Early Intervention Options for Acute Low Back Pain Patients: A Randomized Clinical Trial with One-Year Follow-Up Outcomes

Whitfill, Travis A; Haggard, Robbie; Bierner, Samuel M.; Pransky, Glenn; Hassett, Robert G.; Gatchel, Robert J.

doi:10.1007/s10926-010-9238-4

Cited by 51 publications

(20 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our results add to the growing literature suggesting that avoidance of early work disability by offering job accommodations and facilitating participation in modified work may be a critical component of interventions to prevent long-term disability [Williams et al, 2007; Whitfill et al, 2010]. Lack of employer offer of job accommodations by the time of the baseline interview was significantly associated with greater odds of long-term disability (when defined as both ≥ 365 and ≥ 180 days of work disability compensation up to two years after claim filing) in unadjusted and multivariable models.…”

Section: Discussionsupporting

confidence: 55%

Pre‐surgery disability compensation predicts long‐term disability among workers with carpal tunnel syndrome

Spector

Turner

Fulton‐Kehoe

et al. 2012

American J Industrial Med

View full text Add to dashboard Cite

Background We sought to identify early risk factors for work disability compensation prior to and after carpal tunnel syndrome (CTS) surgery, and to determine whether pre-surgery disability compensation is associated with long-term disability. Methods Washington State workers’ compensation administrative data and data from interviews with workers 18 days (median) after submitting new workers’ compensation claims for CTS were examined. Baseline risk factors for pre-surgery disability compensation and for long-term disability (≥365 days of work disability compensation prior to two years after claim filing) were evaluated for workers who underwent CTS surgery and had at least one day of disability compensation (N=670). Results After adjustment for baseline long-term disability risk factors, workers with pre-surgery disability compensation had over five times the odds of long-term disability. Baseline factors in multiple domains, including job, psychosocial, clinical, and worker pain and function, were associated with both pre-surgery disability compensation and long-term disability. Conclusions Risk factors for work disability prior to and after CTS surgery are similar, and early work disability is a risk factor for long-term CTS-related disability. An integrated approach to CTS-related disability prevention could include identifying and addressing combined risk factors soon after claim filing, more efficient use of conservative treatments and appropriate work modifications to minimize early work loss, and, when indicated, timely surgical intervention.

show abstract

Section: Discussionsupporting

confidence: 55%

Pre‐surgery disability compensation predicts long‐term disability among workers with carpal tunnel syndrome

Spector

Turner

Fulton‐Kehoe

et al. 2012

American J Industrial Med

View full text Add to dashboard Cite

show abstract

“…This variable pattern can make it difficult to capture the pain experience for all patients in a single primary endpoint if the intervention is targeted at preventing both steady chronic and episodic pain. CLBP prevention studies have used outcomes such as pain intensity (with various recall periods) at a pre-specified time point [2,59,61,109,157,161,173]. Although these outcomes can provide valuable information, if an individual experiences variable pain, the outcome will be very different depending on whether the pre-specified assessment point falls during a period of high or low pain [119].…”

Section: Design Considerations In the Context Of 4 Illustrative Prmentioning

confidence: 99%

Research design considerations for chronic pain prevention clinical trials

Gewandter

Dworkin

Turk

et al. 2015

Pain

130

View full text Add to dashboard Cite

Although certain risk factors can identify individuals who are most likely to develop chronic pain, few interventions to prevent chronic pain have been identified. To facilitate the identification of preventive interventions, an IMMPACT meeting was convened to discuss research design considerations for clinical trials investigating the prevention of chronic pain. We present general design considerations for prevention trials in populations that are at relatively high risk for developing chronic pain. Specific design considerations included subject identification, timing and duration of treatment, outcomes, timing of assessment, and adjusting for risk factors in the analyses. We provide a detailed examination of 4 models of chronic pain prevention (i.e., chronic post-surgical pain, postherpetic neuralgia, chronic low back pain, and painful chemotherapy-induced peripheral neuropathy). The issues discussed can, in many instances, be extrapolated to other chronic pain conditions. These examples were selected because they are representative models of primary and secondary prevention, reflect persistent pain resulting from multiple insults (i.e., surgery, viral infection, injury, and toxic/noxious element exposure), and are chronically painful conditions that are treated with a range of interventions. Improvements in the design of chronic pain prevention trials could improve assay sensitivity and thus accelerate the identification of efficacious interventions. Such interventions would have the potential to reduce the prevalence of chronic pain in the population. Additionally, standardization of outcomes in prevention clinical trials will facilitate meta-analyses and systematic reviews and improve detection of preventive strategies emerging from clinical trials.

