How low back pain is managed-a mixed methods study in 32 countries. Part 2 of Low Back Pain in Low- and Middle-Income Countries Series
J Orthop Sports Phys Ther. 2024 Apr 11:1-42. doi: 10.2519/jospt.2024.12406. Online ahead of print.ABSTRACTBACKGROUND: The Lancet Series of Low Back Pain (LBP) highlighted the lack of LBP data from low- and middle-income countries (LMICs). The study aimed to describe (1) what LBP care is currently delivered in LMICs, and (2) how that care is delivered. METHODS: An online mixed-methods study. A Consortium for LBP in LMICs (n=65) was developed with an expert panel of leading LBP researchers (>2 publications on LBP) and multidisciplinary clinicians and patient partners with five years of clinical/lived LBP experience in LMICs. Quantitative data were analyzed using descriptive statistics. Two researchers independently analyzed qualitative data using deductive and inductive coding and developed a thematic framework. FINDINGS: Forty-seven (85%) of 55 invited panel members representing 32 LMICs completed the survey (38% women; 62% men). The panel included clinicians (34%), researchers (28%), educators (6%), and patient partners (4%). Pharmacotherapies and electrophysiological agents were the most used LBP treatments. The Thematic Framework comprised of eight themes: (1) Self-management is ubiquitous; (2) Medicines are the cornerstone; (3) Traditional therapies have a place; (4) Society plays an important role; (5) Imaging use is very common; (6) Reliance on passive approaches; (7) Social determinants influence LBP care pathway; and (8) Health systems are ill-prepared to address LB...
Source: Physical Therapy - Category: Physiotherapy Authors: Saurab Sharma Anupa Pathak Romy Parker Leonardo Oliveira Pena Costa Babita Ghai Chinonso Igwesi-Chidobe Prawit Janwantanakul Fabianna Resende de Jesus-Moraleida Mulugeta Bayisa Chala Mohammadreza Pourahmadi Andrew M Briggs Edward Gorgon Clare L Ardern Kar Source Type: research
More News: Back Pain | Funding | Low Back Pain | Orthopaedics | Pain | Pain Management | Physical Therapy | Physiotherapy | Sports Medicine | Statistics | Study | Women