Back Pain

Back Pain; Researchers are pioneering a new model of care for patients with back pain in New Zealand, in a bid to address what is a costly and growing problem. University of Otago researchers, together with their colleagues at AUT have working to develop the stratify care model for management of low back pain (STarT Back) in New Zealand. The model, which focuses on addressing psychosocial issues; so potentially relating to back pain, was originally develop in the UK.

Back pain is costly

Professor David Baxter from the University of Otago’s Centre for Health, Activity & Rehabilitation Research at the School of Physiotherapy, says low back pain is costly to New Zealand and improving patient outcomes is a priority. Back disorders are one of the leading causes of health problems in New Zealanders age from 15 to 64.

Between 2012 and 2013, $326.8 million was spent treating back pain; so with indirect costs from loss of income and productivity ballooning the figure to about $2.6 billion, Professor Baxter says. “It is recognise that psychosocial factors, such as patients’ beliefs that activity is harmful or a lack of support; so are important predictors of poor outcomes for people with low back pain,” he says.

Start Back risk stratification represents a promising approach to better management of people; so with low back pain by matching treatment approaches; so to the presence or absence of psychosocial obstacles to recovery. Start Back has been shown in the UK to improve patients’ physical function; hence while reducing costs of care and is endorse by the UK’s National Institute for Health and Care Excellence and NHS England, which provides funding for primary healthcare services in the UK.

Training in psychology

Professor Baxter says the potential for implementation of this approach in New Zealand has limit mainly because no clinically-practising physiotherapists have receive the necessary training in psychologically inform management require to manage the high-risk group of patients.

However, the University of Otago is running a workshop beginning to train; so physiotherapists in this new model of care for patients with back pain. The University has successful in securing funding; so from the Physiotherapy New Zealand Scholarship Trust and Otago & Southland Physiotherapy Trust to support a training program; provide by the developers of the STarT Back programme from the UK.

One of the UK trainers will provide training for up to 20 physio therapists at the workshop; which held at the School of Physiotherapy from 10-14 June. Following the workshop there will be monthly group base mentoring via teleconference over six months. At the end of three-months post-training, participants will be invite to a focus group to share their views and opinions towards the possibility of nation-wide implementation of the programme.