show abstract

“…This interdisciplinary approach is aimed at tailoring treatment to individual-patient needs in order to promote maximum rehabilitation in both physical and psychosocial areas, using a combination of cognitive behavioral therapy (CBT), physical conditioning, and psychosocial evaluations that are carefully monitored by a team of health-care professionals [18][19][20]. This approach has been shown to be highly effective, both therapeutically and in terms of cost effectiveness [21][22][23]. Other forms of physical modalities for pain management that have been studied and displayed to have some promising results in aiding pain relief include myofascial-release therapy, chiropractic care, and exercise to improve coordination/stabilization, strength/resistance, and cardiovascular training groups [24][25][26].…”

Section: Physical Interventionsmentioning

confidence: 99%

The Chronic Low Back Pain Epidemic in Older Adults in America

Bevers¹,

Hulla²,

Rice³

et al. 2017

J Pain Relief

View full text Add to dashboard Cite

Chronic low back pain is a debilitating condition affecting millions of Americans annually. Older-adult populations suffer a high prevalence of this continually painful state, and further face a unique set of challenges to manage short-and long-term biopsychosocial functioning. As the population ages, and the proportion of older adults grow, it is essential to explore and develop the most effective interdisciplinary strategies to care for older adults who are chronic pain sufferers. In this Commentary, we highlight some of the special challenges that the older-adult population encounters, and their influence on pain management strategies.Keywords: Low back pain; Chronic pain; Biopsychosocial; America; Older adults CommentaryChronic low back pain (CLBP) is a widely prevalent condition affecting more than 25 million Americans [1]. In a recent 2014 report by the National Health Interview Survey (NHIS), it was noted that low back pain was the most prevalent reported pain site, exceeding joint conditions, headache/migraines, neck, and facial, or jaw pain [2]. Roughly one third (34%) of adults aged 65-74, and adults aged 75 and over (34.9%), reported low back pain in the last 3-months [2]. As the population ages, CLBP reports are expected to rise, further necessitating the need to develop interdisciplinary pain management strategies for this growing part of the population [3].In addition to CLBP, older adult populations often have multiple conditions that can complicate and limit traditional pain management therapies. As a result, they face distinctive challenges regarding healthcare regimens, including adherence, physical ability, psychological and social conditions, age-related mental decline, agerelated physical decline, and pharmacological intake concerns. Furthermore, general physical decline due to aging often limits the patient's ability to participate in physical interventions, such as exercise and more vigorous physical therapies. Often, simple stretching techniques or light exercise may not be a viable option [4]. Additionally, psychosocial status must be evaluated for adherence and well-being. Chronic pain patients often experience depression, anxiety, and sleep disorders [5], as well as dementia, Alzheimer's, and other ailments that can impede proper care.Medications are widely prescribed to help combat pain, particularly when these physical limitations are present. On average, older Americans consume multiple medications daily [6]. The large volume of prescription medication consumption certainly influences the available and appropriate treatment options to both avoid side-effects and maintain good quality-of-life. Considering these astonishing figures, it is vital to develop comprehensive, interdisciplinary preventive measures and pain management strategies in order to account for the unique concerns of the older-adult population. This Commentary aims to highlight some of the special challenges the older-adult population faces, and the importance of implementing interdisciplinary treatment strate...

show abstract

Early Intervention Options for Acute Low Back Pain Patients: A Randomized Clinical Trial with One-Year Follow-Up Outcomes

Abstract: The addition of a work transition component to an early intervention program for the treatment of ALBP did not significantly contribute to improved work outcomes. However, results further support the effectiveness of early intervention for high-risk ALBP patients.

Cited by 51 publications

References 21 publications

Pre‐surgery disability compensation predicts long‐term disability among workers with carpal tunnel syndrome

Pre‐surgery disability compensation predicts long‐term disability among workers with carpal tunnel syndrome

Research design considerations for chronic pain prevention clinical trials

The Chronic Low Back Pain Epidemic in Older Adults in America

Contact Info

Product

Resources

About