scholarly journals Are job strain and sleep disturbances prognostic factors for low-back pain? A cohort study of a general population of working age in Sweden

2017 ◽  
Vol 49 (7) ◽  
pp. 591-597 ◽  
Author(s):  
E Rasmussen-Barr ◽  
W Grooten ◽  
J Hallqvist ◽  
L Holm ◽  
E Skillgate
Keyword(s):  
Cohort Study ◽  
Low Back Pain ◽  
Prognostic Factors ◽  
Back Pain ◽  
General Population ◽  
Sleep Disturbances ◽  
Job Strain ◽  
Low Back ◽  
Working Age

Are job strain and sleep disturbances prognostic factors for low-back pain? A cohort study of a general population in Sweden

Physiotherapy ◽  
2015 ◽  
Vol 101 ◽  
pp. e1260
Author(s):  
Barr E. Rasmussen ◽  
W. Grooten ◽  
J. Hallqvist ◽  
L. Holm ◽  
E. Skillgate
Keyword(s):  
Cohort Study ◽  
Low Back Pain ◽  
Prognostic Factors ◽  
Back Pain ◽  
General Population ◽  
Sleep Disturbances ◽  
Job Strain ◽  
Low Back

scholarly journals Are job strain and sleep disturbances prognostic factors for neck/shoulder/arm pain? A cohort study of a general population of working age in Sweden

BMJ Open ◽  
2014 ◽  
Vol 4 (7) ◽  
pp. e005103-e005103 ◽  
Author(s):  
E. Rasmussen-Barr ◽  
W. J. A. Grooten ◽  
J. Hallqvist ◽  
L. W. Holm ◽  
E. Skillgate
Keyword(s):  
Cohort Study ◽  
Prognostic Factors ◽  
General Population ◽  
Sleep Disturbances ◽  
Job Strain ◽  
Arm Pain ◽  
Working Age

scholarly journals Prognosis and Course of Disability in Patients With Chronic Nonspecific Low Back Pain: A 5- and 12-Month Follow-up Cohort Study

2013 ◽  
Vol 93 (12) ◽  
pp. 1603-1614 ◽  
Author(s):  
Karin Verkerk ◽  
Pim A.J. Luijsterburg ◽  
Martijn W. Heymans ◽  
Inge Ronchetti ◽  
Annelies L. Pool-Goudzwaard ◽  
...  
Keyword(s):  
Cohort Study ◽  
Low Back Pain ◽  
Prognostic Factors ◽  
Back Pain ◽  
Short Form ◽  
Low Back ◽  
Multidisciplinary Therapy ◽  
Patient Reported ◽  
Specific Disability

Background Few data are available on the course of and predictors for disability in patients with chronic nonspecific low back pain (CNSLBP). Objective The purpose of this study was to describe the course of disability and identify clinically important prognostic factors of low-back-pain–specific disability in patients with CNSLBP receiving multidisciplinary therapy. Design A prospective cohort study was conducted. Methods A total of 1,760 patients with CNSLBP who received multidisciplinary therapy were evaluated for their course of disability and prognostic factors at baseline and at 2-, 5-, and 12-month follow-ups. Recovery was defined as 30% reduction in low back pain–specific disability at follow-up compared with baseline and as absolute recovery if the score on the Quebec Back Pain Disability Scale (QBPDS) was ≤20 points at follow-up. Potential prognostic factors were identified using multivariable logistic regression analysis. Results Mean patient-reported disability scores on the QBPDS ranged from 51.7 (SD=15.6) at baseline to 31.7 (SD=15.2), 31.1 (SD=18.2), and 29.1 (SD=20.0) at 2, 5, and 12 months, respectively. The prognostic factors identified for recovery at 5 and 12 months were younger age and high scores on disability and on the 36-Item Short-Form Health Survey (SF-36) (Physical and Mental Component Summaries) at baseline. In addition, at 5-month follow-up, a shorter duration of complaints was a positive predictor, and having no comorbidity and less pain at baseline were additional predictors at 12-month follow-up. Limitations Missing values at 5- and 12-month follow-ups were 11.1% and 45.2%, respectively. Conclusion After multidisciplinary treatment, the course of disability in patients with CNSLBP continued to decline over a 12-month period. At 5- and 12-month follow-ups, prognostic factors were identified for a clinically relevant decrease in disability scores on the QBPDS.

