Rehabilitation of Patients With Low Back Pain in Hospitals in Ibadan, Oyo State, Nigeria.

This Study Investigates The Current Methods Of Diagnosing And Rehabilitating Low Back Pain (LBP), Prevalence Of LBP In Ibadan, A City In The Southwestern Part Of Nigeria, And Compares Them With International Practices, Using Croatia As A Case Study. Five Hospitals In Ibadan And Hospitals In Rijeka And Opatija, Croatia, Served As Data Sources.
An Online Questionnaire Was Distributed To Medical Practitioners-Physiotherapists, Medical Doctors, Medical Laboratory Scientists And Nurses Across Different Hospitals In The Locations Mentioned Above.A Total Of 101 Responses Were Collected: 51 From Ibadan, Oyo State And 50 From Croatia. In Ibadan, Oyo State, 45.1% Of The Respondents Reported That LBP Occurs More Frequently In Women, While Only 3.9% Said It Is More Common In Men. Occupations Involving Significant Physical Effort Were Identified As A Major Risk Factor, Cited By 27.5% Of Participants. In Addition, 66.7% Of The Respondents Believed That Individuals From Any Profession Could Be Affected. Regarding Diagnostic Tools, 66.7% Of Respondents Confirmed The Availability Of Diagnostic Methods For LBP In Their Hospitals. Knowledge Of Diagnostic Methods Was High For X-Ray(96%), While Fewer Were Aware Of CT Scans (37.3%), Mris (51%), EMG (6%), Blood Tests (6%) Urine Tests (2%), Physical Tests (9.8%) And ESR (2%).
The Most Commonly Available Rehabilitation Methods In Ibadan Hospitals Were: Transcutaneous Electrical Nerve Stimulation(TENS) (66.7%), Kinesitherapy (45.1%), Hydrotherapy( 17.6%), LASER (7.8%), Biofeedback Training (23.5%), Traction (56.9%), Proprioceptive Neuromuscular Translation(PNF) (29.4%), Thermotherapy: (3.9%), Phonophoresis (1.9%), Ergonomics (1.9%) And Others.
In Croatia,58.8% Of Respondents Reported LBP As Common Among Both Genders. 24% Reported That LBP Is Mostly Common Among Females And 16% Stated That LBP Is Mostly Occurring In The Male Gender. Comparable To The Data Gathered From The Respondents In Ibadan, 24% Of The Participants Responded That Individuals Engaged In Physically Demanding Occupations Are Mostly Susceptible To Low Back Pain; 16% Reported That Cooperate Workers Are Mostly Susceptible To LBP And 60% Of Respondents Reported That People From Any Kind Of Profession Can Be Susceptible To LBP. 66% Of The Participants Responded Positively To The Availability Of Diagnostic Methods For LBP In Their Places Work; 18% Responded Negatively And An Equivalent Of 18% Also Responded ‘Not Sure’. More Diagnostic Methods Were Reported To Be Available: X-Ray(20%), CT Scan(2%), EMG(8%), Physical Examination(4%),Particularly MRI(62%).
Rehabilitation Options Were Also More Extensive, With Kinesitherapy(92%), TENS( 88%), Hydrotherapy (62%), LASER(64%),Traction (34%), PNF (54%), Biofeedback Training (18%), Ultrasound (2%), Proprioceptive Deep Tendon Reflex(PDTF)(2%), Cyriax(2%), Mulligan Therapy (2%).
Overall, Hospitals In Ibadan, Oyo State, Nigeria Lack A Comprehensive And Consistent Rehabilitation Framework For LBP, Falling Short Of International Standards. There Is A Pressing Need For Educational Programmes And Infrastructure Improvements To Align Ibadan’s Rehabilitation Services With Global Practices, Thereby Improving The Chances Of Full Recovery Of Patients Diagnosed With LBP And Ultimately, Enhancing Their Quality Of Life.

Croatia, Diagnosis For LBP, Hospitals, Ibadan, Low Back Pain, Physiotherapy, Rehabilitation Procedures.

