Risk factors of low back pain and the relationship with sagittal vertebral alignment in Tanzania

BMC Musculoskeletal Disorders

Keiko Harada¹  Kanako Shimoura¹  Tsubasa Bitoh¹  Hala Zeidan¹  Tomoki Aoyama¹  Yuu Kajiwara¹  Masataka Tatsumi¹  Kengo Nakai¹  Yuichi Nishida¹  Yusuke Suzuki¹  Egfrid Michael Mkoba² 

[1] Present address: Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University (Japan);Present address: School of Physiotherapy, Kilimanjaro Christian Medical Centre;

关键词: Low back pain (LBP);    Sub-Sahara Africa (SSA);    Tanzania;    Pelvic tilt;    Lumbar lordosis;    Thoracic kyphosis;   

DOI  :  10.1186/s12891-019-2953-x

来源: DOAJ

【 摘 要 】

Abstract Background LBP is a common and serious problem affecting vast populations of the world. However, only few studies on LBP in sub-Saharan Africa have been conducted. Studies report that LBP and pelvic angle are interrelated, and African residents have a high pelvic tilt. The strategy to prevent LBP should focus on activities that promote holistic health. For that purpose, it is important to grasp the state of LBP and how it affects people’s lifestyle in Tanzania to clarify the direction of implementation of physiotherapy treatment and reduce the incidences of LBP among adults. This study aimed to investigate the prevalence and presentation of low back pain (LBP) and the relationship between anthropometric measurements and LBP among people in Moshi city, Kilimanjaro region Tanzania. Methods Following signing consent forms, participants were given questionnaires regarding LBP and then grouped accordingly into either asymptomatic or symptomatic cohorts. Anthropometric measurements of participants’ height, weight, curvature of the spine, and pelvic angle were obtained. Results A Mann-Whitney U test analysis showed a significant difference in pelvic angle, body mass index (BMI), and thoracic kyphosis angle between the asymptomatic group and the symptomatic group. No significant differences in lumbar lordosis angle or abdominal muscle strength were found between the two groups. Conclusions A person with symptomatic LBP in Tanzania has a large anteversion of the pelvic tilt and a thoracic kyphotic posture. This study shows a relationship between sagittal spinal alignment and LBP in Tanzania, which could allow for prospective identification of subjects prone to developing LBP in the future.

【 授权许可】

Unknown