1987 Volvo Award in Clinical Sciences: A New Clinical Model for the Treatment of Low-Back Pain

Waddell, Gordon

doi:10.1097/00007632-198709000-00002

Cited by 1,195 publications

(561 citation statements)

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“…While 37.6% of the workers indicated to have some form of LBP at the time of data capturing, a fairly high proportion (29.4%) of the workers seem to have more serious LBP, which limits their daily activities. These findings are in accordance with point prevalence rates of between 12 and 35% mentioned in literature [2][3][4][5][34][35][36][37][38][39]. The 29.4% of workers who perceive to have LBP, which limits their daily activities substantially, is, however, a point of concern for this specific industry.…”

Section: Discussion Prevalencesupporting

confidence: 90%

Lower Back Problems and Work-Related Risks in a South African Manganese Factory

et al. 2007

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An analytical cross-sectional epidemiological study carried out among 109 manganese plant workers aimed to examine the prevalence and association between lower back problems (LBP) and occupational risk factors. Outcome was defined using a guided questionnaire and a functional rating index. Exposure to occupational risk factors was determined using self-reported questionnaires and workstation analyses. Multivariate logistic regression analyses indicated significant adjusted odds ratios (OR) for prolonged 90° trunk flexion (OR 2.16; CI 1.15-4.05); manual handling (1.89; 1.17-3.08); load carriage (1.54; 1.08-2.19); and lifting (4.61; 1.37-15.47). The findings openUP (August 2007) illustrate regional and occupational specifics of risk for LBP, and indicate that selfselection or adaptation to task-specific demands could possibly lead to observations of ergonomically relevant risk factors, which do not necessarily yield statistically significant associations with LBP. The findings further support multi-modal preventative approaches.

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Section: Discussion Prevalencesupporting

confidence: 90%

Lower Back Problems and Work-Related Risks in a South African Manganese Factory

et al. 2007

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“…It is important to recognize that this list is composed of articles that address various topics and span across multiple disciplines. One example was in 1987, when a new treatment paradigm for low back pain [34] was established, demonstrating the harm of prolonged bed rest and benefits from the controlled activity for these patients. In another, the first report of the alarmingly high incidence of abnormal lumbar MRI findings in asymptomatic patients occurred in 1990, leading to a more critical evaluation of the correlation of degenerative changes and pain [35].…”

Section: Discussionmentioning

confidence: 99%

The 100 most cited spine articles

et al. 2012

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Purpose Spine-related research has evolved dramatically during the last century. Significant contributions have been made by thousands of authors. A citation rank list has historically been used within a particular field to measure the importance of an article. The purpose of this article is to report on the 100 most cited articles in the field of spine. Methods Science Citation Index Expanded was searched for citations in 27 different journals (as of 30 November 2010) chosen based on the relevance for all cited spine publications. The top 100 most cited articles were identified. Important information such as journal, date, country of origin, author, subspecialty, and level of evidence (for clinical research) were compiled. Results The top 100 publications ranged from 1,695 to 240 citations. Fifty-three articles were of the lumbar, 17 were of the thoracolumbar, and 15 of the cervical spine. Eighty-one of the articles were clinical and 19 were basic science in nature. Level of evidence varied for the clinical papers, however, was most commonly level IV (34 of 81 articles). Notably, the 1990-1999 decade was the most productive period with 43 of the top 100 articles published during this time.Conclusions Identification of the most cited articles within the field of spine recognizes some of the most important contributions in the peer-reviewed literature. Current investigators may utilize the aspects of their work to guide and direct future spine-related research.

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“…Each item is categorized from 0 to 6, with higher ratings indicating increased levels of fear-avoidance beliefs. Seven of the eleven items in the FABQ-Work are summed and ranged from 0 to 42, and four in the FABQ-PA are summed and ranged from 0 to 24 [2]. The validity and reliability of this scale are good [13].…”

Section: Study Measuresmentioning

confidence: 99%

“…The purpose was three-fold: (1) to investigate the prevalence of Modic changes, (2) to investigate if Modic changes influence the clinical course, and (3) to identify prognostics factors for recovery, including Modic changes, socio-demographic, socio-economic variables (SES) and self-reported measures at baseline.…”

mentioning

confidence: 99%

Are Modic changes prognostic for recovery in a cohort of patients with non-specific low back pain?

et al. 2011

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Background There is evidence for an association between Modic type 1 and pain in patients with low back pain (LBP), but little knowledge about its effect on clinical outcomes. Purpose (1) To assess the prevalence of Modic changes, (2) to determine if Modic changes influence the clinical course of LBP, and (3) to identify prognostic factors for recovery. Study design/setting Prospective clinical cohort study, with a 1-year follow-up. The treatment consisted of brief intervention and instruction in stretching. Patient's sample Two hundred and sixty-nine patients with chronic low back pain. Outcome measures Socio-demographic variables, education, profession, self-reported measures, degenerative changes on MRI. Methods Linear growth model and Cox regression analysis.Results Five percent had a normal MRI, 14 and 50% had Modic 1 and Modic 2 changes. Modic changes were not significant covariates for the clinical course of pain, function or fear avoidance beliefs. Education was a strong prognostic factor for recovery. Conclusions Modic changes did not influence the clinical course of back pain and were not prognostic factors for recovery. Education was strongly associated with recovery.

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1987 Volvo Award in Clinical Sciences: A New Clinical Model for the Treatment of Low-Back Pain

Cited by 1,195 publications

References 0 publications

Lower Back Problems and Work-Related Risks in a South African Manganese Factory

Lower Back Problems and Work-Related Risks in a South African Manganese Factory

The 100 most cited spine articles

Are Modic changes prognostic for recovery in a cohort of patients with non-specific low back pain?

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