1. Ajayi IO, Ajayi VO. Health Care‑Seeking Behavior Among The Elderly In Oyo State, Nigeria. Global Journal Of Health Science. 2013;5(4):82–89. Available At: Https://Www.Researchgate.Net/Publication/259764867_Health_Care-Seeking_Behavior_Among_The_Elderly_In_Oyo_State_Nigeria / [Google Scholar] [Crossref]

2. Alimi M. Low Back Pain Generators—What Causes Low Back Pain And How To Classify It [Internet]. AO Foundation (AO Spine); 2024 Aug 11 [Cited 2025 Jul 3]. Available At: Https://Www.Aofoundation.Org/Spine/About-Aospine/Blog/2024_06-Blog-Alimi-Low-Back-Pain-Generators [Google Scholar] [Crossref]

3. Ayanniyi O, Mbada CE, Muolokwu CA. Prevalence And Profile Of Back Pain In Nigerian Adolescents. Med Princ Pract. 2011;20(4):368-73. Doi: 10.1159/000323766. Epub 2011 May 11. PMID: 21576999. Available At: Prevalence And Profile Of Back Pain In Nigerian Adolescents - Pubmed [Google Scholar] [Crossref]

4. Bello B, Bello Adebayo H. A Systematic Review On The Prevalence Of Low Back Pain In Nigeria. Middle East J Rehabil Health Stud. 2017;4(2):E45262. Https://Doi.Org/10.5812/Mejrh.45262. Available At: Https://Brieflands.Com/Articles/Mejrh-13146 [Google Scholar] [Crossref]

5. Brukner P, Khan KM, Bahr R, Blair S, Cook JL, Crossley K Et Al. Brukner & Khan's Clinical Sports Medicine. Fourth Edition Ed. Australia: Mcgraw-Hill Education, 2012. 1295 P [Google Scholar] [Crossref]

6. Clark S, Horton R. Low Back Pain: A Major Global Challenge. Lancet. 2018 Jun 9;391(10137):2302. Doi:10.1016/S0140-6736(18)30725-6. Available At: Https://Www.Thelancet.Com/Journals/Lancet/Article/PIIS0140-6736(18)30725-6/Fulltext [Google Scholar] [Crossref]

7. Deyo RA. Biopsychosocial Care For Chronic Back Pain. BMJ. 2015;350:H538. Doi:10.1136/Bmj.H538.Available At: Https://Www.Bmj.Com/Content/350/Bmj.H538 [Google Scholar] [Crossref]

8. Fay M, Black M. Risk Factors For Low Back Pain Amongst Adults In Nigeria And South Africa: A Systematic Review. BMC Musculoskelet Disord. 2024 Nov 27;25(1):968. Doi: 10.1186/S12891-024-08017-5. PMID: 39604993; PMCID: PMC11600746. Available At: Https://Bmcmusculoskeletdisord.Biomedcentral.Com/Articles/10.1186/S12891-024-08017-5 [Google Scholar] [Crossref]

9. Fay M, Black M. Risk Factors For Low Back Pain Amongst Adults In Nigeria And South Africa: A Systematic Review. BMC Musculoskelet Disord. 2024 Nov 27;25(1):968. Doi: 10.1186/S12891-024-08017-5. PMID: 39604993; PMCID: PMC11600746.Available At: Risk Factors For Low Back Pain Amongst Adults In Nigeria And South Africa: A Systematic Review | BMC Musculoskeletal Disorders | Full Text [Google Scholar] [Crossref]

10. Ganesan S, Acharya AS, Chauhan R, Acharya S. Prevalence And Risk Factors For Low Back Pain In 1,355 Young Adults: A Cross-Sectional Study. Asian Spine J. 2017 Aug;11(4):610-617. Doi: 10.4184/Asj.2017.11.4.610. Epub 2017 Aug 7. PMID: 28874980; PMCID: PMC5573856.Available At: Https://Pmc.Ncbi.Nlm.Nih.Gov/Articles/PMC5573856/ [Google Scholar] [Crossref]

11. Garcia JBS, Hernandez-Castro JJ, Nunez RG, Pazos MAR, Aguirre JO, Jreige A, Et Al. Prevalence Of Low Back Pain In Latin America. Pain Physician [Internet]. 2014 [Cited 2025 Jul 3];17(4):E379–E391.Available At: Https://Repository.Urosario.Edu.Co/Server/Api/Core/Bitstreams/C530468a-521e-48a2-9a10-77949f215663/Content [Google Scholar] [Crossref]

