PURPOSE: To examine the prognosis and prognostic factors for patients with chronic low back pain presenting to a private, community-based, group exercise program. METHODS: A total of 118 consecutive patients with chronic LBP were recruited. Baseline assessments included socio-demographic characteristics, back pain history and clinical examination findings. Primary outcome measures were pain intensity and disability at 3, 6 and 12 months. Potential prognostic factors to predict pain intensity and disability at 12 months were assessed using a multivariate regression model. RESULTS: 112 (95 %) participants were followed up at 12 months. The majority of participants were female (73 %), had high educational levels (82 %) and resided in suburbs with a high socio-economic status (99 %). Pain intensity improved markedly during the first 6 months (35 %) with further minimal reductions up to 12 months (39 %). Interestingly, disability improved to a greater degree than pain (48 % improvement at 6 months) and continued to improve throughout the 12 months (60 %). Baseline pain intensity accounted for 10 % of the variance in the 1 year pain outcomes. Duration of current episode, baseline disability and educational level accounted for 15 % of the variation in disability at 12 months. CONCLUSIONS: During a period of 12 months, patients with chronic LBP presenting to a private, community-based, group exercise program improved markedly, with greater improvements in disability than pain. The predictors investigated accounted for only 10 and 15 % of pain and disability outcomes, respectively.
PURPOSE: To examine the prognosis and prognostic factors for patients with chronic low back pain presenting to a private, community-based, group exercise program. METHODS: A total of 118 consecutive patients with chronic LBP were recruited. Baseline assessments included socio-demographic characteristics, back pain history and clinical examination findings. Primary outcome measures were pain intensity and disability at 3, 6 and 12 months. Potential prognostic factors to predict pain intensity and disability at 12 months were assessed using a multivariate regression model. RESULTS: 112 (95 %) participants were followed up at 12 months. The majority of participants were female (73 %), had high educational levels (82 %) and resided in suburbs with a high socio-economic status (99 %). Pain intensity improved markedly during the first 6 months (35 %) with further minimal reductions up to 12 months (39 %). Interestingly, disability improved to a greater degree than pain (48 % improvement at 6 months) and continued to improve throughout the 12 months (60 %). Baseline pain intensity accounted for 10 % of the variance in the 1 year pain outcomes. Duration of current episode, baseline disability and educational level accounted for 15 % of the variation in disability at 12 months. CONCLUSIONS: During a period of 12 months, patients with chronic LBP presenting to a private, community-based, group exercise program improved markedly, with greater improvements in disability than pain. The predictors investigated accounted for only 10 and 15 % of pain and disability outcomes, respectively.
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Authors: Scott D Tagliaferri; Maia Angelova; Xiaohui Zhao; Patrick J Owen; Clint T Miller; Tim Wilkin; Daniel L Belavy Journal: NPJ Digit Med Date: 2020-07-09
Authors: Scott D Tagliaferri; Maia Angelova; Xiaohui Zhao; Patrick J Owen; Clint T Miller; Tim Wilkin; Daniel L Belavy Journal: NPJ Digit Med Date: 2020-07-09
Authors: Gary J Macfarlane; Marcus Beasley; Gordon Prescott; Paul McNamee; Philip Keeley; Majid Artus; John McBeth; Philip Hannaford; Gareth T Jones; Neil Basu; John Norrie; Karina Lovell Journal: BMC Musculoskelet Disord Date: 2016-04-26 Impact factor: 2.362
Authors: Patrick J Owen; Clint T Miller; Niamh L Mundell; Simone J J M Verswijveren; Scott D Tagliaferri; Helena Brisby; Steven J Bowe; Daniel L Belavy Journal: Br J Sports Med Date: 2019-10-30 Impact factor: 13.800