scholarly journals An individualised self-management exercise and education program did not prevent recurrence of low back pain but may reduce care seeking: a randomised trial

2020 ◽  
Vol 66 (3) ◽  
pp. 166-173
Author(s):  
Tarcisio F de Campos ◽  
Natasha C Pocovi ◽  
Chris G Maher ◽  
Helen A Clare ◽  
Tatiane M da Silva ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Education Program ◽  
Randomised Trial ◽  
Self Management ◽  
Low Back ◽  
Care Seeking

scholarly journals Reducing sedentary behaviour to decrease chronic low back pain: the stand back randomised trial

2018 ◽  
Vol 75 (5) ◽  
pp. 321-327 ◽  
Author(s):  
Bethany Barone Gibbs ◽  
Andrea L Hergenroeder ◽  
Sophy J Perdomo ◽  
Robert J Kowalsky ◽  
Anthony Delitto ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Sedentary Behaviour ◽  
Chronic Low Back Pain ◽  
Controlled Trial ◽  
Randomised Trial ◽  
Sitting Time ◽  
Self Management ◽  
Low Back

ObjectiveThe Stand Back study evaluated the feasibility and effects of a multicomponent intervention targeting reduced prolonged sitting and pain self-management in desk workers with chronic low back pain (LBP).MethodsThis randomised controlled trial recruited 27 individuals with chronic LBP, Oswestry Disability Index (ODI) >10% and desk jobs (sitting ≥20 hours/week). Participants were randomised within strata of ODI (>10%–<20%, ≥20%) to receive bimonthly behavioural counselling (in-person and telephone), a sit-stand desk attachment, a wrist-worn activity-prompting device and cognitive behavioural therapy for LBP self-management or control. Self-reported work sitting time, visual analogue scales (VAS) for LBP and the ODI were assessed by monthly, online questionnaires and compared across intervention groups using linear mixed models.ResultsBaseline mean (SD) age was 52 (11) years, 78% were women, and ODI was 24.1 (10.5)%. Across the 6-month follow-up in models adjusted for baseline value, work sitting time was 1.5 hour/day (P<0.001) lower comparing intervention to controls. Also across follow-up, ODI was on average 8 points lower in intervention versus control (P=0.001). At 6 months, the relative decrease in ODI from baseline was 50% in intervention and 14% in control (P=0.042). LBP from VAS was not significantly reduced in intervention versus control, though small-to-moderate effect sizes favouring the intervention were observed (Cohen’s d ranged from 0.22 to 0.42).ConclusionAn intervention coupling behavioural counselling targeting reduced sedentary behaviour and pain self-management is a translatable treatment strategy that shows promise for treating chronic LBP in desk-bound employees.Trial registration numberNCT0224687; Pre-results.

scholarly journals Improving consultations for persistent musculoskeletal low back pain in orthopaedic spine settings: an intervention development

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Kathrin Braeuninger-Weimer ◽  
Naffis Anjarwalla ◽  
Alison McGregor ◽  
Lisa Roberts ◽  
Philip Sell ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Intervention Development ◽  
Self Management ◽  
Low Back ◽  
Care Seeking ◽  
Listening Skills ◽  
History Of ◽  
Spine Care ◽  
Interactive Workshop

Abstract Background There is a need to improve consultations between patients with persistent musculoskeletal low back pain and orthopaedic spine clinicians when surgery is not indicated. Poor communication and lack of education about self- management in these consultations have been shown to be associated with increased distress and higher subsequent health care seeking. Aim To develop a standardised intervention to improve spine care consultations for patients for whom surgery is not beneficial. Method The intervention was developed in six stages. The first three stages included: interviews with patients, an interactive workshop with clinicians from a mix of disciplines, and interviews with spine clinicians about their perspective of the recommendations, their perceived difficulties and potential improvements. Information from these stages was synthesised by an expert panel, creating a draft intervention structure and content. The main features of the intervention and the materials developed were then reviewed by patients and spine clinicians. Finally, the research team incorporated the recommended amendments to produce the intervention. Results In total, 36 patients and 79 clinicians contributed to the development of the intervention. The final intervention includes three components: a pre-consultation letter with information suggesting that surgery is one possible intervention amongst many, introducing the staff, and alerting patients to bring with them a potted history of interventions tried previously. The intervention includes short online training sessions to improve clinicians’ communication skills, during the consultation, in reference to listening skills, validation of patients’ pain, and use of appropriate language. Clinicians are also supplied with a list of evidence-based sources for advice and further information to share with patients. Finally, post consultation, a follow up letter includes a short summary of the patients’ clinical journey, the results of their examination and tests, and a reminder of recommendations for self-management. Conclusion The intervention includes aspects around patient education and enhanced clinician skills. It was developed with input from a multitude of stakeholders and is based on patients’ perceptions of what they would find reassuring and empowering when surgery is excluded. The intervention has the potential to improve the patients care journey and might lead to changes in practice in spine clinicians.

scholarly journals TEXT4myBACK – The development process of a self-management intervention delivered via text message for low back pain

2021 ◽  
pp. 100128
Author(s):  
Carolina G. Fritsch ◽  
Paulo H. Ferreira ◽  
Joanna L Prior ◽  
Giovana Vesentini ◽  
Patricia Schlotfeldt ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Development Process ◽  
Text Message ◽  
Self Management ◽  
Low Back ◽  
Management Intervention

Are Healthcare Providers Providing Appropriate Educational Material for People with Low Back Pain?

