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Understanding social determinants of health and physical therapy outcomes in patients with low back pain: A scoping review.
Pottkotter, Kristy; Hazlett, Miriam; Mansfield, Cody J; Rethman, Katherine; Fritz, Julie M; Quatman-Yates, Catherine C; Briggs, Matthew S.
Afiliación
  • Pottkotter K; The Ohio State University Wexner Medical Center, Ambulatory Rehabilitation, Columbus, Ohio, USA.
  • Hazlett M; The Ohio State University Wexner Medical Center, Sports Medicine Research Institute, Columbus, Ohio, USA.
  • Mansfield CJ; The Ohio State University School of Health and Rehabilitation Sciences, Columbus, Ohio, USA.
  • Rethman K; The Ohio State University Wexner Medical Center, Ambulatory Rehabilitation, Columbus, Ohio, USA.
  • Fritz JM; The Ohio State University Wexner Medical Center, Sports Medicine Research Institute, Columbus, Ohio, USA.
  • Quatman-Yates CC; The Ohio State University School of Health and Rehabilitation Sciences, Columbus, Ohio, USA.
  • Briggs MS; The Ohio State University Wexner Medical Center, Ambulatory Rehabilitation, Columbus, Ohio, USA.
Musculoskeletal Care ; 22(2): e1888, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38747557
ABSTRACT

BACKGROUND:

Low back pain (LBP) is the number one cause of disability worldwide; however, it is not clear how social determinants of health (SDOH) impact care management and outcomes related to physical therapy (PT) services for patients with LBP.

OBJECTIVE:

The purposes of this scoping review are to examine and assimilate the literature on how SDOH and PT care relate to non-specific LBP outcomes and identify gaps in the literature to target for future research.

METHODS:

Data were extracted from eight electronic databases from January 2011 to February 2022. Reviewers independently screened all studies using the PRISMA extension for scoping review guidelines. Data related to study design, type of PT, type of non-specific LBP, patient demographics, PT intervention, SDOH, and PT outcomes were extracted from the articles.

RESULTS:

A total of 30,523 studies were screened, with 1961 articles undergoing full text review. Ultimately, 76 articles were identified for inclusion. Sex and age were the most frequent SDOH examined (88% and 78% respectively) followed by education level (18%). Approximately half of the studies that examined age, sex, and education level identified no effect on outcomes. The number of studies examining other factors was small and the types of outcomes evaluated were variable, which limited the ability to pool results.

CONCLUSIONS:

Sex and age were the most frequent SDOH examined followed by education level. Other factors were evaluated less frequently, making it difficult to draw conclusions. Study design and heterogeneity of determinants and outcomes were barriers to examining the potential impact on patients with LBP.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Modalidades de Fisioterapia / Dolor de la Región Lumbar / Determinantes Sociales de la Salud Límite: Humans Idioma: En Revista: Musculoskeletal Care Asunto de la revista: FISIOLOGIA / ORTOPEDIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Modalidades de Fisioterapia / Dolor de la Región Lumbar / Determinantes Sociales de la Salud Límite: Humans Idioma: En Revista: Musculoskeletal Care Asunto de la revista: FISIOLOGIA / ORTOPEDIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido