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Journal articles on the topic 'Low back pain AND patient reported outcome measures AND chiropractic'

Author: Grafiati

Published: 20 November 2023

Last updated: 31 July 2025

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1

Clohesy, Natalie C., Anthony G. Schneiders, and Sharyn Eaton. "Utilization of Low Back Pain Patient Reported Outcome Measures Within Chiropractic Literature: A Descriptive Review." Journal of Manipulative and Physiological Therapeutics 41, no. 7 (2018): 628–39. http://dx.doi.org/10.1016/j.jmpt.2017.11.007.

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Sanchez, Katally, Jason W. Haas, Paul A. Oakley, and Deed E. Harrison. "Improvement in Chronic Low Back and Intermittent Chronic Neck Pain, Disability, and Improved Spine Parameters Using Chiropractic BioPhysics® Rehabilitation After 5 Years of Failed Chiropractic Manipulation: A Case Report and 1-Year Follow-Up." Healthcare 13, no. 7 (2025): 814. https://doi.org/10.3390/healthcare13070814.

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Background/Objectives: We present a case documenting the successful treatment for a patient with chronic low back pain (CLBP), chronic neck pain (CNP), and decreased quality of life improving after conservative therapy. CLBP has been the leading cause of disability globally for the past few decades, resulting in decreased quality of life physically and emotionally. This case is important in the medical literature to add to studies reporting successful conservative treatment of CLBP and CNP. Triage, diagnosis, and understanding of economical and conservative therapeutics can benefit patients; p

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Hays, Ron D., Karen L. Spritzer, and Steven P. Reise. "Using Item Response Theory to Identify Responders to Treatment: Examples with the Patient-Reported Outcomes Measurement Information System (PROMIS®) Physical Function Scale and Emotional Distress Composite." Psychometrika 86, no. 3 (2021): 781–92. http://dx.doi.org/10.1007/s11336-021-09774-1.

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AbstractThe reliable change index has been used to evaluate the significance of individual change in health-related quality of life. We estimate reliable change for two measures (physical function and emotional distress) in the Patient-Reported Outcomes Measurement Information System (PROMIS®) 29-item health-related quality of life measure (PROMIS-29 v2.1). Using two waves of data collected 3 months apart in a longitudinal observational study of chronic low back pain and chronic neck pain patients receiving chiropractic care, and simulations, we compare estimates of reliable change from classi

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Thoomes, Erik, Gus Tilborghs, Nicola R. Heneghan, Deborah Falla, and Marloes de Graaf. "Effectiveness of thoracic spine manipulation for upper quadrant musculoskeletal disorders: protocol for a systematic review." BMJ Open 13, no. 9 (2023): e076143. http://dx.doi.org/10.1136/bmjopen-2023-076143.

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IntroductionUpper quadrant musculoskeletal disorders (UQMD), comprising of cranial, cervical, shoulder and upper extremity disorders, are among the most frequently reported disorders in clinical practice. Thoracic high velocity low amplitude thrust (Tx-HVLAT) manipulation is a form of conservative management recommended in systematic reviews as an effective treatment option for aspects of UQMD disorders such headache, shoulder pain and lateral elbow pain. However, no recent systematic reviews have assessed the effectiveness across UQMD. Therefore, this systematic review aims to update the curr

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Satya Agung Nugroho, Nazalla Gwen Vaganesha, and Hasnan Habib Afifudin. "What is the effectiveness of chiropractic manipulation compared to standard physical therapy in reducing pain intensity and improving functional mobility for patients with chronic low back pain? : A Systematic Review." International Journal of Medical Science and Health Research 13, no. 5 (2025): 12–47. https://doi.org/10.70070/3q1t7y20.

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Introduction : Chronic low back pain (CLBP) is a pervasive health issue that significantly impairs quality of life and functional capacity globally. Among non-pharmacologic interventions, chiropractic manipulation and standard physical therapy are common treatments. This systematic review aims to compare the effectiveness of these two modalities in reducing pain intensity and improving functional mobility for adults with CLBP. Methods : This systematic review adhered to the PRISMA 2020 guidelines. A comprehensive search was conducted across PubMed, Semantic Scholar, Springer, and Google Schola

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Rogers, Casey, Madeleine Hackney, Lisa Zubkoff, and Katharina Echt. "ACTIVITY GOAL SETTING ON CHRONIC LOWER BACK PAIN FOR OLDER VETERANS RECEIVING CHIROPRACTIC CARE." Innovation in Aging 6, Supplement_1 (2022): 797–98. http://dx.doi.org/10.1093/geroni/igac059.2878.

