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Vol. 23. Issue 3.
Pages 189-195 (01 May 2019)
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Vol. 23. Issue 3.
Pages 189-195 (01 May 2019)
Masterclass
DOI: 10.1016/j.bjpt.2018.10.001
Tackling low back pain in Brazil: a wake-up call
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905
Giovanni Ferreiraa,b,
Corresponding author
giovanni.ferreira@sydney.edu.au

Corresponding author at: School of Public Health, Faculty of Medicine and Health, The University of Sydney, Level 10 North, King George V Building, Royal Prince Alfred Hospital, Camperdown, NSW 2050, Australia.
, Luciola Menezes Costac, Airton Steind, Jan Hartvigsene,f, Rachelle Buchbinderg, Chris G. Mahera,b
a School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
b Institute for Musculoskeletal Health, Sydney Local Health District, Sydney, New South Wales, Australia
c Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, SP, Brazil
d Public Health Department, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil
e Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
f Nordic Institute of Chiropractic and Clinical Biomechanics, Odense, Denmark
g Monash Department of Clinical Epidemiology, Cabrini Institute and Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Malvern, VIC, Australia
Highlights

  • Low back pain is the leading cause of years lived with disability in Brazil.

  • Brazil has adopted unwarranted practices in the management of low back pain.

  • Brazil faces a significant challenge with overuse of medical services for LBP.

  • Tackling low back pain will require engagement of all relevant stakeholders.

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Table 1. Problems faced by Brazil in relation to LBP, and potential solutions to tackle each of those problems.
Abstract
Background

Low back pain is the leading cause of years lived with disability in Brazil based upon Global Burden of Disease estimates. Since 1990, the number of years lived with disability has increased by 79.7%, and this number is expected to continue to rise due to population growth and ageing. Yet, similarly to other countries, little attention has been given to it in both the public and private health systems, arguably making it an overlooked epidemic in Brazil. There is evidence that Brazil has adopted unwarranted practices in the management of low back pain in a similar manner to what has been observed in high-income countries. To tackle the burden of low back pain in Brazil, we need highly coordinated efforts from government, the private sector, universities, health workers and civil society.

Objective

This masterclass intends to provide an overview of the challenges faced by Brazil in relation to low back pain management and propose potential solutions that could potentially be implemented based on experiences reported in the literature.

Keywords:
Low back pain
Brazil
Implementation
Delivery of health care
Musculoskeletal diseases

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