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Low Back Pain Among Health Sciences Undergraduates: Results Obtained from a Machine-Learning Analysis.
Janan Abbas1, Malik Yousef2, Kamal Hamoud1
1Department of Physical Therapy, Zefat Academic College, Zefat 13206, Israel.
Journal of Clinical Medicine
|March 27, 2025
Summary
Low back pain (LBP) affects nearly half of health science students. Machine learning identified a history of pain as the primary risk factor for LBP in this population.
Area of Science:
- Public Health
- Biomedical Informatics
- Epidemiology
Background:
- Low back pain (LBP) is a prevalent and challenging health issue, with incidence increasing with age.
- Sedentary behavior among students is a potential contributing factor to LBP risk.
- Machine learning (ML) offers advanced analytical capabilities for predicting and preventing medical conditions like LBP.
Purpose of the Study:
- To identify factors associated with low back pain (LBP) among health sciences students.
- To utilize machine learning for analyzing complex health data patterns.
- To enable targeted prevention strategies for LBP in student populations.
Main Methods:
- A modified Standardized Nordic Questionnaire was administered to 222 freshman health sciences students.
- A supervised random forest algorithm was employed to analyze data and rank variable importance.
- A decision tree visualized the ML model's predictive power, identifying high-risk patterns.
Main Results:
- 46% of participating students reported experiencing LBP in the past month.
- Key factors significantly associated with LBP included a history of pain (score=1), disability (score=0.34), and physical activity levels (score=0.21).
- Prolonged sitting (over 3 hours daily) was reported by 60% of students.
Conclusions:
- Nearly half of health science students experience LBP, highlighting a significant public health concern.
- Machine learning analysis identified a history of pain as the most critical factor linked to LBP.
- Further research and interventions are warranted to address LBP in student populations.

