Patients with Low Back Pain in Malawi: Their Attitudes and Beliefs on Their Low Back Pain
Clinical Medicine Research
Volume 3, Issue 4, July 2014, Pages: 112-118
Received: Jul. 25, 2014; Accepted: Aug. 6, 2014; Published: Aug. 20, 2014
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Authors
Tarimo Nesto, Rehabilitation Technicians School, Malawi Against Physical Disabilities P.O. Box 256, Blantyre, Malawi
Ina Diener, University of the Western Cape, Private Bag X17, Cape Town, South Africa
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Abstract
Low back pain (LBP) is a musculoskeletal disorder, affecting humans from adolescent to adult age. It is a health and socio-economic problem worldwide. The cause and contributing factors to LBP are multifactorial resulting in different approaches for its management. The attitudes and beliefs of patient with LBP, play an important role in the whole process of pain management. Negative attitudes and beliefs may lead to fear -avoidance behaviour, resulting into pain chronicity and disability. Thus, this study aimed to identify the attitudes and beliefs among patients with LBP, attending physiotherapy treatment in Malawi. Queen Elizabeth and Kamuzu Central hospitals were selected as study settings. A quantitative cross-sectional survey was done, using a self-administered questionnaire, employing a convenience sampling method. Twelve statements about attitudes and beliefs on LBP were adopted from the Back Beliefs Questionnaire (BBQ) and from the Survey of Pain Attitudes (SOPA). The SPSS (version 19.0) was used for data capturing and analysis. Descriptive and inferential statistics were used to summarize data. The Chi-square test was used to determine any association between variables and the Alpha level of significance was set at 0.05. All ethical issues were sought and adhered to throughout the study period. The results showed that out of 205 participants, with mean age of 47.74 years, (SD=13.29), female constituted 53.2% of the sample. More than half (67%) of all participants portrayed negative attitudes and beliefs about their LBP. We concluded that, majority of patients with LBP in Malawi hold negative attitudes and beliefs about their pain. Therefore, patient health education is needed to change these attitudes and beliefs if recovery and treatment goal are to be achieved.
Keywords
Low Back Pain, Attitudes, Beliefs
To cite this article
Tarimo Nesto, Ina Diener, Patients with Low Back Pain in Malawi: Their Attitudes and Beliefs on Their Low Back Pain, Clinical Medicine Research. Vol. 3, No. 4, 2014, pp. 112-118. doi: 10.11648/j.cmr.20140304.16
References
[1]
Vanti C, Gasperini M,Morsillo F, Pillastrini, P (2010). Low back pain in adolescents gymnasts. Prevalence and risk factors. Scienza Rehabilitation, 12(2), 45-50.
[2]
Norris, CM (2000). Back stability: United States of America: Edward brothers
[3]
Van Vuuren, BJ, Becker, PJ, Van Heerden, HJ, Zinzen, E, Meunisen, R. (2005). Low back pain problems and occupational risk factors in a South African steel industry. American Journal of Industrial Medicine, 47(5), 451-457.
[4]
Louw, QA, Morris, LD, Grimmer, KS (2007). The Prevalence of low back pain in Africa: A systematic review. BMC Musculoskeletal Disorders, 8:105 doi: 10.1186/1471-2474-8-105
[5]
Volinn, E (1997). The Epidemiology of low back pain in the rest of the world. A review survey in low and middle income countries. Spine, 22, 1747-1757.
[6]
Cole, MH, & Grimshaw, PN (2003). Low back pain and lifting: A review of epidemiology and aetiology. Journal of Prevention, Assessment and Rehabilitation, 21, 173-184.
[7]
Adam, SR (2009). Back pain and sciatica. Anaesthesia Analogy, 85, 1066-1070.
[8]
Ng’uurah, JN, Frantz, JM. (2006). Health education needs among individuals with low back pain. South African Journal of Physiotherapy, 62(4), 22-27.
[9]
Allock, N, Elkan, R, Williams, J (2007). Patients referred to pain management clinic: Beliefs, expectations and priorities. Journal of Advanced Nursing, 60(3), 248-256.
[10]
Henrotin, YE, Cedrasch, C, Duplan, B, Bazil, T, Duquesnoy, B (2006). Information and low back pain management: A systematic review. Spine, 31(11), E326- E334.
[11]
Linton, SJ, Helsing, AL,Halden, KA (1998). Population based study of spinal pain among 35-45 year old individuals: Prevalence, sick leave and health care use. Spine, 23, 1457-1463.
[12]
Symonds, TL, Burton, AK, Tillotson, KM, Main, CJ (1996). Do attitudes and beliefs influence work loss due to low back trouble? Occupational Medicine, 46, 25-32.
[13]
Linton, SJ, Vlaeyen, J, Ostelo, R (2002). The back pain beliefs of health care providers: Are we fear-avoidant? Journal of Occupational Rehabilitation, 12, 223-232.
[14]
May, S (2007). Patients’ attitudes and beliefs about back pain and its management after physiotherapy for low back pain. Physiotherapy Research International, 12(3), 123-135.
[15]
Polit, DF, Beck, CT, Hungler, BP (2001). Essentials of Nursing Research, Methods, Appraisal, and Utilization (5thed.). Philadelphia: Lippincott Publishers
[16]
Sikiru, L, &Hanifa, S (2010). Prevalence and risk factors of low back pain among nurses in a typical Nigerian hospital. African Health Sciences, 10, 26-30.
