Therapeutic itinerary of patients with chronic low-back pain attending outpatient physiotherapy clinic

Authors

DOI:

https://doi.org/10.15253/2175-6783.20222371393

Keywords:

Low Back Pain; Therapeutic Itinerary; Rehabilitation; Complementary Therapies; Physical Therapy Specialty.

Abstract

Objective: to assess therapeutic itinerary of patients with chronic low-back pain. Methods: qualitative study involving the use of an in-depth semi structured interviews were used to collect data on therapeutic itinerary among ten patients with chronic low-back pain who from physiotherapy clinic of a tertiary hospital. Data was analysed using thematic content analysis. Results: emerging themes were as follows: onset of low-back pain, symptoms that initiated the journey for care, steps taken to find pain relief, respondent’s perception on care received, interference of chronic low-back pain with normal life, family and relations, multiple practices in which chronic low-back pain patients are involved, perception of effectiveness of the multiple practices, and hurdles to seeking care. Conclusion: patients with chronic low-back pain take different routes in search of care. Chronic low-back pain markedly altered patients’ life and made them prone to practicing medical pluralism.

References

Riley SP, Swanson BT, Dyer E. Are movement-based classification systems more effective than therapeutic exercise or guideline based care in improving outcomes for patients with chronic low back pain? A systematic review. J Man Manip Ther. 2019; 27(1):5-14. doi: https://dx.doi.org/10.1080/10669817.2018.1532693

Pérez-Elvira R, Oltra-Cucarella J, Carrobles JA, Moltó J, Flórez M, Parra S, et al. Enhancing the effects of neurofeedback training: the motivational value of the reinforcers. Brain Sci. 2021; 11(4):457. doi: https://dx.doi.org/10.3390/brainsci11040457

Mbada CE, Ogunleye OM, Ogundele AO, Oyewole OO, Ademoyegun AB, Obembe AO, et al. Therapeutic itinerary of stroke survivors in a Nigerian tertiary hospital. Rev Rene. 2021; 22:e60840. doi: https://dx.doi.org/10.15253/2175-6783.20212260840

Felicilda-Reynaldo RFD, Choi SY, Driscoll SD, Albright CL. A National survey of complementary and alternative medicine use for treatment among Asian-Americans. J Immigr Minor Health. 2020; 22(4):762-70. doi: https://dx.doi.org/10.1007/s10903-019-00936-z

Shipton EA. Physical therapy approaches in the treatment of low back pain. Pain Ther. 2018; 7(2):127-37. doi: https://dx.doi.org/10.1007/s40122-018-0105-x

Kälin S, Rausch-Osthoff A-K, Bauer CM. What is the effect of sensory discrimination training on chronic low back pain? A systematic review. BMC Musculoskelet Disord. 2016; 17:143. doi: https://dx.doi.org/10.1186/s12891-016-0997-8

Ünal M, Evci K E, Kocatürk M, Algun ZC. Investigating the effects of myofascial induction therapy techniques on pain, function and quality of life in patients with chronic low back pain. J Bodyw Mov Ther. 2020; 24(4):188-95. doi: https://dx.doi.org/10.1016/j.jbmt.2020.07.014

Ogunlana MO, Govender P, Oyewole OO, Odole AC, Falola JL, Adesina OF, et al. Qualitative exploration into reasons for delay in seeking medical help with diabetic foot problems. Int J Qual Stud Health Well-Being. 2021; 16(1):1945206. doi: https://dx.doi.org/10.1080/17482631.2021.1945206

Braun V, Clarke V, Hayfield N, Terry G. Thematic analysis. In: Liamputtong P (eds). Handbook of research methods in health social sciences. Singapore: Springer; 2019. p.843-60. doi: https://dx.doi.org/10.1007/978-981-10-5251-4_103

Wu A, March L, Zheng X, Huang J, Wang X, Zhao J, et al. Global low back pain prevalence and years lived with disability from 1990 to 2017: estimates from the global burden of disease study 2017. Ann Transl Med. 2020; 8(6):299. doi: https://dx.doi.org/10.21037/atm.2020.02.175

Kamal KC, Alexandru DO, Kamal D, Maria DT, Kamal AM, Radu M, et al. Managing low back pain in primary care. Curr Health Sci J. 2020; 46(4):396-404. doi: https://dx.doi.org/10.12865/CHSJ.46.04.11

Yang G, Liao W, Shen M, Mei H. Insight into neural mechanisms underlying discogenic back pain. J Int Med Res. 2018; 46(11):4427-36. doi: https://dx.doi.org/10.1177/0300060518799902

Huysmans E, Leemans L, Beckwée D, Nijs J, Ickmans K, Moens M, et al. The relationship between cognitive and emotional factors and healthcare and medication use in people experiencing pain: a systematic review. J Clin Med. 2020; 9(8):2486. doi: https://dx.doi.org/10.3390/jcm9082486

GBD 2015 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet Lond Engl. 2016; 388(10053):1545-602. doi: https://dx.doi.org/10.1016/S0140-6736(16)31678-6

Sundararajan R, Mwanga-Amumpaire J, King R, Ware NC. Conceptual model for pluralistic healthcare behaviour: results from a qualitative study in southwestern Uganda. BMJ Open. 2020; 10(4):e033410. doi: https://dx.doi.org/10.1136/bmjopen-2019-033410

Mehuys E, Crombez G, Paemeleire K, Adriaens E, Van Hees T, Demarche S, et al. Self-medication with over-the-counter analgesics: a survey of patient characteristics and concerns about pain medication. J Pain. 2019; 20(2):215-23. doi: https://dx.doi.org/10.1016/j.jpain.2018.09.003

Esteve R, Marcos E, Reyes-Pérez Á, López-Martínez AE, Ramírez-Maestre C. Pain acceptance creates an emotional context that protects against the misuse of prescription opioids: a study in a sample of patients with chronic noncancer pain. Int J Environ Res Public Health. 2021; 18(6):3054. doi: https://dx.doi.org/10.3390/ijerph18063054

Vlaeyen JWS, Maher CG, Wiech K, Van Zundert J, Meloto CB, Diatchenko L, et al. Low back pain. Nat Rev Dis Primer. 2018; 4(1):52. doi: https://dx.doi.org/10.1038/s41572-018-0052-1

Dueñas M, Ojeda B, Salazar A, Mico JA, Failde I. A review of chronic pain impact on patients, their social environment and the health care system. J Pain Res. 2016; 9:457-67. doi: https://dx.doi.org/10.2147/JPR.S105892

Boing AC, Santiago PHR, Tesser CD, Furlan IL, Bertoldi AD, Boing AF. Prevalence and associated factors with integrative and complementary practices use in Brazil. Complement Ther Clin Pract. 2019; 37:1-5. doi: https://dx.doi.org/10.1016/j.ctcp.2019.07.009

Published

2022-01-05

How to Cite

Mbada, C. E. ., Oladapo, S. O. ., Igwe, C. F. ., Oyewole, O. O. ., Fatoye, C., Ogundele, A. O., & Fatoye , F. . (2022). Therapeutic itinerary of patients with chronic low-back pain attending outpatient physiotherapy clinic. Rev Rene, 23, e71393. https://doi.org/10.15253/2175-6783.20222371393

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Section

Research Article

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