{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T06:20:52Z","timestamp":1793168452002,"version":"4.5.0"},"reference-count":29,"publisher":"Journal of Orthopaedic & Sports Physical Therapy (JOSPT)","issue":"8","content-domain":{"domain":["www.jospt.org"],"crossmark-restriction":true},"short-container-title":["Journal of Orthopaedic &amp; Sports Physical Therapy"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:p> BACKGROUND: The Lancet Low Back Pain (LBP) Series highlighted the lack of LBP data from low- and middle-income countries (LMICs). The study aimed to describe (1) what LBP care is currently delivered in LMICs and (2) how that care is delivered. <\/jats:p><jats:p> DESIGN: An online mixed-methods study. <\/jats:p><jats:p> METHODS: A Consortium for LBP in LMICs (n = 65) was developed with an expert panel of leading LBP researchers (&gt;2 publications on LBP) and multidisciplinary clinicians and patient partners with 5 years of clinical\/lived LBP experience in LMICs. Quantitative data were analyzed using descriptive statistics. Two researchers independently analyzed qualitative data using inductive and deductive coding and developed a thematic framework. <\/jats:p><jats:p> RESULTS: Forty-seven (85%) of 55 invited panel members representing 32 LMICs completed the survey (38% women, 62% men). The panel included clinicians (34%), researchers (28%), educators (6%), and people with lived experience (4%). Pharmacotherapies and electrophysiological agents were the most used LBP treatments. The thematic framework comprised 8 themes: (1) self-management is ubiquitous, (2) medicines are the cornerstone, (3) traditional therapies have a place, (4) society plays an important role, (5) imaging use is very common, (6) reliance on passive approaches, (7) social determinants influence LBP care pathway, and (8) health systems are ill-prepared to address LBP burden. <\/jats:p><jats:p> CONCLUSION: LBP care in LMICs did not consistently align with the best available evidence. Findings will help research prioritization in LMICs and guide global LBP clinical guidelines. J Orthop Sports Phys Ther 2024;54(8):560-572. Epub 11 April 2024. doi:10.2519\/jospt.2024.12406 <\/jats:p>","DOI":"10.2519\/jospt.2024.12406","type":"journal-article","created":{"date-parts":[[2024,4,11]],"date-time":"2024-04-11T16:38:21Z","timestamp":1712853501000},"page":"560-572","update-policy":"https:\/\/doi.org\/10.2519\/jospt.crossmarkpolicy","source":"Crossref","is-referenced-by-count":27,"title":["How Low Back Pain is Managed\u2014A Mixed-Methods Study in 32 Countries. Part 2 of Low Back Pain in Low- and Middle-Income Countries Series"],"prefix":"10.2519","volume":"54","author":[{"given":"Saurab","family":"Sharma","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anupa","family":"Pathak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Romy","family":"Parker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonardo Oliveira Pena","family":"Costa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Babita","family":"Ghai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chinonso","family":"Igwesi-Chidobe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prawit","family":"Janwantanakul","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabianna Resende","family":"de Jesus-Moraleida","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mulugeta Bayisa","family":"Chala","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammadreza","family":"Pourahmadi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew M.","family":"Briggs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward","family":"Gorgon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clare L.","family":"Ardern","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karim M.","family":"Khan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James H.","family":"McAuley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1394","reference":[{"key":"bib1","doi-asserted-by":"publisher","DOI":"10.5694\/mja16.00828"},{"key":"bib2","doi-asserted-by":"publisher","DOI":"10.1097\/PR9.0000000000001078"},{"key":"bib3","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2022.152147"},{"key":"bib4","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2021-006045"},{"key":"bib5","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/czac061"},{"key":"bib6","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)30488-4"},{"key":"bib7","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-064119"},{"key":"bib8","doi-asserted-by":"publisher","DOI":"10.1016\/S2665-9913(23)00098-X"},{"key":"bib9","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-018-5721-y"},{"key":"bib10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"bib11","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)30480-X"},{"key":"bib12","first-page":"7031","volume":"12","author":"Huckel Schneider C","year":"2023","journal-title":"Int J Health Policy Manag."},{"key":"bib13","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1911965"},{"key":"bib14","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(23)00404-X"},{"key":"bib15","doi-asserted-by":"publisher","DOI":"10.1037\/amp0000151"},{"key":"bib16","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.51915"},{"key":"bib17","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-022-07180-4"},{"key":"bib18","doi-asserted-by":"publisher","DOI":"10.1111\/jep.13729"},{"key":"bib19","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-018-5673-2"},{"key":"bib20","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjpt.2021.02.005"},{"key":"bib21","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjpt.2022.100389"},{"key":"bib22","doi-asserted-by":"publisher","DOI":"10.7189\/jogh.09.020317"},{"key":"bib23","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-026874"},{"key":"bib24","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2022.11145"},{"key":"bib25","doi-asserted-by":"publisher","DOI":"10.2147\/JPR.S173851"},{"key":"bib26","doi-asserted-by":"publisher","DOI":"10.7189\/jogh.09.010304"},{"key":"bib27","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzad081"},{"key":"bib28","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2021-005847"},{"key":"bib30","volume-title":"WHO Guideline for Non-surgical Management of Chronic Primary Low Back Pain in Adults in Primary and Community Care Settings","author":"World Health Organization","year":"2023"}],"container-title":["Journal of Orthopaedic &amp; Sports Physical Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.jospt.org\/doi\/pdf\/10.2519\/jospt.2024.12406","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,26]],"date-time":"2024-08-26T13:52:10Z","timestamp":1724680330000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jospt.org\/doi\/10.2519\/jospt.2024.12406"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8]]},"references-count":29,"aliases":["10.2519\/jospt.2022.56789"],"journal-issue":{"issue":"8","published-print":{"date-parts":[[2024,8]]}},"alternative-id":["10.2519\/jospt.2024.12406"],"URL":"https:\/\/doi.org\/10.2519\/jospt.2024.12406","relation":{},"ISSN":["0190-6011","1938-1344"],"issn-type":[{"value":"0190-6011","type":"print"},{"value":"1938-1344","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8]]},"assertion":[{"value":"2024-07-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}