Article
Orthopedics
Jason M. Beneciuk, Steven Z. George
Summary: This study aimed to determine if an empirically derived subgrouping approach based on physical impairment measures improves information provided by the STarT Back Tool (SBT) for low back pain (LBP) patients receiving physical therapy. Two physical impairment-based subgroups were identified, with a weak, positive relationship observed between baseline SBT risk and impairment subgroups. The physical impairment subgroups were found to improve the prediction of 4-week LBP disability outcomes, but not pain intensity scores.
Article
Medicine, General & Internal
Stefania Di Gangi, Giuseppe Pichierri, Stefan Zechmann, Thomas Rosemann, Andreas Plate
Summary: In the Swiss primary care setting, approximately two-thirds of patients with acute low back pain were treated with pain medications. The prescribing patterns were conservative, with limited use of strong opioids and co-medications.
JOURNAL OF CLINICAL MEDICINE
(2021)
Review
Medicine, General & Internal
Susana Tinoco Duarte, Carla Nunes, Daniela Costa, Helena Donato, Eduardo B. Cruz
Summary: Low back pain is a common musculoskeletal condition that causes high healthcare costs. Models of care are considered effective solutions to address this issue. This scoping review aims to summarize the existing evidence on the implementation of models of care for low back pain in primary healthcare.
Article
Health Care Sciences & Services
Eric J. Roseen, Kushang V. Patel, Rachel Ward, Xinyao de Grauw, Steven J. Atlas, Stephen Bartels, Julie J. Keysor, Jonathan F. Bean
Summary: While the use of chiropractic care or OT/PT for low back pain increased after the introduction of clinical guidelines in 2016, only about a third of US adults with low back pain reported using these services between 2016 and 2018, and disparities in use have not improved.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Orthopedics
Gerard P. Brennan, Gregory L. Snow, Kate Minick, Stephen J. Hunter
Summary: This study developed and validated a prediction formula to estimate the probability of success for patients with low back pain to achieve a minimal clinically important difference. Results showed that baseline MDQ score was the most important factor for predicting a 6-point improvement, while payer type and injury duration were important factors for predicting a 30% improvement.
Article
Public, Environmental & Occupational Health
Lise Hestbaek, Anne Mette Schmidt, Majbrit Andsbjerg Hald, Nanna Rolving
Summary: This study investigates the pre-referral history of low back pain patients referred to a spine clinic in a Danish hospital. It found that one third of the patients had not received an adequate course of treatment in primary care before referral. Unemployment and lack of health insurance were associated with a higher likelihood of not receiving appropriate treatment. Therefore, reevaluating the compensation structure for back pain patients is necessary to address health inequality in low back pain management.
Review
Medicine, General & Internal
Nebojsa Nick Knezevic, Kenneth D. Candido, Johan W. S. Vlaeyen, Jan Van Zundert, Steven P. Cohen
Summary: Low back pain encompasses various types of pain, with diagnostic and therapeutic methods controversial, requiring a comprehensive approach considering biological, psychological, and social factors. Improvement in diagnostic accuracy, treatment algorithms, and multimodal interdisciplinary treatment are essential.
Article
Anesthesiology
Patricia M. Herman, Sarah E. Edgington, Melony E. Sorbero, Eric L. Hurwitz, Christine M. Goertz, Ian D. Coulter
Summary: The study revealed that chiropractic care can provide some improvement for patients with chronic spinal pain, especially when the visit frequency is more than once per week. These findings may help inform payers when building coverage policies for patients with chronic pain.
