A Responsiveness Analysis of the Subgroups for Targeted Treatment (STarT) Back Screening Tool in Patients With Nonspecific Low Back Pain

Medeiros, Flávia Cordeiro; Costa, Leonardo Oliveira Pena; Oliveira, Indiara Soares; Costa, Lucíola da Cunha Menezes

doi:10.2519/jospt.2019.8776

Cited by 8 publications

(5 citation statements)

References 33 publications

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“…The eligibility criteria were as follows: adolescents of classical ballet with and without low back pain, adolescents who indicated that they had pain (current) in the region of the lower back with constant symptoms in the previous 14 consecutive days, during a 3-month period of pain symptoms, minimum age of 12 years [ 29 ], regular enrollment in Ballet Paraisópolis, with a twice-a-week training frequency [ 30 ], and 1-year practice time [ 32 , 38 ]. The exclusion criteria were as follows: pain with irradiation to the lower limbs, medication use for pain (current), neurological abnormalities [ 24 ], congenital diseases [ 28 , 30 ], spinal disorders [ 29 ], and the presence of tumors (cancer) or infection [ 30 ]. In addition, fractures in the previous 6 months; vestibulocochlear diseases; uncontrolled cardiac and/or respiratory arrhythmias; convulsive and neurological syndromes; diabetic neuropathy, osteoarthritis and rheumatoid arthritis, and any functional limitation that requires assistance in moving around were regarded as exclusion criteria to avoid bias in the interpretation of the assessments [ 31 ].…”

Section: Methodsmentioning

confidence: 99%

“…This tool offers a great clinical advantage as it is quick, simple, and easy to understand and apply by health professionals [ 25 ]. The SBST questionnaire is used by health professionals to identify the risk of chronicity for low back pain through modifiable biopsychosocial factors, thus better targeting and supporting the preventive and conservative treatment of compromised dancers; consequently, aiding the prevention of future functional losses and musculoskeletal injuries, which can lead to withdrawals and interruptions of dance practice [ 25 , 28 ]. Despite these benefits, there are still no studies focusing on the application of this questionnaire in adolescents practicing classical ballet.…”

Section: Introductionmentioning

confidence: 99%

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Effect of low back pain on clinical-functional factors and its associated potential risk of chronicity in adolescent dancers of classical ballet: cross-sectional study

Souza

Colombo-Souza

Ribeiro

2022

BMC Sports Sci Med Rehabil

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Background Low back pain (LBP) is a common symptom in classical ballet dancers, which can limit their daily activities and dance training routines. The purpose of the study was to verify the association and comparison of clinical-functional outcomes (spine flexibility and foot posture) between different levels of intensity low back pain in adolescents of classical ballet and the potential risk of chronicity using the STarT back tool. Methods Cross-sectional study. Participants: 78 adolescent girls who practice classical ballet were evaluated and divided into groups according to level of low back pain: mild (n = 21), moderate (n = 17), and high (n = 20), and a control group (n = 20). Main outcome measures: Pain, flexibility of the spine (thoracic and lumbosacral), risk of chronicity for low back pain, and foot posture were assessed using the visual analogue scale, clinical tests, STarT back screening tool (SBST) questionnaire, and foot posture index (FPI), respectively. Results Dancers with high-intensity low back pain showed a potential risk of chronicity by the SBST. The spine pain intensity was not different considering thoracic and lumbosacral flexibility in the sagittal plane, but was different with greater supine FPI when compared to control dancers. Mild low back pain was associated with greater supine FPI. The SBST score was associated with higher exposure time–frequency and time of dancing. Conclusion Adolescents of classical ballet with high-intensity low back pain showed a potential risk of chronicity by the SBST. The level of intensity low back pain did not influence the clinical-functional aspects of spine flexibility in the sagittal plane, but the level of intensity moderate pain promoted changes in foot posture (more supinated). The potential risk of chronicity using the SBST was also associated with higher exposure time–frequency and time of dancing, in adolescents of classical ballet.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effect of low back pain on clinical-functional factors and its associated potential risk of chronicity in adolescent dancers of classical ballet: cross-sectional study

Souza

Colombo-Souza

Ribeiro

2022

BMC Sports Sci Med Rehabil

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“…22,62,63 7. The STarT back risk assessment tool 24,64 was used to classify people into low, moderate, and high risk categories for persisting disability. 8.…”

