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01-01-2014 | Original Article

Prognosis of chronic low back pain in patients presenting to a private community-based group exercise program

Authors: Daniel Steffens, Mark J. Hancock, Chris G. Maher, Jane Latimer, Robert Satchell, Manuela Ferreira, Paulo H. Ferreira, Melissa Partington, Anna-Louise Bouvier

Published in: European Spine Journal | Issue 1/2014

Abstract

Purpose

To examine the prognosis and prognostic factors for patients with chronic low back pain presenting to a private, community-based, group exercise program.

Methods

A total of 118 consecutive patients with chronic LBP were recruited. Baseline assessments included socio-demographic characteristics, back pain history and clinical examination findings. Primary outcome measures were pain intensity and disability at 3, 6 and 12 months. Potential prognostic factors to predict pain intensity and disability at 12 months were assessed using a multivariate regression model.

Results

112 (95 %) participants were followed up at 12 months. The majority of participants were female (73 %), had high educational levels (82 %) and resided in suburbs with a high socio-economic status (99 %). Pain intensity improved markedly during the first 6 months (35 %) with further minimal reductions up to 12 months (39 %). Interestingly, disability improved to a greater degree than pain (48 % improvement at 6 months) and continued to improve throughout the 12 months (60 %). Baseline pain intensity accounted for 10 % of the variance in the 1 year pain outcomes. Duration of current episode, baseline disability and educational level accounted for 15 % of the variation in disability at 12 months.

Conclusions

During a period of 12 months, patients with chronic LBP presenting to a private, community-based, group exercise program improved markedly, with greater improvements in disability than pain. The predictors investigated accounted for only 10 and 15 % of pain and disability outcomes, respectively.

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Title: Prognosis of chronic low back pain in patients presenting to a private community-based group exercise program
Authors: Daniel Steffens
Mark J. Hancock
Chris G. Maher
Jane Latimer
Robert Satchell
Manuela Ferreira
Paulo H. Ferreira
Melissa Partington
Anna-Louise Bouvier
Publication date: 01-01-2014
Publisher: Springer Berlin Heidelberg
Published in: European Spine Journal / Issue 1/2014
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-013-2846-x

At a glance: The STEP trials

Springer Medicine

Prognosis of chronic low back pain in patients presenting to a private community-based group exercise program

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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