Meta-analyses and a meta-regression explored the influence of study-level characteristics on prevalence.ResultsWe screened 1187 citations and included 21 studies, reported between 2000 and 2016 presenting prevalence data from 12 countries. The pooled prevalence estimate from studies of standard emergency settings was 4.39% (95% CI: 3.67-5.18). Prevalence estimates of the included studies ranged from 0.9% to 17.1% and varied with study definition of low back pain and the type of emergency setting. The overall quality of the evidence was judged to be moderate as there was limited generalizability and high heterogeneity in the results.ConclusionThis is the first systematic review to examine the prevalence of low back pain in emergency settings. Our results indicate that low back pain is consistently a top presenting complaint and that the prevalence of low back pain varies with definition of low back pain and emergency setting. Clinicians and policy decisions makers should be aware of the potential impact of low back pain in their emergency settings.Electronic supplementary materialThe online version of this article (doi:10.1186/s12891-017-1511-7) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Prevalence of low back pain in emergency settings: a systematic review and meta-analysis

Edwards

Hayden

Asbridge

et al. 2017

BMC Musculoskelet Disord

129

102

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“…Evacuation of life after natural disasters induce conditions for an increase in musculoskeletal pain, such as bad posture, heavy physical efforts, and immobility due to unfamiliar circumstances (Yabuki et al 2015;Yabe et al 2017). Furthermore, natural disasters changed working status (Angeletti et al 2014) and subjective economic hardship was associated with low back and shoulder pain after the GEJE (Hagiwara et al 2017b;Yabe et al 2017). Psychological distress under natural disasters was considered to affect peoples' perception of pain (Angeletti et al 2014), and a reduced pain threshold and elevated sympathetic nervous system activity were considered as candidate reasons (Angeletti et al 2012(Angeletti et al , 2014.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, natural disasters changed working status (Angeletti et al 2014) and subjective economic hardship was associated with low back and shoulder pain after the GEJE (Hagiwara et al 2017b;Yabe et al 2017). Psychological distress under natural disasters was considered to affect peoples' perception of pain (Angeletti et al 2014), and a reduced pain threshold and elevated sympathetic nervous system activity were considered as candidate reasons (Angeletti et al 2012(Angeletti et al , 2014. Musculoskeletal pain after natural disasters disturbed activities of daily living of survivors (Hagiwara et al 2017a).…”

Section: Discussionmentioning

confidence: 99%

“…Matsumoto et al (2014) reported that sleep disturbance was also common among the survivors in the 6-12 months following the GEJE and associated with socioeconomic factors. Although the prevalence of musculoskeletal pain increases after natural disasters (Angeletti et al 2014;Yabuki et al 2015) and careful attention has been paid to psychological and socioeconomic factors, there are no reports examining the influence of musculoskeletal pain on sleep disturbance after natural disasters.…”

Section: Introductionmentioning

confidence: 99%

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Higher Incidence of Sleep Disturbance among Survivors with Musculoskeletal Pain after the Great East Japan Earthquake: A Prospective Study

Yabe

Hagiwara

Sekiguchi

et al. 2018

Tohoku J. Exp. Med.

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Sleep disturbance is a common symptom after natural disasters. Although musculoskeletal pain also increases after natural disasters, its relation to sleep disturbance is not clear. The purpose of this study was to determine the influence of musculoskeletal pain on new-onset sleep disturbance among survivors after the Great East Japan Earthquake (GEJE). A prospective cohort study was conducted with the survivors of the GEJE at two and three years after the earthquake. New-onset sleep disturbance was defined as sleep disturbance absent at two years and present at three years after the earthquake. The sites of musculoskeletal pain included low back, shoulder, knee, and hand or foot. The number of musculoskeletal pain sites at two years after the earthquake was divided into three categories (0, 1, and 2 or more). Univariate and multivariate logistic regression models were used to calculate the odds ratio (OR) and 95% confidence interval (95%CI) for new-onset sleep disturbance according to the number of musculoskeletal pain sites. A total of 1,102 survivors were included in this study and 14.6% of the participants reported new-onset sleep disturbance. Using "0" as a reference, the adjusted ORs (95% CI) for new-onset sleep disturbance were 2.43 (1.55-3.80) in "1" and 2.96 (1.88-4.64) in "2 or more", respectively (P for trends < 0.001). In conclusion, this is the first study showing higher incidence of sleep disturbance among survivors with musculoskeletal pain after the GEJE. Care for musculoskeletal pain is important to prevent sleep disturbance after natural disasters.

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“…In patients with fibromyalgia, an association was noted between reduced HRV and anxieties, and depression and perceived stress [21]. It has been previously proposed that stress is associated with increased norepinephrine and sympathetic nervous system activity, as well as a risk factor for primary nonspecific low back pain to chronic [22]. So, it is possible that chronic activation and exhaustion of the autonomic nervous system lead not only to a lowered resting HRV response but also to a lack of autonomic flexibility, as shown in the current study; patients with CRPS showed no autonomic reaction to paced breathing, although they reduced, as healthy controls, their breathing rate.…”

Section: Discussionmentioning

confidence: 99%

Heart Rate Autonomic Regulation System at Rest and During Paced Breathing among Patients with CRPS as Compared to Age-Matched Healthy Controls

Bartur

Vatine²,

Raphaely-Beer

et al. 2014

Pain Med

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Low Back Pain in a Natural Disaster

Cited by 17 publications

References 34 publications

Prevalence of low back pain in emergency settings: a systematic review and meta-analysis

Prevalence of low back pain in emergency settings: a systematic review and meta-analysis

Higher Incidence of Sleep Disturbance among Survivors with Musculoskeletal Pain after the Great East Japan Earthquake: A Prospective Study

Heart Rate Autonomic Regulation System at Rest and During Paced Breathing among Patients with CRPS as Compared to Age-Matched Healthy Controls

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