Predictors of response to exercise therapy for chronic low back pain

Result of a prospective study with one year follow-up

F. Cecchi, G. Pasquini, A. Paperini, R. Boni, C. Castagnoli, S. Pistritto, C. Macchi

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Background. Low back pain (LBP) management is a critical public health issue in all developed countries. Most approaches show evidence of effects only in the short term. Aim. To identify predictors of functional outcome on discharge and at 1 year. Design. Prospective cohort study. Setting. Outpatient rehabilitation department. Population. Patients aged >18 addressed to exercise therapy for persisting LBP. Methods. The individually designed physiotherapy program provided 7 sessions (45'); patients were given advice to stay active and continue exercise program on discharge. Baseline (TO) assessment included: age, sex, time since onset, pain-related drug use, previous treatments, job, physical activity, pain (NRS) and Mental Health (SF36 sub-score); at follow-up (T2), we also enquired to on adherence to exercise prescription, physical activity, drugs. The primary outcome measure was the Roland and Morris Disability Questionnaire (RMDQ) patients scoring improvement >30% (minimal clinical important difference) were classified as respondent. Results. 211 completed follow-up (70% women; age 70.4±11.9). Average RMDQ score was reduced by 35% at T1 and by 31% at T2; NRS by 28% (Tl) and 24% (T2); 125 patients (59%) were responders on discharge; 106 (50%) at follow-up. Only higher baseline NRS predicted poor response to treatment at T1 (OR=0.83, 95% CI: 0.71-0.95, P=0.012)). At T2, older age (OR=0.94, 95% CI: 0.91-0.98, P=0.003), drug use (OR=0.18, 95% CI: 0.08-4,69, P

Original languageEnglish
Pages (from-to)143-151
Number of pages9
JournalEuropean Journal of Physical and Rehabilitation Medicine
Volume50
Issue number2
Publication statusPublished - 2014

Fingerprint

Exercise Therapy
Low Back Pain
Prospective Studies
Exercise
Pharmaceutical Preparations
Pain
Pain Management
Developed Countries
Prescriptions
Mental Health
Cohort Studies
Outpatients
Rehabilitation
Public Health
Outcome Assessment (Health Care)
Therapeutics
Population
Surveys and Questionnaires

Keywords

  • Exercise therapy -
  • Low back pain -
  • Treatment outcome

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Medicine(all)

Cite this

@article{9fc13dee04d64928b7494892aeeba21a,
title = "Predictors of response to exercise therapy for chronic low back pain: Result of a prospective study with one year follow-up",
abstract = "Background. Low back pain (LBP) management is a critical public health issue in all developed countries. Most approaches show evidence of effects only in the short term. Aim. To identify predictors of functional outcome on discharge and at 1 year. Design. Prospective cohort study. Setting. Outpatient rehabilitation department. Population. Patients aged >18 addressed to exercise therapy for persisting LBP. Methods. The individually designed physiotherapy program provided 7 sessions (45'); patients were given advice to stay active and continue exercise program on discharge. Baseline (TO) assessment included: age, sex, time since onset, pain-related drug use, previous treatments, job, physical activity, pain (NRS) and Mental Health (SF36 sub-score); at follow-up (T2), we also enquired to on adherence to exercise prescription, physical activity, drugs. The primary outcome measure was the Roland and Morris Disability Questionnaire (RMDQ) patients scoring improvement >30{\%} (minimal clinical important difference) were classified as respondent. Results. 211 completed follow-up (70{\%} women; age 70.4±11.9). Average RMDQ score was reduced by 35{\%} at T1 and by 31{\%} at T2; NRS by 28{\%} (Tl) and 24{\%} (T2); 125 patients (59{\%}) were responders on discharge; 106 (50{\%}) at follow-up. Only higher baseline NRS predicted poor response to treatment at T1 (OR=0.83, 95{\%} CI: 0.71-0.95, P=0.012)). At T2, older age (OR=0.94, 95{\%} CI: 0.91-0.98, P=0.003), drug use (OR=0.18, 95{\%} CI: 0.08-4,69, P",
keywords = "Exercise therapy -, Low back pain -, Treatment outcome",
author = "F. Cecchi and G. Pasquini and A. Paperini and R. Boni and C. Castagnoli and S. Pistritto and C. Macchi",
year = "2014",
language = "English",
volume = "50",
pages = "143--151",
journal = "European Journal of Physical and Rehabilitation Medicine",
issn = "1973-9087",
publisher = "Edizioni Minerva Medica S.p.A.",
number = "2",

}

TY - JOUR

T1 - Predictors of response to exercise therapy for chronic low back pain

T2 - Result of a prospective study with one year follow-up

AU - Cecchi, F.

