Knowledge around back pain and spinal disorders among Saudi patients: A cross-sectional study (original) (raw)
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2021
Background: Low back pain (LBP) is a complex health problem affecting people in all countries. There is great heterogeneity between patients with LBP, suggesting the inadequacy of the "one-size-fits-all" approach. In the Kingdom of Saudi Arabia (KSA), the current management of LBP does not consider this heterogeneity and so may not be optimal. Aim: The thesis intends to advance knowledge to inform the subsequent development of new approaches to delivering back pain services by exploring the following issues: (i) LBP prevalence in the Saudi Arabian population; (ii) existing clinical pathways for patients with LBP in the KSA; (iii) psychosocial, disability and fatigue characteristics of patients with LBP; and (iv) healthcare professionals (HCPs) perspectives on advancing practice in the light of the evidence. Methods: A sequential exploratory mixed methods design was adopted, involving (i) systematic literature review, (ii) two cross-sectional studies; survey (participants; ...
Prevalence and Incidence of Low Back Pain in the Kingdom of Saudi Arabia: A Systematic Review
Journal of Epidemiology and Global Health, 2020
The Kingdom of Saudi Arabia's (KSA) experience of rapid socioeconomic change, had given rise to new public health challenges and extensive health reforms [1-3]. The 2017 Lancet review of the prevalence of Low Back Pain (LBP) in the adult general population concluded that prevalence was greater in high-income countries (30%) than in low-income countries (18.2%) and more common in females than males [4]. Thus, LBP has been recognized by governments as a major public health issue and a serious challenge for healthcare systems, leading to the declaration of a 'call for action' [5,6]. The prevalence and incidence of LBP in the Saudi Arabian general population, and the factors associated with LBP are not clear and they vary in the literature. Most of the findings are presented in secondary analyses and are derived from studies evaluating work-related musculoskeletal (MSK) problems. However, with this growing evidence base it is now time to bring that literature
Journal of Orthopaedic Science, 2017
Background: The Japanese Orthopedic Association designed their back pain evaluation questionnaire (JOABPEQ) which was proven to be feasible, reliable and valid. The questionnaire's validity and reliability were confirmed when it was implemented in patients with different cultural background. Since the JOABPEQ still has not been utilized in any of the Arabic countries, we present the Arabic version with its validity and reliability. Methods: After ensuring an optimal forwardebackward translation of the JOABPEQ, the Arabic version was distributed among 151 patients visiting our clinics from December 2015 to February 2016. The reliability was tested using Cronbach's alpha. The convergent validity was assessed through aggregating and correlating the questionnaire's items with their previously designed and validated subscales described in the JOABPEQ validity study by Fukui et al. (four items for social function, seven for mental health, six for lumbar function, five for walking ability and four for low back pain); Spearman's correlation matrix was used. The correlation coefficient had to be greater than 0.40 for each item with its corresponding subscale to be satisfactory. Scores underwent descriptive analysis, and ManneWhitney u test was performed to compare between categorical subgroups. Results: 151 spine patients completed the questionnaire. The mean age (range) was 34.9 (10e72) years. The male respondents were 61 (40.4%) and the females were 90 (59.6%). The result of Cronbach's alpha for internal consistency (reliability) was 0.87 for the 25 items. The validity was confirmed since the correlation coefficient was greater than 0.4 for each item with only its relevant subscale. Conclusion: the Arabic version of the JOABPEQ is valid, reliable and feasible in assessing patients with spine disorders. We believe the JOABPEQ with its different versions are suitable questionnaires to be used across nations and can serve as a unified tool in conducting research and exchanging information in the future.
The development of a physiotherapist-led pain management programme for low back pain in Bahrain
2016
Study Design. Cross-cultural translation, adaptation, and psychometric testing. Objective. To cross-culturally translate and adapt the Roland-Morris Disability Questionnaire (RMDQ) into Modern Standard Arabic and examine its validity with Arabic-speaking patients with low back pain (LBP). Summary of Background Data. The English RMDQ is valid, reliable, and commonly used to assess LBP disability in clinical practice and research. There is no valid and reliable version of the RMDQ in Modern Standard Arabic. Methods. The RMDQ was forward translated and back translated. An expert committee of musculoskeletal physiotherapists reviewed the translation. Eight patients with LBP evaluated item-by-item comprehensibility. Ten patients piloted the RMDQ for overall comprehensibility and acceptability. Seventeen bilingual patients tested the agreement of the Arabic and English RMDQs. Two-hundred one patients completed the RMDQ and the visual analogue scale. Sixty-four patients were followed-up fo...
