Improvement in Work Ability, Psychological Distress and Pain Sites in Relation to Low Back Pain Prognosis: A Longitudinal Observational Study in Primary Care

Spine
Anne Lovise NordstogaMonica Unsgaard-Tøndel

Abstract

Prospective observational study pooled from two clinical cohorts. To investigate the longitudinal relation between multisite pain, psychological distress, and work ability with disability, pain, and quality of life. Knowledge of prognostic factors is essential for better management of patients with low back pain (LBP). All domains of the biopsychosocial model have shown prognostic value; however, clinical studies rarely incorporate all domains when studying treatment outcome for patients with LBP. A total of 165 patients with nonspecific LBP seeking primary care physiotherapy were included. Mixed-effects models were used to estimate longitudinal relations between the exposure variables and concurrent measures of outcomes at baseline and 3 months. Logistic regression was used to estimate odds ratios for minimal important difference in outcome. Higher work ability was associated with less disability -2.6 (95% confidence interval [CI]: -3.3, -2.0), less pain: -0.4 (95% CI: -0.5, -0.3), and higher quality of life 0.03 (95% CI: 0.02, 0.04). Higher psychological distress and number of pain sites were associated with higher disability: 10.9 (95% CI: 7.7, 14.1) and 2.3 (95% CI: 1.4, 3.2) higher pain: 1.9 (95% CI: 1.3, 2.5) and 0.4 (95%...Continue Reading

References

Oct 1, 1992·Baillière's Clinical Rheumatology·G Waddell
Jan 1, 1974·Behavioral Science·L R DerogatisL Covi
Jun 22, 1999·Lancet·D B Carr, L C Goudas
Nov 14, 2000·Spine·J C Fairbank, P B Pynsent
Sep 1, 1987·Applied Ergonomics·I KuorinkaK Jørgensen
Aug 23, 2005·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Stephen J Walters, John E Brazier
Oct 6, 2005·Journal of Rehabilitation Medicine·Birgitta FloderusGunnar Aronsson
Dec 17, 2008·Occupational Medicine·S M AlaviniaA Burdorf
Apr 15, 2009·International Archives of Occupational and Environmental Health·Lea SellKaren Søgaard
May 5, 2009·Scandinavian Journal of Public Health·Kim U Wittrup-JensenKjeld M Pedersen
Nov 6, 2009·Occupational and Environmental Medicine·Helena MirandaEira Viikari-Juntura
Apr 8, 2010·Journal of Occupational Rehabilitation·Carol CooleKathryn Radford
Jun 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·Steven J KamperJulia M Hush
Jul 6, 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·Bart W KoesChris Maher
Aug 24, 2010·European Journal of Pain : EJP·Kate M DunnPeter R Croft
Apr 12, 2011·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·M HerdmanX Badia
Oct 25, 2011·Spine·Steven J KamperChristopher G Maher
Feb 20, 2013·Annals of Internal Medicine·Jill A HaydenClaire Bombardier
Jun 4, 2013·Pain·David CoggonAndrew Gray
Aug 2, 2013·The Journal of Manual & Manipulative Therapy·Alexis WrightAlicia Emerson Kavchak
Nov 28, 2013·European Journal of Pain : EJP·D SteffensJ Latimer
Feb 25, 2014·BMC Musculoskeletal Disorders·Robert FroudMartin Underwood
Apr 7, 2015·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·Alessandro ChiarottoRaymond W Ostelo
Apr 8, 2015·BMC Musculoskeletal Disorders·Steven Z George, Jason M Beneciuk
Jul 1, 2017·British Journal of Sports Medicine·Kieran O'SullivanPeter O'Sullivan

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Citations

Dec 27, 2019·European Journal of Pain : EJP·Antonia BarkeCosima Locher
Jul 25, 2019·Spine·Graeme Wyatt, Sebastian Straube
Aug 13, 2020·Chiropractic & Manual Therapies·M John PetrozziMartin G Mackey
Dec 8, 2020·Disability and Rehabilitation·Karime MescoutoJenny Setchell
Feb 18, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Michael A BusheyMatthew J Bair

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