Predicting treatment adherence and outcome to outpatient multimodal rehabilitation in chronic low back pain

Autor:	Rahmat Adnan, Stijn Schouppe, Evy Dhondt, Barbara Cagnie, Jens Van Akeleyen, Jessica Van Oosterwijck, Tine Logghe, Lieven Danneels
Rok vydání:	2020
Předmět:	Adult Male 030506 rehabilitation medicine.medical_specialty Visual analogue scale medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation medicine.disease_cause Logistic regression Disability Evaluation 03 medical and health sciences 0302 clinical medicine Outpatients Back pain Humans Medicine Orthopedics and Sports Medicine Pain Measurement Rehabilitation business.industry Poor posture 030229 sport sciences Middle Aged Low back pain Exercise Therapy Oswestry Disability Index Treatment Adherence and Compliance Treatment Outcome Absenteeism Physical therapy Female Chronic Pain medicine.symptom 0305 other medical science business Low Back Pain
Zdroj:	Journal of Back and Musculoskeletal Rehabilitation. 33:277-293
ISSN:	1878-6324 1053-8127
Popis:	BACKGROUND: There is a growing need to identify patient pre-treatment characteristics that could predict adherence and outcome following specific interventions. OBJECTIVE: To identify predictors of adherence and outcome to outpatient multimodal rehabilitation in chronic low back pain (CLBP). METHODS: A total of 273 CLBP patients participated in an exercise-based rehabilitation program. Patients who completed >= 70% of the treatment course were classified as adherent. Patients showing a post-treatment reduction of >= 30% in Oswestry Disability Index (ODI) and Visual Analogue Scale (VAS) back pain intensity scores were assigned to the favorable outcome group. RESULTS: Multivariate logistic regression revealed that higher age, higher ability to perform low-load activities, and higher degrees of kinesiophobia increased the odds to complete the rehabilitation program. By contrast, lower levels of education and back pain unrelated to poor posture increased the odds for non-adherence. Furthermore, a favorable outcome was predicted in case the cause for LBP was known, shorter symptom duration, no pain in the lower legs, no difficulties falling asleep, and short-term work absenteeism. CONCLUSIONS: Assessment and consideration of patient pre-treatment characteristics is of great importance as they may enable therapists to identify patients with a good prognosis or at risk for non-responding to outpatient multimodal rehabilitation.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::eaaabd2dbd953974ea86d82cc811c790 https://doi.org/10.3233/bmr-181125 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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