Changes in the International Classification of Functioning, Disability, and Health Components “Activity/Participation” as Predicted Through Patient-Reported Outcomes Along With Comprehensive Back Pain Rehabilitation

This study investigated the limitations and restrictions in the most relevant brief ICF core set categories for chronic low back pain (cLBP) as automatically predicted from routinely measured outcomes using a novel, validated mapping algorithm. Materials and Methods: Of 2718 cLBP patients recruited, data from 1541 (64% females) were available from before and at the end of 6 months comprehensive outpatient rehabilitation. Assessments included the Roland Morris Disability Questionnaire (RMDQ) and Pain Disability Index (PDI) questionnaires, the percentage of patients with predicted limitations and restrictions in important activity and participation ICF categories, bodily functional measurements, pain intensity, and anxiety/depression (EQ-5D). Results: At baseline, both the RMDQ and the PDI measures were within the third of the lowest disability scores whilst 80% of the patients had limitations with “maintaining a body position” and 30% with “walking” ICF categories. Intervention-associated gains in the maximum isometric lumbar extension and flexion strength and the lumbar range of motion were significant overall, but improvements in patients’ ICF limitations/restrictions varied. Anxiety/depression, lumbar range of motion, and extension strength all had a significant impact on the majority of the ICF categories, whereas flexion strength had none. Discussion: The rate of patients with predicted limitations/restrictions in activit...
Source: The Clinical Journal of Pain - Category: Anesthesiology Tags: Original Articles Source Type: research

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This study examined whether pathways within the FAM were moderated by treatment engagement in 508 people with chronic low back pain. Measures of disability, pain, fear, catastrophizing, anxiety, depression, and self-efficacy were collected through self-report, and descriptors of treatment engaged within the last month (physical activity type, medication, allied and medical health practitioner). Moderated mediation analyses were performed to examine the conditional effect of treatment engagement on fear-avoidance pathways. Results: The conditional effect of anxiety on disability was only significant for people who di...
Source: The Clinical Journal of Pain - Category: Anesthesiology Tags: Original Articles Source Type: research
ConclusionWAD is a more severe condition than NTNP and should be considered a separate subgroup. A different approach in clinical practice and research is required for WAD and NTNP.PMID:34465257 | DOI:10.1080/09593985.2021.1962464
Source: Physiotherapy Theory and Practice - Category: Physiotherapy Authors: Source Type: research
In conclusion it was shown, that psychosocial variables can be moderators in the relationship between sensorimotor exercise induced adaptation on CLBP which may explain conflicting results in the past regarding the merit of exercise interventions in CLBP. Results suggest further an early identification of psychosocial risk factors by diagnostic tools, which may essential support the planning of personalized exercise therapy.Level of Evidence: Level I.Clinical Trial Registration: DRKS00004977, LOE: I, MiSpEx: grant-number: 080102A/11-14. https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00004977.
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
CONCLUSIONS: We provide validation of the GHQ-12 for assessing psychological distress in patients with chronic LBP.PMID:34180402 | DOI:10.3233/BMR-191564
Source: Journal of Back and Musculoskeletal Rehabilitation - Category: Orthopaedics Authors: Source Type: research
ConclusionThe HADS may not be suitable for assessing anxiety and depression, or emotional distress in this population due to difficulty achieving cross-cultural equivalence with western idioms; and the expression of emotional distress through somatisation in this culture.
Source: Archives of Public Health - Category: International Medicine & Public Health Source Type: research
ConclusionsMultimorbidity assessments should move beyond simply counting conditions and take into account the variable impacts on health status, etiological pathways, and joint effects of associated conditions. In particular, the multimorbid combinations with substantial health impacts or shared risk factors deserve closer attention. Our findings also suggest that multimorbidity assessment and management may be beneficial already in midlife and probably earlier in disadvantaged groups.
Source: PLoS Medicine - Category: Internal Medicine Authors: Source Type: research
Back pain is one of the most prevalent and debilitating musculoskeletal conditions1 and is the single leading cause of disability globally 2. Back pain is the third most common reason patients visit a doctor 3 and the sixth most common emergency department (ED) complaint found in recent studies 4. It is one of the musculoskeletal conditions associated with the greatest economic burden, accounting for approximately $86 billion in health care spending annually5. Based on the 2009-2010 National Health and Nutrition Survey, patients diagnosed with chronic low back pain were more likely to report overnight hospitalization and m...
Source: The Spine Journal - Category: Orthopaedics Authors: Tags: Clinical Study Source Type: research
Disabil Rehabil. 2021 Mar 16:1-7. doi: 10.1080/09638288.2021.1900415. Online ahead of print.ABSTRACTPURPOSE: To translate and validate the Greek version of the Somatic Symptom Scale-8 (SSS-8) in patients with chronic low back pain (CLBP).MATERIALS AND METHODS: The Greek SSS-8, created through forth and back translation and cultural adaption processes, was handed over to 145 patients recruited using simple random sampling. Test-retest, composite, and internal consistency reliability were assessed. Construct validity was examined by assessing correlations with Patient Health Questionnaire-15 (PHQ-15), Patient Health Question...
Source: Disability and Rehabilitation - Category: Rehabilitation Authors: Source Type: research
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