A case-series of patients with musculoskeletal conditions in an underserved community in Moca, Dominican Republic.

Purpose: To describe characteristics and activity limitations of new patients with musculoskeletal conditions presenting to the World Spine Care (WSC) clinic located in the underserved community of Moca, Dominican Republic. Methods: We conducted a prospective case series of consecutive adults betwee...

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Published in:Chiropractic & Manual Therapies Vol. 28; no. 1; pp. 1 - 9
Main Authors: da Silva-Oolup, Sophia, Nordin, Margareta, Stern, Paula, Outerbridge, Geoff, Côté, Pierre
Format: research tables/charts Journal Article
Published: BioMed Central 2/4/2020
Online Access:View this record in EBSCOhost
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      dt: 2/4/2020
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      pub: BioMed Central
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        10.1186/s12998-019-0294-3
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        atl: A case-series of patients with musculoskeletal conditions in an underserved community in Moca, Dominican Republic.
      aug:
        au:
          da Silva-Oolup, Sophia
          Nordin, Margareta
          Stern, Paula
          Outerbridge, Geoff
          Côté, Pierre
        affil: Division of Graduate Education and Research Programs, Canadian Memorial Chiropractic College, 6100 Leslie St, M2H 3J1, Toronto, Ontario, Canada
      sug:
        subj:
          Musculoskeletal Diseases
          Medically Underserved Dominican Republic
          Communities Dominican Republic
          Socioeconomic Factors
          Functional Status
          Self Report
          Quality of Life In Adulthood
          Human
          Funding Source
          Case Studies
          Dominican Republic
          Surveys
          Wong-Baker FACES Pain Rating Scale
          Scales
          Recovery
          Comorbidity
          Health Status
          Female
          Male
          Low Back Pain
          Activities of Daily Living
          Chronic Pain
          Depression Diagnosis
          Anxiety Diagnosis
          Mental Health
          Developing Countries
          Prospective Studies
          Consent
          Questionnaires
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Descriptive Statistics
          Marital Status
          Educational Status
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Female
          Male
      ab: Purpose: To describe characteristics and activity limitations of new patients with musculoskeletal conditions presenting to the World Spine Care (WSC) clinic located in the underserved community of Moca, Dominican Republic. Methods: We conducted a prospective case series of consecutive adults between October 12 and December 5, 2015. A survey of valid and reliable measures including: Body pain diagram, Wong-Baker FACES® pain rating scale, Spine Functional Index (SFI), Lower Limb Functional Index (LLFI), Upper Limb Functional Index (ULFI) and the 12-item Short Form Health Survey (SF-12v2) was administered to collect socio-demographics, expectation of recovery, comorbidities, and self-reported health status data. Results: Forty-two patients (23 females and 19 males) were included. The most common primary complaint was lower back pain (40.5%; 17/42) and 57% (24/42) of individuals reported pain that interfered with their ability to function and engage in daily activities. Half of the patients presented with two complaints. Complaints were similar between genders. Most patients (64%; 27/42) reported chronic pain (> 6 months) and 97% (41/42) reported believing that they would recover. Twenty-one percent (9/42) self-reported being diagnosed with depression and/or anxiety at some point in their life. In addition, most (57%; 24/42) individuals reported below average physical and mental health related quality of life. Conclusions: This study is the first to describe characteristics of patients seeking care at the WSC clinic in Moca, Dominican Republic. Most patients attending the clinic suffer from persistent spine complaints that interfere with their ability to function and engage in daily activities. Nevertheless, the patients have positive expectations of recovery.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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