Defining worthwhile and desired responses to treatment of chronic low back pain

Pain Medicine : the Official Journal of the American Academy of Pain Medicine
Michael J Yelland, Philip J Schluter

Abstract

To describe patients' perceptions of minimum worthwhile and desired reductions in pain and disability upon commencing treatment for chronic low back pain. Descriptive study nested within a community-based randomized controlled trial on prolotherapy injections and exercises. A total of 110 participants with chronic low back pain. Interventions. Prior to treatment, participants were asked what minimum percentage reductions in pain and disability would make treatment worthwhile and what percentage reductions in pain and disability they desired with treatment. Minimum worthwhile reductions and desired reductions in pain and disability. Median (inter-quartile range) minimum worthwhile reductions were 25% (20%, 50%) for pain and 35% (20%, 50%) for disability. This compared with desired reductions of 80% (60%, 100%) for pain and 80% (50%, 100%) for disability. The internal consistency between pain and disability responses was high (Spearman's coefficient of association of 0.81 and 0.87, respectively). A significant association existed between minimum worthwhile reductions and desired reductions, but no association was found between these two factors and patient age, gender, pain severity or duration, disability, anxiety, depression, r...Continue Reading

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Citations

Jun 23, 2009·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Henrik Hein LauridsenJan Hartvigsen
Apr 17, 2010·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Elaine F Maughan, Jeremy S Lewis
Sep 1, 2006·Photomedicine and Laser Surgery
Jun 6, 2007·Annals of Family Medicine·Bruce BarrettRoger Brown
Mar 13, 2014·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Stephan KlessingerMarc-Eric Halatsch
Mar 16, 2013·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Nikolai Bogduk
Oct 22, 2011·Journal of Clinical Epidemiology·Manuela L FerreiraRob J Smeets
May 26, 2009·The Australian Journal of Physiotherapy·Manuela L FerreiraJane Latimer
Dec 23, 2016·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Jose W GeurtsCarmen Dirksen
Jul 12, 2016·Journal of Strength and Conditioning Research·Bruno M BaroniRonei S Pinto
Feb 2, 2018·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Samuel Morris, James Booth
Sep 1, 2018·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Andrew Engel
Nov 26, 2019·The Cochrane Database of Systematic Reviews·Jill A HaydenRachel Ogilvie
Jun 4, 2020·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Zachary L McCormickMatthew Smuck
Sep 17, 2020·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Andrew EngelNikolai Bogduk
Sep 18, 2020·Current Opinion in Nephrology and Hypertension·Payel J RoyUNKNOWN HOPE Consortium
Sep 20, 2017·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Andrew J Engel
Feb 20, 2021·Journal of Multidisciplinary Healthcare·Theresa Mallick-SearleAsya Gutman

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