Advanced search
1 file | 231.74 KB Add to list

Determining predictive outcome factors for a multimodal treatment program in low back pain patients : a retrospective cohort study

Author
Organization
Abstract
Objective: The purpose of this study was to determine the factors predictive of outcomes in a multifaceted rehabilitation program for acute and chronic low back pain (LBP) patients. Methods: A retrospective cohort study was performed on 565 LBP patients (153 acute and 412 chronic) who participated in a multimodal treatment program at an outpatient clinic in Belgium between 2007 and 2010. The predictive value of several factors, including age, sex, body mass index, fat percentage, Oswestry Disability Index score, Beck Depression Index score, Numeric Pain Rating Scale score for back and leg pain intensity, and Tampa Scale for Kinesiophobia score on favorable treatment outcomes was examined using logistic regression analysis. Results: The results from the multivariate regression indicated that a higher score on the Tampa Scale for Kinesiophobia (odds ratio [OR] = 0.92) decreases the odds of a favorable outcome following a multimodal treatment program in acute LBP. Older age (OR = 0.97), lowLBP intensity (OR = 1.191), and higher scores on the Beck Depression Index (OR= 0.96) and the Oswestry LBP Disability Index (OR = 0.93) decreased the odds of a favorable treatment outcome in chronic LBP. Conclusions: The findings of this study indicate that factors predictive of a (un) favorable treatment outcome differ between acute and chronic LBP. Specifically, kinesiophobia is predictive of poor treatment outcome in acute LBP. In chronic LBP, older age, low LBP intensity, and higher degrees of depression and LBP-related disability are predictive of poor treatment outcome. Therapists should consider assessing these predictive factors at intake to tailor the content of the multimodal treatment program to individual patient needs.
Keywords
Logistic Models, Low Back Pain, Prognosis, Rehabilitation, Treatment Outcome, RANDOMIZED-CONTROLLED-TRIAL, COGNITIVE-BEHAVIORAL TREATMENT, OSWESTRY DISABILITY INDEX, FOLLOW-UP, MULTIDISCIPLINARY TREATMENT, NEUROPHYSIOLOGY EDUCATION, PROGNOSTIC-FACTORS, PRIMARY-CARE, NECK PAIN, REHABILITATION

Downloads

  • (...).pdf
    • full text
    • |
    • UGent only
    • |
    • PDF
    • |
    • 231.74 KB

Citation

Please use this url to cite or link to this publication:

MLA
Adnan, Rahmat et al. “Determining Predictive Outcome Factors for a Multimodal Treatment Program in Low Back Pain Patients : a Retrospective Cohort Study.” JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS 40.9 (2017): 659–667. Print.
APA
Adnan, R., Van Oosterwijck, J., Cagnie, B., Dhondt, E., Schouppe, S., Van Akeleyen, J., Logghe, T., et al. (2017). Determining predictive outcome factors for a multimodal treatment program in low back pain patients : a retrospective cohort study. JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS, 40(9), 659–667.
Chicago author-date
Adnan, Rahmat, Jessica Van Oosterwijck, Barbara Cagnie, Evy Dhondt, Stijn Schouppe, Jens Van Akeleyen, Tine Logghe, and Lieven Danneels. 2017. “Determining Predictive Outcome Factors for a Multimodal Treatment Program in Low Back Pain Patients : a Retrospective Cohort Study.” Journal of Manipulative and Physiological Therapeutics 40 (9): 659–667.
Chicago author-date (all authors)
Adnan, Rahmat, Jessica Van Oosterwijck, Barbara Cagnie, Evy Dhondt, Stijn Schouppe, Jens Van Akeleyen, Tine Logghe, and Lieven Danneels. 2017. “Determining Predictive Outcome Factors for a Multimodal Treatment Program in Low Back Pain Patients : a Retrospective Cohort Study.” Journal of Manipulative and Physiological Therapeutics 40 (9): 659–667.
Vancouver
1.
Adnan R, Van Oosterwijck J, Cagnie B, Dhondt E, Schouppe S, Van Akeleyen J, et al. Determining predictive outcome factors for a multimodal treatment program in low back pain patients : a retrospective cohort study. JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS. 2017;40(9):659–67.
IEEE
[1]
R. Adnan et al., “Determining predictive outcome factors for a multimodal treatment program in low back pain patients : a retrospective cohort study,” JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS, vol. 40, no. 9, pp. 659–667, 2017.
@article{8557950,
  abstract     = {Objective: The purpose of this study was to determine the factors predictive of outcomes in a multifaceted rehabilitation program for acute and chronic low back pain (LBP) patients. 
Methods: A retrospective cohort study was performed on 565 LBP patients (153 acute and 412 chronic) who participated in a multimodal treatment program at an outpatient clinic in Belgium between 2007 and 2010. The predictive value of several factors, including age, sex, body mass index, fat percentage, Oswestry Disability Index score, Beck Depression Index score, Numeric Pain Rating Scale score for back and leg pain intensity, and Tampa Scale for Kinesiophobia score on favorable treatment outcomes was examined using logistic regression analysis. 
Results: The results from the multivariate regression indicated that a higher score on the Tampa Scale for Kinesiophobia (odds ratio [OR] = 0.92) decreases the odds of a favorable outcome following a multimodal treatment program in acute LBP. Older age (OR = 0.97), lowLBP intensity (OR = 1.191), and higher scores on the Beck Depression Index (OR= 0.96) and the Oswestry LBP Disability Index (OR = 0.93) decreased the odds of a favorable treatment outcome in chronic LBP. 
Conclusions: The findings of this study indicate that factors predictive of a (un) favorable treatment outcome differ between acute and chronic LBP. Specifically, kinesiophobia is predictive of poor treatment outcome in acute LBP. In chronic LBP, older age, low LBP intensity, and higher degrees of depression and LBP-related disability are predictive of poor treatment outcome. Therapists should consider assessing these predictive factors at intake to tailor the content of the multimodal treatment program to individual patient needs.},
  author       = {Adnan, Rahmat and Van Oosterwijck, Jessica and Cagnie, Barbara and Dhondt, Evy and Schouppe, Stijn and Van Akeleyen, Jens and Logghe, Tine and Danneels, Lieven},
  issn         = {0161-4754},
  journal      = {JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS},
  keywords     = {Logistic Models,Low Back Pain,Prognosis,Rehabilitation,Treatment Outcome,RANDOMIZED-CONTROLLED-TRIAL,COGNITIVE-BEHAVIORAL TREATMENT,OSWESTRY DISABILITY INDEX,FOLLOW-UP,MULTIDISCIPLINARY TREATMENT,NEUROPHYSIOLOGY EDUCATION,PROGNOSTIC-FACTORS,PRIMARY-CARE,NECK PAIN,REHABILITATION},
  language     = {eng},
  number       = {9},
  pages        = {659--667},
  title        = {Determining predictive outcome factors for a multimodal treatment program in low back pain patients : a retrospective cohort study},
  url          = {http://dx.doi.org/10.1016/j.jmpt.2017.09.001},
  volume       = {40},
  year         = {2017},
}

Altmetric
View in Altmetric
Web of Science
Times cited: