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The prevalence of low back pain in Africa: a systematic review.

Louw QA, Morris LD, Grimmer-Somers K - BMC Musculoskelet Disord (2007)

Bottom Line: The most common population group involved workers (48%), while scholars comprised 15% of the population. 67% of the studies were found to be methodologically sound, and the LBP prevalence of these were analyzed.The findings support the global burden of disease of LBP, in addition to suggesting that LBP prevalence among Africans is rising and is of concern.Further research into the most effective strategies to prevent and manage LBP in Africa is warranted.

View Article: PubMed Central - HTML - PubMed

Affiliation: Division of Physiotherapy, Faculty of Health Sciences, Stellenbosch University, PO Box 19063, Tygerberg, 7505, South Africa. qalouw@sun.ac.za

ABSTRACT

Background: Low back pain (LBP) is the most prevalent musculoskeletal condition and one the most common causes of disability in the developed nations. Anecdotally, there is a general assumption that LBP prevalence in Africa is comparatively lower than in developed countries. The aim of this review was to systematically appraise the published prevalence studies conducted on the African continent to establish the prevalence of LBP in Africa.

Methods: A comprehensive search was conducted in April 2006. The following databases PEDro, Psychinfo, Science Direct, SportsDiscus, PubMed, CINAHL, Biblioline Pro-African Wide NiPAD and SA ePublications were individually searched using specifically developed search strategies for epidemiological research conducted on LBP amongst the African population. Two reviewers independently evaluated the methodological quality of the studies reviewed.

Results: A total of 27 eligible epidemiological studies were included in this review. The majority of the studies (63%) were conducted in South Africa (37%) and Nigeria (26%). The most common population group involved workers (48%), while scholars comprised 15% of the population. 67% of the studies were found to be methodologically sound, and the LBP prevalence of these were analyzed. The mean LBP point prevalence among the adolescents was 12% and among adults was 32%. The average one year prevalence of LBP among adolescents was 33% and among adults was 50%. The average lifetime prevalence of LBP among the adolescents was 36% and among adults was 62%.

Conclusion: The findings support the global burden of disease of LBP, in addition to suggesting that LBP prevalence among Africans is rising and is of concern. Further research into the most effective strategies to prevent and manage LBP in Africa is warranted.

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Related in: MedlinePlus

Database search results.
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Figure 1: Database search results.

Mentions: The comprehensive search for published epidemiological research into cervical, thoracic and lumbar spine pain (or LBP) conducted on the African continent yielded 3627 hits, of which 3143 articles were excluded as the title and/or the country of publication did not conform to this review's objectives. As the current review focused solely on the prevalence of LBP in Africa, studies which reported on cervical and thoracic spine pain were not included. Two additional relevant studies were included via the PEARLing method. Consequently, 27 eligible studies were included in this review [11,15,16,19-42]. The database search method and results are depicted in figure 1.


The prevalence of low back pain in Africa: a systematic review.

Louw QA, Morris LD, Grimmer-Somers K - BMC Musculoskelet Disord (2007)

Database search results.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2198912&req=5

Figure 1: Database search results.
Mentions: The comprehensive search for published epidemiological research into cervical, thoracic and lumbar spine pain (or LBP) conducted on the African continent yielded 3627 hits, of which 3143 articles were excluded as the title and/or the country of publication did not conform to this review's objectives. As the current review focused solely on the prevalence of LBP in Africa, studies which reported on cervical and thoracic spine pain were not included. Two additional relevant studies were included via the PEARLing method. Consequently, 27 eligible studies were included in this review [11,15,16,19-42]. The database search method and results are depicted in figure 1.

Bottom Line: The most common population group involved workers (48%), while scholars comprised 15% of the population. 67% of the studies were found to be methodologically sound, and the LBP prevalence of these were analyzed.The findings support the global burden of disease of LBP, in addition to suggesting that LBP prevalence among Africans is rising and is of concern.Further research into the most effective strategies to prevent and manage LBP in Africa is warranted.

View Article: PubMed Central - HTML - PubMed

Affiliation: Division of Physiotherapy, Faculty of Health Sciences, Stellenbosch University, PO Box 19063, Tygerberg, 7505, South Africa. qalouw@sun.ac.za

ABSTRACT

Background: Low back pain (LBP) is the most prevalent musculoskeletal condition and one the most common causes of disability in the developed nations. Anecdotally, there is a general assumption that LBP prevalence in Africa is comparatively lower than in developed countries. The aim of this review was to systematically appraise the published prevalence studies conducted on the African continent to establish the prevalence of LBP in Africa.

Methods: A comprehensive search was conducted in April 2006. The following databases PEDro, Psychinfo, Science Direct, SportsDiscus, PubMed, CINAHL, Biblioline Pro-African Wide NiPAD and SA ePublications were individually searched using specifically developed search strategies for epidemiological research conducted on LBP amongst the African population. Two reviewers independently evaluated the methodological quality of the studies reviewed.

Results: A total of 27 eligible epidemiological studies were included in this review. The majority of the studies (63%) were conducted in South Africa (37%) and Nigeria (26%). The most common population group involved workers (48%), while scholars comprised 15% of the population. 67% of the studies were found to be methodologically sound, and the LBP prevalence of these were analyzed. The mean LBP point prevalence among the adolescents was 12% and among adults was 32%. The average one year prevalence of LBP among adolescents was 33% and among adults was 50%. The average lifetime prevalence of LBP among the adolescents was 36% and among adults was 62%.

Conclusion: The findings support the global burden of disease of LBP, in addition to suggesting that LBP prevalence among Africans is rising and is of concern. Further research into the most effective strategies to prevent and manage LBP in Africa is warranted.

Show MeSH
Related in: MedlinePlus