Abstract
Objective
To determine the distribution of higher psychological risk features within movement-based
subgroups for people with low back pain (LBP).
Design
Cross-sectional observational study.
Setting
Participants were recruited from physiotherapy clinics and community advertisements.
Measures were collected at a university outpatient-based physiotherapy clinic.
Participants
People (N=102) seeking treatment for LBP.
Interventions
Participants were subgrouped according to 3 classification schemes: Mechanical Diagnosis
and Treatment (MDT), Treatment-Based Classification (TBC), and O'Sullivan Classification
(OSC).
Main Outcome Measures
Questionnaires were used to categorize low-, medium-, and high-risk features based
on depression, anxiety, and stress (Depression, Anxiety, and Stress Scale–21 Items);
fear avoidance (Fear-Avoidance Beliefs Questionnaire); catastrophizing and coping
(Pain-Related Self-Symptoms Scale); and self-efficacy (Pain Self-Efficacy Questionnaire).
Psychological risk profiles were compared between movement-based subgroups within
each scheme.
Results
Scores across all questionnaires revealed that most patients had low psychological
risk profiles, but there were instances of higher (range, 1%–25%) risk profiles within
questionnaire components. The small proportion of individuals with higher psychological
risk scores were distributed between subgroups across TBC, MDT, and OSC schemes.
Conclusions
Movement-based subgrouping alone cannot inform on individuals with higher psychological
risk features.
Keywords
List of abbreviations:
DASS-21 (Depression, Anxiety, and Stress Scale–21 Items), FABQ (Fear-Avoidance Beliefs Questionnaire), LBP (low back pain), MDT (Mechanical Diagnosis and Treatment), OSC (O'Sullivan Classification), PRSS (Pain-Related Self-Symptoms), PSEQ (Pain Self-Efficacy Questionnaire), TBC (Treatment-Based Classification)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: October 06, 2017
Footnotes
Supported by the National Health and Medical Research Council of Australia (CCRE grant no. ID455863; Senior Research Fellowship APP1002190)
Disclosures: none.
Identification
Copyright
© 2017 by the American Congress of Rehabilitation Medicine
