Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, China.
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, China -
Eur J Phys Rehabil Med. 2023 Dec;59(6):682-688. doi: 10.23736/S1973-9087.23.07970-4. Epub 2023 Oct 18.
Stroke causes disability that makes its survivors depend on caregivers for help. The caregivers offer help during lifting and transferring patients from one place to another. However, such activities result in the caregivers sustaining musculoskeletal injuries such as the low back pain (LBP). The aim of this study was to carry out a systematic review and meta-analysis to determine the prevalence of LBP and its risk factors among these caregivers.
PubMED, Embase, Web of Science (WoS) and CINAHL were searched until January 2023, and cross-sectional studies were included. Data on prevalence of LBP due to caregiving activities and participants' characteristics such as sex and nature of caregiving were extracted.
Risks of bias of the included studies were assessed using Agency for healthcare Research and Quality (AHRQ) tool. The data were analyzed using both narrative and quantitative syntheses. In the quantitative synthesis, random effect model meta-analysis of the prevalence and odd of developing LBP between men and women; and between partial and complete caregivers was used. Fives studies (N.=644) were included. The results showed that the prevalence of LBP was 53.9%, with 96% CI from 50.0% to 57.8%. In addition, there was no statistically significant difference in the risk of developing LBP between men and women (OR=1.58, 95% CI=0.27 to 9.27, P=0.61); and between partial and complete caregivers (OR=1.33, 95% CI=0.32 to 5.61, P=0.70).
About half of caregivers of stroke survivors may experience LBP. Therefore, this should be considered during rehabilitation.
中风会导致残疾，使幸存者依赖护理人员的帮助。护理人员在帮助患者从一个地方转移到另一个地方时会提供帮助。然而，这些活动会导致护理人员患上肌肉骨骼损伤，如腰痛（LBP）。本研究旨在进行系统评价和荟萃分析，以确定这些护理人员中 LBP 的患病率及其危险因素。
检索了 PubMED、Embase、Web of Science（WoS）和 CINAHL，检索时间截至 2023 年 1 月，并纳入了横断面研究。提取了因护理活动导致的 LBP 患病率以及参与者特征（如性别和护理性质）的数据。
使用美国医疗保健研究与质量局（AHRQ）工具评估纳入研究的偏倚风险。使用叙述性和定量综合方法对数据进行分析。在定量综合分析中，使用随机效应模型对男性和女性之间、部分护理人员和完全护理人员之间的 LBP 患病率和发生几率进行荟萃分析。纳入了五项研究（N=644）。结果表明，LBP 的患病率为 53.9%，96%CI 为 50.0%至 57.8%。此外，男性和女性之间（OR=1.58，95%CI=0.27 至 9.27，P=0.61）以及部分护理人员和完全护理人员之间（OR=1.33，95%CI=0.32 至 5.61，P=0.70）发生 LBP 的风险无统计学差异。
大约一半的中风幸存者的护理人员可能会经历 LBP。因此，在康复期间应考虑到这一点。
