Outcomes research in non-specific low back pain

Stamm, Tanja; Boesendorfer, Anna; Omara, Maisa; Ritschl, Valentin; Štefanac, Siniša; Mosor, Erika

doi:10.1007/s00508-019-1523-4

Cited by 10 publications

(7 citation statements)

References 35 publications

(59 reference statements)

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“…Moreover, analysis of secondary parameters indicated efficacy particularly well in patient-reported outcomes. These are essential in patient-centered care, especially in nonpharmacological interventions for back pain, as the outcomes are directly related to the motivation of the patients [18]; however, regarding the outcome assessment "back pain" the results indicate that measuring back pain with the ODI seemed to have been more sensitive in this patient population than the assessment with the VAS. Similar advantages of the ODI have been shown regarding mobility [19].…”

Section: Discussionmentioning

confidence: 78%

Prescription of individual therapeutic exercises via smartphone app for patients suffering from non-specific back pain

Hasenöhrl

Windschnurer

Dorotka³

et al. 2020

Wien Klin Wochenschr

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Background The purpose of this qualitative study was the assessment of the feasibility and acceptance of orthopedists prescribing individualized therapeutic exercises via a smartphone app to patients suffering from non-specific back pain. Methods A total of 27 patients (mean age 44.8 ± 13.2 years) diagnosed with acute non-specific back pain were prescribed individually chosen therapy exercises via a smartphone app. Before the patients started and after 4 weeks of exercising all participants went through an assessment protocol consisting of questionnaires (Oswestry Disability Index [ODI], Short Form-36 [SF-36], International Physical Activity Questionnaire [IPAQ], Work Ability Index [WAI], Visual Analogue Scale [VAS] back pain, sociodemographic parameters), assessment of functional parameters (handgrip strength, timed up and go test). With 16 randomly chosen patients semi-structured interviews were undertaken at the end of the intervention period. Interview transcripts were analyzed using thematic analysis. Power analysis and a priori sample size calculations were undertaken with the quantitative data. Results From the interviews four thematic categories emerged: prior exercise experience, evaluation of exercise intensity, communication with physician via smartphone app, and variability of exercise location.

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Section: Discussionmentioning

confidence: 78%

Prescription of individual therapeutic exercises via smartphone app for patients suffering from non-specific back pain

Hasenöhrl

Windschnurer

Dorotka³

et al. 2020

Wien Klin Wochenschr

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“…The cornerstone in the treatment of LBP patients is to actively involve patients in the definition of selected outcomes adapting intervention to what exactly physicians and patients are looking for (24).…”

Section: Phase 1: First Evaluationmentioning

confidence: 99%

Simultaneous multidisciplinary care pathway for back pain: a new approach for a first-level comprehensive evaluation and treatment to guarantee adequate pain relief and recovery

Allegri

Sacchelli²,

Sgavicchia

et al. 2021

abtpn

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Low back pain continues to be a major clinical challenge with high direct and indirect societal costs. It is a complex disease with complex pathophysiology both for acute and chronic low back pain. Although there is consistent evidence about multidisciplinary treatment of low back pain, several different approaches and techniques are proposed, with different results often conflicting among them. In fact, even though the multidisciplinary approach is widely accepted, it is generally applied in different steps involving only one health care providing for each approach. This approach not only does not guarantee a real multidisciplinary vision of this disease but also lacks evaluation of the dynamic changes of the disease according to real patients’ needs. In our hospital setting we have developed a “simultaneous multidisciplinary care” of low back pain patients in order to overcome these problems and to satisfy all patients’ needs by evaluating and treating all problems causing and related to low back pain. Starting from the existing literature we propose our approach as a new pathway to treat low back patients with a simultaneous multidisciplinary approach.

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“…PRO measures are essential in patient-centered care for LBP, especially when applying non-pharmacological interventions. This assessment is important to ensure the patients’ motivation, active involvement, self-management and adherence [ 14 ]. Furthermore, quantification of patients’ feedback can assist therapists while evaluating the function and symptoms as well as the intervention outcomes [ 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Cross-cultural adaptation and validation of the Lithuanian version of the Spine Functional Index

Vaičienė,

Berškienė,

Zaveckas

et al. 2024

PLoS ONE

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Background Low back pain is one of the most frequent medical problems caused by different factors. It is important to evaluate low back pain by choosing the best suited tool for the specific spine condition and pain severity. The Spine Functional Index (SFI) is a relatively new physical functioning-related questionnaire that can be used to assess different aspects of daily activities and movements. The purpose of this study was to cross-culturally adapt the SFI for the Lithuanian language and to determine its psychometric properties of validity, reliability, construct stability, internal consistency and factor structure. Methods The study was designed as a two-stage observational study. Double forward and backward translations of SFI were performed for cultural adaptation for the Lithuanian language. For evaluation of psychometric properties, 125 participants with non-specific low back pain (duration of symptoms ≥ 6 weeks) rated their pain using Numeric Rating Scale, completed the Lithuanian version of SFI and Oswestry Disability Index. In 3 to 7 days all participants completed Lithuanian version SFI for the second time. The full sample was employed to determine internal consistency, test-retest reliability, construct stability, measurement error, construct validity and factor structure. Results There was good internal consistency and reliability with Lithuanian version of SFI as Cronbach’s α = 0.92 and r = 0.82. Spearman-Brown coefficient was 0.97 representing good construct stability. Measurement error from standard error of the mean (SEM) was 6.96, from Minimal Detectable Change (MDC) was 16.24. Construct validity between the Lithuanian version of SFI and Oswestry Disability Index was excellent (ρ = 0.83), and good between the SFI and Numeric Rating Scale (ρ = 0.55). The factor analysis demonstrated a one-factor solution explaining 35.04% of total variance. Conclusion Lithuanian version of SFI is a new reliable and valid instrument for functional evaluation of back pain in Lithuanian speaking patients.

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Outcomes research in non-specific low back pain

Cited by 10 publications

References 35 publications

Prescription of individual therapeutic exercises via smartphone app for patients suffering from non-specific back pain

Prescription of individual therapeutic exercises via smartphone app for patients suffering from non-specific back pain

Simultaneous multidisciplinary care pathway for back pain: a new approach for a first-level comprehensive evaluation and treatment to guarantee adequate pain relief and recovery

Cross-cultural adaptation and validation of the Lithuanian version of the Spine Functional Index

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