Experiences of using an activating spinal orthosis in women with osteoporosis and back pain in primary care
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Experiences of using an activating spinal orthosis in women with osteoporosis and back pain in primary care Christina Kaijser Alin 1 & Nathalie Frisendahl 2 & Ann-Charlotte Grahn Kronhed 3,4 & Helena Salminen 1,5 Received: 2 December 2019 / Accepted: 7 May 2020 # The Author(s) 2020
Abstract Summary Women with osteoporosis and back pain took part in focus group interviews and described their experiences of using and handling an activating spinal orthosis. The women described the back orthosis as being like a “close friend”, a support in everyday life and a reminder to maintain a good posture. Purpose The purpose of this study was to describe and gain a deeper understanding of the views of older women with osteoporosis and back pain seeking primary care regarding their use and handling of an activating spinal orthosis. Method We chose a qualitative method whereby information was gathered via focus group interviews and analysed using inductive content analysis. Women who previously participated in a randomised controlled trial and wore an activating spinal orthosis for 6 months were asked. Out of 31 women, 18 agreed to participate. Five focus group interviews were conducted. Results The analysis resulted in an overall theme in which the experiences of wearing the spinal orthosis were described as follows: “A well-adapted spinal orthosis could develop into a long-lasting friendship that provided support and help in daily life”. The overall theme was based on three main categories: impact on daily life, individual adaptation and personal relationship. The main categories were well differentiated from each other but had an interdependency. All three categories involved cases in which the spinal orthosis was perceived as relieving symptoms and making daily life easier, as well as when it was perceived as being hard to manage and provided no symptom relief. Conclusion In older women with osteoporosis and back pain, an activating spinal orthosis could be perceived as being a “close friend” and a support in everyday life. To facilitate acceptance of the spinal orthosis, it was important for it to be well adapted and for follow-ups to be carried out regularly. Keywords Osteoporosis . Spinal orthosis . Older women . Qualitative study . Back pain . Back extensor strength
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s11657-020-00754-z) contains supplementary material, which is available to authorized users. * Christina Kaijser Alin [email protected] 1
Department of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, Karolinska Institutet, Solna, Sweden
2
Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Solna, Sweden
3
Rehab Väst, Local Health Care Services in the West of Östergötland, Mjölby, Sweden
4
Division of Physiotherapy, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden
5
Academic Primary Health Care Centre Stockholm, Stockholm, Sweden
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