Knowledge, attitude and practice towards physical activity in preventing low back pain among patients attending musculoskeletal department at CRP

Abstract

Background: Low back pain (LBP) is a prevalent musculoskeletal disorder that significantly impacts quality of life and healthcare costs. Despite its high prevalence, there is a gap in understanding patients' knowledge, attitude, and practice (KAP) towards physical activity in preventing and managing LBP. This study aims to assess these factors among patients attending the Musculoskeletal Department at the Centre for the Rehabilitation of the Paralysed (CRP) in Savar, Bangladesh. Methods: The study employed a cross-sectional design, utilizing a self-structured questionnaire to gather data from 192 patients with LBP attending the Musculoskeletal Department at CRP. The questionnaire assessed socio-demographic information, knowledge, attitude, and practice towards physical activity in preventing LBP. Data collection occurred between December 2023 and April 2024. The inclusion criteria included patients aged 18 years or older, diagnosed with LBP, and able to provide informed consent. Patients with recent surgeries or medically unstable conditions were excluded. Ethical considerations were strictly followed, with all participants providing informed consent. Results: The results indicated varying levels of knowledge, attitude, and practice towards physical activity in preventing LBP. The study found significant associations between sociodemographic factors and health behaviors, with education and gender notably influencing knowledge, attitudes, and practices related to physical activity. Although most participants had a positive attitude towards physical activity, gaps were identified in knowledge and inconsistent practices, particularly in engaging in regular exercises to prevent LBP. The data also suggested a need for targeted educational programs to improve understanding and adherence physical activity practice. Conclusion: The study underscores the importance of education and awareness in promoting physical activity as a preventive measure against LBP. Healthcare providers at CRP and similar institutions should focus on addressing identified knowledge gaps and encouraging consistent exercise practices among patients with LBP. Future research should explore more comprehensive strategies to foster long-term adherence to physical activity recommendations and reduce the incidence of LBP. Keywords: Low back pain, Physical activity, Knowledge, Attitude, Practice, Musculoskeletal Department, Prevention, Exercise, CRP, Bangladesh.