The causes of low back pain: a network analysis

Campbell, Carol; Muncer, Steven

doi:10.1016/j.socscimed.2004.05.013

Cited by 35 publications

(30 citation statements)

References 55 publications

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“…This is similar to the report that 51.5% nurses with multiple pregnancies experienced LBP [4]. Female participants reported that their back pain was attributed to pregnancy and childbirth [19]. Obesity, which is one of the contributing factors for lumbar pain, leads to decreased abdominal muscle strength and increases the level of lumbar-lordosis.…”

Section: Discussionsupporting

confidence: 84%

Factors Associated with Low Back Pain Among Nurses in Critical Care Units, Hospital Universiti Sains Malaysia

Gim¹

2017

BJSTR

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Section: Discussionsupporting

confidence: 84%

Factors Associated with Low Back Pain Among Nurses in Critical Care Units, Hospital Universiti Sains Malaysia

Gim¹

2017

BJSTR

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“…14,15 Studies have investigated activities, situations, and anatomic structures that people see as being responsible for their back pain, but not how or why beliefs have been formed. 14,[16][17][18] Health care professionals may negatively influence patient beliefs. 19 There is strong evidence that patients' beliefs about low back pain are associated with their clinicians' beliefs, and moderate evidence suggests that patient and clinician fear avoidance beliefs are also associated.…”

Section: Introductionmentioning

confidence: 99%

The Enduring Impact of What Clinicians Say to People With Low Back Pain

Darlow

Dowell

Baxter

et al. 2013

The Annals of Family Medicine

226

154

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PURPOSE The purpose of this study was to explore the formation and impact of attitudes and beliefs among people experiencing acute and chronic low back pain.METHODS Semistructured qualitative interviews were conducted with 12 participants with acute low back pain (less than 6 weeks' duration) and 11 participants with chronic low back pain (more than 3 months' duration) from 1 geographical region within New Zealand. Data were analyzed using an Interpretive Description framework.RESULTS Participants' underlying beliefs about low back pain were influenced by a range of sources. Participants experiencing acute low back pain faced considerable uncertainty and consequently sought more information and understanding. Although participants searched the Internet and looked to family and friends, health care professionals had the strongest influence upon their attitudes and beliefs. Clinicians influenced their patients' understanding of the source and meaning of symptoms, as well as their prognostic expectations. Such information and advice could continue to influence the beliefs of patients for many years. Many messages from clinicians were interpreted as meaning the back needed to be protected. These messages could result in increased vigilance, worry, guilt when adherence was inadequate, or frustration when protection strategies failed. Clinicians could also provide reassurance, which increased confidence, and advice, which positively influenced the approach to movement and activity.CONCLUSIONS Health care professionals have a considerable and enduring influence upon the attitudes and beliefs of people with low back pain. It is important that this opportunity is used to positively influence attitudes and beliefs. INTRODUCTIONL ow back pain is a health condition with major direct and indirect costs.1-4 Acute low back pain is assumed to have a highly positive prognosis 5 ; however, a large proportion of patients continue to experience pain and disability. 6 Psychosocial factors are important in the development of low back pain and disability. 7,8 Depression, passive coping strategies, fear avoidance beliefs (the avoidance of movement or activity resulting from fear of pain or injury), and low expectations of recovery are independently associated with poor outcome.9,10 A clinical guide to assessing psychosocial warning signs (yellow flags) developed in New Zealand has been adopted internationally. Patients' beliefs need to be better understood to improve management of low back pain. 10,12,13 People with low back pain receive information from a range of sources, but the influence of each source is unknown.14,15 Studies have investigated activities, situations, and anatomic structures that people see as being responsible for their back pain, but not how or why beliefs have been formed. 14,[16][17][18] Health care professionals may negatively influence patient beliefs. 19There is strong evidence that patients' beliefs about low back pain are associated with their clinicians' beliefs, and moderate evidence suggests

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“…Chronic Low back dysfunction (CLBD) developed as a result of bad postural addiction, spondylolisthesis, spondylosis, repetitive trauma or derangement, the dysfunction syndrome is the condition in which tightness and instability developed causing pain before complete full normal end range movement. Essentially, the condition arises because the movement is performed inadequately at a time when shortening of soft tissues is taking place [4]. The goals of the treatment include reducing pain, improving the quality of life and increase function depending on the type and source of the pain.…”

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confidence: 99%

Conventional Therapy Versus Positional Release Technique in the Treatment of Chronic Low Back Dysfunction

Ibraheem¹

2017

IJPR

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Background: Chronic low back dysfunction (CLBD) is the most common problem of the working-age population in modern industrial society. It is not a life-threatening illness but it has a long-term impact on medical care expenditures for injured workers.Purpose: To compare the effect of conventional therapy and positional release technique on pain, lumbar range of motion and functional disability in patients with chronic low back dysfunction. Materials and Methods:Sixty patients from both sexes were diagnosed with CLBP, aged 30 to 60 years and were divided randomly into two equal groups with thirty patients in each group; group A received conventional therapy that include (infrared, ultrasound, stretch and strength exercises for back and abdominal muscles) and group B received positional release technique. The treatment sessions were applied 3 days per week for 6 weeks. The pain was measured by Visual Analogue Scale, the lumbar range of motion was measured by Inclinometer and Functional disability was measured by Oswestry disability scale. Measurements were taken at two intervals pretreatment and post treatment. Results:The result of the current study revealed that there was a statistically significant reduction (p <0.05) in pain level and functional disability and significant increase (p <0.05) in lumbar flexion in favor to group A than group B.Conclusion: Positional release technique and conventional therapy may be an effective treatment for individuals with chronic low back dysfunction although the result of this study revealed that conventional therapy has a significant improvement in pain severity, functional disability and lumbar flexion range of motion than positional release technique.

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The causes of low back pain: a network analysis

Cited by 35 publications

References 55 publications

Factors Associated with Low Back Pain Among Nurses in Critical Care Units, Hospital Universiti Sains Malaysia

Factors Associated with Low Back Pain Among Nurses in Critical Care Units, Hospital Universiti Sains Malaysia

The Enduring Impact of What Clinicians Say to People With Low Back Pain

Conventional Therapy Versus Positional Release Technique in the Treatment of Chronic Low Back Dysfunction

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