Mullerpatan Rajani, Nahar Shweta, Singh Yuvraj, Cote Pierre, Nordin Margareta
MGM School of Physiotherapy, MGM Institute of Health Sciences, MGM Educational Campus, Sector 1, Kamothe, Navi Mumbai, Maharashtra, 410 209, India.
Faculty of Health Sciences, University of Ontario Institute of Technology, Oshawa, Canada.
Eur Spine J. 2021 Apr;30(4):1004-1010. doi: 10.1007/s00586-020-06585-3. Epub 2020 Sep 10.
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.
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.
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.
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.
在非传染性疾病中，腰背痛和颈痛是导致严重长期疼痛和残疾的最常见原因，全球超过10亿人受其影响。然而，这些疾病的负担和影响尚未得到充分了解，尤其是在低收入和中等收入国家的农村和部落人群中。
本研究旨在测量印度马哈拉施特拉邦赖加德区农村和部落人群中腰背痛和颈痛的时点患病率，并探讨农村居民对脊柱疼痛和残疾的态度及信念。
2016年8月至10月，在印度马哈拉施特拉邦赖加德区六个村庄进行横断面调查，使用脊柱疼痛问卷测量腰背痛和颈痛。
我们调查了2323名参与者，其中不包括儿童和青少年。在农村人群（n = 2073）中，腰背痛和颈痛的时点患病率分别为4.9%（95%CI 3.94 - 5.79）和2.9%（95%CI 2.21 - 8.87）。在部落人群（n = 250）中，腰背痛患病率为10.0%（95%CI 6.28 - 13.71），颈痛患病率为3.6%（95%CI 1.29 - 5.90）。搬运重物和弯腰是最受限的活动。在非正式讨论中，大多数村民将脊柱疼痛归因于传统生活方式和年龄。参与者在疼痛时仍继续从事职业工作。交通设施缺乏和治疗费用是在附近医疗中心延迟就医的两个最常见原因。这些信息将通过社区参与的伙伴关系和当地社区的自我赋权，为制定定制化的脊柱护理计划提供参考。