Section: Work-related Fear Was Assessed With the Fearmentioning

confidence: 99%

“… 22 , 62 Items are answered on a 7-point scale ranging from 1 ( strongly disagree ) to 7 ( strongly agree ). 22 , 62 , 63 The STarT back risk assessment tool 24 , 64 was used to classify people into low, moderate, and high risk categories for persisting disability. Finally, participants were asked whether they had any litigation with a yes/no question.…”

Section: Introductionmentioning

confidence: 99%

Exploring pain phenotypes in workers with chronic low back pain: Application of IMMPACT recommendations

Carlesso

Tousignant-Laflamme

Shaw

et al. 2021

Canadian Journal of Pain

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Background : Chronic low back pain (CLBP) is a major cause of disability globally. Stratified care has been proposed as a means to improve prognosis and treatment but is generally based on limited aspects of pain, including biopsychosocial drivers. Aims : Following Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials (IMMPACT) recommendations, the present study explored pain phenotypes with a sample of workers with CLBP, a population for which no pain phenotypes have been derived to date. Methods : A cross-sectional design was used with a sample of 154 workers with CLBP attending a rehabilitation clinic, recruited in person and from social media. Latent class analysis was used to identify subgroups of patients with different pain profiles based on ten pain indicators (pain variability, pain intensity, pain quality, somatization, sleep quality, depression, fatigue, pain catastrophizing, neuropathic pain, and central sensitization). Results : The majority of the sample (85%) were recruited through social media. Both the two-class and three-class solutions were found to be satisfactory in distinguishing phenotypes of workers with CLBP. Three variables proved particularly important in distinguishing between the pain phenotypes—pain quality, fatigue, and central sensitization—with higher scores on these indicators associated with pain phenotypes with higher pain burden. Increased chronic pain self-efficacy, work-related support, and perceived work abilities were protective risk factors for being in a higher pain burden class. Conclusions : The present study is the first to explore IMMPACT recommendations for pain phenotyping with workers with CLBP. Future prospective research will be needed to validate the proposed pain phenotypes.

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“…Another example of the stratified care model is to select management strategies based on a patient-reported outcome measure (PROM), the Keele STarT Back Screening Tool (SBST) [ 26 ]. SBST is a screening tool to help clinicians estimate the risk of persistent disabling symptoms, and the medium-high-risk group (SBST total score ≥ 4) has a poorer prognosis than the low-risk group (SBST total score < 4) [ 27 ]. The treatment effect increases when the physical therapists provide management with information about SBST [ 28 ].…”

Section: Introductionmentioning

confidence: 99%

Does the Keele STarT Back Screening Tool Contribute to Effectiveness in Treatment and Cost and Loss of Follow-Up of the Mechanical Diagnosis and Therapy for Patients with Low Back Pain?

2020

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Background: Mechanical diagnosis and therapy (MDT) and the stratified approach using the Keele STarT Back Screening Tool (SBST) are examples of stratified low back pain (LBP) management. We investigated whether the medium–high risk in SBST can contribute to the time and sessions until discharge from MDT (Question 1) and to the loss of follow-up before identifying a promising management strategy (Question 2). Methods: A retrospective chart study was conducted. Multiple regression modeling was constructed using 10 independent variables, including whether the SBST was medium–high risk or not for Question 1, and the 9/10 independent variables for Question 2. Results: The data of 89 participants for Question 1 and 166 participants for Question 2 were analyzed. SBST was not a primary contributing factor for Question 1 (R2 = 0.17–0.19). The model for Question 2 included SBST as a primary contributing factor and the shortest distance from the patient address to the hospital as a secondary contributing factor (93.4% correct classification). Conclusion: SBST status was not a primary contributing factor for time and sessions until discharge from MDT, but was a critical factor for the loss of MDT follow-up before identifying a promising management strategy.

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A Responsiveness Analysis of the Subgroups for Targeted Treatment (STarT) Back Screening Tool in Patients With Nonspecific Low Back Pain

Cited by 8 publications

References 33 publications

Effect of low back pain on clinical-functional factors and its associated potential risk of chronicity in adolescent dancers of classical ballet: cross-sectional study

Effect of low back pain on clinical-functional factors and its associated potential risk of chronicity in adolescent dancers of classical ballet: cross-sectional study

Exploring pain phenotypes in workers with chronic low back pain: Application of IMMPACT recommendations

Does the Keele STarT Back Screening Tool Contribute to Effectiveness in Treatment and Cost and Loss of Follow-Up of the Mechanical Diagnosis and Therapy for Patients with Low Back Pain?

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