Psychosocial factors associated with change in pain and disability outcomes in chronic low back pain patients treated by physiotherapist: A systematic review

Alhowimel, Ahmed; Alotaibi, Mazyad; Radford, Kathryn; Coulson, Neil

doi:10.1177/2050312118757387

Cited by 100 publications

(88 citation statements)

References 30 publications

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“…The reference lists of included studies and related systematic reviews [22,[31][32][33][34][35][36] will be searched. Citation searching of questionnaires for depressive symptoms that have been utilized in LBP populations will also be conducted: Center for Epidemiologic Studies Depression Scale, Beck Depression Index, Patient Health Questionnaire-9, and Depression Scale of the Hospital Anxiety and Depression Scale.…”

Section: Study Designs/characteristicsmentioning

confidence: 99%

“…To our best knowledge, a systematic review examining the impact of depressive symptoms and depression on health care utilization in adults with LBP has not been previously conducted. Previous systematic reviews examining depressive symptoms and depression as prognostic factors affecting clinical or work-related outcomes for LBP require updating, as literature searches were completed before or up to early 2016 [22,[31][32][33][34][35][36]. Of these, the reviews with most recent literature searches were conducted by Alhowimel [22].…”

Section: Introductionmentioning

confidence: 99%

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The association between depressive symptoms or depression and health outcomes in adults with low back pain with or without radiculopathy: protocol of a systematic review

et al. 2019

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Background: A considerable proportion of adults with low back pain (LBP) suffer from depressive symptoms or depression. Those with depressive symptoms or depression may be at risk of poorer LBP recovery and require more health care. Understanding the role of prognostic factors for LBP is critically important to guide management and health services delivery. Our objective is to conduct a systematic review to assess the association between depressive symptoms or depression and health outcomes in adults with LBP with or without radiculopathy. Methods: Electronic databases including MEDLINE, Embase, CINAHL, and PsycINFO will be searched from inception to April 2019 to identify relevant studies. Additional citations will be identified by searching reference lists of included studies and related systematic reviews. Cohort and case-control studies assessing the association between depressive symptoms/ depression and health outcomes in adults aged 16 years and older with LBP with or without radiculopathy will be included. The following will be included: depressive symptoms as measured on standardized questionnaires (e.g., Center for Epidemiologic Studies Depression Scale, Beck Depression Index), and depression as standardized diagnoses (e.g., International Classification of Diseases codes) or self-reported depression diagnosis on standardized questionnaires. Outcomes of interest are standardized measures for pain, disability, overall health status, satisfaction with care, and health care utilization. These are informed by core outcome domains that international expert panels consider important for LBP research. Pairs of reviewers will screen articles retrieved from the search, extract data, and assess risk of bias using the Risk Of Bias In Non-randomized Studies-of Exposures (ROBINS-E) tool. Reviewers will use these criteria to inform their judgment on the internal validity of studies (e.g., low, moderate, or high risk of bias). If studies are deemed homogeneous, a random effects meta-analysis on the association between depressive symptoms and health outcomes will be performed. The results of the included studies will be descriptively outlined if studies are deemed heterogeneous. Discussion: The impact of depressive symptoms and depression on health-and health care-related outcomes for LBP with or without radiculopathy will be assessed and quantified. Findings of this systematic review will advance our understanding of LBP prognosis, and guide decision-making and improve quality of care for adults with LBP. Systematic review registration: PROSPERO CRD42019130047

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Section: Study Designs/characteristicsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The association between depressive symptoms or depression and health outcomes in adults with low back pain with or without radiculopathy: protocol of a systematic review

et al. 2019

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“…The prevalence of low back pain (LBP) continues to rise, despite the increasing technological advancement in the medical field [1][2][3]. Following the natural course and history, episodes of LBP increase healthcare utilization and lead more patients into chronic stages [4,5]. A clear association was demonstrated between length of disability and healthcare cost, with 86% of episodes less than one month yielding only 11% of all costs [6].…”

Section: Introductionmentioning

confidence: 99%

“…A clear association was demonstrated between length of disability and healthcare cost, with 86% of episodes less than one month yielding only 11% of all costs [6]. This reveals the importance of preventing and reducing the frequency of patients who transition from acute to chronic stages [5,7]. A biomedical, pathoanatomical model negatively influence the patient's overall status and those dealing with chronic low back pain [8,9].…”

Section: Introductionmentioning

confidence: 99%

Risk Factors for the Elevation of Psychosocial Barriers in the Recovery of Lumbar Pathology

