Advances in the Field of Low Back Pain in Primary Care

Borkan, Jeffrey; Tulder, Maurits Van; Reis, Shmuel; Schoene, Mark L.; Croft, Peter; Hermoni, Doron

doi:10.1097/00007632-200203010-00019

Cited by 74 publications

(48 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…An estimation of physical demands by self-reports has been criticised as being inaccurate, especially for the more complex load-bearing activities carried out by employees [67]. Otherwise, it has been shown that workload and occupational physical activity can be reliably assessed by questionnaires and that questionnaires can classify groups with heterogeneous occupational tasks [68][69][70][71][72][73][74][75][76].…”

Section: Discussionmentioning

confidence: 99%

“…Although the load of whole body vibrations is considered to be associated with LBP [71][72][73], we excluded this variable because we considered this exertion as an external mechanical force and not as a result of physical activity behaviour, which was the focus of our research. It is generally agreed that the aetiology of back pain is multifactorial [74] and that physical load only partially explains the prevalence of back pain [75]. There is robust evidence that psychological factors are related to future episodes of back pain and its related disability [76][77][78].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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

et al. 2011

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

et al. 2011

View full text Add to dashboard Cite

show abstract

“…Evidence tells us that the essentials for a successful RTW are reassurance upon the benign condition of LBP, encouragement to return early to normal activity and early support in the workplace facilitating progressive return to normal work [10,25]. Medical reassurance is probably the most cost-effective intervention for minimizing pain-related disability [2]. To do this successfully, health care providers must instil confidence in patients , which necessitates a careful physical examination and the willingness to take the necessary time to confidently reassure the patient.…”

Section: Discussionmentioning

confidence: 99%

A screening questionnaire to predict no return to work within 3 months for low back pain claimants

Bois

Donceel

2008

Eur Spine J

View full text Add to dashboard Cite

The objective of the present study was to develop a short prediction questionnaire for estimating the risk of no return to work (RTW) within 3 months of sick leave to facilitate triage and management of a patient population of subacute low-back pain (LBP) sufferers. We conducted a prospective study with a 3-month follow-up on 186 patients with LBP introducing a claim for sickness benefits to the largest sickness fund in Belgium. Patients completed a screening questionnaire within 2 weeks after claim submission. All patients were invited for clinical assessment, at 6-8 weeks of sick leave, by the medical adviser. Patients' work status was recorded by the sickness fund. About 20% of the patients did not resume work at 3 months' sick leave. They were more likely to experience pain below the knee, to have an own previous prediction of a 100% no RTW and to have a severe interference of pain on daily activities. The screening tool based on these three items correctly classified 73.7% of the non-resumers and 78.4% of the resumers at a cut-off score of 0.22. The findings of this study provide evidence of the utility of a short screening questionnaire for future use in intervention studies in a social security setting.

show abstract

“…Content validity is important for providing unique and mutually exclusive categories, and in most studies it has only been partially met as the multi-dimensional biopsychosocial aspects of LBP have not been addressed. It is suggested that a bio-psycho-social approach should be included in classifying LBP patients, to satisfy content validity [13,66].…”

Section: Limitations Of the Current Classification Studiesmentioning

confidence: 99%

Subclassification of low back pain: a cross-country comparison

2007

View full text Add to dashboard Cite

Various health professionals have attempted to classify low back pain (LBP) subgroups and have developed several LBP classification systems. Knowing that culture has an effect on LBP symptomatology, assessment findings and clinical decision making, the aim of this review is to perform a cross-country comparative review amongst the published classification systems, addressing each country's similarities and differences as well as exploring whether cultural factors have been incorporated into the subclassification process. A systematic search of databases limited to human adults was undertaken by Medline, Cinahl, AMED and PEDro databases between January 1980 and October 2005. Classification systems from nine countries were identified. Most studies were classified according to pathoanatomic and/or clinical features, whereas fewer studies utilized a psychosocial and even less, a biopsychosocial approach. Most studies were limited in use to the country of the system's developer. Very few studies addressed cultural issues, highlighting the lack of information on the impact of specific cultural factors on LBP classification procedures. However, there seem to be certain 'cultural trends' in classification systems within each country, which are discussed. Despite the plethora of classification studies, there is still no system which is internationally established, effective, reliable and valid. Future research should aim to develop a LBP classification system within a well identified cultural setting, addressing the multi-dimensional features of the LBP presentation.

show abstract

Advances in the Field of Low Back Pain in Primary Care

Cited by 74 publications

References 8 publications

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

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

A screening questionnaire to predict no return to work within 3 months for low back pain claimants

Subclassification of low back pain: a cross-country comparison

Contact Info

Product

Resources

About