Article

OBJECTIVE: To propose standardized, patient-centered measures of recovery from
nonspecific low back pain (LBP) in research, underpinned by an empirically
derived concept of recovery and informed by expert opinion. DESIGN: Synthesis of
literature reviews and expert panel opinion. SETTING: Primary care centers for
the management of nonspecific LBP. PARTICIPANTS: Persons with nonspecific LBP.
INTERVENTIONS: Conservative treatments for nonspecific LBP. MAIN OUTCOME
MEASURES: Three phases of research were conducted. First, qualitative research
that explored patients' perspectives of recovery from nonspecific LBP was
reviewed. Second, measures of recovery used in LBP clinical trials during the
past decade were investigated in a systematic review. Third, opinion was sought
from an expert panel of clinicians and researchers about how to measure recovery
from nonspecific LBP, in a workshop at the 10th International Forum for Primary
Care Research in Low Back Pain. RESULTS:
An empirically derived and
patient-centered concept of recovery from nonspecific LBP was developed from the
qualitative research phase. The systematic review conducted in the second study
phase revealed that researchers have used vastly heterogeneous measures of LBP
recovery in clinical trials during the past decade. Finally, the key conclusions
of the LBP Forum workshop were (1) that appropriate patient-centered instruments
to measure recovery include global measures and patient-specific measures; and
(2) that the benefits of implementing the same recovery measures for acute and
chronic LBP outweigh the disadvantages of using different measures. CONCLUSIONS:
The results were synthesized to inform our recommendation that researchers
consider adopting 2 instruments as standardized measures of recovery from
nonspecific LBP, as an adjunct to the existing core set of LBP outcome measures.
These instruments are an 11-point Global Back Recovery Scale, for a simple
measure of global recovery, and the Patient-Generated Index of Quality of
Life-Back Pain, to evaluate specific relevant dimensions of recovery. This
recommendation has majority endorsement by members of the Australian National
Health and Medical Research Council Acute Low Back Pain Review Group.
CI - Copyright (c) 2012 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS