For best results switch to Advanced Search. |
Article Detail |
Return to Search Results | ||||||||||||
ID | 26243 | ||||||||||||
Title | Predictors of low back disability in chiropractic and physical therapy settings | ||||||||||||
URL | https://chiromt.biomedcentral.com/articles/10.1186/s12998-020-00328-3 | ||||||||||||
Journal | Chiropr & Manual Ther. 2020 ;28(41):Online access only 9 p | ||||||||||||
Author(s) | |||||||||||||
Subject(s) |
|
||||||||||||
Peer Review | Yes | ||||||||||||
Publication Type | Article | ||||||||||||
Abstract/Notes | Background: Predicting ongoing disability for chronic non-specific low back pain (LBP) is important to avoid prolonged disability. Objective: Determine predictors of disability at 6 month follow-up in patients with LBP at medium risk of ongoing disability. Methods: Baseline data was collected from 108 patients with medium-risk chronic non-specific LBP (mean age 50.4 years, SD 13.6) from six private chiropractic and physiotherapy clinics in Australia who took part in a randomised control trial. All patients received a pragmatic course of multimodal physical treatments [e.g., manual therapy (spinal manipulation or mobilization and/or soft tissue massage)] combined with advice, education and exercise. Baseline prognostic variables included sociodemographic, physical and psychological characteristics. Primary outcome was disability (Roland Morris Disability) at 6 month follow-up. Multivariable linear regression analysis was conducted. Results: Variables remaining in the final multivariable model: lower work ability (β = − 1.05, 95% CI − 1.40 to − 0.70; p < 0.0001) and consultation with a medical specialist for back pain in the preceding 3 months (β = 3.35, 95% CI 1.14 to 5.55; p < 0.003), which significantly predicted higher disability at 6 months (unadjusted R 2 = 0.31). Those with a lower work ability (scale 1 to 10) and who had seen a medical specialist for their back pain were more likely to report greater LBP-related disability at 6 months. Conclusion: Patients with chronic LBP presenting to primary care with lower work ability and recent consultation with a medical specialist for LBP are more likely to have a worse prognosis; these are indicators to clinicians that standard conservative care may not adequately manage the patients’ needs. Author keywords: Chronic non-specific LBP — Predictors — Prognosis — Physical therapy — Chiropractic Author affiliations: MJP, PHF, AL, MGM: Faculty of Medicine and Health, University of Sydney, Sydney School of Health Sciences, Sydney, Australia; SMR: Department of Health Sciences, Vrije Universiteit, Amsterdam, The Netherlands This abstract is reproduced with the permission of the publisher; click on the above link for free full text. PubMed Record | PDF
|
||||||||||||
|
|||||||||||||
Text (Citation)
Tagged (Export)
Excel
|
|||||||||||||
|