Keating¹,

Hui²,

Smith³

2019

Phys Ther Rehabil

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Background/Purpose: The prevalence of low back pain (LBP) continues to rise and an appreciation for a biopsychosocial approach, which takes in multiple facets of a patient presentation, may significantly impact this increase. To the best our knowledge, there are no studies evaluating the relationship between the STarTBack Screening Tool (SBT) and the access point the patient enters the health system. Our hypothesis is that patients that access care through the medical model will exhibit greater psychosocial risk. Methods: A retrospective analysis of 1404 cases of LBP utilizing past medical history, demographic information, and SBT data. A linear regression model to identify potential predictors was utilized followed by analyses using cumulative logistic regression model with potential predictors. Results: Referral source had a positive impact on the SBT score and higher probability of high risk classification. Compared to direct access, accessing care through a primary care physician had an odds ratio of 2.802 and specialist an odds ratio of 3.195. Conclusion: This study provides evidence to the impact that access may have on the psychosocial status of patients with LBP. The approach taken by the healthcare provider may impact long term pain and functional outcomes and costs. of surgical and nonsurgical management of sciatica secondary to a lumbar disc herniation: 10 year results from the maine lumbar spine study. Spine (Phila Pa 1976). 2005; 30:927-35. | Article | PubMed 31. Deyo RA and Mirza SK. The case for restraint in spinal surgery: does quality management have a role to play? Eur Spine J. 2009; 18 Suppl 3:331-7. | Article | PubMed Abstract | PubMed FullText 32. Brox JI, Nygaard OP, Holm I, Keller A, Ingebrigtsen T and Reikeras O. Fouryear follow-up of surgical versus non-surgical therapy for chronic low back pain. Ann Rheum Dis. 2010; 69:1643-8. | Article | PubMed Abstract | PubMed FullText 33. Loupasis GA, Stamos K, Katonis PG, Sapkas G, Korres DS and Hartofilakidis G. Seven-to 20-year outcome of lumbar discectomy. Spine (Phila Pa 1976). 1999; 24:2313-7. | Article | PubMed 34. Mannion AF, Brox JI and Fairbank JC. Comparison of spinal fusion and nonoperative treatment in patients with chronic low back pain: longterm follow-up of three randomized controlled trials. Spine J. 2013; 13:1438-48. | Article | PubMed 35. Anandacoomarasamy A, Caterson I, Sambrook P, Fransen M and March L. The impact of obesity on the musculoskeletal system. Int J Obes (Lond). 2008; 32:211-22. | Article | PubMed 36. Brooks C, Siegler JC, Cheema BS and Marshall PW. No relationship between body mass index and changes in pain and disability after exercise rehabilitation for patients with mild to moderate chronic low back pain. Spine (Phila Pa 1976). 2013; 38:2190-5. | Article | PubMed 37. Fanuele JC, Abdu WA, Hanscom B and Weinstein JN. Association between obesity and functional status in patients with spine disease. Spine (Phila Pa 1976). 2002; 27:306-12. | PubMed 38. Heuts PH, Vlaeyen JW, Roelofs J, de Bie RA, Aretz K, van Weel C and...

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“…Research has reported that 20% of individuals with OA experience symptoms of depression and anxiety 196 , and that depression is associated with decreased physical activity participation 197,198 . Higher fear of movement, anxiety, depression, catastrophizing 199 and lower pain self-efficacy 200 are all associated with pain 201 , and related to disability 200,202 . Low levels of self-efficacy have been linked to higher disability in individuals with OA of the knee and hip 203 .…”

Section: Contextual Factors In Oamentioning

confidence: 99%

Understanding the physical and psychological impairments and associated disability characterising individuals with ankle symptoms and osteoarthritis

Mahrouqi¹

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Musculoskeletal conditions are prevalent worldwide and are associated with pain, disability and impaired quality of life (QoL). Osteoarthritis (OA) is a common, costly and disabling musculoskeletal condition. Lower limb OA research has focussed on the hip and knee and, as a consequence, impairments characterising ankle OA are not well understood.This thesis aims to advance our understanding of the physical, functional and psychological impairments and associated disability in individuals with persistent ankle symptoms and in those with radiographic evidence of ankle OA. Study 1: A systematic literature review and meta-analysis was conducted to synthesise and appraise the quality of studies investigating physical impairments in ankle OA. The review identified eight studies, three of which were included in the meta-analyses. Meta-analyses revealed large impairments of ankle sagittal plane range of motion (ROM) on the affected compared to the unaffected side and less sagittal plane torque in ankle OA compared to controls. Evidence from single studies indicated deficits in frontal plane ROM and strength, talar translation and rotation, balance, electromyography of ankle muscles, abnormal bony alignments and greater fatty infiltrate in all calf muscle compartments in individuals with ankle OA. Critical appraisal of the literature revealed limitations surrounding assessor blinding, measurement validity, and lack of generalization. Study 2: A cross-sectional laboratory study of 96 participants compared physical measures of function, strength, ROM and posture and patient-reported outcomes in 1) individuals with symptoms and radiographic evidence of ankle OA to asymptomatic individuals; and 2) asymptomatic individuals with and without radiographic evidence of ankle OA. Those with symptomatic OA reported greater pain, disability, instability, kinesiophobia, lower function and QoL, and exhibited significant deficits in muscle strength, ROM and ambulatory function compared to asymptomatic individuals. Most patient-reported and physical outcomes were similar between asymptomatic individuals with and without radiographic OA. Stair function times were significantly associated with QoL and self-reported function. ii Study 3: A cross-sectional exploratory survey (n=394) was conducted to compare selfreported daily living and sports function, ankle pain and disability, physical activity, ankle instability, and QoL between individuals with and without persistent ankle pain and stiffness, and to explore factors associated with QoL. Individuals with ankle symptoms reported worse scores for all measures, except self-reported physical activity. Daily living function and age explained 66% of the variance in QoL. Study 4: Individuals with and without persistent ankle pain and stiffness (n= 231) participated in an online survey to obtain data about pain severity, pain self-efficacy, anxiety, depression, kinesiophobia, pain catastrophizing, and function. Individuals with persistent ankle pain reported higher pain and depressive symptoms, an...

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Psychosocial factors associated with change in pain and disability outcomes in chronic low back pain patients treated by physiotherapist: A systematic review

Cited by 100 publications

References 30 publications

The association between depressive symptoms or depression and health outcomes in adults with low back pain with or without radiculopathy: protocol of a systematic review

The association between depressive symptoms or depression and health outcomes in adults with low back pain with or without radiculopathy: protocol of a systematic review

Risk Factors for the Elevation of Psychosocial Barriers in the Recovery of Lumbar Pathology

Understanding the physical and psychological impairments and associated disability characterising individuals with ankle symptoms and osteoarthritis

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