12. Igwesi-Chidobe CN, Sorinola IO, Kitchen S, Godfrey EL. Unconventional Practitioners’ Causal Beliefs And Treatment Strategies For Chronic Low Back Pain In Rural Nigeria. Health Serv Insights. 2018 Oct 30;11:1178632918808783. Doi:10.1177/1178632918808783. Available At: Unconventional Practitioners’ Causal Beliefs And Treatment Strategies For Chronic Low Back Pain In Rural Nigeria - Chinonso N Igwesi-Chidobe, Isaac O Sorinola, Sheila Kitchen, Emma L Godfrey, 2018 [Google Scholar] [Crossref]

13. Koes BW, Van Tulder MW, Thomas S. Diagnosis And Treatment Of Low Back Pain. BMJ. 2006 Jun 17;332(7555):1430-4. Doi: 10.1136/Bmj.332.7555.1430. PMID: 16777886; PMCID: PMC1479671. Available At: Https://Pubmed.Ncbi.Nlm.Nih.Gov/16777886/ [Google Scholar] [Crossref]

14. Lumbar Anatomy [Internet]. Physio‑Pedia; [Cited 2025 Jul 3]. Available At: Https://Www.Physio-Pedia.Com/Lumbar_Anatomy [Google Scholar] [Crossref]

15. Nottidge BA, Odole AC, Odunaiya NA, Akpa MO, Fawole OI, Akinpelu AO. Development And Structural Validity Of A Nigerian Culture- And Environment-Friendly Low Back Pain Outcome Measure: Ibadan Low Back Pain Disability Questionnaire. Ghana Med J. 2019 Jun;53(2):126-134. Doi: 10.4314/Gmj.V53i2.7. PMID: 31481808; PMCID: PMC6697772. Available At: Https://Pubmed.Ncbi.Nlm.Nih.Gov/31481808/ [Google Scholar] [Crossref]

16. Sanya AO, Ogwumike OO. Low Back Pain Prevalence Amongst Industrial Workers In The Private Sector In Oyo State, Nigeria. Afr J Med Med Sci. 2005 Sep;34(3):245-9. PMID: 16749356.Available At:: Https://Pubmed.Ncbi.Nlm.Nih.Gov/16749356/#:~:Text=Data%20on%20515%20males%20and,Of%20LBP%20was%2059.5%20percent. [Google Scholar] [Crossref]

17. Sato T, Ito T, Hirano T, Morita O, Kikuchi R, Endo N, Et Al. Low Back Pain In Childhood And Adolescence: A Cross-Sectional Study In Niigata City. Eur Spine J. 2008;17:1441–7. Doi:10.1007/S00586-008-0788-5.Available At: Https://Link.Springer.Com/Article/10.1007/S00586-008-0788-5#Citeas [Google Scholar] [Crossref]

18. Valat JP, Goupille P, Védere V. Low Back Pain: Risk Factors For Chronicity. Rev Rhum Engl Ed. 1997 Mar;64(3):189-94. PMID: 9090769. Available At: Low Back Pain: Risk Factors For Chronicity - Pubmed [Google Scholar] [Crossref]

19. World Health Organization. Low Back Pain [Internet]. Geneva: World Health Organization; 2023 Jun 19 [Cited 2025 Jul 3]. Available At: Low Back Pain [Google Scholar] [Crossref]

20. Wu A, March L, Zheng X, Huang J, Wang X, Zhao J, Blyth FM, Smith E, Buchbinder R, Hoy D. Global Low Back Pain Prevalence And Years Lived With Disability From 1990 To 2017: Estimates From The Global Burden Of Disease Study 2017. Ann Transl Med. 2020 Mar;8(6):299. Doi: 10.21037/Atm.2020.02.175. PMID: 32355743; PMCID: PMC7186678.Available At: Https://Pmc.Ncbi.Nlm.Nih.Gov/Articles/PMC7186678/#Sec5 [Google Scholar] [Crossref]

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