The course of low back pain in a general population. results from a 5-year prospective study

Hestbæk, Lise; Leboeuf‐Yde, Charlotte; Engberg, Marianne; Lauritzen, Torsten; Bruun, Niels Henrik; Manniche, Claus

doi:10.1016/s0161-4754(03)00006-x

Cited by 136 publications

(123 citation statements)

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“…Recent research shows that the course of back pain is episodic and that a substantial minority of patients does not experience resolution of their pain and disability [5,8,12,13,21,31,32,37]. A recent review of the literature shows that the rate of recurrence of work disability related to back pain depends on the definition used to measure recurrence and on the study population.…”

Section: Introductionmentioning

confidence: 99%

Patterns of sick-leave and health outcomes in injured workers with back pain

et al. 2008

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Little is known about the sick-leave experiences of workers who make a workers' compensation claim for back pain. Our objective is to describe the 1-year patterns of sick-leave and the health outcomes of a cohort of workers who make a workers' compensation claim for back pain. We studied a cohort of 1,831 workers from five large US firms who made incident workers' compensation claims for back pain between January 1, 1999 and June 30, 2002. Injured workers were interviewed 1 month (n = 1,321), 6 months (n = 810) and 1 year (n = 462) following the onset of their pain. We described the course of back pain using four patterns of sick-leave: (1) no sick-leave, (2) returned to worked and stayed, (3) multiple episodes of sick-leave and (4) not yet returned to work. We described the health outcomes as back and/or leg pain intensity, functional limitations and health-related quality of life. We analyzed data from participants who completed all followup interviews (n = 457) to compute the probabilities of transition between patterns of sick-leave. A significant proportion of workers experienced multiple episodes of sick-leave (30.2%; 95% CI 25.0-35.1) during the 1-year follow-up. The proportion of workers who did not report sick-leave declined from 42.4% (95% CI 39.0-46.1) at 1 month to 33.6% (28.0-38.7) at 1 year. One year after the injury, 2.9% (1.6-4.9) of workers had not yet returned to work. Workers who did not report sick-leave and those who returned and stayed at work reported better health outcomes than workers who experienced multiple episodes of sick-leave or workers who had not returned to work. Almost a third of workers with an incident episode of back pain experience recurrent spells of work absenteeism during the following year. Our data suggest that stable patterns of sick-leave are associated with better health.

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Section: Introductionmentioning

confidence: 99%

Patterns of sick-leave and health outcomes in injured workers with back pain

et al. 2008

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“…Nearly 80% of adults experience this pain, which is the most common cause of visits to a primary care physician. It is widely believed that nearly 50% of all patients coming for physical therapy is affected by just this disease [1,2,7,9,20].…”

Section: Discussionmentioning

confidence: 99%

Multiple Impulse Therapy and Saunders Lumbar Traction Methods in the Treatment of Low Back Pain: A Randomized Controlled Trial

Pingot¹,

Pingot²,

Haładaj³

et al. 2017

J Nov Physiother

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“…This demonstrates the importance of reaching a consensus on both the features, and operational criteria for each feature, when defining recurrent LBP. It is likely that the lack of a consensus definition for recurrent LBP has contributed to the different findings with regards to the prevalence [20,30,31] and effectiveness of treatments [13,16,17,50] for recurrent LBP reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

How do we define the condition ‘recurrent low back pain’? A systematic review

et al. 2009

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Recurrent low back pain (recurrent LBP) is a common condition, however, it is unclear if uniform definitions are used in studies investigating the prevalence and management of this condition. The aim of this systematic review was to identify how recurrent LBP is defined in the literature. A literature search was performed on MED-LINE, EMBASE, CINAHL, AMED, and PEDro. Studies were considered eligible if they investigated a cohort of subjects with recurrent LBP or if they were measuring the prevalence of recurrent LBP. Two independent reviewers assessed inclusion of studies and extracted definitions of recurrent LBP. Forty-three studies met the inclusion criteria. The majority of studies (63%) gave an explicit definition of recurrent LBP; however, the definitions varied greatly and only three definitions for recurrent LBP were used by more than one study. The most common feature given as part of the definition was the frequency of previous episodes of low back pain. Only 8% (3/36) of studies used previously recommended definitions for recurrent LBP. Large variation exists in definitions of recurrent LBP used in the literature, making interpretation of prevalence rates and treatment outcomes very difficult. Achieving consensus among experts in this area is required.

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The course of low back pain in a general population. results from a 5-year prospective study

Cited by 136 publications

References 19 publications

Patterns of sick-leave and health outcomes in injured workers with back pain

Patterns of sick-leave and health outcomes in injured workers with back pain

Multiple Impulse Therapy and Saunders Lumbar Traction Methods in the Treatment of Low Back Pain: A Randomized Controlled Trial

How do we define the condition ‘recurrent low back pain’? A systematic review

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