Prolonged disability predictors identified for low back pain

Prolonged disability predictors identified for low back pain
In patients with chronic nonspecific low back pain, impaired fasting glucose tolerance, greater pain-related disability, higher body mass index, and lower quality of life at baseline are all associated with an increased pain-related disability at one year, according to a study published online June 20 in Spine.

(HealthDay) -- In patients with chronic nonspecific low back pain (LBP), impaired fasting glucose tolerance, greater pain-related disability, higher body mass index, and lower quality of life (QoL) at baseline are all associated with an increased pain-related disability at one year, according to a study published online June 20 in Spine.

Philip Wilkens, M.Chiro., of the Oslo University Hospital in Norway, and colleagues conducted a one-year involving 250 primary care patients with chronic nonspecific LBP lasting six months or longer and degenerative lumbar osteoarthritis. Potential predictors of pain-related disability were assessed at baseline, and the correlation between potential predictors and outcome was analyzed.

The researchers found that fasting glucose levels ≥6.1 mmol/L, , and pain-related disability at baseline were associated with higher pain-related disability at one year. Similarly, QoL, as measured by EuroQoL-index and EuroQoL-visual analog scale, was also significantly associated with higher pain-related disability levels. Imaging findings, modic changes, and high-intensity zones were not shown to have any predictive ability.

"Our study findings highlight the multifactorial complexity of LBP as diverse range of predictors like impaired fasting glucose, QoL, baseline disability and obesity were significant predictors of poor disability," the authors write.

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Patients with acute low back pain have poor prognosis

date Apr 24, 2012

(HealthDay) -- Few patients with acute low back pain (LBP), with or without sciatica, declare sick leave; however, approximately half have one or more recurrences and a considerable proportion experience chronic ...

Self-management has small effect on low back pain

date Jun 05, 2012

(HealthDay) -- Compared to minimal interventions, self-management has a small effect on pain and disability in non-specific low back pain (LBP), according to a review published online May 23 in Arthritis Ca ...

Gender, high DAS28-P index predictive of pain in early RA

date May 18, 2012

(HealthDay) -- For patients with rheumatoid arthritis (RA), female gender and having a high proportion of disease activity score (DAS28) attributable to patient-reported components (joint tenderness and visual ...

Low back pain counseling strategy ups return to work

date Feb 28, 2012

(HealthDay) -- Combining a disability evaluation with proactive counseling for workers with low back pain (LBP) results in a higher return-to-work rate, which is statistically significant at one year, according ...

Recommended for you

Combined drug treatment combats kidney disease

date 1 hour ago

A recent discovery by drug researchers whereby coupling specific cell membrane receptors has altered kidney cell function has triggered a re-think of how to treat chronic kidney disease (CKD) more effectively.

Active substance targeting dreaded hospital germs

date 1 hour ago

In the German Center for Infection Research (DZIF), scientists have conducted clinical studies on an active substance against the dreaded hospital pathogen Staphylococcus aureus: a highly effective protein from bacteriophages ...

S. Korea confirms 12 MERS cases (Update)

date 7 hours ago

South Korea confirmed five MERS cases Friday, bringing the total number of patients infected with the potentially deadly virus to 12, including a man who defied a quarantine protocol and travelled to China, health officials ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.