scholarly journals The Correlation of Time of Cervical Flexion with Cervical Symptoms in Office Workers: A Cohort Study

2020 ◽  
Author(s):  
Zhang Jinlong ◽  
Fang Yunyun ◽  
Gao Lijie ◽  
Chen Jian ◽  
Wang Cheng ◽  
...  
Keyword(s):  
Cohort Study ◽  
Low Back Pain ◽  
Back Pain ◽  
Smart Phone ◽  
T Test ◽  
Office Workers ◽  
Low Back ◽  
Positive Correlation ◽  
Curve Line ◽  
Working Age

Abstract Background: An increasing number of office workers complain of neck pain after extended smart phone use. We conducted this study to examine the correlation between the time of cervical flexion (CFI) during smart phone use and cervical symptoms of office workers in China.Methods: In this cohort study, 1791 individuals responded to an on line questionnaire. For our study, we included responses of 498 [27.8%] office workers. Excluded from the study were 1293 [72.9%] individuals including building workers, students, non-office workers, and those who did not complete the questionnaire. Participants completed an online questionnaire survey from May 29, 2019 to April 10, 2020. The (Neck Disability Index) NDI was used to evaluate cervical symptoms. Multivariable logistic regression, threshold saturation effect analysis, t-test, and Pearson’s chi-square tests were used to analyze the data. Results: We analyzed questionnaire results of the 498 office workers. The t-test showed no significant differences among the gender groups for age, working age, and NDI scores (P>0.05). Compared with other activities, smart phone use had no positive correlation with NDI scores (P>0.05), while low back pain had a strong correlation with NDI scores (P<0.05). When adjusting for age, working age, and low back pain covariates, CFI had a positive correlation with NDI scores. In addition, CFI had a curve line correlation with NDI-a monotone increasing relationship; the fold point was 6 (P<0.05).Conclusions: CFI had a positive curve line correlation with the NDI suggesting that office workers should limit CFI to a maximum of 6 hours to decrease cervical symptoms.

Yellow flag on prognostic factors for non-specific chronic low back pain patients subjected to mini-invasive treatment: a cohort study

2020 ◽  
Vol 29 (8) ◽  
pp. 1879-1886
Author(s):  
Monica Zackova ◽  
Raffaele Aspide ◽  
Anita Braghittoni ◽  
Corrado Zenesini ◽  
Giorgio Palandri
Keyword(s):  
Cohort Study ◽  
Low Back Pain ◽  
Prognostic Factors ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Low Back ◽  
Invasive Treatment ◽  
Yellow Flag ◽  
Pain Patients

Identifying prognostic factors to determine the level of recovery in servicemembers with chronic low back pain: a prospective cohort study.

2020 ◽  
Author(s):  
Bianca Maria Pietertje Mourits ◽  
Mariette Zwanette Meulekamp ◽  
Peter van der Wurff ◽  
Cees Lucas
Keyword(s):  
Cohort Study ◽  
Low Back Pain ◽  
Prognostic Factors ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Rehabilitation Program ◽  
Service Members ◽  
Low Back ◽  
Regression Analyses

