Literature DB >> 30017258

Can demographic and anthropometric characteristics predict clinical improvement in patients with chronic non-specific low back pain?

Indiara Soares Oliveira1, Leonardo Oliveira Pena Costa2, Alessandra Narciso Garcia2, Gisela Cristiane Miyamoto2, Cristina Maria Nunes Cabral2, Lucíola da Cunha Menezes Costa2.   

Abstract

OBJECTIVE: To identify potential prognostic factors that may predict clinical improvement of patients treated with different physical therapy interventions in the short-term.
METHODS: This is a prospective cohort study. A total of 616 patients with chronic non-specific low back pain treated with interventions commonly used by physical therapists were included. These patients were selected from five randomized controlled trials. Multivariate linear regression models were used to verify if sociodemographic characteristics (age, gender, and marital status), anthropometric variables (height, body mass, and body mass index), or duration of low back pain, pain intensity at baseline, and disability at baseline could be associated with clinical outcomes of pain intensity and disability four weeks after baseline.
RESULTS: The predictive variables for pain intensity were age (β=0.01 points, 95% CI=0.00 to 0.03, p=0.03) and pain intensity at baseline (β=0.23 points, 95% CI=0.13 to 0.33, p=0.00), with an explained variability of 4.6%. Similarly, the predictive variables for disability after four weeks were age (β=0.03 points, 95% CI=0.00 to 0.06, p=0.01) and disability at baseline (β=0.71 points, 95% CI=0.65 to 0.78, p=0.00), with an explained variability of 42.1%.
CONCLUSION: Only age, pain at baseline and disability at baseline influenced the pain intensity and disability after four weeks of treatment. The beta coefficient for age was statistically significant, but the magnitude of this association was very small and not clinically important.
Copyright © 2018 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia. Publicado por Elsevier Editora Ltda. All rights reserved.

Entities:  

Keywords:  Chronic non-specific low back pain; Clinical improvement; Prognostic factors; Treatment

Mesh:

Year:  2018        PMID: 30017258      PMCID: PMC6095092          DOI: 10.1016/j.bjpt.2018.06.005

Source DB:  PubMed          Journal:  Braz J Phys Ther        ISSN: 1413-3555            Impact factor:   3.377


  44 in total

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Journal:  Spine (Phila Pa 1976)       Date:  1999-04-15       Impact factor: 3.468

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4.  Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance.

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5.  The number of subjects per variable required in linear regression analyses.

Authors:  Peter C Austin; Ewout W Steyerberg
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6.  The impact of body mass index on the prevalence of low back pain: the HUNT study.

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7.  Translation, adaptation and validation of the Roland-Morris questionnaire--Brazil Roland-Morris.

Authors:  L Nusbaum; J Natour; M B Ferraz; J Goldenberg
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8.  Efficacy of the addition of modified Pilates exercises to a minimal intervention in patients with chronic low back pain: a randomized controlled trial.

Authors:  Gisela C Miyamoto; Leonardo Oliveira Pena Costa; Thalissa Galvanin; Cristina Maria Nunes Cabral
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9.  Clinimetric testing of three self-report outcome measures for low back pain patients in Brazil: which one is the best?

Authors:  Leonardo Oliveira Pena Costa; Chris G Maher; Jane Latimer; Paulo Henrique Ferreira; Manuela Loureiro Ferreira; Giovanni Campos Pozzi; Ludmilla Motta Andrade Freitas
Journal:  Spine (Phila Pa 1976)       Date:  2008-10-15       Impact factor: 3.468

10.  The evolving role of physical therapists in the long-term management of chronic low back pain: longitudinal care using assisted self-management strategies.

Authors:  Paul F Beattie; Sheri P Silfies; Max Jordon
Journal:  Braz J Phys Ther       Date:  2016-06-30       Impact factor: 3.377

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  3 in total

1.  Description of low back pain clinical trials in physical therapy: a cross sectional study.

Authors:  Dafne Port Nascimento; Gabrielle Zoldan Gonzalez; Amanda Costa Araujo; Leonardo Oliveira Pena Costa
Journal:  Braz J Phys Ther       Date:  2018-09-13       Impact factor: 3.377

2.  Use of the STarT Back Screening Tool in patients with chronic low back pain receiving physical therapy interventions.

Authors:  Flávia Cordeiro Medeiros; Evelyn Cassia Salomão; Leonardo Oliveira Pena Costa; Diego Galace de Freitas; Thiago Yukio Fukuda; Renan Lima Monteiro; Marco Aurélio Nemitalla Added; Alessandra Narciso Garcia; Lucíola da Cunha Menezes Costa
Journal:  Braz J Phys Ther       Date:  2020-07-29       Impact factor: 3.377

3.  Proprioceptive neuromuscular facilitation training improves pain-related and balance outcomes in working-age patients with chronic low back pain: a randomized controlled trial.

Authors:  Pattanasin Areeudomwong; Vitsarut Buttagat
Journal:  Braz J Phys Ther       Date:  2018-10-17       Impact factor: 3.377

  3 in total

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