A subgroup analysis to compare patients with acute low back pain classified as per treatment‐based classification.
Objectives: The evidence for the effectiveness of interventions targeting acute low back pain (LBP) is suboptimal. It is difficult to identify those patients who are more likely to develop chronic pain and disability after an acute episode of LBP. These shortcomings may be attributed to considering...
| Publicado en: | Physiotherapy Research International Vol. 24; no. 1 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jan2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=134665659&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 134665659 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13582267 GPG jtl: Physiotherapy Research International issn: 13582267 maglogo: Y pubinfo: dt: Jan2019 vid: 24 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 134665659 134665659 134665659 10.1002/pri.1747 134665659 ppct: 1 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: A subgroup analysis to compare patients with acute low back pain classified as per treatment‐based classification. aug: au: Ganesh, G. Shankar Sahu, Pradeep Kumar Das, Sakti Prasad Mishra, Chittaranjan Dhiman, Sapna affil: Department of Physiotherapy, Composite Regional Centre for Persons with Disabilities, Lucknow India sug: subj: Low Back Pain Classification Decision Making, Clinical Low Back Pain Therapy Pain Measurement Human Quasi-Experimental Studies Prospective Studies Scales Pain Threshold Data Analysis Software Analysis of Variance Paired T-Tests Multiple Linear Regression Treatment Outcomes ab: Objectives: The evidence for the effectiveness of interventions targeting acute low back pain (LBP) is suboptimal. It is difficult to identify those patients who are more likely to develop chronic pain and disability after an acute episode of LBP. These shortcomings may be attributed to considering LBP as one homogenous condition. Methods: In this quasi‐experimental study, we examined and analysed a prospective cohort of 267 patients with first‐onset LBP and classified them into one of the groups based on treatment‐based classification: direction‐specified exercises (Group 2), manipulation (Group 3), stabilization exercises (Group 4), traction (Group 5), and a physician care group (Group 1). Disability and pain were assessed at baseline, after treatment, and at 6 months using the Oswestry Disability Index and the Numerical Rating Scale, respectively. Comparisons were made between the groups, and we predicted measures of disability and pain intensity at 6 months with age, gender, fear avoidance behaviour, centralization phenomenon (CP), expectations about recovery, CP, group classification, baseline pain, and disability. Results: Analysis showed that all the heterogeneous groups of LBP improved their outcomes with the respective treatment provided. However, when the entire sample was considered as one homogenous group of LBP, the results showed improvement with time (p < 0.05) only and no difference was found between groups (p > 0.05). None of the studied factors, except baseline pain (R = 0.227, R2 = 0.051, p < 0.05), were able to accurately predict the development of chronic pain in our study sample. Conclusion: Though our results showed no differences between the subgroups in the reduction of pain and disability, we conclude that classifying and treating patients with LBP into subgroups based on signs and symptoms produce better outcomes. Baseline pain alone may predict a small percentage of people who may develop chronic pain. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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