Predicting treatment adherence and outcome to outpatient multimodal rehabilitation in chronic low back pain

Dhondt, Evy; Oosterwijck, Jessica Van; Cagnie, Barbara; Adnan, Rahmat; Schouppe, Stijn; Akeleyen, Jens Van; Logghe, Tine; Danneels, Lieven

doi:10.3233/bmr-181125

Cited by 18 publications

(29 citation statements)

References 59 publications

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“…Notably, the potential impact of LBP duration appears overlooked, except for a review from 2011 looking at predictors of differential response to fusion versus conservative treatment,20,21 none of the relevant systematic reviews in the field specifically considered individuals with chronic symptoms that may be more resistant to treatment. Indeed, there is little change in pain and disability over the course of LBP if the symptoms do not resolve within several weeks since their onset2,23 and individuals who have been living with symptoms for longer show poorer response to LBP treatments 24,25. Given these gaps in evidence, the current review aimed to identify and evaluate preoperative predictors of pain and disability outcomes after spinal surgery for the treatment of chronic LBP and/or radicular pain.…”

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confidence: 99%

“…Indeed, there is little change in pain and disability over the course of LBP if the symptoms do not resolve within several weeks since their onset 2,23 and individuals who have been living with symptoms for longer show poorer response to LBP treatments. 24,25 Given these gaps in evidence, the current review aimed to identify and evaluate preoperative predictors of pain and disability outcomes after spinal surgery for the treatment of chronic LBP and/or radicular pain.…”

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confidence: 99%

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Predictors of Pain and Disability Outcomes Following Spinal Surgery for Chronic Low Back and Radicular Pain

Halicka¹,

Duarte²,

Catherall

et al. 2022

The Clinical Journal of Pain

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Objectives: Success rates of spinal surgeries to treat chronic back pain are highly variable and useable prognostic indicators are lacking. We aimed to identify and evaluate preoperative predictors of pain and disability after spinal surgery for chronic low back/ leg pain.Methods: Electronic database (01/1984-03/2021) and reference searches identified 2622 unique citations. Eligible studies included adults with chronic low back/leg pain lasting ≥ 3 months undergoing first elective lumbar spine surgery, and outcomes defined as change in pain (primary)/disability (secondary) after ≥ 3 months. We included 21 reports (6899 participants), 7 were judged to have low and 14 high risks of bias. We performed narrative synthesis and determined the quality of evidence (QoE).Results: Better pain outcomes were associated with younger age, higher education, and no spinal stenosis (low QoE); lower preoperative pain, fewer comorbidities, lower pain catastrophizing, anxiety and depression (very low QoE); but not with symptom duration (moderate QoE), other sociodemographic factors (low QoE), disability, or sensory testing (very low QoE). More favorable disability outcomes were associated with preoperative sensory loss (moderate QoE); lower job-related resignation and neuroticism (very low QoE); but not with socioeconomic factors, comorbidities (low QoE), demographics, pain, or pain-related psychological factors (very low QoE).Discussion: In conclusion, absence of spinal stenosis potentially predicts greater pain relief and preoperative sensory loss likely predicts reduction in disability. Overall, QoE for most identified associations was low/very low.

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confidence: 99%

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confidence: 99%

Predictors of Pain and Disability Outcomes Following Spinal Surgery for Chronic Low Back and Radicular Pain

Halicka¹,

Duarte²,

Catherall

et al. 2022

The Clinical Journal of Pain

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“…Nonspecific low back pain (NLBP) is a global health issue that affects people of almost all ages and causes deterioration of physiological function and disability (1). It is defined as pain without any specific detectable pathoanatomical cause, mainly affecting the lumbosacral area, located from the bottom of ribs to inferior gluteal fold (2,3). It has been reported that about 70-85% of people will experience of 22 surveys across 6 eastern and western countries found that the percentage of adults with NLBP who visited a massage therapist within a 12-month period ranged from 0.4% to 20%, while the proportion of older adults ranged from 1.5% to 16.2% (20).…”

Section: Introductionmentioning

confidence: 99%

Fu’s subcutaneous needling versus massage for chronic non-specific low-back pain: a randomized controlled clinical trial

Ma¹,

Zhao²,

Cao³

et al. 2021

Ann Palliat Med

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“…Além disso, outros fatores podem ter influenciado na aderência e sucesso no tratamento da dor lombar, dentre eles a idade, presença de cinesiofobia, idade, a capacidade do indivíduo de realizar atividades leves, o nível de educação do paciente, o conhecimento da causa da dor e presença de dor em outros locais. 41 O presente estudo teve algumas limitações que devem ser consideradas: como já dito anteriormente, o elevado número de perda de pacientes no estudo. Além disso, o follow-up de apenas 2 meses pode ser considerado um curto espaço de tempo.…”

Section: Discussionunclassified

A efetividade do método Pilates no tratamento da dor lombar crônica inespecífica: ensaio clínico randomizado

et al. 2021

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A dor lombar crônica é um problema de saúde pública. Intervenções voltadas para seu tratamento envolvem tanto exercícios quanto a educação do indivíduo. Objetivo: Avaliar a efetividade de um protocolo de exercícios do método Pilates e do programa “Escola de Coluna” na redução dor e incapacidade funcional, na melhora da qualidade de vida, flexibilidade e qualidade do sono em indivíduos com dor lombar crônica inespecífica. Método: Ensaio controlado aleatorizado, 84 indivíduos com dor lombar crônica. Os participantes foram aleatoriamente alocados no Grupo Pilates (n= 43) ou Grupo Controle (n= 41). Os desfechos primários foram dor (Escala Visual Numérica), incapacidade funcional (Roland-Morris Disability Questionnaire - RMDQ) e qualidade de vida (SF-36). Os desfechos secundários foram flexibilidade (teste do 3o dedo ao chão) e qualidade do sono (Pittsburgh Sleep Quality Index - PSQI). Resultados: O Grupo Pilates foi superior ao Grupo Controle (p < 0,05) na intensidade da dor, incapacidade funcional, flexibilidade e em cinco domínios de qualidade de vida (capacidade funcional, aspectos físicos, dor, vitalidade e estado geral de saúde). Não houve diferença entre os grupos para a qualidade do sono. Conclusão: Exercícios do método Pilates podem ser considerados como uma alternativa de intervenção para indivíduos com dor lombar crônica não específica. O Grupo Pilates foi superior ao programa "Escola de Coluna" nos desfechos dor, incapacidade funcional, flexibilidade e em cinco domínios de qualidade de vida. Devido à baixa aderência às intervenções propostas, alternativas para melhorar a aderência devem ser estabelecidas em estudos futuros.

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Predicting treatment adherence and outcome to outpatient multimodal rehabilitation in chronic low back pain

Cited by 18 publications

References 59 publications

Predictors of Pain and Disability Outcomes Following Spinal Surgery for Chronic Low Back and Radicular Pain

Predictors of Pain and Disability Outcomes Following Spinal Surgery for Chronic Low Back and Radicular Pain

Fu’s subcutaneous needling versus massage for chronic non-specific low-back pain: a randomized controlled clinical trial

A efetividade do método Pilates no tratamento da dor lombar crônica inespecífica: ensaio clínico randomizado

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