Abstract
Lower back pain differs in prevalence with respect to gender, time, occupation and nations and little is known about it on military professionals in Ethiopia who are exposed to more workload, psychological disorders and regular physical exercise hence we aimed in this study to assess the magnitude of lower back pain and its determinants among neurological and neurosurgical adult patients at Armed Forces Comprehensive Specialized Hospital Addis Ababa, Ethiopia from December 16, 2017 to March 23, 2018. For this aim a comparative crossectional study was carried out, and using single and two population proportion formulas, sample size of 585 was calculated. Every third participants aged more than or equal to 18 years were included in the study. Descriptive statics and bivariate and multivariable logistic regression was done for variables. The study results showed response rate of the study is 99.7% and the median age is 42 years with interquartile range of 14 years, 447 (76.7%) of them are male and 441 (75.6%) are military. The magnitude of low back pain is 65.9% with 95% Confidence Interval (62.1, 69.8); and previous recommended spinal surgery, tender point, comorbidities, and numbness and tingling sensation have significant association in multivariable logistic regression with adjusted odds ratio (95% Confidence Interval) 2.18 (1.06, 4.45), 4.36 (2.17, 8.77), 0.57 (0.35, 0.95), and 2.92 (1.71, 4.96); respectively. Finally, we concluded that the magnitude of lower back pain is high neurological and neurosurgical adult military patients at study settings and determinants are recommended spinal surgery, and numbness and tingling sensation, tender point and comorbidities; and strengthening neurological and neurosurgical services are recommended.
Highlights
We aimed in this study to assess the magnitude of lower back pain and its determinants among neurological & neurosurgical adult patients at Armed Forces Comprehensive Specialized Hospital (AFCSH) Addis Ababa, Ethiopia from December 16, 2017 to March 23, 2018
Armed Forces Comprehensive Specialized Hospital is located in Addis Ababa, Ethiopia; it is a military institution of the country where all the military personnel and their family from the whole country and hospital staffs get health services
Specific Lower back pain (LBP) was computed on the SPSS by using 469 LBP symptoms and 384 abnormal L/S imaging and we got 363 respondents with specific LBP, and when we added up leg pain we found 384 (65.9%) of the respondents had specific LBP
Summary
Lower back pain (LBP) is a common disorder involving the muscles, nerves, and bones of the back and the term lower and low back pain is used interchangeably [1]. It was the leading global cause of disability in 2015 in most countries [2]. Non –modifiable risk factors include age, gender, previous LBP, marital status, and education level while modifiable risk factors are obesity [3, 9, 19,20,21], low income, psychological disorders like depression, posttraumatic stress disorder and anxiety disorder; moderate to vigorous physical activity [3, 12, 15, 22, 23]; stress [6, 15]; parental social class, self -perceived health,, societal attitudes & beliefs, social networks and social class (17, 18); work load [7, 12, 13, 24]; smoking; falls; and working shift, physical activities at work; sleep disturbance, felt little pleasure by doing things and job Shewalem Geremew Denboba and Alemayehu Worku: Lower Back Pain Among Neurological and Neurosurgical
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