Abstract Background In the Dutch Armed Forces (DAF), low back pain is the third most reported musculoskeletal disorder. For the prognosis of chronic low back pain (CLBP) only limited evidence is available. This observation results in a lack of clarity on prognostic factors that might affect recovery from CLBP in service members.The main objective is to identify general and military-related factors that are associated with the level of recovery in DAF service members with CLBP who followed a rehabilitation program. Methods One hundred five consecutive service members with CLBP who completed the rehabilitation program have been included in this prospective observational cohort study. The primary outcome measurement, level of disability, was used to distinguish a recovered and non-recovered group. Level of pain and self-perceived recovery were used as secondary outcome measurements. Disability and pain were measured at baseline and 12 weeks follow-up and self-perceived recovery only at follow-up. Differences were evaluated within and between the groups using the Student’s t-test, according to the normality of the data distribution. Bivariate logistic regression analyses were used for identifying the prognostic factors related to various outcomes of recovery. Results After following the rehabilitation program, 64.8% of the service members recovered from CLBP. In the recovered group, there are significant effect sizes of -6.72 (CI: -7.57 - -5.87) in the level of disability and − 2.58 (CI: -3.17- -1.98) in level of pain, whereas the non-recovered group shows a non-significant effect size of -0.49 (CI: -1.27 - -0.29) in level of disability and a significant effect size of -0.94 (CI: -1.62 - -0.25) in level of pain. The self-perceived recovery in the recovered group is on average “much improved” and in the non-recovered group “slightly improved”. The results of the bivariate regression analyses show no significant independent prognostic factors related to recovery. Conclusion In this study, no significant independent prognostic factors could be identified that are associated to the various outcomes of recovery in service members with CLBP who followed a rehabilitation program.

scholarly journals Does a healthy lifestyle behaviour influence the prognosis of low back pain among men and women in a general population? A population-based cohort study

BMJ Open ◽  
2014 ◽  
Vol 4 (12) ◽  
pp. e005713 ◽  
Author(s):  
Tony Bohman ◽  
Lars Alfredsson ◽  
Irene Jensen ◽  
Johan Hallqvist ◽  
Eva Vingård ◽  
...  
Keyword(s):  
Cohort Study ◽  
Low Back Pain ◽  
Back Pain ◽  
General Population ◽  
Healthy Lifestyle ◽  
Population Based ◽  
Low Back ◽  
Lifestyle Behaviour ◽  
Men And Women

scholarly journals The Dutch Multidisciplinary Occupational Health Guideline to Enhance Work Participation Among Low Back Pain and Lumbosacral Radicular Syndrome Patients

2021 ◽  
Author(s):  
J. W. H. Luites ◽  
P. P. F. M. Kuijer ◽  
C. T. J. Hulshof ◽  
R. Kok ◽  
M. W. Langendam ◽  
...  
Keyword(s):  
Risk Factors ◽  
Low Back Pain ◽  
Prognostic Factors ◽  
Back Pain ◽  
Work Participation ◽  
Stepped Care ◽  
Low Back ◽  
Lumbosacral Radicular Syndrome ◽  
Care Approach ◽  
Radicular Syndrome

AbstractPurpose Based on current scientific evidence and best practice, the first Dutch multidisciplinary practice guideline for occupational health professionals was developed to stimulate prevention and enhance work participation in patients with low back pain (LBP) and lumbosacral radicular syndrome (LRS). Methods A multidisciplinary working group with health care professionals, a patient representative and researchers developed the recommendations after systematic review of evidence about (1) Risk factors, (2) Prevention, (3) Prognostic factors and (4) Interventions. Certainty of the evidence was rated with GRADE and the Evidence to Decision (EtD) framework was used to formulate recommendations. High or moderate certainty resulted in a recommendation “to advise”, low to very low in a recommendation “to consider”, unless other factors in the framework decided differently. Results An inventory of risk factors should be considered and an assessment of prognostic factors is advised. For prevention, physical exercises and education are advised, besides application of the evidence-based practical guidelines “lifting” and “whole body vibration”. The stepped-care approach to enhance work participation starts with the advice to stay active, facilitated by informing the worker, reducing workload, an action plan and a time-contingent increase of work participation for a defined amount of hours and tasks. If work participation has not improved within 6 weeks, additional treatments should be considered based on the present risk and prognostic factors: (1) physiotherapy or exercise therapy; (2) an intensive workplace-oriented program; or (3) cognitive behavioural therapy. After 12 weeks, multi-disciplinary (occupational) rehabilitation therapy need to be considered. Conclusions Based on systematic reviews and expert consensus, the good practice recommendations in this guideline focus on enhancing work participation among workers with LBP and LRS using a stepped-care approach to complement existing guidelines focusing on recovery and daily functioning.

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