RESUMO
OBJECTIVE: To identify the prognostic factors for conventional physical therapy in patients with chronic low back pain (CLBP). METHODS: Prospective observational study. PARTICIPANTS: One hundred thirteen patients with CLBP selected at the Spinal Disease Outpatient Clinic. MAIN OUTCOME MEASURES: Pain intensity was scored using the Numeric Rating Scale (NRS), and function was measured using the Roland-Morris Disability Questionnaire (RMDQ). RESULTS: The Fear-Avoidance Beliefs Questionnaire work subscale results (FABQ-work; odds ratio [OR]=0.27, 95% confidence interval [CI] 0.13-0.56, p<0.001) and extraspinal pain (OR=0.35, 95% CI 0.17-0.74, p=0.006) were independently associated with a decreased response to conventional physical therapy for CLBP. CONCLUSION: We identified high FABQ-work and extraspinal pain scores as key determinants of a worse response to physical therapy among CLBP patients, supporting the need for a special rehabilitation program for this subgroup.
Assuntos
Medo/psicologia , Dor Lombar/psicologia , Dor Lombar/terapia , Modalidades de Fisioterapia , Doença Crônica , Avaliação da Deficiência , Humanos , Prognóstico , Estudos ProspectivosRESUMO
ABSTRACT Objective: To identify the prognostic factors for conventional physical therapy in patients with chronic low back pain (CLBP). Methods: Prospective observational study. Participants: One hundred thirteen patients with CLBP selected at the Spinal Disease Outpatient Clinic. Main outcome measures: Pain intensity was scored using the Numeric Rating Scale (NRS), and function was measured using the Roland-Morris Disability Questionnaire (RMDQ). Results: The Fear-Avoidance Beliefs Questionnaire work subscale results (FABQ-work; odds ratio [OR] = 0.27, 95% confidence interval [CI] 0.13–0.56, p < 0.001) and extraspinal pain (OR = 0.35, 95% CI 0.17–0.74, p = 0.006) were independently associated with a decreased response to conventional physical therapy for CLBP. Conclusion: We identified high FABQ-work and extraspinal pain scores as key determinants of a worse response to physical therapy among CLBP patients, supporting the need for a special rehabilitation program for this subgroup.
RESUMO Objetivo: Identificar os fatores prognósticos para a fisioterapia convencional em pacientes com lombalgia mecânica comum crônica (LMC). Métodos: Estudo prospectivo observacional. Participantes: Foram selecionados pelo Ambulatório de Doenças da Coluna Vertebral 113 pacientes com lombalgia mecânica comum crônica. Medidas de desfecho principais: A intensidade da dor foi pontuada utilizando a Escala Numérica de Dor (END) e a função foi medida usando o Questionário Roland-Morris de Incapacidade (RMDQ). Resultados: Os resultados da subescala trabalho do Fear-Avoidance Beliefs Questionnaire (FABQ-trabalho; odds ratio [OR] = 0,27, intervalo de confiança de 95% [IC 95%] 0,13–0,56, p < 0,001) e da dor extraespinal (OR = 0,35, IC 0,17–0,74, p = 0,006) estiveram independentemente associados a uma diminuição na resposta à fisioterapia convencional para a lombalgia crônica. Conclusão: Foram identificados escores elevados na FABQ-trabalho e dor extraespinal como determinantes-chave para uma pior resposta à fisioterapia em pacientes com LMC o que apoia a necessidade de um programa de reabilitação especial para este subgrupo.
Assuntos
Humanos , Modalidades de Fisioterapia , Dor Lombar/psicologia , Dor Lombar/terapia , Medo/psicologia , Prognóstico , Doença Crônica , Estudos Prospectivos , Avaliação da DeficiênciaRESUMO
OBJECTIVE: To identify the prognostic factors for conventional physical therapy in patients with chronic low back pain (CLBP). METHODS: Prospective observational study. PARTICIPANTS: One hundred thirteen patients with CLBP selected at the Spinal Disease Outpatient Clinic. MAIN OUTCOME MEASURES: Pain intensity was scored using the Numeric Rating Scale (NRS), and function was measured using the Roland-Morris Disability Questionnaire (RMDQ). RESULTS: The Fear-Avoidance Beliefs Questionnaire work subscale results (FABQ-work; odds ratio [OR]=0.27, 95% confidence interval [CI] 0.13 to 0.56, p<0.001) and extraspinal pain (OR=0.35, 95% CI 0.17 to 0.74, p=0.006) were independently associated with a decreased response to conventional physical therapy for CLBP. CONCLUSION: We identified high FABQ-work and extraspinal pain scores as key determinants of a worse response to physical therapy among CLBP patients, supporting the need for a special rehabilitation program for this subgroup.