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Abstract There is currently no literature addressing the impact that chiropractic services have on older adults achieving individualized specific goals throughout a course of care for chronic low back pain. This study aims to explore the impact of setting a self-determined, “what matters most” activity/goal of rehabilitation care with relevant activities as part of standard chiropractic care on the self-rated pain and disability of older Veterans. Participants were randomized into two groups. The first, an experimental group where participants identified a goal and received standard chiropract

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Haavik, Heidi, Imran Khan Niazi, Imran Amjad, et al. "Neuroplastic Responses to Chiropractic Care: Broad Impacts on Pain, Mood, Sleep, and Quality of Life." Brain Sciences 14, no. 11 (2024): 1124. http://dx.doi.org/10.3390/brainsci14111124.

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Objectives: This study aimed to elucidate the mechanisms of chiropractic care using resting electroencephalography (EEG), somatosensory evoked potentials (SEPs), clinical health assessments (Fitbit), and Patient-reported Outcomes Measurement Information System (PROMIS-29). Methods: Seventy-six people with chronic low back pain (mean age ± SD: 45 ± 11 years, 33 female) were randomised into control (n = 38) and chiropractic (n = 38) groups. EEG and SEPs were collected pre and post the first intervention and post 4 weeks of intervention. PROMIS-29 was measured pre and post 4 weeks. Fitbit data we

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Shannon, Zacariah K., Cynthia R. Long, Elizabeth Chrischilles, et al. "Secondary causal mediation analysis of a pragmatic clinical trial to evaluate the effect of chiropractic care for US active-duty military on biopsychosocial outcomes occurring through effects on low back pain interference and intensity." BMJ Open 14, no. 11 (2024): e083509. http://dx.doi.org/10.1136/bmjopen-2023-083509.

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ObjectiveWe evaluate change in low back pain (LBP) intensity and interference as the mechanism by which chiropractic care affects other biopsychosocial factors in US active-duty military members.DesignWe conducted secondary, exploratory mediation analysis of pragmatic, multisite, clinical trial (NCT01692275) post results using natural effect modeling. Mediators were the 6-week values of Patient-Reported Outcomes Measurement Information System (PROMIS)-29 pain interference and intensity. Outcomes were 12-week values of other PROMIS-29 biopsychosocial subdomains. Models evaluated overall and ind

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Alhowimel, Ahmed, Faris Alodaibi, Mazyad Alotaibi, Dalyah Alamam, and Julie Fritz. "The Patient-Reported Outcome Measures Used with Low Back Pain and the Attitude of Primary Healthcare Practitioners in Saudi Arabia toward Them." Medicina 57, no. 8 (2021): 812. http://dx.doi.org/10.3390/medicina57080812.

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Background and objectives: The use of appropriate outcome measures can help guide multidimensional low back pain (LBP) management, elucidate the efficacy/effectiveness of interventions, and inform clinicians when selected targets have been achieved and this can be used for educational or research purposes. Aim: This study aimed to explore and describe the use, attitudes, knowledge, and beliefs regarding patient-reported outcome measures used by healthcare practitioners practising in Saudi Arabia who are frequently involved in the healthcare of individuals with LBP. Materials and Methods: A cro

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Sigmundsson, Freyr Gauti, Anders Joelson, and Fredrik Strömqvist. "Patients with no preoperative back pain have the best outcome after lumbar disc herniation surgery." European Spine Journal 31, no. 2 (2021): 408–13. http://dx.doi.org/10.1007/s00586-021-07033-6.

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Abstract Purpose Most patients with lumbar disc herniations requiring surgery have concomitant back pain. The purpose of the current study was to evaluate the outcome of surgery for lumbar disc herniations in patients with no preoperative back pain (NBP) compared to those reporting low back pain (LBP). Methods 15,418 patients surgically treated due to LDH with primary discectomy from 1998 until 2020 were included in the study. Self-reported low back pain assessed with a numerical rating scale (NRS) was used to dichotomize the patients in two groups, patients without preoperative back pain (NBP

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Sugiura, Kosuke, Cathryn Payne, Nguyen T. Tran, et al. "Transforaminal Full-Endoscopic Surgery for Lumbar Foraminal Pathologies: A Comparative Clinical Effectiveness Study." Neurosurgery 96, no. 3S (2025): S51—S62. https://doi.org/10.1227/neu.0000000000003337.

