A Consensus Approach Toward the Standardization of Back Pain Definitions for Use in Prevalence Studies

Dionne, Clermont E.; Dunn, Kate M.; Croft, Peter; Nachemson, Alf; Buchbinder, Rachelle; Walker, Bruce F.; Wyatt, Mary; Cassidy, J. David; Rossignol, Michel; Leboeuf‐Yde, Charlotte; Hartvigsen, Jan; Leino-Arjas, Päivi; Latza, Ute; Reis, Shmuel; Real, María Teresa Gil del; Kovacs, Francisco M.; Öberg, Birgitta; Cedraschi, Christine; Bouter, Lex M.; Koes, B.W.; Picavet, H. Susan J.; Tulder, Maurits W. van; Burton, Kim; Foster, Nadine E; Macfarlane, Gary J.; Thomas, Elaine; Underwood, Martin; Waddell, Gordon; Shekelle, Paul G; Volinn, Ernest; Korff, Michael Von

doi:10.1097/brs.0b013e31815e7f94

Cited by 624 publications

(533 citation statements)

References 32 publications

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“…Previous studies have used a Delphi process to arrive at a definition of various terms related to health-care research, e.g. complaints of the arm neck and shoulder [50], functional capacity evaluation [88], an episode of LBP [22]. An alternate method may be via a discussion process among experts in the area, e.g.…”

Section: Resultsmentioning

confidence: 99%

How is recovery from low back pain measured? A systematic review of the literature

et al. 2010

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Section: Resultsmentioning

confidence: 99%

How is recovery from low back pain measured? A systematic review of the literature

et al. 2010

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“…However, different definitions of back pain may result in different estimates of prevalence and incidence and no single definition has been generally accepted in back pain research. The development of standardised definitions of back pain could provide standards that improve future comparisons of LBP prevalence figures by person, place and time characteristics and offer opportunities for statistical summaries [64]. Within the studies of this review, operationalisation of LBP and methods used to determine risk estimates varied widely.…”

Section: Discussionmentioning

confidence: 99%

Physical activity and low back pain: a systematic review of recent literature

et al. 2011

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The objective of the study is to systematically evaluate the available evidence on the association between physical activity (i.e. occupational load and non-occupational physical activities) and low back pain (LBP). A systematic approach was used to explore the literature between 1999 and 2009. Studies were selected for inclusion following a comprehensive search of Medline, Embase and CINAHL. The methodological quality of each study was assessed. Studies were considered to be of 'high quality' if they met the cut-off criterion of 60% of the maximum available quality score. Thirty-six cohort or case-control studies were retrieved. Heavy workload and the accumulation of loads or frequency of lifts were moderate to strong risk factors for LBP. Strong associations were found for flexed, rotated and the awkward positions of the lumbar spine. Inconsistent results were found for leisure time physical activities, sports and physical exercise. Studies focusing on daily habitual physical activities (e.g. domestic activities and commuting) in association with LBP are lacking. In conclusion, the occurrence of LBP is related to the nature and intensity of the physical activities undertaken. However, physical activities can be subdivided into separate types and intensities and the ultimate physical load is the sum of all these activities. This makes it difficult to designate one particular activity as the cause of LBP.

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“…LBP was defined as pain in the area from below the ribs to the hips [11,12]. People who had presented LBP in the last year were asked about duration of the pain, and it was classified as acute, if less than 3 weeks; sub acute, from 3 weeks to 3 months; and chronic, if [3 months [12]. It was also asked if the pain irradiated to the lower limbs (sciatica) or stayed only in the lumbar region [12].…”

Section: Instrumentmentioning

confidence: 99%

“…Pain intensity was assessed by the numerical rating scale, ranging from zero (no pain) to ten (worst pain) [12]. Medication use and seeking care due to LBP were also assessed with the questionnaire.…”

Section: Instrumentmentioning

confidence: 99%

Increased prevalence of low back pain among physiotherapy students compared to medical students

et al. 2010

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Some studies have demonstrated that physiotherapists have a high prevalence of low back pain (LBP). The association between physiotherapy students, who are potentially exposed to the same LBP occupational risks as graduates, and LBP has never been demonstrated. The objective of the study is to evaluate the association between undergraduate physiotherapy study and LBP. The study design includes a cross-sectional study. A questionnairebased study was carried out with physiotherapy and medical students. LBP was measured as lifetime, 1-year and point prevalence. Bivariate and multivariate analyses were performed to find the factors associated with LBP. Bivariate analyses were also performed to assess differences between LBP characteristics in the two courses. 77.9% of the students had LBP at some point in their lives, 66.8% in the last year and 14.4% of them reported they were suffering from LBP at the moment of answering the questionnaire. Physiotherapy students reported a higher prevalence of LBP when compared with the medical students in all measures. In the logistic regression model, physiotherapy students (A-OR 2.51; 95% CI 1.35-4.67; p = 0.003), and being exposed to the undergraduate study for more than four semesters (A-OR 2.55; 95% CI 1.43-4.55; p = 0.001) were independently associated with LBP. There were no differences between the courses concerning pain intensity and disability. As it was a crosssectional study, we were not able to observe accurately if there is an increasing incidence of LBP during the course. Also, we did not intend to identify which activities in the course were associated with the development of LBP. This study clearly demonstrated an association between undergraduate physiotherapy study and LBP. The length of course exposure is also associated with LBP.

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A Consensus Approach Toward the Standardization of Back Pain Definitions for Use in Prevalence Studies

Abstract: These definitions provide standards that may improve future comparisons of low back pain prevalence figures by person, place and time characteristics, and offer opportunities for statistical summaries.

Cited by 624 publications

References 32 publications

How is recovery from low back pain measured? A systematic review of the literature

How is recovery from low back pain measured? A systematic review of the literature

Physical activity and low back pain: a systematic review of recent literature

Increased prevalence of low back pain among physiotherapy students compared to medical students

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