2021 ◽  
pp. 21
Author(s):  
Dalia Alemam
Keyword(s):  
Saudi Arabia ◽  
Low Back Pain ◽  
Back Pain ◽  
Healthcare Providers ◽  
Educational Material ◽  
Self Management ◽  
Low Back ◽  
Contributing Factors ◽  
Educational Materials ◽  
Military Hospitals

Introduction: One of the contributing factors to the burden of low back pain (LBP) is the failure to provide patients with appropriate education and advice about diagnosis and management. To date, no information exists about whether the content of patients’ information and educational material provided in physiotherapy clinics in Saudi Arabia is in line with the Clinical Practice Guidelines and contemporary practice. Therefore, the aim of this study was to investigate the content of educational material provided by physiotherapy clinics, hospitals, or distributed by healthcare associations to people with LBP in Saudi Arabia, to determine whether this information is adequate to reassure patients and inform self-management. This study also seeks to explore whether these materials are consistent with CPGs for people with LBP. Methodology: A sample of educational items (English or Arabic) in Saudi Arabia was collected. Content analysis was conducted to analyze data based on manifest content. Result: Seventeen educational materials were included, originating from diverse sources; the Ministry of Health hospitals (n = 10), military hospitals (n = 4), private hospitals (n = 2), and multidisciplinary healthcare association (n = 1). Six main sub-themes were identified: epidemiological/anatomical data about LBP (n = 6); causes/risk factors (n = 10); exercise (n = 14) and physical activity-related recommendations (n = 3); treatment-related recommendations (n = 2); general health and lifestyle-related recommendations (n = 8); and postural and ergonomics-related recommendations (n = 13). Ultimately, one theme was formulated, namely, the content of educational materials was hindering reassurance and self-management for people with LBP. The items reviewed were heavily influenced by the biomedical model of pain. Conclusion: The educational materials reviewed failed to properly report information about LBP from a biopsychosocial perspective and were inadequate to assure patients or inform self-management.

The ‘back home’ leaflet: developing a self-management leaflet for people with acute low back pain

1997 ◽  
Vol 9 (1) ◽  
pp. 61-63
Author(s):  
J.A. Chapman ◽  
L. Smith ◽  
P. Little ◽  
E. Cantrell ◽  
J. Langridge ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Self Management ◽  
Low Back ◽  
Acute Low Back Pain

scholarly journals Profile and management of patients with low back pain complaints in a Brazilian Emergency Department: a cross-sectional retrospective study

2020 ◽  
Vol 10 (3) ◽  
pp. 70-77
Author(s):  
Larissa Faria Borges ◽  
Ligia Loiola Cisneros ◽  
Danielle Aquino Silva ◽  
Amabile Borges Dario ◽  
Manuela Ferreira ◽  
...  
Keyword(s):  
Emergency Department ◽  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity Score ◽  
Low Back ◽  
Care Seeking ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Demographic Profile ◽  
Manchester Triage System

Objective: To describe the demographic profile and the management of patients with low back pain (LBP) complaints presenting to the Emergency Department (ED) of a Brazilian public hospital. Methods: Retrospective, cross-sectional study using a convenience sample of patients with LBP triaged at the studied ED through the Manchester Triage System along a year. Data were extracted from electronic medical records. LBP presentations were classified as non-traumatic, traumatic, and non-spinal related pain according to the signs and symptoms reported. Data included patients’ demographic profile, pain severity and management (e.g., imaging exams, medication prescription and hospitalization). Results: Data from 2016 patients was analyzed. Most were middle-aged adults (mean age = 40.5years, SD 15.7), female (n = 1043, 51.7%) and presented moderate pain intensity (score range 4 to 7 on the Visual Analogue Scale, n=1,471; 74.1%). Non-traumatic pain (n = 1,016; 50.4%) was the main cause of care-seeking. A total of 36.9% (n = 743) underwent imaging exams and 42.2% (n = 850) received medication. Patients with non-spinal related pain were three times more likely to receive opioid medication (OR = 2.96; 95%CI 2.30 to 3.79). Conclusion: Non-traumatic LBP (i.e., no history of trauma or red flags) was the main cause of LBP care-seeking in a Brazilian ED. Most patients were treated conservatively and without hospitalization. Opioids prescription and imaging exams, although performed on a smaller scale, were still used for of the management of this type of LBP.

Self-management and chronic low back pain: a qualitative study

2010 ◽  
Vol 66 (7) ◽  
pp. 1478-1486 ◽  
Author(s):  
Marie Crowe ◽  
Lisa Whitehead ◽  
Mary Jo Gagan ◽  
David Baxter ◽  
Avin Panckhurst
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Qualitative Study ◽  
Chronic Low Back Pain ◽  
Self Management ◽  
Low Back
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