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BACKGROUND AND OBJECTIVES: Full-endoscopic surgery is increasingly used for treating lumbar foraminal pathologies, though the specific indications remain unclear. This study aims to evaluate patient-reported outcomes after transforaminal full-endoscopic spine surgery for various lumbar foraminal conditions. METHODS: Multicenter cohort study of patients with intervertebral lumbar foraminal pathology who underwent full-endoscopic decompression at four medical centers. Postoperative patient-reported outcomes, including low back and leg pain as well as Oswestry Disability Index (ODI) scores, were

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Gold, Laura S., Matthew Bryan, Bryan A. Comstock, et al. "Associations Between Relative Value Units and Patient-Reported Back Pain and Disability." Gerontology and Geriatric Medicine 3 (January 1, 2017): 233372141668601. http://dx.doi.org/10.1177/2333721416686019.

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Objective: To describe associations between health care utilization measures and patient-reported outcomes (PROs). Method: Primary data were collected from patients ≥65 years with low back pain visits from 2011 to 2013. Six PROs of pain and functionality were collected 12 and 24 months after the index visits and total and spine-specific relative value units (RVUs) from electronic health records were tabulated over 1 year. We calculated correlation coefficients between RVUs and 12- and 24-month PROs and conducted linear regressions with each 12- and 24-month PRO as the outcome variables and RVU

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Strömqvist, Fredrik, Björn Strömqvist, Bo Jönsson, Paul Gerdhem, and Magnus K. Karlsson. "Predictive outcome factors in the young patient treated with lumbar disc herniation surgery." Journal of Neurosurgery: Spine 25, no. 4 (2016): 448–55. http://dx.doi.org/10.3171/2016.2.spine16136.

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OBJECTIVE The aim of this study was to evaluate predictive factors for outcome after lumbar disc herniation surgery in young patients. METHODS In the national Swedish spine register, the authors identified 180 patients age 20 years or younger, in whom preoperative and 1-year postoperative data were available. The cohort was treated with primary open surgery due to lumbar disc herniation between 2000 and 2010. Before and 1 year after surgery, the patients graded their back and leg pain on a visual analog scale, quality of life by the 36-Item Short-Form Health Survey and EuroQol–5 Dimensions, an

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Hanney, William J., Fahim Dhalla, Chase Kelly, et al. "The Influence of Personality Type on Patient Outcome Measures and Therapeutic Alliance in Patients with Low Back Pain." NeuroSci 4, no. 3 (2023): 186–94. http://dx.doi.org/10.3390/neurosci4030017.

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Background: Low back pain (LBP) has been shown to have various biological, psychological, and social factors that affect prognosis. However, it is unclear how personality may influence self-reported outcome measures and therapeutic alliance (TA). Methods: Eysenck’s personality inventory was used to assess personality, while the numeric pain rating scale (NPRS), Oswestry Disability Index (ODI), Tampa Scale of Kinesiophobia (TSK), Global Rating of Change (GROC), and the Working Alliance Inventory (WAI) measured patient progress and relationship strength. All outcome measures were formulated in a

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Miki, Takahiro, Yu Kondo, Tsuneo Takebayashi, and Hiroshi Takasaki. "Difference between physical therapist estimation and psychological patient-reported outcome measures in patients with low back pain." PLOS ONE 15, no. 1 (2020): e0227999. http://dx.doi.org/10.1371/journal.pone.0227999.

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Alghamdi, Mohammed Nasser, V. Sparkes, S. Khot, and J. L. Davies. "THE IMPACT OF IMMERSIVE VIRTUAL REALITY ON PAIN PROCESSING AND PATIENT-REPORTED OUTCOME MEASURES IN PEOPLE WITH PERSISTENT LOW BACK PAIN: PRELIMINARY RESULTS." Orthopaedic Proceedings 106-B, SUPP_15 (2024): 34. http://dx.doi.org/10.1302/1358-992x.2024.15.034.

