Burden of spine pain among rural and tribal populations in Raigad District of Maharashtra State of India

  • PDF / 600,896 Bytes
  • 7 Pages / 595.276 x 790.866 pts Page_size
  • 103 Downloads / 147 Views

DOWNLOAD

REPORT


ORIGINAL ARTICLE

Burden of spine pain among rural and tribal populations in Raigad District of Maharashtra State of India Rajani Mullerpatan1   · Shweta Nahar1 · Yuvraj Singh1 · Pierre Cote2,3 · Margareta Nordin4,5 Received: 31 March 2020 / Revised: 18 August 2020 / Accepted: 25 August 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020

Abstract Background  Among non-communicable disorders, low back and neck pain are the most common causes of severe, long-term pain and disability affecting more than a billion people globally. Yet, the burden and impact of these conditions are not well understood, especially among rural and tribal people living in low- and middle-income countries. Objective  The aims of this study were to measure point prevalence of low back and neck pain among rural and tribal people in Raigad District of Maharashtra, India, and explore attitudes and beliefs of rural people towards spine pain and disability. Design  In a cross-sectional survey of six villages in the Raigad District of Maharashtra State of India from August to October 2016, low back and neck pain were measured using the Spine Pain Questionnaire. Results  We surveyed 2323 participants, which did not include children and adolescents. Among rural people (n = 2073), the point prevalence of low back and neck pain was 4.9% (95% CI 3.94–5.79) and 2.9% (95% CI 2.21–8.87), respectively. Among tribal people (n = 250), prevalence was 10.0% (95% CI 6.28–13.71) for low back pain and 3.6% (95% CI 1.29–5.90) for neck pain. Lifting heavy weights and bending trunk were the most limiting activities. During informal discussions, most villagers attributed spine pain to traditional lifestyle and age. Participants continued occupational work in the presence of pain. Lack of transport facilities and cost of treatment emerged as the two most common reasons for delay in seeking treatment at nearby healthcare centres. This information will inform the development of customized spine care programmes through community-engaged partnerships and self-empowerment of the local community. Keywords  Spine pain · Prevalence · Epidemiology · Indian rural tribal · Cross-sectional survey · Formal group discussion

Introduction Among the non-communicable disorders, low back and neck pain are the most common causes of disability [1, 2]. Estimates from the 2016 Global Burden of Disease (GBD) study report that back pain affects more than half a billion people * Rajani Mullerpatan [email protected] 1



MGM School of Physiotherapy, MGM Institute of Health Sciences, MGM Educational Campus, Sector 1, Kamothe, Navi Mumbai, Maharashtra 410 209, India

2



Faculty of Health Sciences, University of Ontario Institute of Technology, Oshawa, Canada

3

UOIT-CMCC Centre for Disability Prevention and Rehabilitation, Oshawa, ON, Canada

4

Departments of Orthopedic Surgery and Environmental Medicine, New York University, New York, NY, USA

5

World Spine Care Europe, Holmfirth, UK



worldwide and neck pain affects more than one-third of a billion people [2]. Epi