Prognostic Factors for Low Back Pain in Patients Referred for Physiotherapy

Bekkering, Geertruida E; Hendriks, H. Jurgens; Tulder, Maurits W. van; Knol, Dirk L.; Simmonds, Maureen J.; Oostendorp, Rob A.B.; Bouter, Lex M.

doi:10.1097/01.brs.0000173901.64181.db

Cited by 74 publications

(50 citation statements)

References 24 publications

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“…Similar to a another study from our Institute in patients with back pain (33), and similar to our previous study in patients with knee complaints (34), we found no prognostic indicator to be independently associated with a better prognosis for all outcome measures after both 3 and 12 months. Possibly the mechanisms underlying the course of pain and the course of physical functioning are influenced by different variables.…”

Section: Discussionsupporting

confidence: 79%

The course and prognosis of hip complaints in general practice

et al. 2006

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Section: Discussionsupporting

confidence: 79%

The course and prognosis of hip complaints in general practice

et al. 2006

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“…Participants who are referred earlier have a more likely RTW (Ehrmann-Feldman, 1996). The duration of the current episode is also a stable predictor of prognosis in LBP (Bekkering, 2005).…”

Section: Discussionmentioning

confidence: 96%

“…Several participants still experienced some pain at 12 months follow-up (Bekkering, 2005). RTW and no medication were found in another study (Iles, 2008).…”

Section: Discussionmentioning

confidence: 99%

Return to Work and Painkiller Medication after Rehabilitation for Subacute Back Conditions—A 2-Year Follow-Up

Gison¹,

Bruti²,

Dall’Armi³

et al. 2013

AASoci

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The study was aimed at evaluating the outcome after 2 years in a population of outpatients suffering from Low Back Pain (LBP) who were treated with a multi-disciplinary approach. The end-points were: 1) the rate of return to work (RTW); 2) the frequency of painkiller medication; 3) the frequency of unavoidable surgical operation; 4) the rate of relapses. Eighty consecutive subjects (75% women) were enrolled. They were referred by general physicians and completed the rehabilitation program at our centre. We followed an open, prospective design. The main results were: RTW: 92.5% positive cases; 7.5% failure. Job cohort settlement: 93.1% the same; 6.9% change. Time interval between discharge and RTW: 76.8% few days after discharge. Painkillers: At follow-up 46 participants (57.5%) could stop the medication. Surgical operations: At admission 39 participants presented with lumbar root involvement (48.7%). Only 4 of them had a surgical intervention (10.2%). In a third of cases of the all sample relapses did not occur. In conclusion, a multi-disciplinary model of intervention led to a high rate of RTW, a reduction of painkiller medication, a low rate of surgical interventions and of relapses as well. Further controlled studies are warranted for assessing the cost/benefit ratio. The clear prevalence of LBP in women recommends measures of preventing Medicine.

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“…These findings are somewhat lower than previous studies although most previous studies have failed to identify strong predictors of outcome in chronic LBP. Bekkering et al [22] followed a mixed group (acute/chronic LBP) of 500 patients with non-specific LBP for 12 months. This study evaluated prognostic factors associated with pain and disability at 12 months follow-up.…”

Section: Strengths and Limitations Of The Studymentioning

confidence: 99%

Prognosis of chronic low back pain in patients presenting to a private community-based group exercise program

et al. 2013

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Purpose To examine the prognosis and prognostic factors for patients with chronic low back pain presenting to a private, community-based, group exercise program. Methods A total of 118 consecutive patients with chronic LBP were recruited. Baseline assessments included sociodemographic characteristics, back pain history and clinical examination findings. Primary outcome measures were pain intensity and disability at 3, 6 and 12 months. Potential prognostic factors to predict pain intensity and disability at 12 months were assessed using a multivariate regression model. Results 112 (95 %) participants were followed up at 12 months. The majority of participants were female (73 %), had high educational levels (82 %) and resided in suburbs with a high socio-economic status (99 %). Pain intensity improved markedly during the first 6 months (35 %) with further minimal reductions up to 12 months (39 %). Interestingly, disability improved to a greater degree than pain (48 % improvement at 6 months) and continued to improve throughout the 12 months (60 %). Baseline pain intensity accounted for 10 % of the variance in the 1 year pain outcomes. Duration of current episode, baseline disability and educational level accounted for 15 % of the variation in disability at 12 months. Conclusions During a period of 12 months, patients with chronic LBP presenting to a private, community-based, group exercise program improved markedly, with greater improvements in disability than pain. The predictors investigated accounted for only 10 and 15 % of pain and disability outcomes, respectively.

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Prognostic Factors for Low Back Pain in Patients Referred for Physiotherapy

Cited by 74 publications

References 24 publications

The course and prognosis of hip complaints in general practice

The course and prognosis of hip complaints in general practice

Return to Work and Painkiller Medication after Rehabilitation for Subacute Back Conditions—A 2-Year Follow-Up

Prognosis of chronic low back pain in patients presenting to a private community-based group exercise program

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