scholarly journals Six things you need to know about low back pain

2020 ◽  
Vol 12 (3) ◽  
pp. 195
Author(s):  
G. David Baxter ◽  
Cathy Chapple ◽  
Richard Ellis ◽  
Julia Hill ◽  
Lizhou Liu ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Health Professionals ◽  
Biopsychosocial Model ◽  
Health Care Systems ◽  
Low Back ◽  
Front Line ◽  
Care Systems ◽  
Key Issues ◽  
Years Lived With Disability

Abstract Low back pain (LBP) is the leading contributor to years lived with disability, and imposes an enormous burden on individuals and on health-care systems. General practitioners and physiotherapists are generally the front-line health professionals dealing with patients with LBP, and have a key role in minimising its effect. Here we review six key issues associated with LBP including its effects, diagnosis and management in primary care, and highlight the importance of the biopsychosocial model and matched care for patients with LBP.

scholarly journals Resolving the Burden of Low Back Pain in Military Service Members and Veterans (RESOLVE): Protocol for a Multisite Pragmatic Clinical Trial

Pain Medicine ◽  
2020 ◽  
Vol 21 (Supplement_2) ◽  
pp. S45-S52
Author(s):  
Shawn Farrokhi ◽  
Elizabeth Russell Esposito ◽  
Danielle McPherson ◽  
Brittney Mazzone ◽  
Rachel Condon ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Military Service ◽  
Health Care Systems ◽  
Medication Use ◽  
Audit And Feedback ◽  
Low Back ◽  
Pain Disability ◽  
Feedback Model ◽  
Care Systems

Abstract Background Physical therapy (PT) is frequently used for the management of low back pain (LBP) within the US Departments of Defense (DOD) and Veterans Affairs (VA). However, variations in PT practice patterns and use of ineffective interventions lower the quality and increase the cost of care. Although adherence to the clinical practice guidelines (CPGs) can improve the outcomes and cost-effectiveness of LBP care, PT CPG adherence remains below 50%. The Resolving the Burden of Low Back Pain in Military Service Members and Veterans (RESOLVE) trial will evaluate the effectiveness of an active PT CPG implementation strategy using an education, audit, and feedback model for reducing pain, disability, medication use, and cost of LBP care within the DOD and VA health care systems. Design The RESOLVE trial will include 3,300 to 7,260 patients with LBP across three DOD and two VA medical facilities using a stepped-wedge study design. An education, audit, and feedback model will be used to encourage physical therapists to better adhere to the PT CPG recommendations. The Oswestry Disability Index and the Defense and Veterans Pain Rating Scale will be used as primary outcomes. Secondary outcomes will include the LBP-related medication use, medical resource utilization, and biopsychosocial predictors of outcomes. Statistical analyses will be based on the intention-to-treat principle and will use linear mixed models to compare treatment conditions and examine the interactions between treatment and subgrouping status (e.g., limb loss). Summary The RESOLVE trial will provide a pragmatic approach to evaluate whether better adherence to PT CPGs can reduce pain, disability, medication use, and LBP care cost within the DOD and VA health care systems.

scholarly journals Translation, Cross-Cultural Adaptation, and Validation of the Portuguese Version of the Rotterdam Elderly Pain Observation Scale

2021 ◽  
pp. 314-323
Author(s):  
Julieta Seixas-Moizes ◽  
Anneke Boerlage ◽  
Érica Negrini Lia ◽  
Lucas Emmanuel Lopes e Santos ◽  
Miriane Lucindo Zucoloto ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Correlation Coefficient ◽  
Health Professionals ◽  
Cultural Adaptation ◽  
Healthcare Professionals ◽  
Rating Scale ◽  
Low Back ◽  
Portuguese Version ◽  
Observation Scale

<b><i>Introduction:</i></b> This study reports on the translation, cultural adaptation, and validation of a Portuguese version of the Rotterdam Elderly Pain Observation Scale (REPOS), a Dutch scale to assess pain in patients who cannot communicate, with or without dementia. <b><i>Methods:</i></b> This is a multicenter study in pain and neurological units involving Brazil (clinical phase) and the Netherlands (training phase). We performed a retrospective cross-sectional, 2-staged analysis, translating and culturally adapting the REPOS to a Portuguese version (REPOS-P) and evaluating its psychometric properties. Eight health professionals were trained to observe patients with low back pain. REPOS consists of 10 behavioral items scored as present or absent after a 2-min observation. The REPOS score of ≥3 in combination with the Numerical Rating Scale (NRS) of ≥4 indicated pain. The Content Validity Index (CVI) in all items and instructions showed CVI values at their maximum. According to the higher correlation coefficient found between NRS and REPOS-P, it may be suggested that there was an adequate convergent validity. <b><i>Results:</i></b> The REPOS-P was administered to 80 patients with a mean age of 60 years (SD 11.5). Cronbach’s alpha coefficient showed a moderate internal consistency of REPOS-P (α = 0.62), which is compatible with the original study of REPOS. All health professionals reached high levels of interrater agreement within a median of 10 weeks of training, assuring reproducibility. Cohen’s kappa was 0.96 (SD 0.03), and the intraclass correlation coefficient was 0.98 (SD 0.02), showing high reliability of REPOS-P scores between the trainer (researcher) and the trainees (healthcare professionals). The Pearson correlation coefficient was 0.95 (95% confidence interval 0.94–0.97), showing a significant correlation between the total scores of REPOS-P and NRS. <b><i>Conclusion:</i></b> The REPOS-P was a valuable scale for assessing elderly patients with low back pain by different healthcare professionals. Short application time, ease of use, clear instructions, and the brief training required for application were essential characteristics of REPOS-P.

scholarly journals Should health professionals assess sleep quality in pregnant women seeking care for low back pain?

2020 ◽  
Vol 16 (1) ◽  
pp. 155-156
Author(s):  
Letícia F. Leonel ◽  
Priscila K. Morelhão ◽  
Sergio Tufik ◽  
Monica L. Andersen
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Sleep Quality ◽  
Pregnant Women ◽  
Health Professionals ◽  
Low Back

Beliefs About Low Back Pain in the Norwegian General Population: Are They Related to Pain Experiences and Health Professionals?

Spine ◽  
2005 ◽  
Vol 30 (15) ◽  
pp. 1770-1776 ◽  
Author(s):  
Erik L. Werner ◽  
Camilla Ihlebæk ◽  
Jan Sture Skouen ◽  
Even Lærum
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
General Population ◽  
Health Professionals ◽  
Low Back ◽  
Pain Experiences
Sign in / Sign up

Export Citation Format

Share Document