RRS Education Chiropractic BLOG - Musculoskeletal Research Reviews

The high prevalence and recurrence rates of low back pain and the resulting disability and disease impact have been studied and cited ad nauseam. What frequently gets lost in all of the numbers that we can so faithfully recite to our patients is what this actually means to the individual who is dealing with back pain, whether as a new injury or something that is more long-standing. Low back pain has a multi-faceted impact on the lives of our patients, and it is important to remember this whether you are seeing a back pain patient for the first time or the tenth. Qualitative studies such as this one are important, as they explore what patients go through as they deal with their condition and the impacts that it has on their lives as the voices of patients can at times be lost in other study designs.
In this study, the authors employed the International Classification of Functioning, Disability, and Health (ICF) framework to help ground their study and data collection and analysis in the multifactorial (i.e. biopsychosocial) nature of low back pain. The ICF is an important and commonly used means of classifying function and disability with respect to a health condition, used by the World Health Organization among other bodies. The ICF places health and disability on a continuum that considers the biopsychosocial model and consists of 4 multidimensional interactive concepts of function and disability: body function and structures, activities, participation or involvement in different areas of life, and environmental factors. In the ICF model, function is seen as an interaction between personal and environmental factors and a person’s health or health conditions.
Guided by this framework, these authors conducted a qualitative study using focus group methodology to explore the lived experiences of people with low back pain.
THIS WEEK'S RESEARCH REVIEW: “Lived Experiences of Persons with Disabling Low Back Pain”
This paper was published in the Journal of the Canadian Chiropractic Association (2020) and this Review is posted in Recent Reviews, Low Back Pain, Pain - Biopsychosocial Model and the 2020 Archive.
Interviewing patient

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