The Prediction of Chronicity in Patients With an Acute Attack of Low Back Pain in a General Practice Setting

Klenerman, L.; Slade, Peter; Stanley, Ian; Pennie, Bruce H.; Reilly, J.P.; Atchison, Linda; Troup, J. D. G.; Rose, Michael

doi:10.1097/00007632-199502001-00012

Cited by 480 publications

(264 citation statements)

References 0 publications

Supporting

Mentioning

218

Contrasting

Unclassified

Order By: Relevance

“…Also, some prospective studies suggest that fear-avoidance beliefs and pain catastrophizing are precursors of pain-related disability rather than consequences (Burton, Tillotson, Main, & Hollis, 1995;Klenerman et al, 1995;Linton, Buer, Vlaeyen, & Hellsing, 2000;Linton & Hallden, 1998). Overall, the results of these studies are consistent with the fear-avoidance model developed by Vlaeyen, Kole Snijders, Boeren, and van Eek (1995), which suggests that pain catastrophizing and fear of movement or (re)injury foster the development of chronic pain problems.…”

supporting

confidence: 69%

Pain Catastrophizing Is Associated With Health Indices in Musculoskeletal Pain: A Cross-Sectional Study in the Dutch Community.

Severeijns¹,

Hout²,

Picavet³

2004

Health Psychology

View full text Add to dashboard Cite

Cross-sectional associations were examined between pain catastrophizing and several health indices in 1,164 people with musculoskeletal pain from a Dutch community sample. Health indices included in the present study were specialist consultation, use of medication, and absenteeism or work disability. The results demonstrate that for people with a current episode of musculoskeletal pain, pain catastrophizing, pain intensity, and the presence of multiple pain locations were significantly associated with specialist consultation, use of pain medication, and absenteeism or work disability. The authors conclude that the role of pain itself has perhaps been underestimated in recent models of chronic pain-related disability. Some clinical implications and suggestions for further research are given.

show abstract

supporting

confidence: 69%

Pain Catastrophizing Is Associated With Health Indices in Musculoskeletal Pain: A Cross-Sectional Study in the Dutch Community.

Severeijns¹,

Hout²,

Picavet³

2004

Health Psychology

View full text Add to dashboard Cite

show abstract

“…It is not surprising considering that fearmotivated behaviour has the potential to adversely impact treatment outcomes for patients with musculoskeletal pain [12]. The FABQW subscale has been previously correlated with work loss and disability in patients with chronic and acute LBP [10,22,37]. In our study FABQW cut-off point is 21, 2 points higher than previously reported in lumbar spine manipulation prediction study [6].…”

Section: Discussionsupporting

confidence: 43%

A clinical prediction rule for classifying patients with low back pain who demonstrate short-term improvement with mechanical lumbar traction

2009

View full text Add to dashboard Cite

The objective of the study was to develop a clinical prediction rule for identifying patients with low back pain, who improved with mechanical lumbar traction. A prospective, cohort study was conducted in a physiotherapy clinic at a local hospital. Patients with low back pain, referred to physiotherapy were included in the study. The intervention was a standardized mechanical lumbar traction program, which comprised three sessions provided within 9 days. Patient demographic information, standard physical examination, numeric pain scale, fear-avoidance beliefs questionnaire and Oswestry low back pain disability index (pre-and post-intervention) were recorded. A total of 129 patients participated in the study and 25 had positive response to the mechanical lumbar traction. A clinical prediction rule with four variables (non-involvement of manual work, low level fear-avoidance beliefs, no neurological deficit and age above 30 years) was identified. The presence of all four variables (positive likelihood ratio = 9.36) increased the probability of response rate with mechanical lumbar traction from 19.4 to 69.2%. It appears that patients with low back pain who were likely to respond to mechanical lumbar traction may be identified.

show abstract

“…Volunteers for this study were subjects who presented with LBP, met study inclusion criteria, and experienced a disturbing impairment or abnormality in the functioning of the low back for more than 2 months [22]. Subjects were eligible to participate if they (1) were 18 years of age or older, (2) had LBP for more than 2 months without pain referral into the lower extremities, and (3) had a current episode of recurrent LBP.…”

Section: Target Populationmentioning

confidence: 99%

A kinematic analysis of relative stability of the lower extremities between subjects with and without chronic low back pain

Song²,

Lee³

et al. 2011

Eur Spine J

View full text Add to dashboard Cite

Even though a number of studies have evaluated postural adjustments based on kinematic changes in subjects with low back pain (LBP), kinematic stability has not been examined for abnormal postural responses during the one leg standing test. The purpose of this study was to evaluate the relative kinematic stability of the lower extremities and standing duration in subjects with and without chronic LBP. In total, 54 subjects enrolled in the study, including 28 subjects without LBP and 26 subjects with LBP. The average age of the subjects was 37.8 ± 12.6 years and ranged from 19 to 63 years. The outcome measures included normalized holding duration and relative kinematic stability. All participants were asked to maintain the test position without visual input (standing on one leg with his/her eyes closed and with the contra lateral hip flexed 90°) for 25 s. The age variable was used as a covariate to control confounding effects for the data analyses. The control group demonstrated significantly longer holding duration times (T = -2.78, p = 0.007) than the LBP group (24.6 ± 4.2 s vs. 20.5 ± 6.7 s). For the relative kinematic stability, there was a difference in dominance side (F = 9.91, p = 0.003). There was a group interaction between side and lower extremities (F = 11.79, p = 0.001) as well as an interaction between age and dominance side (F = 7.91, p = 0.007). The relative kinematic stability had a moderate negative relationship with age (r = -0.60, p = 0.007) in subjects without LBP. Clinicians need to understand the effects of age and relative stability, which decreased significantly in the single leg holding test, in subjects with LBP in order to develop effective rehabilitation strategies.

show abstract

The Prediction of Chronicity in Patients With an Acute Attack of Low Back Pain in a General Practice Setting

Cited by 480 publications

References 0 publications

Pain Catastrophizing Is Associated With Health Indices in Musculoskeletal Pain: A Cross-Sectional Study in the Dutch Community.

Pain Catastrophizing Is Associated With Health Indices in Musculoskeletal Pain: A Cross-Sectional Study in the Dutch Community.

A clinical prediction rule for classifying patients with low back pain who demonstrate short-term improvement with mechanical lumbar traction

A kinematic analysis of relative stability of the lower extremities between subjects with and without chronic low back pain

Contact Info

Product

Resources

About