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BackgroundEmbodiment- and distraction-based approaches to immersive virtual reality (IVR) show promise in treating persistent low back pain (PLBP). However, which approach is more effective is unclear. This study aims to evaluate the impact of distraction- and embodiment-based IVR on pain processing and patient-reported outcome measures in PLBP.MethodIndividuals with PLBP were randomised to receive eight sessions of either distraction- or embodiment-based IVR over two weeks. Outcome measures were evaluated at baseline and after the eighth session. Pain processing was evaluated using conditione

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Vatandoost, Sima, Katie Kowalski, Brent Lanting, K. C. Geoffrey Ng, Saghar Soltanabadi, and Alison Rushton. "Association between physical measures of spinopelvic alignment and physical functioning with patient reported outcome measures (PROMs) after total hip arthroplasty: Protocol for systematic review and meta-analysis." PLOS ONE 19, no. 5 (2024): e0304382. http://dx.doi.org/10.1371/journal.pone.0304382.

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Introduction Prevalence of total hip arthroplasty (THA) has trended upwards over past decades and is projected to increase further. Optimizing outcomes after surgery is essential to avoid surgical revision and maximize outcomes. Low back pain is reported as a problem post THA. Patient-reported outcome measures (PROMs) are commonly used to evaluate THA outcomes but have limitations (e.g., ceiling effects). It is therefore important to assess a comprehensive range of outcomes. Physical outcome measures of spinopelvic alignment and physical functioning demonstrate potential value, but no evidence

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Mihalicza, Péter, Viktor Dombrádi, Éva Belicza, Lajos Kullmann, and Judit Lám. "Can a generic patient reported outcome measure substitute a condition specific measure at assessing care effectiveness in low back pain?" IME - Az egészségügyi vezetők szaklapja 22, no. 4 (2023): 16–23. http://dx.doi.org/10.53020/ime-2023-402.

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Quality of care assessments beside the provider level should also include the patient perspective, however, there aren't widespread solutions for this approach. One possibility is to apply a generic, thus, widely applicable Patient Reported Outcomes Measure (PROM) to assess care outcomes. Taking this notion into consideration, this study aimed to investigate if a generic questionnaire can reliably substitute a disease-specific questionnaire when measuring care effectiveness with patient-reported outcome measures among patients with low back pain. Between January and December 2019, we conducted

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Pires, Diogo, Eduardo Brazete Cruz, Luís A. Gomes, and Carla Nunes. "How Do Physical Therapists Measure Treatment Outcomes in Adults With Chronic Low Back Pain? A Systematic Review." Physical Therapy 100, no. 6 (2020): 1020–34. http://dx.doi.org/10.1093/ptj/pzaa030.

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Abstract Background There is an increasing recognition of the importance of using a conceptual framework covering the full range of relevant health domains and outcome measures addressed by physical therapy modalities in patients with chronic low back pain (CLBP). However, little is known about what outcome domains have been measured and through what measures in physical therapy research. Objective The purpose of this review was to synthesize outcome domains, instruments, and cutoff values reported in published randomized controlled trials and their compliance with the original Patient-Reporte

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Dubuc, Élisa, Simon Décary, Julie-Marthe Grenier, Kloé Gervais-Pépin, and Marc-André Blanchette. "Conservative Management of Cauda Equina Syndrome: A Case Report." JOSPT Cases 2, no. 4 (2022): 189–95. http://dx.doi.org/10.2519/josptcases.2022.10946.

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BACKGROUND: Cauda equina syndrome (CES) treatment usually involves immediate consultation for surgical management. CASE PRESENTATION: We report the case of a 64-year-old woman exhibiting a 6-monthold progressive low back pain associated with motor weakness (right psoas and quadriceps), hyporeflexia (right patellar, left hamstring, and bilateral Achilles tendons) hypoesthesia on the L2-3 dermatome, and sexual and bowel dysfunction. The patient was referred for a neurosurgical consultation. Surgery was not considered at this time, and the patient was referred to the universitybased chiropractic

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Kersten, R. F. M. R., J. Fikkers, N. Wolterbeek, F. C. Öner, and S. M. van Gaalen. "Are the Roland Morris Disability Questionnaire and Oswestry Disability Index interchangeable in patients after lumbar spinal fusion?" Journal of Back and Musculoskeletal Rehabilitation 34, no. 4 (2021): 605–11. http://dx.doi.org/10.3233/bmr-200206.

