Publication Details
Wand, B. M.,
Hunter, R.,
O'Connell, N. E.,
Marston, L.,
&
McAuley, J.
(2009).
The self reported aggravating activities of chronic non specific low back pain patients do not demonstrate a consistent directional pattern: An observational study.
Australian Journal of Physiotherapy, 55 (1), 47-51.
https://doi.org/10.1016/S0004-9514(09)70060-1
Abstract
Question: Do the self-reported aggravating activities of chronic non-specific low back pain patients demonstrate a consistent directional pattern?
Design: Cross-sectional observational study. Participants: 240 chronic non specific low back pain patients.
Outcome measure: We invited experienced clinicians to classify each of the three self-nominated aggravating activities from the Patient Specific Functional Scale by the direction of lumbar spine movement. Patients were described as demonstrating a directional pattern if all nominated activities moved the spine into the same direction. Analyses were undertaken to determine if the proportion of patients demonstrating a directional pattern was greater than would be expected by chance.
Results: In some patients, all tasks did move the spine into the same direction, but this proportion did not differ from chance (p = 0.328). There were no clinical or demographic differences between those who displayed a directional pattern and those who did not (all p > 0.05).
Conclusion: Using patient self-reported aggravating activities we were unable to demonstrate the existence of a consistent pattern of adverse movement in patients with chronic non-specific low back pain.
Keywords
peer-reviewed, chronic low back pain, classification, sub-groups, physiotherapy
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