Article
Medicine, General & Internal
Simona Cammarota, Valeria Conti, Graziamaria Corbi, Luigi Di Gregorio, Pasquale Dolce, Marianna Fogliasecca, Teresa Iannaccone, Valentina Manzo, Vincenzo Passaro, Bernardo Toraldo, Alfredo Valente, Anna Citarella
Summary: This study found that in an Italian primary care setting, younger age, higher pain intensity, and having asthma were predictors of receiving opioid prescriptions rather than NSAIDs for low back pain treatment.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Rehabilitation
Gert Bronfort, Michele Maiers, Craig Schulz, Brent Leininger, Kristine Westrom, Greg Angstman, Roni Evans
Summary: The study evaluated the clinical effectiveness of monodisciplinary chiropractic care versus multidisciplinary integrative care for adults with sub-acute and chronic low back pain. The results showed that the multidisciplinary integrative care group had better outcomes in terms of pain intensity and some secondary measures compared to the chiropractic care group, although the differences between the groups were relatively small. This suggests that multidisciplinary integrative care teams may not be as worthwhile as monodisciplinary approaches like chiropractic care for treating low back pain.
CHIROPRACTIC & MANUAL THERAPIES
(2022)
Article
Anesthesiology
Orjan Nesse Vigdal, Kjersti Storheim, Rikke Munk Killingmo, Milada Cvancarova Smastuen, Margreth Grotle
Summary: This study aimed to describe the clinical course of back-related disability and assess the prognostic value of comorbidity in older adults. The results showed that back-related disability improved over the 1-year follow-up period, and comorbidity count and burden were independently associated with disability levels.
Article
Medicine, General & Internal
Simon Dyrlov Madsen, Lars Morso, Werner Vach, Merethe Kirstine Andersen, Jesper Lykkegaard, Berit Schiottz-Christensen, Mette Jensen Stochkendahl
Summary: This study explored the care provided by GPs, PTs, and DCs to patients with low back pain. The results showed significant variation in care elements and practice patterns between professions.
Review
Clinical Neurology
Cathriona Murphy, Helen French, Geraldine McCarthy, Caitriona Cunningham
Summary: This systematic review examines the evidence for clinical pathways for low back pain and/or radicular leg pain. The research found that interface services were commonly used to improve efficiency of care delivery, but there is a lack of high-quality studies and comparative data to determine the clinical and cost-effectiveness of these pathways.
EUROPEAN SPINE JOURNAL
(2022)
Article
Anesthesiology
Wendelien H. van der Gaag, Alessandro Chiarotto, Martijn W. Heymans, Wendy T. M. Enthoven, Jantine Van Rijckevorsel-Scheele, Sita M. A. Bierma-Zeinstra, Arthur M. Bohnen, Bart W. Koes
Summary: This study aimed to develop and internally validate clinical prediction models for poor long-term outcomes in older patients with back pain. The results showed good overall performance of all 3 models, with the model predicting persistent disability performing the best. Common predictors in all models include age, chronic duration, disability, a recent back pain episode, and patients' recovery expectations.
Article
Public, Environmental & Occupational Health
Nathalia Costa, Karime Mescouto, Miriam Dillon, Rebecca Olson, Prudence Butler, Roma Forbes, Jenny Setchell
Summary: This study explores the experiences of clinicians navigating uncertainty in the context of low back pain care. The findings reveal that uncertainty is pervasive and not limited to specific domains in the care process. Clinicians face uncertainties in various aspects, such as considering patients' personal and social contexts, making therapeutic decisions, addressing emotions and mental health, and communicating with and educating patients. These uncertainties are intertwined with clinical aspects and may lead to a trade-off between certainty and human-centered care.
SOCIAL SCIENCE & MEDICINE
(2022)
Article
Health Care Sciences & Services
Bernard X. W. Liew, Jan Hartvigsen, Marco Scutari, Alice Kongsted
Summary: This study identified two clinical subgroups of patients with long-lasting nonspecific low back pain. It found that psychological factors were strongly associated with disability in both subgroups, while physical factors and pain were also significant contributors in different ways. This highlights the importance of considering psychological factors in the treatment of low back pain.
