کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4096742 1268570 2014 21 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Incidence and risk factors for first-time incident low back pain: a systematic review and meta-analysis
ترجمه فارسی عنوان
شیوع و عوامل خطر ابتلا به کمردرد در ابتدا: بررسی منظم و متاآنالیز
کلمات کلیدی
وقوع، کمر درد، اعتبار پیش بینی کننده عوامل خطر، جلوگیری، بازجویی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
چکیده انگلیسی

Background contextGreat effort has been made toward limiting low back pain (LBP). Recent focus has included factors involved with secondary and tertiary prevention, with less attention given to primary prevention.PurposeThis review provided a current estimate of the incidence of LBP and risk factors associated with either first-time LBP or transition to LBP from a baseline of a pain-free state.Study designA systematic review and meta-analyses were performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.Patient sampleStudies included subjects aged 18 years or older, from longitudinal, observational, cohort designs that included baseline risk factors to an outcome of either first-time LBP or transition to LBP from a baseline of a pain-free state.Outcome measuresRisk factors and incidence rates were reported using descriptive analysis and the PRISMA guidelines.MethodsElectronic search strategies in PubMed, CINAHL/SPORTDiscus, and Cochrane Central Register of Controlled Trials were combined with a hand search to identify articles for inclusion. Studies were classified based on the population studied (community vs. occupational based) and type of LBP outcome (first ever vs. transition from a baseline pain-free state).ResultsA total of 41 studies were included for review. Meta-analytical incidence rates for first-time LBP and transition to pain from a pain-free state were similar (∼25%), regardless of community or occupational populations. Risk factors for first-time LBP or transition to LBP from a baseline of a pain-free state were psychosocial and physically related. No consistent risk factor emerged as predictive of first-time LBP, although prior LBP was a consistent predictor of future incident LBP. Significant heterogeneity was found across studies in most models, which limits these findings.ConclusionsThe results of this study suggest that incidence of LBP is similar in community and occupational settings regardless of LBP definition. There were multiple diverse physical and psychosocial risk factors for first-time LBP. A history of LBP was the most consistent risk factor for transition to LBP from a baseline of a pain-free state.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Spine Journal - Volume 14, Issue 10, 1 October 2014, Pages 2299–2319
نویسندگان
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