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BACKGROUND: Low back pain is a common health problem for which there are several treatment options. For optimizing clinical decision making, evaluation of treatments and research purposes it is important that health care professionals are able to evaluate the functional status of patients. Patient reported outcome measures (PROMs) are widely accepted and recommended. The Roland Morris Disability Questionnaire (RMDQ) and the Oswestry Disability Index (ODI) are the two mainly used condition-specific patient reported outcomes. Concerns regarding the content and structural validity and also the di

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Dorfman, David, Mary Catherine George, Jessica Robinson-Papp, Tanni Rahman, Ronald Tamler, and David M. Simpson. "Patient reported outcome measures of pain intensity: Do they tell us what we need to know?" Scandinavian Journal of Pain 11, no. 1 (2016): 73–76. http://dx.doi.org/10.1016/j.sjpain.2015.12.004.

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AbstractObjectiveTo determine the relationship between chronic pain patients’ responses to self-report measures of pain intensity, and self-reported strategies when completing such measures.ParticipantsAmbulatory outpatients suffering from one of the following chronic pain conditions: painful HIV neuropathy, painful diabetic neuropathy, chronic Low-Back Pain.MethodAs part of a previously reported study using qualitative methods, participants completed standard pain intensity questionnaires as well as a measure of pain related disturbances in activities of daily living. In the previous study, p

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Östhols, Sara, Carina Boström, and Eva Rasmussen-Barr. "Clinical assessment and patient-reported outcome measures in low-back pain – a survey among primary health care physiotherapists." Disability and Rehabilitation 41, no. 20 (2018): 2459–67. http://dx.doi.org/10.1080/09638288.2018.1467503.

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Fedorchuk, Curtis A., Cole G. Fedorchuk, and Douglas F. Lightstone. "Improvement in Pain, Quality of Life, and Urinary Dysfunction following Correction of Lumbar Lordosis and Reduction in Lumbar Spondylolistheses Using Chiropractic BioPhysics® Structural Spinal Rehabilitation: A Case Series with >1-Year Long-Term Follow-Up Exams." Journal of Clinical Medicine 13, no. 7 (2024): 2024. http://dx.doi.org/10.3390/jcm13072024.

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(1) Background: Lumbar spondylolisthesis affects ~20% of the US population and causes spine-related pain and disability. (2) Methods: This series reports on three patients (two females and one male) aged 68–71 years showing improvements in back pain, quality of life (QOL), and urinary dysfunction following correction of lumbar spondylolistheses using CBP® spinal rehabilitation. Pre-treatment radiographs showed lumbar hyperlordosis (−49.6°, ideal is −40°) and anterolisthesis (14.5 mm, ideal is 0 mm). Pre-treatment patient-reported outcome measures (PROMs) included a numeric rating scale (NRS) f

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Feldman, Ron, Yaniv Nudelman, Sharon Haleva-Amir, Tamar Pincus, and Noa Ben Ami. "Patients’ Perceptions and Outcome Measures after Undergoing the Enhanced Transtheoretical Model Intervention (ETMI) for Chronic Low Back Pain: A Mixed-Method Study." International Journal of Environmental Research and Public Health 19, no. 10 (2022): 6106. http://dx.doi.org/10.3390/ijerph19106106.

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This study aimed to evaluate the outcome measures and perceptions of patients with chronic low back pain (CLBP) after being treated with the Enhanced Transtheoretical Model Intervention (ETMI). In this process evaluation mixed-methods study, 30 patients with CLBP electronically completed self-reported measures (function, pain, and fear-avoidance beliefs) before and after ETMI treatment. Subsequently, each patient participated in one-on-one, semi-structured interviews, which were audio-recorded, transcribed, coded, and analyzed thematically. Quantitative analysis showed significant improvements

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Nijs, Jo. "Auto-Targeted Neurostimulation Is Not Superior to Placebo in Chronic Low Back Pain: A Fourfold Blind Randomized Clinical Trial." July 2016 5;19, no. 5;19 (2016): E707—E719. http://dx.doi.org/10.36076/ppj/2019.19.e707.

