A Systematic Review of Sociodemographic, Physical, and Psychological Predictors of Multidisciplinary Rehabilitation—or, Back School Treatment Outcome in Patients With Chronic Low Back Pain

Abstract

It is impossible to define a generic set of predictors of outcome of multidisciplinary rehabilitation and back schools for patients with chronic low back pain because the reviewed studies were descriptive or exploratory in nature, and most predictors were only studied once. Nevertheless, for several predictors, consistent evidence was found. Large confirmatory studies are needed to test the value of these predictors.

Predictors of outcome after surgery with disc prosthesis and rehabilitation in patients with chronic low back pain and degenerative disc: 2-year follow-up

“…High baseline ODI, low HSCL-25 and not using narcotics predicted better results. High disability and pain scores have also been found to predict a larger improvement in functional outcome after rehabilitation in former studies [7]. This could not only represent regression to the mean or ceiling effects, but could also influence the treatment effect per se.…”

“…Measured in the midsagittal MRI compared with a normal disc above d Fujiwara et al [21]. Merging no arthrosis with slight arthrosis (grade 0 and 1) and moderate with severe arthrosis (grade 2 and 3) e Aprill and Bogduk [22] f Luoma et al [23] Eur Spine J (2012) 21:681-690 685 predictors found in previous studies [7,27,28]. Zindrick et al [10] concluded in a review that there was no definitive evidence about which variables that affect outcome in disc prosthesis surgery.…”

“…1, patients in the surgical group and rehabilitation group with high baseline ODI ([55) experienced similar results, indicating that especially these patients should be treated with rehabilitation before considering surgery [12]. In a review, Van der Hulst et al [7] could not find a generic set of predictors of outcome for patients with LBP treated with multidisciplinary rehabilitation. However, several work-related parameters, coping style and pain intensity were associated with outcome.…”

“…Since the middle of the 1980s disc prostheses have been introduced as a treatment option [1][2][3][4][5]. However, in the same period, non-surgical interventions have also been shown to be effective in treating patients with chronic LBP, especially multidisciplinary rehabilitation interventions focusing on physical exercise and/or cognitive behavioral principles [6][7][8][9].…”

“…Populations, outcome measures and statistical methods differ greatly from study to study, resulting in a multitude of possible predictors. In summary, personality traits and labor-related factors seem, to some degree, to be consistent predictors [7,11].…”