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Distribution and prevalence of musculoskeletal pain co-occurring with persistent low back pain: a systematic review
BACKGROUND: Co-occurring musculoskeletal pain is common among people with persistent low back pain (LBP) and associated with more negative consequences than LBP alone. The distribution and prevalence of musculoskeletal pain co-occurring with persistent LBP has not been systematically described, whic...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7814622/ https://www.ncbi.nlm.nih.gov/pubmed/33461514 http://dx.doi.org/10.1186/s12891-020-03893-z |
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author | Øverås, Cecilie K. Johansson, Melker S. de Campos, Tarcisio F. Ferreira, Manuela L. Natvig, Bård Mork, Paul J. Hartvigsen, Jan |
author_facet | Øverås, Cecilie K. Johansson, Melker S. de Campos, Tarcisio F. Ferreira, Manuela L. Natvig, Bård Mork, Paul J. Hartvigsen, Jan |
author_sort | Øverås, Cecilie K. |
collection | PubMed |
description | BACKGROUND: Co-occurring musculoskeletal pain is common among people with persistent low back pain (LBP) and associated with more negative consequences than LBP alone. The distribution and prevalence of musculoskeletal pain co-occurring with persistent LBP has not been systematically described, which hence was the aim of this review. METHODS: Literature searches were performed in MEDLINE, Embase, CINAHL and Scopus. We considered observational studies from clinical settings or based on cohorts of the general or working populations involving adults 18 years or older with persistent LBP (≥4 wks) and co-occurring musculoskeletal pain for eligibility. Study selection, data extraction and risk of bias assessment were carried out by independent reviewers. Results are presented according to study population, distribution and location(s) of co-occurring pain. RESULTS: Nineteen studies out of 5744 unique records met the inclusion criteria. Studies were from high-income countries in Europe, USA and Japan. A total of 34,492 people with persistent LBP were included in our evidence synthesis. Methods for assessing and categorizing co-occurring pain varied considerably between studies, but based on the available data from observational studies, we identified three main categories of co-occurring pain – these were axial pain (18 to 58%), extremity pain (6 to 50%), and multi-site musculoskeletal pain (10 to 89%). Persistent LBP with co-occurring pain was reported more often by females than males, and co-occurring pain was reported more often in patients with more disability. CONCLUSIONS: People with persistent LBP often report co-occurring neck pain, extremity pain or multi-site pain. Assessment of co-occurring pain alongside persistent LBP vary considerable between studies and there is a need for harmonisation of measurement methods to advance our understanding of how pain in different body regions occur alongside persistent LBP. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42017068807. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12891-020-03893-z. |
format | Online Article Text |
id | pubmed-7814622 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-78146222021-01-19 Distribution and prevalence of musculoskeletal pain co-occurring with persistent low back pain: a systematic review Øverås, Cecilie K. Johansson, Melker S. de Campos, Tarcisio F. Ferreira, Manuela L. Natvig, Bård Mork, Paul J. Hartvigsen, Jan BMC Musculoskelet Disord Research Article BACKGROUND: Co-occurring musculoskeletal pain is common among people with persistent low back pain (LBP) and associated with more negative consequences than LBP alone. The distribution and prevalence of musculoskeletal pain co-occurring with persistent LBP has not been systematically described, which hence was the aim of this review. METHODS: Literature searches were performed in MEDLINE, Embase, CINAHL and Scopus. We considered observational studies from clinical settings or based on cohorts of the general or working populations involving adults 18 years or older with persistent LBP (≥4 wks) and co-occurring musculoskeletal pain for eligibility. Study selection, data extraction and risk of bias assessment were carried out by independent reviewers. Results are presented according to study population, distribution and location(s) of co-occurring pain. RESULTS: Nineteen studies out of 5744 unique records met the inclusion criteria. Studies were from high-income countries in Europe, USA and Japan. A total of 34,492 people with persistent LBP were included in our evidence synthesis. Methods for assessing and categorizing co-occurring pain varied considerably between studies, but based on the available data from observational studies, we identified three main categories of co-occurring pain – these were axial pain (18 to 58%), extremity pain (6 to 50%), and multi-site musculoskeletal pain (10 to 89%). Persistent LBP with co-occurring pain was reported more often by females than males, and co-occurring pain was reported more often in patients with more disability. CONCLUSIONS: People with persistent LBP often report co-occurring neck pain, extremity pain or multi-site pain. Assessment of co-occurring pain alongside persistent LBP vary considerable between studies and there is a need for harmonisation of measurement methods to advance our understanding of how pain in different body regions occur alongside persistent LBP. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42017068807. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12891-020-03893-z. BioMed Central 2021-01-18 /pmc/articles/PMC7814622/ /pubmed/33461514 http://dx.doi.org/10.1186/s12891-020-03893-z Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Øverås, Cecilie K. Johansson, Melker S. de Campos, Tarcisio F. Ferreira, Manuela L. Natvig, Bård Mork, Paul J. Hartvigsen, Jan Distribution and prevalence of musculoskeletal pain co-occurring with persistent low back pain: a systematic review |
title | Distribution and prevalence of musculoskeletal pain co-occurring with persistent low back pain: a systematic review |
title_full | Distribution and prevalence of musculoskeletal pain co-occurring with persistent low back pain: a systematic review |
title_fullStr | Distribution and prevalence of musculoskeletal pain co-occurring with persistent low back pain: a systematic review |
title_full_unstemmed | Distribution and prevalence of musculoskeletal pain co-occurring with persistent low back pain: a systematic review |
title_short | Distribution and prevalence of musculoskeletal pain co-occurring with persistent low back pain: a systematic review |
title_sort | distribution and prevalence of musculoskeletal pain co-occurring with persistent low back pain: a systematic review |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7814622/ https://www.ncbi.nlm.nih.gov/pubmed/33461514 http://dx.doi.org/10.1186/s12891-020-03893-z |
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