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)

add to favorites email to friend print save as pdf

Related Stories

Patients with acute low back pain have poor prognosis

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

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

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

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

Senegal monitors contacts of 1st Ebola patient

11 hours ago

Senegalese authorities on Monday were monitoring everyone who was in contact with a student infected with Ebola who crossed into the country, and who has lost three family members to the disease.

Cerebral palsy may be hereditary

16 hours ago

Cerebral palsy is a neurological developmental disorder which follows an injury to the immature brain before, during or after birth. The resulting condition affects the child's ability to move and in some ...

19 new dengue cases in Japan, linked to Tokyo park

22 hours ago

Japan is urging local authorities to be on the lookout for further outbreaks of dengue fever, after confirming another 19 cases that were contracted at a popular local park in downtown Tokyo.

User comments