• Arch Phys Med Rehabil · Jan 2018

    Observational Study

    Psychological Features and Their Relationship to Movement-Based Subgroups in People Living With Low Back Pain.

    • Nicholas V Karayannis, Gwendolen A Jull, Michael K Nicholas, and Paul W Hodges.
    • National Health and Medical Research Council Centre of Clinical Research Excellence in Spinal Pain, Injury and Health, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia; Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Palo Alto, CA. Electronic address: nvkaray@stanford.edu.
    • Arch Phys Med Rehabil. 2018 Jan 1; 99 (1): 121-128.

    ObjectiveTo determine the distribution of higher psychological risk features within movement-based subgroups for people with low back pain (LBP).DesignCross-sectional observational study.SettingParticipants were recruited from physiotherapy clinics and community advertisements. Measures were collected at a university outpatient-based physiotherapy clinic.ParticipantsPeople (N=102) seeking treatment for LBP.InterventionsParticipants were subgrouped according to 3 classification schemes: Mechanical Diagnosis and Treatment (MDT), Treatment-Based Classification (TBC), and O'Sullivan Classification (OSC).Main Outcome MeasuresQuestionnaires were used to categorize low-, medium-, and high-risk features based on depression, anxiety, and stress (Depression, Anxiety, and Stress Scale-21 Items); fear avoidance (Fear-Avoidance Beliefs Questionnaire); catastrophizing and coping (Pain-Related Self-Symptoms Scale); and self-efficacy (Pain Self-Efficacy Questionnaire). Psychological risk profiles were compared between movement-based subgroups within each scheme.ResultsScores across all questionnaires revealed that most patients had low psychological risk profiles, but there were instances of higher (range, 1%-25%) risk profiles within questionnaire components. The small proportion of individuals with higher psychological risk scores were distributed between subgroups across TBC, MDT, and OSC schemes.ConclusionsMovement-based subgrouping alone cannot inform on individuals with higher psychological risk features.Copyright © 2017 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

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