Identification of prognostic factors for chronicity in patients with low back pain: a review of screening instruments

被引：100
作者：
Melloh, M. [1 ]
Elfering, A. [2 ]
Presland, C. Egli [2 ]
Roeder, C. [3 ]
Barz, T. [4 ]
Salathe, C. Rolli [2 ]
Tamcan, O. [3 ]
Mueller, U. [3 ]
Theis, J. C. [1 ]
机构：
[1] Univ Otago, Dunedin Sch Med, Dept Med & Surg Sci, Sect Orthopaed Surg, Dunedin 9001, New Zealand
[2] Univ Bern, Inst Psychol, Dept Work & Org Psychol, Uni Tobler, CH-3000 Bern 9, Switzerland
[3] Univ Bern, Inst Evaluat Res Orthopaed Surg, Dept Evaluat Clin Res, MEM Res Ctr, CH-3014 Bern, Switzerland
[4] Asklepios Klinikum Uckermark, Dept Orthopaed Surg, D-16303 Schwedt Oder, Germany
来源：
INTERNATIONAL ORTHOPAEDICS | 2009年 / 33卷 / 02期
基金：
瑞士国家科学基金会;
关键词：
FEAR-AVOIDANCE BELIEFS; PREDICTIVE-VALIDITY; QUESTIONNAIRE FABQ; COPING INVENTORY; DISABILITY; GUIDELINES; WORK; RISK; VALIDATION; MANAGEMENT;
D O I：
10.1007/s00264-008-0707-8
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Low back pain (LBP) is currently the most prevalent and costly musculoskeletal problem in modern societies. Screening instruments for the identification of prognostic factors in LBP may help to identify patients with an unfavourable outcome. In this systematic review screening instruments published between 1970 and 2007 were identified by a literature search. Nine different instruments were analysed and their different items grouped into ten structures. Finally, the predictive effectiveness of these structures was examined for the dependent variables including "work status", "functional limitation", and "pain". The strongest predictors for "work status" were psychosocial and occupational structures, whereas for "functional limitation" and "pain" psychological structures were dominating. Psychological and occupational factors show a high reliability for the prognosis of patients with LBP. Screening instruments for the identification of prognostic factors in patients with LBP should include these factors as a minimum core set.
引用
收藏
页码：301 / 313
页数：13
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