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Background: Myofascial trigger points (MTrPs) are common in people with musculoskeletal pain and may play a role in chronic nonspecific low back pain (CLBP). One of the potential treatments of MTrPs is the Nervomatrix Soleve® auto-targeted neurostimulation device, providing targeted transcutaneous electrical nerve stimulation (TENS) to MTrPs in the lower back muscles. To date, no controlled studies have evaluated the effectiveness of this device for the pain management of this population. Objective: To examine whether the Nervomatrix Soleve® auto-targeted neurostimulation device is superior ov

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Altinger, Gemma, Sweekriti Sharma, Chris G. Maher, et al. "Behavioural ‘nudging’ interventions to reduce low-value care for low back pain in the emergency department (NUDG-ED): protocol for a 2×2 factorial, before-after, cluster randomised trial." BMJ Open 14, no. 3 (2024): e079870. http://dx.doi.org/10.1136/bmjopen-2023-079870.

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IntroductionOpioids and imaging are considered low-value care for most people with low back pain. Yet around one in three people presenting to the emergency department (ED) will receive imaging, and two in three will receive an opioid. NUDG-ED aims to determine the effectiveness of two different behavioural ‘nudge’ interventions on low-value care for ED patients with low back pain.Methods and analysisNUDG-ED is a 2×2 factorial, open-label, before-after, cluster randomised controlled trial. The trial includes 8 ED sites in Sydney, Australia. Participants will be ED clinicians who manage back pa

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Tosic, Lazar, Elior Goldberger, Nicolai Maldaner, et al. "Normative data of a smartphone app–based 6-minute walking test, test-retest reliability, and content validity with patient-reported outcome measures." Journal of Neurosurgery: Spine 33, no. 4 (2020): 480–89. http://dx.doi.org/10.3171/2020.3.spine2084.

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OBJECTIVEThe 6-minute walking test (6WT) is used to determine restrictions in a subject’s 6-minute walking distance (6WD) due to lumbar degenerative disc disease. To facilitate simple and convenient patient self-measurement, a free and reliable smartphone app using Global Positioning System coordinates was previously designed. The authors aimed to determine normative values for app-based 6WD measurements.METHODSThe maximum 6WD was determined three times using app-based measurement in a sample of 330 volunteers without previous spine surgery or current spine-related disability, recruited at 8 c

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McKeag, Philip, Niall Eames, Lynn Murphy, Raymond McKenna, Eilish Simpson, and Gillian Graham. "Assessment of the utility of the National Health Service England Low Back and Radicular Pain Pathway: analysis of patient reported outcomes." British Journal of Pain 14, no. 1 (2019): 42–46. http://dx.doi.org/10.1177/2049463719846913.

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Introduction: Lumbar disc herniation causing radiculopathy is a common reason for referral to spinal out-patient clinics. At our centre following routine referral, patients wait a mean of 109 weeks for a consultation with a spinal surgeon. A pathway in keeping with the National Health Service England Low Back and Radicular Pain Pathway was introduced with two objectives. Patients would be seen sooner by suitably trained health care professionals to avoid long waiting times for assessment with a spinal surgeon, and if a set of criteria were met, they would receive a selective nerve root injecti

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Rasmussen-Barr, Eva, Cecilia Lindqvist, Sara Östhols, and Carina Boström. "Are patient reported outcome measures (PROMs) useful in low back pain? Experiences of physiotherapists in primary health care in Sweden." Musculoskeletal Science and Practice 55 (October 2021): 102414. http://dx.doi.org/10.1016/j.msksp.2021.102414.

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Wellburn, Shaun, Cormac G. Ryan, Andrew Coxon, et al. "Long-term improvements following a residential combined physical and psychological programme for chronic low back pain." BMJ Open Quality 10, no. 2 (2021): e001068. http://dx.doi.org/10.1136/bmjoq-2020-001068.

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ObjectivesEvaluate the outcomes and explore experiences of patients undergoing a residential combined physical and psychological programme (CPPP) for chronic low back pain.DesignA longitudinal observational cohort design, with a parallel qualitative design using semistructured interviews.SettingResidential, multimodal rehabilitation.Participants136 adults (62 male/74 female) referred to the CPPP, 100 (44 male/56 female) of whom completed the programme, during the term of the study. Ten (2 male/8 female) participated in the qualitative evaluation.InterventionA 3-week residential CPPP.Outcome me

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Beneciuk, Jason M., Mark D. Bishop, Julie M. Fritz, et al. "The STarT Back Screening Tool and Individual Psychological Measures: Evaluation of Prognostic Capabilities for Low Back Pain Clinical Outcomes in Outpatient Physical Therapy Settings." Physical Therapy 93, no. 3 (2013): 321–33. http://dx.doi.org/10.2522/ptj.20120207.

