School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia; Institute for Musculoskeletal Health, Sydney Local Health District, Sydney, New South Wales, Australia.
Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, SP, Brazil.
Braz J Phys Ther. 2019 May-Jun;23(3):189-195. doi: 10.1016/j.bjpt.2018.10.001. Epub 2018 Oct 13.
Low back pain is the leading cause of years lived with disability in Brazil based upon Global Burden of Disease estimates. Since 1990, the number of years lived with disability has increased by 79.7%, and this number is expected to continue to rise due to population growth and ageing. Yet, similarly to other countries, little attention has been given to it in both the public and private health systems, arguably making it an overlooked epidemic in Brazil. There is evidence that Brazil has adopted unwarranted practices in the management of low back pain in a similar manner to what has been observed in high-income countries. To tackle the burden of low back pain in Brazil, we need highly coordinated efforts from government, the private sector, universities, health workers and civil society.
This masterclass intends to provide an overview of the challenges faced by Brazil in relation to low back pain management and propose potential solutions that could potentially be implemented based on experiences reported in the literature.
根据全球疾病负担估计，腰痛是巴西导致伤残调整生命年的主要原因。自 1990 年以来，伤残调整生命年的数量增加了 79.7%，由于人口增长和老龄化，这一数字预计将继续上升。然而，与其他国家一样，公共和私营卫生系统几乎没有关注这一问题，可以说这是巴西忽视的一个流行病。有证据表明，巴西在管理腰痛方面采取了不合理的做法，与高收入国家观察到的情况类似。为了应对巴西腰痛的负担，我们需要政府、私营部门、大学、卫生工作者和民间社会的高度协调努力。
本大师班旨在概述巴西在腰痛管理方面面临的挑战，并根据文献中报告的经验提出潜在的解决方案。
