Prognostic factors for pain chronicity in low back pain: a systematic review
| Autor: | Liisa Maria Pyysalo, Linda Karoliina Nieminen, Markku Kankaanpää |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
MEDLINE Chronic pain Review 02 engineering and technology Cochrane Library Prognostic factors 01 natural sciences Anesthesiology 0103 physical sciences 0202 electrical engineering electronic engineering information engineering medicine Low back pain RD78.3-87.3 010306 general physics Depression (differential diagnoses) business.industry medicine.disease Anesthesiology and Pain Medicine Systematic review Risk factors Musculoskeletal Nonspecific Physical therapy Anxiety 020201 artificial intelligence & image processing medicine.symptom business Psychosocial |
| Zdroj: | PAIN Reports, Vol 6, Iss 1, p e919 (2021) Pain Reports |
| ISSN: | 2471-2531 |
| DOI: | 10.1097/pr9.0000000000000919 |
| Popis: | Supplemental Digital Content is Available in the Text. Several prognostic factors are related to low back pain chronicity, and these should be taken into account when planning more comprehensive models in its prevention. Low back pain is the leading cause for years lived in disability. Most people with acute low back pain improve rapidly, but 4% to 25% of patients become chronic. Since the previous systematic reviews on the subject, a large number of new studies have been conducted. The objective of this article was to review the evidence of the prognostic factors behind nonspecific chronic low back pain. A systematic literature search was performed without date limitation from the MEDLINE, Cochrane library, and Medic databases. Specific inclusion criteria were used, and risk factors before the onset of chronic symptoms were searched. Study quality was assessed by 2 independent reviewers. One hundred eleven full articles were read for potential inclusion, and 25 articles met all the inclusion criteria. One study was rated as good quality, 19 studies were rated as fair quality, and 5 articles were rated as poor quality. Higher pain intensity, higher body weight, carrying heavy loads at work, difficult working positions, and depression were the most frequently observed risk factors for chronic low back pain. Maladaptive behavior strategies, general anxiety, functional limitation during the episode, smoking, and particularly physical work were also explicitly predictive of chronicity. According to this systematic review, several prognostic factors from the biomechanical, psychological and psychosocial point of view are significant for chronicity in low back pain. |
| Databáze: | OpenAIRE |
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