JOURNAL OF CLINICAL EPIDEMIOLOGY
(2023)
Article
Rehabilitation
Kristina Boe Dissing, Werner Vach, Susanne Lynge, Henrik Wulff Christensen, Lise Hestbaek
Summary: This study aimed to describe the characteristics of headaches in children and explore alternative ways to categorize them. The results showed that the classification of children's headaches based on questionnaires may need some modifications, and a non-classifiable group should be included. A migraine-tension-type index was proposed to view the traditional distinction as a continuum rather than two distinct groups.
CHIROPRACTIC & MANUAL THERAPIES
(2023)
Article
Multidisciplinary Sciences
Rahim Lalji, Leonie Hofstetter, Alice Kongsted, Viktor von Wyl, Milo A. Puhan, Cesar A. Hincapie
Summary: The Swiss chiropractic practice-based research network (PBRN) is a nationwide project to advance musculoskeletal epidemiologic research. A cross-sectional study was conducted to describe the clinician population recruited and representativeness of this PBRN. Among 326 eligible chiropractors, 152 enrolled in the PBRN (47% participation). The PBRN was representative of the larger Swiss chiropractic population with regards to age, language, and geographic distribution.
SCIENTIFIC REPORTS
(2023)
Article
Medicine, General & Internal
David Hohenschurz-Schmidt, Lene Vase, Whitney Scott, Marco Annoni, Oluwafemi K. Ajayi, Juergen Barth, Kim Bennell, Chantal Berna, Joel Bialosky, Felicity Braithwaite, Nanna B. Finnerup, Amanda C. de C. Williams, Elisa Carlino, Francesco Cerritelli, Aleksander Chaibi, Dan Cherkin, Luana Colloca, Pierre Cote, Beth D Darnall, Roni Evans, Laurent Fabre, Vanda Faria, Simon French, Heike Gerger, Winfried Haeuser, Rana S. Hinman, Dien Ho, Thomas Janssens, Karin Jensen, Chris Johnston, Sigrid Juhl Lunde, Francis Keefe, Robert D Kerns, Helen Koechlin, Alice Kongsted, Lori A. Michener, Daniel E. Moerman, Frauke Musial, David Newell, Michael Nicholas, Tonya M. Palermo, Sara Palermo, Kaya J. Peerdeman, Esther M. Pogatzki-Zahn, Aaron A. Puhl, Lisa Roberts, Giacomo Rossettini, Susan Tomczak Matthiesen, Martin Underwood, Paul Vaucher, Jan Vollert, Karolina Wartolowska, Katja Weimer, Christoph Patrick Werner, Andrew S. C. Rice, Jerry Draper-Rodi
Summary: This article presents core recommendations for designing, conducting, and reporting control interventions in non-pharmacological intervention research, as well as a framework of additional considerations and a reporting checklist to enhance research quality and transparency.
BMJ-BRITISH MEDICAL JOURNAL
(2023)
Editorial Material
Rehabilitation
Julie M. Fritz, Alice Kongsted
Summary: This commentary concludes a series of themed papers discussing a new paradigm for musculoskeletal pain care, emphasizing the shift from clinician-led management to patient-driven strategies. The series highlights the importance of developing patient-centered models of care and explores different modes of delivery, such as mHealth. Contextual factors, including a strong patient-provider alliance, are identified as playing a crucial role in effective treatment. The authors call for further research and training to implement person-centered care in musculoskeletal pain management.
CHIROPRACTIC & MANUAL THERAPIES
(2023)
Article
Psychology, Clinical
Bibi Dige Heiberg, Inge Ris, Henrik Hein Lauridsen, Jan Hartvigsen, Corrie Myburgh, Alice Kongsted
Summary: The study aimed to develop a checklist for evaluating the delivery of structured patient education and exercise intervention for people with persistent back pain. The checklist, called the GLA:D Back Self-management Adherence and Competence Checklist, is intended to be adaptable for use in self-management interventions for musculoskeletal pain.
