TY - JOUR
T1 - 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
AU - Sharma, Saurab
AU - Pathak, Anupa
AU - Parker, Romy
AU - Costa, Leonardo Oliveira Pena
AU - Ghai, Babita
AU - Igwesi-Chidobe, Chinonso
AU - Janwantanakul, Prawit
AU - de Jesus-Moraleida, Fabianna Resende
AU - Chala, Mulugeta Bayisa
AU - Pourahmadi, Mohammadreza
AU - Briggs, Andrew M
AU - Gorgon, Edward
AU - Ardern, Clare L
AU - Khan, Karim M
AU - McAuley, James H
AU - Alghwiri, Alia
AU - Aoko, Oluwayomi Abolade
AU - Badamasi, Habibu Salisu
AU - Calvache, Jose A
AU - Cardosa, Mary Suma
AU - Ganesh, Shankar
AU - Gashaw, Moges
AU - Ghiringhelli, Johanna
AU - Gigena, Santiago
AU - Hasan, ATM Tanveer
AU - Haq, Syed Atiqul
AU - Jacob, Emmanuel Ng’wiza
AU - Janse van Rensburg, Dina Christa
AU - Kossi, Oyéné
AU - Liu, Chang
AU - Malani, Rinkle
AU - Mason, Brett James Nairn
AU - Najem, Charbel
AU - Nava-Bringas, Tania Ines
AU - Nduwimana, Ildephonse
AU - Perera, Romain
AU - Perveen, Wajida
AU - Pierobon, Andrés
AU - Pinto, Emília
AU - Pinto, Rafael Z
AU - Purwanto, Firmansyah
AU - Rahimi, Mohammad Dawood
AU - Reis, Felipe JJ
AU - Siddiq, Md Abu Bakar
AU - Shrestha, Dipak
AU - Tamang, Monu
AU - Vasanthan T, Lenny
AU - Viljoen, Carel
N1 - Funding Information:
The authors would like to acknowledge the following contributors of data:InaDiener,RiyaAshvinGudhka,Mira Naymi, Nguyen Thi Thanh Huyen, Vikas Mishra, Caryn Mhangara, and Ninadini Shrestha.
Funding Information:
for Mobility and Activity at Parkwood Institute, St. Joseph\u2019s Health Care London, London, Canada. 13Iranian Center of Excellence in Physiotherapy, Rehabilitation Research Center, Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran. 14Curtin School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Australia. 15College of Allied Medical Professions, University of the Philippines Manila, Manila, Philippines. 16Faculty of Medicine and Health, The University of Sydney, Sydney, Australia. 17Department of Physical Therapy, Faculty of Medicine, The University of British Columbia, Vancouver, Australia. 18Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, Australia. 19Department of Family Practice, University of British Columbia, Vancouver, Canada. 20Institute of Musculoskeletal Health and Arthritis, Canadian Institutes of Health Research, Vancouver, Canada. 21Affiliations of each collaborator are listed at the end of this article. ORCID: Sharma, 0000-0002-9817-5372; Pathak, 0000-0002-5050-8940; Parker, 0000-0003-4823-2487; Costa, 0000-0003-3309-5619; Ghai, 0000-0003-1885-332X; Igwesi-Chidobe, 0000-0001-8021-0283; Janwantanakul, 0000-0001-7799-2552; Jesus-Moraleida, 0000-0002-3797-949X; Chala, 0000-0002-4851-5025; Pourahmadi, 0000-0001-5202-5478; Briggs, 0000-0002-6736-3098; Gorgon, 0000-0003-1565-4587; Ardern, 0000-0001-8102-3631; Khan, 0000-0002-9976-0258; McAuley, 0000-0002-0550-828X. This work was supported by the International Association for the Study of Pain John J. Bonica Postdoctoral Fellowship for Dr Sharma. The authors certify that they have no affiliations with or financial involvement in any organization or entity with a direct financial interest in the subject matter or materials discussed in the article. Address correspondence to Dr Saurab Sharma, Department of Exercise Physiology, School of Health Sciences, Faculty of Medicine and Health, University of New South Wales, Sydney, NSW 2052 Australia. E-mail: [email protected] U Copyright \u00A92024 The Authors. Published by JOSPT Inc. d/b/a Movement Science Media. Original content from this work may be used under the terms of the Creative Commons Attribution 4.0 License. Any further distribution of this work must maintain attribution to the author(s) and the title of the work, journal citation and DOI.
Publisher Copyright:
Copyright ©2024 The Authors.
PY - 2024/8
Y1 - 2024/8
N2 - BACKGROUND: The Lancet Low Back Pain (LBP) Series 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. DESIGN: An online mixed-methods study. METHODS: 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 5 years of clinical/lived LBP experience in LMICs. Quantitative data were analyzed using descriptive statistics. Two researchers independently analyzed qualitative data using inductive and deductive coding and developed a thematic framework. RESULTS: 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 people with lived experience (4%). Pharmacotherapies and electrophysiological agents were the most used LBP treatments. The thematic framework comprised 8 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 LBP burden. CONCLUSION: LBP care in LMICs did not consistently align with the best available evidence. Findings will help research prioritization in LMICs and guide global LBP clinical guidelines. J Orthop Sports Phys Ther 2024;54(8):560-572. Epub 11 April 2024. doi:10.2519/jospt.2024.12406.
AB - BACKGROUND: The Lancet Low Back Pain (LBP) Series 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. DESIGN: An online mixed-methods study. METHODS: 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 5 years of clinical/lived LBP experience in LMICs. Quantitative data were analyzed using descriptive statistics. Two researchers independently analyzed qualitative data using inductive and deductive coding and developed a thematic framework. RESULTS: 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 people with lived experience (4%). Pharmacotherapies and electrophysiological agents were the most used LBP treatments. The thematic framework comprised 8 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 LBP burden. CONCLUSION: LBP care in LMICs did not consistently align with the best available evidence. Findings will help research prioritization in LMICs and guide global LBP clinical guidelines. J Orthop Sports Phys Ther 2024;54(8):560-572. Epub 11 April 2024. doi:10.2519/jospt.2024.12406.
KW - Humans
KW - Low Back Pain/therapy
KW - Developing Countries
KW - Female
KW - Male
KW - Adult
KW - Middle Aged
KW - Self-Management
KW - Surveys and Questionnaires
UR - https://www.scopus.com/pages/publications/85200528559
U2 - 10.2519/jospt.2024.12406
DO - 10.2519/jospt.2024.12406
M3 - Article
C2 - 38602844
SN - 0190-6011
VL - 54
SP - 560
EP - 572
JO - International journal of sports physical therapy
JF - International journal of sports physical therapy
IS - 8
ER -