AU - Pasquini, G.

AU - Paperini, A.

AU - Boni, R.

AU - Castagnoli, C.

AU - Pistritto, S.

AU - Macchi, C.

PY - 2014

Y1 - 2014

N2 - Background. Low back pain (LBP) management is a critical public health issue in all developed countries. Most approaches show evidence of effects only in the short term. Aim. To identify predictors of functional outcome on discharge and at 1 year. Design. Prospective cohort study. Setting. Outpatient rehabilitation department. Population. Patients aged >18 addressed to exercise therapy for persisting LBP. Methods. The individually designed physiotherapy program provided 7 sessions (45'); patients were given advice to stay active and continue exercise program on discharge. Baseline (TO) assessment included: age, sex, time since onset, pain-related drug use, previous treatments, job, physical activity, pain (NRS) and Mental Health (SF36 sub-score); at follow-up (T2), we also enquired to on adherence to exercise prescription, physical activity, drugs. The primary outcome measure was the Roland and Morris Disability Questionnaire (RMDQ) patients scoring improvement >30% (minimal clinical important difference) were classified as respondent. Results. 211 completed follow-up (70% women; age 70.4±11.9). Average RMDQ score was reduced by 35% at T1 and by 31% at T2; NRS by 28% (Tl) and 24% (T2); 125 patients (59%) were responders on discharge; 106 (50%) at follow-up. Only higher baseline NRS predicted poor response to treatment at T1 (OR=0.83, 95% CI: 0.71-0.95, P=0.012)). At T2, older age (OR=0.94, 95% CI: 0.91-0.98, P=0.003), drug use (OR=0.18, 95% CI: 0.08-4,69, P

AB - Background. Low back pain (LBP) management is a critical public health issue in all developed countries. Most approaches show evidence of effects only in the short term. Aim. To identify predictors of functional outcome on discharge and at 1 year. Design. Prospective cohort study. Setting. Outpatient rehabilitation department. Population. Patients aged >18 addressed to exercise therapy for persisting LBP. Methods. The individually designed physiotherapy program provided 7 sessions (45'); patients were given advice to stay active and continue exercise program on discharge. Baseline (TO) assessment included: age, sex, time since onset, pain-related drug use, previous treatments, job, physical activity, pain (NRS) and Mental Health (SF36 sub-score); at follow-up (T2), we also enquired to on adherence to exercise prescription, physical activity, drugs. The primary outcome measure was the Roland and Morris Disability Questionnaire (RMDQ) patients scoring improvement >30% (minimal clinical important difference) were classified as respondent. Results. 211 completed follow-up (70% women; age 70.4±11.9). Average RMDQ score was reduced by 35% at T1 and by 31% at T2; NRS by 28% (Tl) and 24% (T2); 125 patients (59%) were responders on discharge; 106 (50%) at follow-up. Only higher baseline NRS predicted poor response to treatment at T1 (OR=0.83, 95% CI: 0.71-0.95, P=0.012)). At T2, older age (OR=0.94, 95% CI: 0.91-0.98, P=0.003), drug use (OR=0.18, 95% CI: 0.08-4,69, P

KW - Exercise therapy -

KW - Low back pain -

KW - Treatment outcome

UR - http://www.scopus.com/inward/record.url?scp=84905003118&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84905003118&partnerID=8YFLogxK

M3 - Article

VL - 50

SP - 143

EP - 151

JO - European Journal of Physical and Rehabilitation Medicine

JF - European Journal of Physical and Rehabilitation Medicine

SN - 1973-9087

IS - 2

ER -