BRITISH JOURNAL OF HEALTH PSYCHOLOGY
(2023)
Review
Health Policy & Services
Freja Gomez Overgaard, Sarah Lukasiewicz Mau Brandt, Anders Hansen, Lise Hestbaek, Casper Glissmann Nim
Summary: This study retrospectively reviewed clinical encounter data from pediatric patients with spinal pain from 2018 to 2021. The majority of patients had non-specific pain, but approximately 20% had a specific cause for their pain. There was a wide variability in pain severity and functional impairment among patients, and many had received advanced imaging prior to or after referral to the spine center.
INTERNATIONAL JOURNAL OF HEALTHCARE MANAGEMENT
(2023)
Letter
Pediatrics
Lise Hestbaek, Jan Hartvigsen, Henrik Christensen, Werner Vach
Article
Orthopedics
James J. Young, Alice Kongsted, Jan Hartvigsen, Carlo Ammendolia, Rikke Kruger Jensen
Summary: Patients with persistent NSLBP and LSS symptoms can expect similar improvements in disability and back pain intensity, and slightly greater improvements in leg pain intensity with treatment.
BMC MUSCULOSKELETAL DISORDERS
(2023)
Article
Public, Environmental & Occupational Health
Lise Hestbaek, Anne Mette Schmidt, Majbrit Andsbjerg Hald, Nanna Rolving
Summary: This study investigates the pre-referral history of low back pain patients referred to a spine clinic in a Danish hospital. It found that one third of the patients had not received an adequate course of treatment in primary care before referral. Unemployment and lack of health insurance were associated with a higher likelihood of not receiving appropriate treatment. Therefore, reevaluating the compensation structure for back pain patients is necessary to address health inequality in low back pain management.
Article
Clinical Neurology
Meiyi Huo, Emma Ho, Alice Kongsted, Thomas Patterson, Paulo Ferreira
Summary: This study explored the association between different amounts of physical activity and sedentary behavior with the trajectory of chronic low back pain (LBP). The findings showed that engaging in moderate to vigorous intensity physical activity can lower the probability of developing a severe LBP trajectory. No significant associations were found between sedentary behavior or light intensity physical activity and the probability of developing a severe LBP trajectory.
Article
Rehabilitation
Susanne Lynge, Werner Vach, Kristina Boe Dissing, Lise Hestbaek
Summary: A recent RCT showed that chiropractic manipulation reduces the number of headache days and improves global perceived effect in children with recurrent headaches. However, potential effect modifiers for the effectiveness of chiropractic manipulation in children have not been identified.
CHIROPRACTIC & MANUAL THERAPIES
(2023)
Article
Pediatrics
L. Hestbaek, S. J. Kamper, J. Hartvigsen, A. C. Falch-Joergensen
Summary: This study investigates the relationship between motor skills at age 7 and spinal pain at age 11. Results show that children with lower levels of motor skills at age 7 are more likely to report neck or mid back pain at age 11.
EUROPEAN JOURNAL OF PEDIATRICS
(2023)
Review
Orthopedics
Soren Gron, Kasper Bulow, Tobias Daniel Jonsson, Jakob Degn, Alice Kongsted
Summary: This study conducted a scoping review to explore the quantitative investigation of causal beliefs regarding non-specific low back pain. The results revealed a large variation in how these beliefs are measured and a lack of studies investigating the long-term association between causal beliefs and patient outcomes. This study identified a gap in the existing research and can serve as inspiration for future studies.
BRAZILIAN JOURNAL OF PHYSICAL THERAPY
(2023)
Article
Psychology, Developmental
Steen Harsted, Lise Hestbaek, Anders Holsgaard-Larsen, Henrik Hein Lauridsen
Summary: This study investigated dynamic lower limb alignment during jump-landings in preschool children, and found that dynamic knee valgus is more common among girls. Age and motor performance have minimal impact on dynamic lower limb alignment.
JOURNAL OF MOTOR LEARNING AND DEVELOPMENT
(2023)