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BackgroundPsychologically informed practice emphasizes routine identification of modifiable psychological risk factors being highlighted.ObjectiveThe purpose of this study was to test the predictive validity of the STarT Back Screening Tool (SBT) in comparison with single-construct psychological measures for 6-month clinical outcomes.DesignThis was an observational, prospective cohort study.MethodsPatients (n=146) receiving physical therapy for low back pain were administered the SBT and a battery of psychological measures (Fear-Avoidance Beliefs Questionnaire physical activity scale and work

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Haladay, Douglas, Rebecca Edgeworth Ditwiler, Aimee B. Klein, et al. "Goal Attainment Scaling in Outpatient Physical Therapy for Chronic Low Back Pain: Protocol for a Mixed Methods Study." JMIR Research Protocols 11, no. 3 (2022): e32457. http://dx.doi.org/10.2196/32457.

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Background Patient engagement in decisions regarding their health care may lead to improved outcomes and improved adherence to treatment plans. While there are several options for involving patients in their health care, goal setting is a readily accessible method for physical therapists to increase the involvement of patients in health care decisions. Physical therapy goals are often generated by health care providers based on subjective information or standardized, fixed-item, patient-reported outcome measures. However, these outcome measures may not fully reveal the activity and participati

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Andersen, Mikkel Østerheden, Peter Fritzell, Søren Peter Eiskjaer, et al. "Surgical Treatment of Degenerative Disk Disease in Three Scandinavian Countries: An International Register Study Based on Three Merged National Spine Registers." Global Spine Journal 9, no. 8 (2019): 850–58. http://dx.doi.org/10.1177/2192568219838535.

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Study Design: Observational study of prospectively collected data. Objectives: Patients with chronic low back pain resistant to nonoperative treatment often face a poor prognosis for recovery. The aim of the current study was to compare the variation and outcome of surgical treatment of degenerative disc disease in the Scandinavian countries based on The International Consortium for Health Outcomes Measurement core spine data sets. Methods: Anonymized individual level data from 3 national registers were pooled into 1 database. At the time of surgery, the patient reports data on demographics, l

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van der Wees, Philip J., Emily J. Balog, James J. Irrgang, Hallie Zeleznik, Paige L. McDonald, and Kenneth J. Harwood. "Using feedback on patient health outcomes to improve orthopaedic physical therapist practice: a quality improvement study." BMJ Open Quality 13, no. 1 (2024): e002338. http://dx.doi.org/10.1136/bmjoq-2023-002338.

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ObjectiveMeasuring health outcomes plays an important role in patient-centred healthcare. When aggregated across patients, outcomes can provide data for quality improvement (QI). However, most physical therapists are not familiar with QI methods based on patient outcomes. This mixed-methods study aimed to develop and evaluate a QI programme in outpatient physical therapy care based on routinely collected health outcomes of patients with low-back pain and neck pain.MethodsThe QI programme was conducted by three teams of 5–6 physical therapists from outpatient settings. Plan-do-study-act cycles

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Falowski, Steven M., Robert Heros, J. Rafe Sales, et al. "350 Surgical Treatment of Refractory Low Back Pain Using BurstDR Capable Spinal Cord Stimulation (SCS) in Patients Without Options for Corrective Surgery; 12-month Results From a Paddle Lead Cohort." Neurosurgery 70, Supplement_1 (2024): 104. http://dx.doi.org/10.1227/neu.0000000000002809_350.

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INTRODUCTION: DISTINCT is a randomized controlled trial evaluating passive recharge burst SCS compared to CMM in improving pain and pain-related physical function in patients suffering from chronic back pain without prior lumbar surgery, and for whom corrective surgery is not an option. Sub analysis of outcome measures are presented for subjects implanted with paddle leads at both 6 and 12 months. METHODS: An independent board-certified spine surgeon reviewed each case confirming a lack of corrective surgical options. Out of 29 sites and 115 implants, 10 sites implanted 50 subjects with paddle

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Austin, Publishing Group. "Management of Chronic Pain Using Acupuncture as a Standalone Treatment – A Case Study." Austin Journal of Clinical Case Reports 8, no. 1 (2021): 1190. https://doi.org/10.26420/austinjclincaserep.2021.1190.

