What is the best time point to identify patients at risk of developing persistent low back pain?

Melloh, Markus; Elfering, Achim; Käser, Anja; Rolli Salathé, Cornelia; Crawford, Rebbeca J.; Barz, Thomas; Zweig, Thomas; Aghayev, Emin; Röder, Christoph; Theis, Jean-Claude

doi:10.21256/zhaw-1631

Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-1631

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	What is the best time point to identify patients at risk of developing persistent low back pain?
Authors:	Melloh, Markus Elfering, Achim Käser, Anja Rolli Salathé, Cornelia Crawford, Rebbeca J. Barz, Thomas Zweig, Thomas Aghayev, Emin Röder, Christoph Theis, Jean-Claude
DOI:	10.21256/zhaw-1631 10.3233/BMR-140514
Published in:	Journal of Back and Musculoskeletal Rehabilitation
Volume(Issue):	28
Issue:	2
Page(s):	267
Pages to:	276
Issue Date:	Apr-2015
Publisher / Ed. Institution:	IOS Press
Publisher / Ed. Institution:	Amsterdam
ISSN:	1053-8127
Language:	English
Subjects:	Prospective cohort study; Persistent low back pain; Prognosis; Predictors; Risk factors; Maladaptive cognitions
Subject (DDC):	617.5: Orthopaedic surgery
Abstract:	Background: Early identification of patients at risk of developing persistent low back pain (LBP) is crucial. Objective: Aim of this study was to identify in patients with a new episode of LBP the time point at which those at risk of developing persistent LBP can be best identified. Methods: Prospective cohort study of 315 patients presenting to a health practitioner with a first episode of acute LBP. Primary outcome measure was functional limitation. Patients were assessed at baseline, three, six, twelve weeks and six months looking at factors of maladaptive cognition as potential predictors. Multivariate logistic regression analysis was performed for all time points. Results: The best time point to predict the development of persistent LBP at six months was the twelve-week follow-up (sensitivity 78%; overall predictive value 90%). Cognitions assessed at first visit to a health practitioner were not predictive. Conclusions: Maladaptive cognitions at twelve weeks appear to be suitable predictors for a transition from acute to persistent LBP. Already three weeks after patients present to a health practitioner with acute LBP cognitions might influence the development of persistent LBP. Therefore, cognitive-behavioral interventions should be considered as early adjuvant LBP treatment in patients at risk of developing persistent LBP.
URI:	https://digitalcollection.zhaw.ch/handle/11475/2548
Fulltext version:	Published version
License (according to publishing contract):	Licence according to publishing contract
Departement:	School of Health Sciences
Organisational Unit:	Institute of Public Health (IPH)
Appears in collections:	Publikationen Gesundheit

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Melloh, M., Elfering, A., Käser, A., Rolli Salathé, C., Crawford, R. J., Barz, T., Zweig, T., Aghayev, E., Röder, C., & Theis, J.-C. (2015). What is the best time point to identify patients at risk of developing persistent low back pain? Journal of Back and Musculoskeletal Rehabilitation, 28(2), 267–276. https://doi.org/10.21256/zhaw-1631

Melloh, M. et al. (2015) ‘What is the best time point to identify patients at risk of developing persistent low back pain?’, Journal of Back and Musculoskeletal Rehabilitation, 28(2), pp. 267–276. Available at: https://doi.org/10.21256/zhaw-1631.

M. Melloh et al., “What is the best time point to identify patients at risk of developing persistent low back pain?,” Journal of Back and Musculoskeletal Rehabilitation, vol. 28, no. 2, pp. 267–276, Apr. 2015, doi: 10.21256/zhaw-1631.

MELLOH, Markus, Achim ELFERING, Anja KÄSER, Cornelia ROLLI SALATHÉ, Rebbeca J. CRAWFORD, Thomas BARZ, Thomas ZWEIG, Emin AGHAYEV, Christoph RÖDER und Jean-Claude THEIS, 2015. What is the best time point to identify patients at risk of developing persistent low back pain? Journal of Back and Musculoskeletal Rehabilitation. April 2015. Bd. 28, Nr. 2, S. 267–276. DOI 10.21256/zhaw-1631

Melloh, Markus, Achim Elfering, Anja Käser, Cornelia Rolli Salathé, Rebbeca J. Crawford, Thomas Barz, Thomas Zweig, Emin Aghayev, Christoph Röder, and Jean-Claude Theis. 2015. “What Is the Best Time Point to Identify Patients at Risk of Developing Persistent Low Back Pain?” Journal of Back and Musculoskeletal Rehabilitation 28 (2): 267–76. https://doi.org/10.21256/zhaw-1631.

Melloh, Markus, et al. “What Is the Best Time Point to Identify Patients at Risk of Developing Persistent Low Back Pain?” Journal of Back and Musculoskeletal Rehabilitation, vol. 28, no. 2, Apr. 2015, pp. 267–76, https://doi.org/10.21256/zhaw-1631.