Ability of Early Response to Predict Discharge Outcomes With Physical Therapy for Chronic Low Back Pain

Tong, Henry C.; Geisser, Michael E.; Ignaczak, A

doi:10.1111/j.1533-2500.2006.00081.x

Cited by 6 publications

(3 citation statements)

References 18 publications

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“…Keeley et al showed that the parameters pain duration, depression and social problems caused by LBP were predictors for an improved QOL after six months. Tong et al found that pain relief in hospitalised patients after the first four morning rounds anticipated outcome at discharge by 80 % [26]. The article by van der Hulst et al summarises results of OR odds ratio, n.s.…”

Section: Discussionmentioning

confidence: 99%

Effects of multidisciplinary pain treatment can be predicted without elaborate questionnaires

Fischer

Neubauer

Adams

et al. 2013

International Orthopaedics (SICOT)

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Purpose Low back pain is one of the most common and expensive diseases of Western societies. Psychosocial factors such as low social status, depression, or work dissatisfaction are known to promote chronicity of low back pain. With a multidisciplinary approach, better outcomes can be achieved than with purely biomedical treatment. Optimal patient selection for multidisciplinary therapy reduces costs and labour. This study investigated whether elaborated questionnaires exceed simple items in predicting multimodal therapy success. Methods In this prospective longitudinal clinical study, 330 patients were followed up for six months after multidisciplinary therapy. We applied the patient questionnaire Heidelberg Short Early Risk Assessment Questionnaire for the Prediction of Chronicity in Low Back Pain (HKF-R10) that is approved and established for predicting chronicity in patients with acute low back pain to forecast the therapeutic outcome. Outcome criteria were QOL, pain reduction and back to work. Results With regard to outcome criteria, the HKF-R10 was unable to anticipate therapeutic success, but education level, depression, best pain condition, and helplessness predicted therapy success with an 80 % probability for QOL improvement. Conclusions It is not necessary to confront patients with an extensive and complicated questionnaire to predict the outcome of multidisciplinary therapy. In fact, assessing a few specific items allows better and easier prognosis estimation.

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Section: Discussionmentioning

confidence: 99%

Effects of multidisciplinary pain treatment can be predicted without elaborate questionnaires

Fischer

Neubauer

Adams

et al. 2013

International Orthopaedics (SICOT)

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“…Table 3 summarizes the characteristics of the pain measurement studies included in the review. We included 43 studies: 23 from the USA, 20,23,30,31,36,38,39,43,45,46,[48][49][50][51][52]56,59,62,[64][65][66][67]70 3 from Canada, 32,57,60 one from South America, 41 5 from A u s t r a l i a , 3 4 , 3 5 , 4 7 , 5 4 , 6 3 a n d 11 f r o m E urope. 33,37,40,42,44,53,55,58,61,68,69 Of the US studies, four enrolled exclusively military Veterans 20,48,52,65 and two enrolled both Veterans and non-Veterans.…”

Section: Literature Flowmentioning

confidence: 99%

“…Overview of Pain MeasuresSAQ self-administered questionnaire, ? not identified patients 31,33,34,36,37,40,[44][45][46]49,52,54,55,59,66,20,30,35,38,41,48,51,53,57,61,64,65,70.…”

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confidence: 99%

Focused Evidence Review: Psychometric Properties of Patient-Reported Outcome Measures for Chronic Musculoskeletal Pain

et al. 2018

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Does early change predict long-term (6 months) improvements in subjects who receive manual therapy for low back pain?

Cook

Petersen

Donaldson

et al. 2017

Physiotherapy Theory and Practice

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Early change is commonly assessed for manual therapy interventions and has been used to determine treatment appropriateness. However, current studies have only explored the relationship of between or within-session changes and short-/medium-term outcomes. The goal of this study was to determine whether pain changes after two weeks of pragmatic manual therapy could predict those participants with chronic low back pain who demonstrate continued improvements at 6-month follow-up. This study was a retrospective observational design. Univariate logistic regression analyses were performed using a 33% and a 50% pain change to predict improvement. Those who experienced a ≥33% pain reduction by 2 weeks had 6.98 (95% CI = 1.29, 37.53) times higher odds of 50% improvement on the GRoC and 4.74 (95% CI = 1.31, 17.17) times higher odds of 50% improvement on the ODI (at 6 months). Subjects who reported a ≥50% pain reduction at 2 weeks had 5.98 (95% CI = 1.56, 22.88) times higher odds of a 50% improvement in the GRoC and 3.99 (95% CI = 1.23, 12.88) times higher odds of a 50% improvement in the ODI (at 6 months). Future studies may investigate whether a change in plan of care is beneficial for patients who are not showing early improvement predictive of a good long-term outcome.

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Ability of Early Response to Predict Discharge Outcomes With Physical Therapy for Chronic Low Back Pain

Abstract: Early responses with physical therapy help predict discharge outcomes for chronic low back pain.

Cited by 6 publications

References 18 publications

Effects of multidisciplinary pain treatment can be predicted without elaborate questionnaires

Effects of multidisciplinary pain treatment can be predicted without elaborate questionnaires

Focused Evidence Review: Psychometric Properties of Patient-Reported Outcome Measures for Chronic Musculoskeletal Pain

Does early change predict long-term (6 months) improvements in subjects who receive manual therapy for low back pain?

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