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

Sharma, S; Pathak, A; Parker, R; Costa, LOP; Ghai, B; Igwesi-Chidobe, C; Janwantanakul, P; de, FR; Chala, MB; Pourahmadi, M; Briggs, AM; Gorgon, E; Ardern, CL; Khan, KM; McAuley, JH; Alghwiri, AA; Aoko, OA; Badamasi, HS; Calvache, JA; Cardosa, MS; Ganesh, S; Gashaw, M; Ghiringhelli, J; Gigena, S; Hasan, ATMT; Haq, SA; Jacob, EN; van, DCJ; Kossi, O; Liu, C; Malani, R; Mason, BJN; Najem, C; Nava-Bringas, TI; Nduwimana, I; Perera, R; Perveen, W; Pierobon, A; Pinto, E; Pinto, RZ; Purwanto, F; Rahimi, MD; Reis, FJJ; Siddiq, AB; Shrestha, D; Tamang, M; Vasanthan, LT; Viljoen, C

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

Sharma, S Pathak, A Parker, R Costa, LOP Ghai, B Igwesi-Chidobe, C Janwantanakul, P de, FR Chala, MB Pourahmadi, M Briggs, AM Gorgon, E Ardern, CL Khan, KM McAuley, JH Alghwiri, AA Aoko, OA Badamasi, HS Calvache, JA Cardosa, MS Ganesh, S Gashaw, M Ghiringhelli, J Gigena, S Hasan, ATMT Haq, SA Jacob, EN van, DCJ Kossi, O Liu, C Malani, R Mason, BJN Najem, C Nava-Bringas, TI Nduwimana, I Perera, R Perveen, W Pierobon, A Pinto, E Pinto, RZ Purwanto, F Rahimi, MD Reis, FJJ Siddiq, AB Shrestha, D Tamang, M Vasanthan, LT Viljoen, C

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Publisher:: Movement Science Media
Publication Type:: Journal Article
Citation:: Journal of Orthopaedic and Sports Physical Therapy, 2024, 54, (8), pp. 560-572
Issue Date:: 2024-08-01

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Field	Value	Language
dc.contributor.author	Sharma, S
dc.contributor.author	Pathak, A
dc.contributor.author	Parker, R
dc.contributor.author	Costa, LOP
dc.contributor.author	Ghai, B
dc.contributor.author	Igwesi-Chidobe, C
dc.contributor.author	Janwantanakul, P
dc.contributor.author	de, FR
dc.contributor.author	Chala, MB
dc.contributor.author	Pourahmadi, M
dc.contributor.author	Briggs, AM
dc.contributor.author	Gorgon, E
dc.contributor.author	Ardern, CL
dc.contributor.author	Khan, KM
dc.contributor.author	McAuley, JH
dc.contributor.author	Alghwiri, AA
dc.contributor.author	Aoko, OA
dc.contributor.author	Badamasi, HS
dc.contributor.author	Calvache, JA
dc.contributor.author	Cardosa, MS
dc.contributor.author	Ganesh, S
dc.contributor.author	Gashaw, M
dc.contributor.author	Ghiringhelli, J
dc.contributor.author	Gigena, S
dc.contributor.author	Hasan, ATMT
dc.contributor.author	Haq, SA
dc.contributor.author	Jacob, EN
dc.contributor.author	van, DCJ
dc.contributor.author	Kossi, O
dc.contributor.author	Liu, C
dc.contributor.author	Malani, R
dc.contributor.author	Mason, BJN
dc.contributor.author	Najem, C
dc.contributor.author	Nava-Bringas, TI
dc.contributor.author	Nduwimana, I
dc.contributor.author	Perera, R
dc.contributor.author	Perveen, W
dc.contributor.author	Pierobon, A
dc.contributor.author	Pinto, E
dc.contributor.author	Pinto, RZ
dc.contributor.author	Purwanto, F
dc.contributor.author	Rahimi, MD
dc.contributor.author	Reis, FJJ
dc.contributor.author	Siddiq, AB
dc.contributor.author	Shrestha, D
dc.contributor.author	Tamang, M
dc.contributor.author	Vasanthan, LT
dc.contributor.author	Viljoen, C
dc.date.accessioned	2025-04-04T01:51:49Z
dc.date.available	2025-04-04T01:51:49Z
dc.date.issued	2024-08-01
dc.identifier.citation	Journal of Orthopaedic and Sports Physical Therapy, 2024, 54, (8), pp. 560-572
dc.identifier.issn	0190-6011
dc.identifier.issn	1938-1344
dc.identifier.uri	http://hdl.handle.net/10453/186586
dc.description.abstract	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.
dc.format	Print
dc.language	eng
dc.publisher	Movement Science Media
dc.relation.ispartof	Journal of Orthopaedic and Sports Physical Therapy
dc.relation.isbasedon	10.2519/jospt.2024.12406
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences, 1106 Human Movement and Sports Sciences
dc.subject.classification	Orthopedics
dc.subject.classification	3202 Clinical sciences
dc.subject.classification	4201 Allied health and rehabilitation science
dc.subject.classification	4207 Sports science and exercise
dc.subject.mesh	Humans
dc.subject.mesh	Low Back Pain
dc.subject.mesh	Developing Countries
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Adult
dc.subject.mesh	Middle Aged
dc.subject.mesh	Self-Management
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Humans
dc.subject.mesh	Low Back Pain
dc.subject.mesh	Developing Countries
dc.subject.mesh	Adult
dc.subject.mesh	Middle Aged
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Self-Management
dc.subject.mesh	Humans
dc.subject.mesh	Low Back Pain
dc.subject.mesh	Developing Countries
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Adult
dc.subject.mesh	Middle Aged
dc.subject.mesh	Self-Management
dc.subject.mesh	Surveys and Questionnaires
dc.title	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
dc.type	Journal Article
utslib.citation.volume	54
utslib.location.activity	United States
utslib.for	1103 Clinical Sciences
utslib.for	1106 Human Movement and Sports Sciences
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
pubs.organisational-group	University of Technology Sydney/Faculty of Health/Graduate School of Health
pubs.organisational-group	University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Physiotherapy
utslib.copyright.status	closed_access	*
dc.date.updated	2025-04-04T01:51:46Z
pubs.issue	8
pubs.publication-status	Published
pubs.volume	54
utslib.citation.issue	8

Abstract:

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.

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http://hdl.handle.net/10453/186586