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This month's Spinal Columns examines the lived experience of spinal conditions and the systems designed to treat them. We begin by looking at how low back pain affects older adults, from their ability to access rehabilitation to its relationship with sleep quality. The issue then broadens its scope to consider patient satisfaction with particular models of physiotherapy care on an international level.
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What prevents older adults with back pain from accessing rehabilitation?
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Older adults with low back pain experience challenges when seeking rehabilitation. To investigate this problem, researchers conducted a scoping review of existing studies that examined structural barriers and facilitators to accessing care for adults aged 50 and older. (Summary)
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Wong, J. J., Ead, L., Veitch, A., Bakaa, N., Latour, K., Rinaldi, J., Brunton, G., Shearer, H., Hewitt, M., Murnaghan, K., & Côté, P. (2026). Structural barriers and facilitators of accessing rehabilitation among adults aged 50 years and older with low back pain: a scoping review of the literature. BMC Health Services Research. https://doi.org/10.1186/s12913-026-14868-6
Jessica Wong
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What satisfies patients about advanced physiotherapy: the person or the system?
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As advanced practice physiotherapy becomes a more common model of care, there is a need to evaluate patient satisfaction with it on an international scale. To do this, researchers conducted a systematic review of studies from multiple databases and the grey literature that measured patient satisfaction with this type of care. (Summary)
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Davis, C., Noblet, T., Maddigan, K., Breach, J., Mistry, J., Kowalski, K., & Rushton, A. (2026). Patient satisfaction of advanced practice physiotherapy internationally. Findings from a systematic mixed studies review.. International Journal of Integrated Care, 26(S1), 315. https://doi.org/10.5334/ijic.icic25315
Alison Rushton
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Is chronic low back pain linked to poor sleep in older adults?
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Poor sleep quality is a health concern for older adults, with low back pain considered a hypothesized risk factor. To synthesize evidence on this association, researchers conducted a systematic review, searching four scientific databases for studies on low back pain and sleep quality among adults aged 60 years and over. (Summary)
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Rahbar, P., Wong, J. J., DeSouza, A., Papaconstantinou, E., Wang, D., Hogg-Johnson, S., & Côté, P. (2026). The association between low back pain and sleep quality in adults 60 years and older: a systematic review. Chiropractic & Manual Therapies. https://doi.org/10.1186/s12998-026-00656-w
Jessica Wong
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CANSpine
Faculty of Health Science, School of Physical Therapy, Western University
Rm. EC1408 1201 Western Rd., London, ON N6G 1H1, Canada
canspinear@uwo.ca
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Some components of this newsletter were generated using AI.
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