Predictors of low back disability in chiropractic and physical therapy settings

Predicting ongoing disability for chronic non-specific low back pain (LBP) is important to avoid prolonged disability. Determine predictors of disability at 6 month follow-up in patients with LBP at medium risk of ongoing disability. Baseline data was collected from 108 patients with medium-risk chr...

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Bibliographic Details
Published in:Chiropractic & manual therapies 2020-08, Vol.28 (1), p.41-9, Article 41
Main Authors: Petrozzi, M John, Rubinstein, Sidney M, Ferreira, Paulo H, Leaver, Andrew, Mackey, Martin G
Format: Article
Language:English
Subjects:
Adult
Aged
Analysis
Anxiety
Back pain
Care and treatment
Chiropractic
Chiropractic medicine
Chronic illnesses
Chronic non-specific LBP
Cohort Studies
Combined Modality Therapy
Disability
Disability Evaluation
Female
Humans
Low Back Pain - therapy
Male
Manipulation, Chiropractic
Medical prognosis
Middle Aged
Pain Measurement
Physical therapy
Physical Therapy Modalities
Predictive Value of Tests
Predictors
Prognosis
Sociodemographics
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Summary:Predicting ongoing disability for chronic non-specific low back pain (LBP) is important to avoid prolonged disability. Determine predictors of disability at 6 month follow-up in patients with LBP at medium risk of ongoing disability. 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. Variables remaining in the final multivariable model: lower work ability (β = - 1.05, 95% CI - 1.40 to - 0.70; p 
ISSN:2045-709X
2045-709X
DOI:10.1186/s12998-020-00328-3