Please use this identifier to cite or link to this item: http://bura.brunel.ac.uk/handle/2438/8310
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dc.contributor.authorWand, BM-
dc.contributor.authorMcAuley, JH-
dc.contributor.authorMarston, L-
dc.contributor.authorDe Souza, LH-
dc.date.accessioned2014-04-14T16:02:15Z-
dc.date.available2014-04-14T16:02:15Z-
dc.date.issued2009-
dc.identifier.citationSpine, 34(18), 1970 - 1975, 2009en_US
dc.identifier.issn0362-2436-
dc.identifier.urihttp://journals.lww.com/spinejournal/pages/articleviewer.aspx?year=2009&issue=08150&article=00021&type=abstracten
dc.identifier.urihttp://bura.brunel.ac.uk/handle/2438/8310-
dc.descriptionThis is a non-final version of an article published in final form in Spine, 34(18), 1970 - 1975, 2009. Copyright © 2009 Lippincott Williams & Wilkins, Inc.en_US
dc.description.abstractStudy Design. Prospective observational study of prognostic indicators, using data from a randomized, controlled trial of physiotherapy care of acute low back pain (ALBP) with follow-up at 6 weeks, 3 months, and 6 months. Objective. To evaluate which patient profile offers the most useful guide to long-term outcome in ALBP. Summary of Background Data. The evidence used to inform prognostic decision-making is derived largely from studies where baseline data are used to predict future status. Clinicians often see patients on multiple occasions so may profile patients in a variety of ways. It is worth considering if better prognostic decisions can be made from alternative profiles. Methods. Clinical, psychological, and demographic data were collected from a sample of 54 ALBP patients. Three clinical profiles were developed from information collected at baseline, information collected at 6 weeks, and the change in status between these 2 time points. A series of regression models were used to determine the independent and relative contributions of these profiles to the prediction of chronic pain and disability. Results. The baseline profile predicted long-term pain only. The 6-week profile predicted both long-term pain and disability. The change profile only predicted long-term disability (P < 0.01). When predicting long-term pain, after the baseline profile had been added to the model, the 6-week profile did not add significantly when forced in at the second step (P > 0.05). A similar result was obtained when the order of entry was reversed. When predicting long-term disability, after the 6-week profile was entered at the first step, the change profile was not significant when forced in at the second step. However, when the change profile was entered at the first step and the 6-week clinical profile was forced in at the second step, a significant contribution of the 6-week profile was found. Conclusion. The profile derived from information collected at 6 weeks provided the best guide to long-term pain and disability. The baseline profile and change in status offered less predictive value.en_US
dc.languageEnglish-
dc.language.isoenen_US
dc.publisherLippincott, Williams & Wilkinsen_US
dc.subjectAcute low back painen_US
dc.subjectClinical guidelinesen_US
dc.subjectPrognosisen_US
dc.subjectPhysiotherapyen_US
dc.titlePredicting outcome in acute low back pain using different models of patient profilingen_US
dc.typeArticleen_US
dc.identifier.doihttp://dx.doi.org/10.1097/BRS.0b013e3181afeab7-
pubs.organisational-data/Brunel-
pubs.organisational-data/Brunel/Brunel Active Staff-
pubs.organisational-data/Brunel/Brunel Active Staff/School of Health Sciences & Social Care-
pubs.organisational-data/Brunel/Brunel Active Staff/School of Health Sciences & Social Care/Physiotherapy-
pubs.organisational-data/Brunel/University Research Centres and Groups-
pubs.organisational-data/Brunel/University Research Centres and Groups/School of Health Sciences and Social Care - URCs and Groups-
pubs.organisational-data/Brunel/University Research Centres and Groups/School of Health Sciences and Social Care - URCs and Groups/Brunel Institute for Ageing Studies-
pubs.organisational-data/Brunel/University Research Centres and Groups/School of Health Sciences and Social Care - URCs and Groups/Centre for Research in Rehabilitation-
Appears in Collections:Community Health and Public Health
Physiotherapy
Dept of Clinical Sciences Research Papers

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