Advertisement

Advertisement

meta-analysis

Adverse Childhood Experiences and Chronic Low Back Pain

Teaser: 

Genevieve Belanger, BSc.,1 Khaled Skaik, BSc.,2 Eugene K. Wai, MD, MSc, FRCSC, CIP3

1 Faculty of Medicine, Trinity College of Dublin
2 Faculty of Medicine, McGill University 3Associate Professor, University of Ottawa Division of Orthopaedic Surgery Cross Appointed to School of Epidemiology and Public Health Attending Surgeon, Ottawa Hospital Spinal Surgery Program


CLINICAL TOOLS

Abstract: While adverse childhood experiences (ACE) is a risk for chronic pain broadly, their specific association with chronic low back pain (cLBP) and recommended management remains unclear. We conducted a systematic review and demonstrated substantial heterogeneity reflecting methodological variability and inconsistent results. However, there was moderate evidence that increasing number of ACE and emotional abuse was associated with cLBP. This suggests a need for an individualized biopsychosocial approach to management with best practice of a trauma informed approach.
Key Words: low back pain, chronic pain, adverse childhood experiences, childhood adversity, systematic review, meta-analysis.

Members of the College of Family Physicians of Canada may claim MAINPRO-M2 Credits for this unaccredited educational program.

www.cfpc.ca/Mainpro_M2

You can take quizzes without subscribing; however, your results will not be stored. Subscribers will have access to their quiz results for future reference.

Pre-test CME Quiz Post-test CME Quiz
Adverse childhood experiences (ACE) are any preventable act that results in harm, or potential for harm to a child. ACE include but are not limited to, direct acts or witnessing of various forms of abuse, including physical, mental, emotional and sexual
ACE is a risk factor for chronic pain and our systematic review demonstrate moderate evidence that increasing ACE and emotional abuse specifically
A holistic biopsychosocial approach is critical in the management of chronic low back pain CLBP in the setting of ACE
Consider assessing for ACEs in the management of CLBP, especially if there is failure of a biomedical focused approach.
Patients with ACE are at risk for further harm and it is recommended that a trauma informed care approach should be used.
To have access to full article that these tools were developed for, please subscribe. The cost to subscribe is $80 USD per year and you will gain full access to all the premium content on www.healthplexus.net, an educational portal, that hosts 1000s of clinical reviews, case studies, educational visual aids and more as well as within the mobile app.
Related Terms: Back Health, low back pain, chronic pain, adverse childhood experiences, childhood adversity, systematic review, meta-analysis