| Titre : | Development of a Multivariate Prognostic Model for Pain and Activity Limitation in People With Low Back Disorders Receiving Physiotherapy (2018) |
| Auteurs : | Jon J. Ford ; Matt C. Richards ; Luke D. Surkitt |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 12, 2018) |
| Article en page(s) : | p. 2504-2512 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Dorsalgie ; Pronostic ; Rééducation et réadaptation |
| Mots-clés: | Back pain ; Prognosis |
| Résumé : |
Objective To identify predictors for back pain, leg pain, and activity limitation in patients with early persistent low back disorders (LBDs). Design Prospective inception cohort study. Setting Primary care private physiotherapy clinics in Melbourne, Australia. Participants Individuals (N=300) aged 18-65 years with low back and/or referred leg pain of ≥6 weeks and ≤6 months duration. Interventions Not applicable. Main Outcome Measures Numeric rating scales for back pain and leg pain as well as the Oswestry Disability Scale. Results Prognostic factors included sociodemographics, treatment related factors, subjective/physical examination, subgrouping factors, and standardized questionnaires. Univariate analysis followed by generalized estimating equations were used to develop a multivariate prognostic model for back pain, leg pain, and activity limitation. Fifty-eight prognostic factors progressed to the multivariate stage where 15 showed significant (P<.05 associations with at least of the outcomes. there were indicators positive outcome types lbd subgroups paresthesia below waist walking as an easing factor and low transversus abdominis tone negative parents born overseas deep leg symptoms longer sick leave duration high multifidus clinically determined inflammation higher back pain severity lower lifting capacity work drawing percentage coverage preliminary model identifying predictors lbds explained up to variance in outcome.> Conclusions This study evaluated a comprehensive range of prognostic factors reflective of both the biomedical and psychosocial domains of LBDs. The preliminary multivariate model requires further validation before being considered for clinical use. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999318303174 |
Bibliothèques HE Vinci
