Prevalence of Low Back Pain in Medical Students of United Medical and Dental College Karachi
Objective: To determine the prevalence of low back pain in medical students of United Medical and Dental College Karachi.
Methods: This cross sectional study was conducted from 22nd March 2021 to 22nd January 2022 in department of Orthopaedics, United medical and dental college Karachi. The data was collected from medical students of MBBS studying in United Medical and Dental College Karachi. The data was collected with the help of modified version of Standardized Nordic questionnaire. Participants were asked for any discomfort, pain and ache in lower back at any time during the last 7 days and 12 months. (period prevalence)
Results: We enrolled 400 medical students of MBBS for this study but 388 participants completed and returned the questionnaire. The mean age of our study sample was 21.36 ± 1.59 years. Female students were 240(61.85 %) and males were 148(31.95. The 12 months period prevalence of low backache was 67.28%(n=255) while 07 days prevalence was 31.95% (n=124). The prevalence of low back pain was lowest in first year students (7.12%,n=27) and highest in the final year students(33.77%,n=128).
Conclusion: High prevalence of low back pain was reported among medical students of United Medical and Dental College Karachi. The prevalence of low back pain was higher among fifth year students, students carrying regular bag packs, those sleeping on soft mattress and in lateral position, those not using backcare cushions and those not doing regular exercise.
Aggarwal N, Anand T, Kishore J, Ingle GK. Low back pain and associated risk factors among undergraduate students of a medical college in Delhi. Educ Health (Abingdon). 2013;26(2):103-108.
Koes BW, Van Tulder M, Thomas S. Diagnosis and treatment of low back pain. BMJ. 2006;332(7555):1430-1434.
Silva AL, Smaidi K, Pires MHR, Pires OC. Prevalence of chronic pain and associated factors among medical students. Revista Dor.2017;18(2):108-111.
Vujcic I, Stojilovic N, Dubljanin E, Ladjevic N, Ladjevic I, Sipetic-Grujicic S. Low Back Pain among Medical Students in Belgrade (Serbia): A Cross-Sectional Study. Pain Res Manag. 2018;2018:8317906. doi: 10.1155/2018/8317906.
Brady SRE, Hussain SM, Brown WJ, Heritier S, Billah B, Wang Y, et al. Relationships between weight, physical activity, and back pain in young adult women. Medicine (Baltimore). 2016;95(19):e3368.Doi:10.1097/MD.000000000003368.
Pengel LH, Herbert RD, Maher CG, Refshauge KM. Acute low back pain: systematic review of its prognosis. BMJ. 2003;327(7410):323.Doi:10.1136/bmj.327.7410.323.
Karimi N, Ebrahimi I, Kahrizi S, Torkaman G. Evaluation of postural balance using the biodex balance system in subjects with and without low back pain. Pak J Med Sci.2008;24(3):372-377.
Moroder P, Runer A, Resch H, Tauber M. Low back pain among medical students. Acta Orthopaedica Belgica.2011;77(1):88-92.
Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sorensen F, Andersson G, et al. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms.Appl Ergon.1987;18(3):233-237.
Hoy D, March L, Brooks P,Blyth F,Woolf A, Bain C, et al. The global burden of low back pain: estimates from the Global Burden of Disease 2010 Study. Ann Rheum Dis.2014;73(6):968-974.
Andersson JA. Problems of classification of low back pain. Rheumatol Rehabil.1977;16(1):34-36.
Alshagga MA, Nimer AR, Yan LP, Ibrahim IA, Al-Ghamdi SS, Radman Al-Dubai SA. Prevalence and factors associated with neck, shoulder and low back pains among medical students in a Malaysian Medical College. BMC Res Notes. 2013;6:244. Doi: 10.1186/1756-0500-6-244.
Falavigna A, Teles AR, Mazzocchin T, de Braga GL,Kleber FD,Barreto F, et al. Increased prevalence of low back pain among physiotherapy students compared to medical students. Eur Spine J.2011;20(3):500-505.
Ilic I, Milicic V, Grujicic S, Zivanovic Macuzic I, Kocic S, Ilic MD. Prevalence and correlates of low back pain among undergraduate medical students in Serbia, a cross-sectional study. PeerJ.2021;9:e11055. Doi: 10.7717/peerj.11055.
Boszczowski N, Pinto RCR, Alves-de-Araujo F. Low back pain in Medical students: Prevalence and Related Factors. Coluna/Columna.2021;20(3):197-200.
AlShayhan FA, Saadeddin M. Prevalence of low back pain among health sciences students. Eur J Orthop Surg Traumatol.2018;28(2):165-170.
Smith DR, Wei N, Ishitake T, Wang RS. Musculoskeletal disorders among Chinese medical students. Kurume Med J.2005;52(4):139-146.
Wong AYL, Chan LLY, Lo CWT, Chan WWY, Lam KCK, Bao JCH, et al. Prevalence/Incidence of Low Back Pain and Associated Risk Factors Among Nursing and Medical Students: A Systematic Review and Meta-Analysis. PM R. 2021;13(11):1266-1280.
Amelot A, Mathon B, Haddad R, Renault MC, Duguet A, Steichen O. Low Back Pain Among Medical Students: A Burden and an Impact to Consider! Spine (Phila Pa 1976). 2019;44(19):1390-1395.
Smith DR, Leggat PA. Prevalence and distribution of musculoskeletal pain among Australian medical students. Journal of Musculoskeletal Pain.2007;15(4):39-46.
Haroon H, Mehmood S, Imtiaz F, Ali SA, Sarfraz M. Musculoskeletal pain and its associated risk factors among medical students of a public sector University in Karachi, Pakistan. J Pak Med Assoc.2018;68(4):682-688.
Heuscher Z, Gilkey DP, Peel JL, Kennedy CA. The association of self-reported backpack use and backpack weight with low back pain among college students. J Manipulative Physiol Ther.2010 ;33(6):432-437.