[17]
Vindigni, D, Bruce, F, Walker, Jamison, JR, Costa, CD, Parkinson, L, Blunden, S (2005). Low back pain risk factors in a large rural Australian Aboriginal community. An opportunity for managing co-morbidities? Chiropractic and Osteopathy, 13:21 doi: 10.1186/1746-1340-13-21
[18]
Omokhodion, FO, Umar, US, Ogunnowo, BE (2000). Prevalence of low back pain among staff in rural hospital in Nigeria. Occupation Medicine, 50(2), 107-110.
[19]
Macarthur, AJ, Macarthur, C, Weeks, SK (1997). Is epidural anaesthesia in labor associated with chronic low back pain? A Prospective cohort study. Anaesthesia Analogy, 85(5), 1066-1070.
[20]
Chiu, TWT, Lam, KWP (2007). The prevalence of and risk factors for neck pain and upper limb pain among secondary school teachers in Hong Kong. Journal of Occupational Rehabilitation, 17, 19-32.
[21]
Bruce, F, Walker, DC, Reinhold, M, William, DG (2004). Low back pain in Australian adults’ health provider utilization and care seeking. Journal of Manipulative and Physiological Therapeutics, 27(5), 327-335.
[22]
Jin, K, Sorock, GS, Courtney, TK (2004). Prevalence of low back pain in three occupational groups in Shanghai, People’s Republic of China. Journal of Safety Research, 35, 23-28.
[23]
Djavid, GE, Mehrdad, R, Ghasemi, M, Zadeh, HH, Manesh, AS, Pouryaghoub, G (2007). In chronic low back pain, low level laser therapy combined with exercise is more beneficial than exercise alone in the long term: A randomized trial. Australian Journal of Physiotherapy, 53, 155-160.
[24]
Tavafian, SS, Eftekhar, H, Mohammad K, Jamshidi, AR, Assasi, N, Shojaeezadeh, D,Ghofranipour, F (2004). Patient’s knowledge, perception and belief about the reasons of low back pain. Iranian Journal of Public Health, 33(4), 57-60.
[25]
Hagen, K, Zwart, JA, Svebak, S, Bovim, G, Jacob, SL (2005). Low socioeconomic status is associated with chronic musculoskeletal complains among 46, 901 adults in Norway. Scandinavian Journal of Public Health, 33(4), 268-375.
[26]
Ihlebaeck, C, Ericksen, HR (2005). Myths and perceptions of back pain in the Norwegian population, before and after the introduction of guidelines for acute back pain. Scandinavian Journal of Public Health, 33, 401-406.
[27]
Goldberg, MS, Scott, SC, Mayo, NE (2000). A review of the association between cigarette smoking and the development of nonspecific back pain and related outcomes. Spine, 25, 995-1014.
[28]
Lake, JK, Power, C, Cole, TJ (2000). Back pain and obesity in the 1958 British birth cohort: Cause or effect? Journal of Clinical Epidemiology, 53, 245-250.
[29]
Rainvile, J, Smeet, RJ, Bendix, T, Tveito, TH, Poiravadeaus, S, Indahl, AJ (2011). Fear avoidance beliefs and pain avoidance in low back pain- translating research in to clinical practice. Spine Journal 11: 895-903.
[30]
Urquhart, DM., Bell, RJ, Cicuttini, FM, Cui, J, Forbes, A, Davis, SR (2008). Negative beliefs about low back pain are associated with high pain intensity and high level disability in the community-based women. BMC Musculoskeletal Disorders, 9:148 doi: 10.1186/1471-2474-9-148
[31]
Picavet, HSJ, Vlaeyen, JWS, Schouten, JSA (2002). Pain catastrophizing and kinesiophobia: Predictors of chronic low back pain. American Journal of Epidemiology, 156, 1028-1034
[32]
Keen, S, Dowell, DC, Hurst, K, Klaber-Moffett, JA, Tovey, P, Williams, R (1999). Individual with low back pain: How do they view physical activity? Family Practice, 16, 39-45.
[33]
Fritz, JM, George, SZ, Delitto, A (2001). The role of fear-avoidance beliefs in acute low back pain: Relationships with current and future disability and work status. Pain, 94, 7-15
[34]
Waddell, G. (Ed.) (2004). Pain and disability. The back pain revolution (2nd ed.). Edinburg. UK: Churchill Livingstone.
[35]
Linton, SJ, Buer, N, Vlaeyen, J W S,Hellsing, AL (1999). Are fear-avoidance beliefs related to the inception of an episode of back pain? A prospective study. Psychol. Health 14: 1051–1059
[36]
Linton, SJ, Nordin, E (2006). A 5-year follow-up evaluation of the health and economic consequences of an early cogni-tive behavioral intervention for back pain: a randomized, controlled trial. Spine31: 853–858.
[37]
Jensen, JN,Albertsen, K, Borg, V, Nielsen, KN (2009). The predictive effect of fear-avoidance beliefs on low back pain among newly qualified health care workers with and without previous low back pain: a prospective cohort study. BMC Musculoskeletal Disorders 2009,10:117 doi:10.1186/1471-2474-10-117
[38]
Leeuw, M, Goossens, ME Linton, SJ, Crombez, G, Boersma, K, Vlaeyen, JW (2006). The Fear-Avoidance Model of Musculoskeletal Pain: Current State of Scientific Evidence. Journal of Behavioral Medicine, 30 (1): 77- 94
[39]
Hanney, WJ, Kolber, MJ, Beekhuizein, KS (2008). Implications for physical activity in the population with low back pain. American Journal of Lifestyle Medicine, 3(1), 63-70.
[40]
Sarah, K (2000). Back sufferer’s bible. You can treat your own back. Australia: Allenand and Unwin publishers.
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