Asian Spine Journal, 2014
Purpose: The purpose of the study was to determine the prevalence of low back pain (LBP) in the primary care setting with emphasis on the socio-demographic contributing factors and impact of LBP on lifestyle habits. Overview of Literature: LBP is one of the most common medical conditions seen in the Primary Health Care Clinic. Methods: A representative sample of 2,600 patients were approached and 1,829 subjects agreed to participate in this study (70.0%). Data on socio-demographic characteristics, life style habits and type of treatment were collected through a questionnaire. Results: The prevalence of LBP in the study sample was 56.5% (95% confidence interval, 54.2-58.8). LBP was more prevalent among women (53.9%) compared to men (46.1%). There was significant difference between male and female patients of LBP in terms of ethnicity (p<0.001), marital status (p=0.010), occupation (p<0.001), monthly household income (p=0.004), and cigarette/sheesha smokers (p<0.001). The percentages of different aspects of functional disabilities were statistically significantly higher among females compared to male patients with LBP. Almost a quarter of female patients with LBP (26%) and 18% male patients with LBP reported pain in the arms and legs (p=0.002). In addition, gastrointestinal complaints such as abdominal pain and food intolerance were significantly higher among female patients with LBP as compared to males (31% vs. 24.6%, p=0.018; and 25% vs. 18%, p=0.008, respectively). Complaints about headache and fainting were also significantly higher among female patients as compared to male LBP patients (43% vs. 36%, p=0.029; and 26% vs. 20%, p=0.016, respectively). The multivariate logistic regression revealed that being female, prolonged standing, prolonged sitting, heavy weight lifting, weakness in the legs, regular exercise, and cigarette/sheesh a smoking had a significant effect on the presence of LBP. Conclusions: LBP is highly prevalent among both genders and in older age. Also, weakness in the legs, smoking, prolonged standing and sitting had a significant effect on LBP. Furthermore, the current study findings support the fact that LBP continues to be an important clinical, social and economic, burden and a public health problem affecting the population of the entire world.
2021
Published online: Sept 2020 Abstract: Purpose: the translation, cross-cultural adaptation and validation of the Back Pain Functional Scale (BPFS) into Arabic. Methods: According to standardized guidelines, the translation and adaptation of the scale was completed. Two panels of experts were asked to review the instrument for consistency and to evaluate all the elements of the scale for content relevance. A convenient sample of 65 patients complained of LBP, completed BPFS and recompleted it to test-retest reliability after 2 days. Results: The Arabic adapted version of the BPFS was produced and validated. The scale index of clarity was 99%. Index of Content Validity (ICV) = 98.3%. The Cronbach’α coefficient for internal consistency was 0.865. The Total score of Spearman’s correlation coefficients is 0.878. Conclusion: The BPFS presented excellent reliability and validity for assessing the functional status in Arabic speaking patients with LBP.
Demographic Associations of Low Back Pain; A Case Control Study
Pakistan Journal of Health Sciences
Low back pain is a condition of prime concern by World Health Organization. It affects the quality of life and execution of work at jobs worldwide. Among these 90% cases are categorized as non-specific low back pain. Objectives: To evaluate demographic characteristics of cases of low back pain (LBP). To compare the BMI between cases and control groups in relation to low back pain. Methods: This case control study was undertaken on 178 subjects, comprising of equal number of cases of LBP and healthy controls with age ranging from 18-65 year, enrolled by non-probability convenience sampling at PNS Shifa Hospital, Karachi after obtaining ethical approval from ERC of BUHSC. Demographic parameters like gender, age, marital status, and occupation were noted on pre-designed proforma and compared between cases and controls. Body mass index (BMI) was also compared between the groups. Results: The study showed LBP as more common in women, with significant association with marital status, occu...
Physical and Psychological Aspects of Low Back Pain Among Saudi Patients: A Case-Control Study
Context: Low back pain (LBP) is a common public health problem, and has a multifactorial etiology that includes not only physical risk factors, but also psychosocial factors. There were several studies that investigated physical and psychosocial factors and their relationship with LBP. However, up to the researchers' knowledge, no studies have been conducted in Saudi Arabia. Aims: To investigate physical and psychological factors in Saudi population with LBP. Settings and Design: A case-control study using self-report measures. Materials and Methods: Arabic versions of the following self-report measures were applied: A 10-cm Visual Analogue Scale (VAS) to measure pain intensity; the International Physical Activity Questionnaire (IPAQ) to record average physical activity levels over the last 7 days; and Depression, Anxiety and Stress Scale (DASS) to measure the negative emotional states of depression, anxiety and stress. The above self-report measures were handed to the participants and were collected immediately. Thirty-one patients with LBP and thirty-one control participants matched in body mass index and age participated. Statistical analysis used: Independent t-tests and Pearson Correlation Analysis were used to calculate differences in VAS, IPAQ and DASS between the two groups. Results: Patients with LBP had moderate stress compared to control participants (19.8 and 4.4 respectively, P = 0.0013). Both groups did not present with anxiety or depression. No significant difference was found in any level of activity between the groups. Conclusions: Stress was present in this group of Saudi patients with LBP. Targeting psychological factors associated with LBP, not only physical factors may help improve the management of patients with LBP.
Low Back Pain Prevalence and Associated Factors in
2012
There are very few studies that had a sample size sufficient to explore the association between factors related to low back pain in a representative sample of the Iranian population. Objective. To examine the relationship between sociodemographic factors, smoking, obesity, and low back pain in Iranian people. Methods. We used Iranian adults respondents (n = 25307) from the National Health Survey. Adjusted odds ratios and 95% confidence intervals were estimated by using logistic regression. Results. The prevalence of low back pain was found in 29.3% of the studied sample. High age, female sex, being married, obesity, low-economic index, being smoker, in a rural residence, and low educational attainment, all increased the odds of low back pain. Conclusions. Our findings add to the evidence on the importance of obesity in relation to low back pain. These results can be used as a basis to reinforce health programs to prevent obesity.