Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, Italy.
Directorate of Communication and International Affairs, Ministry of Health, 00144 Rome, Italy.
Int J Environ Res Public Health. 2022 Apr 11;19(8):4599. doi: 10.3390/ijerph19084599.
In March 2019, the World Health Organization (WHO) recognized the COVID-19 pandemic as a global issue. To reduce the spread of this disease, health safety pathways were implemented worldwide. These extraordinary measures changed people's lifestyles, e.g., by being forced to isolate, and in many cases, to work remotely from home. Low back pain (LBP), the most common cause of disability worldwide, is often a symptom of COVID-19. Moreover, it is often associated with different lifestyle features (type of job, physical activity, body weight). Therefore, the purpose of this systematic review and meta-analysis was to estimate the effect of the COVID-19 lockdown on LBP intensity and prevalence compared with LBP rates before the pandemic. A systematic search was performed on Scopus, PubMed, and Cochrane Central. Overall, eight studies with 2365 patients were included in the analysis. We used the Joanna Briggs Institute (JBI) critical appraisal tool to evaluate the risk of bias: six studies (75%) were at moderate risk of bias and two studies (25%) were at low risk of bias. These studies showed an increase in both the prevalence and intensity of LBP during the COVID-19 lockdown.
2019 年 3 月，世界卫生组织（WHO）将 COVID-19 大流行认定为全球性问题。为了减少这种疾病的传播，全球范围内实施了卫生安全措施。这些特殊措施改变了人们的生活方式，例如被迫隔离，在许多情况下，在家远程工作。下背痛（LBP）是全球最常见的残疾原因，通常是 COVID-19 的症状之一。此外，它通常与不同的生活方式特征（工作类型、身体活动、体重）有关。因此，本系统评价和荟萃分析的目的是估计与大流行前相比，COVID-19 封锁对 LBP 强度和流行率的影响。在 Scopus、PubMed 和 Cochrane Central 上进行了系统搜索。总体而言，有八项研究共 2365 名患者纳入了分析。我们使用 Joanna Briggs 研究所（JBI）的批判性评估工具来评估偏倚风险：六项研究（75%）存在中度偏倚风险，两项研究（25%）存在低偏倚风险。这些研究表明，在 COVID-19 封锁期间，LBP 的患病率和强度都有所增加。
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