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Psychological Features and Their Relationship to Movement-Based Subgroups in People Living With Low Back Pain

KARAYANNIS NV; JULL GA; NICHOLAS MK; HODGES PW
ARCH PHYS MED REHABIL , 2018, vol. 99, n° 1, p. 121-128
Doc n°: 186936
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.apmr.2017.08.493
Descripteurs : CE51 - LOMBALGIE, LA - PSYCHOLOGIE

OBJECTIVE: To determine the distribution of higher psychological risk features
within movement-based subgroups for people with low back pain (LBP). DESIGN:
Cross-sectional observational study. SETTING: Participants were recruited from
physiotherapy clinics and community advertisements. Measures were collected at a
university outpatient-based physiotherapy clinic. PARTICIPANTS: People (N=102)
seeking treatment for LBP. INTERVENTIONS: Participants were subgrouped according
to 3 classification schemes: Mechanical Diagnosis and Treatment (MDT),
Treatment-Based Classification (TBC), and O'Sullivan Classification (OSC). MAIN
OUTCOME MEASURES: Questionnaires were used to categorize low-, medium-, and
high-risk features based on depression, anxiety, and stress (Depression, Anxiety,
and Stress Scale-21 Items); fear avoidance (Fear-Avoidance Beliefs
Questionnaire); catastrophizing and coping (Pain-Related Self-Symptoms Scale);
and self-efficacy (Pain Self-Efficacy Questionnaire). Psychological risk profiles
were compared between movement-based subgroups within each scheme. RESULTS:
Scores across all questionnaires revealed that most patients had low
psychological risk profiles, but there were instances of higher (range, 1%-25%)
risk profiles within questionnaire components. The small proportion of
individuals with higher psychological risk scores were distributed between
subgroups across TBC, MDT, and OSC schemes. CONCLUSIONS: Movement-based
subgrouping alone cannot inform on individuals with higher psychological risk
features.
CI - Copyright (c) 2017 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS

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