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Abstract <strong>Background:</strong> Chronic pain is a suffering which patients endure due to various injuries or condition and has a significant impact on the overall quality of life. Where traditional medicine fails to bring the desired results for the patient, use of acupuncture to manage chronic pain has been reported to have beneficial results. The current case report aims to report the positive effects of acupuncture in managing chronic pain through presentation of a single case. The patient had a four-week PT Program, seen twice a week for acupuncture (Bilateral BL 23BL25, GV4, GV

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Dutmer, Alisa L., Remko Soer, André P. Wolff, Michiel F. Reneman, Maarten H. Coppes, and Henrica R. Schiphorst Preuper. "What can we learn from long-term studies on chronic low back pain? A scoping review." European Spine Journal 31, no. 4 (2022): 901–16. http://dx.doi.org/10.1007/s00586-022-07111-3.

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Abstract Purpose A scoping review was conducted with the objective to identify and map the available evidence from long-term studies on chronic non-specific low back pain (LBP), to examine how these studies are conducted, and to address potential knowledge gaps. Method We searched MEDLINE and EMBASE up to march 2021, not restricted by date or language. Experimental and observational study types were included. Inclusion criteria were: participants between 18 and 65 years old with non-specific sub-acute or chronic LBP, minimum average follow-up of > 2 years, and studies had to report at least

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Froud, Robert, Carol Fawkes, Jonathan Foss, Martin Underwood, and Dawn Carnes. "Responsiveness, Reliability, and Minimally Important and Minimal Detectable Changes of 3 Electronic Patient-Reported Outcome Measures for Low Back Pain: Validation Study." Journal of Medical Internet Research 20, no. 10 (2018): e272. http://dx.doi.org/10.2196/jmir.9828.

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Gardiner, Sara, Helena Daniell, Benjamin Smith, and Rachel Chester. "Are stabilisation exercises different to other treatments in improving physical activity or reducing disability for people with persistent low back pain? A systematic literature review." International Journal of Therapy and Rehabilitation 27, no. 11 (2020): 1–16. http://dx.doi.org/10.12968/ijtr.2019.0109.

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Background/Aims Stabilisation exercises are commonly prescribed for people with persistent low back pain. However, for some patients, it has been hypothesised that stabilisation exercises could draw attention to protecting the core, promote hypervigilance and inhibit volitional movement. The aim of this study was to compare the effectiveness and reported adverse events, in particular fear avoidance, of stabilisation exercises compared with placebo or other treatments offered by physiotherapists on the outcome of disability and activity at 12- and 24-months' follow-up. Methods The following ele

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Hale, MD, Martin E., Yuju Ma, MS, and Richard Malamut, MD. "Six-month, open-label study of hydrocodone extended release formulated with abuse-deterrence technology: Safety, maintenance of analgesia, and abuse potential." Journal of Opioid Management 12, no. 2 (2016): 139. http://dx.doi.org/10.5055/jom.2016.0326.

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Objective: To evaluate long-term safety, maintenance of analgesia, and aberrant drug-related behaviors of hydrocodone extended release (ER) formulated with CIMA® Abuse-Deterrence Technology.Design: Phase 3, multicenter, open-label extension.Setting: Fifty-six US centers.Patients: Adults with chronic low back pain completing a 12-week placebo-controlled study of abuse-deterrent hydrocodone ER were eligible. One hundred eighty-two patients enrolled and received ≥1 dose of study drug, 170 entered open-label treatment, and 136 completed the study.Interventions: Patients receiving hydrocodone ER in

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Rashed, Rameeza, Katie Kowalski, David Walton, Afieh Niazigharemakhe, and Alison Rushton. "Physical measures of physical functioning as prognostic factors to predict outcomes in low back pain: Protocol for a systematic review." PLOS ONE 18, no. 12 (2023): e0295761. http://dx.doi.org/10.1371/journal.pone.0295761.

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Background Low back pain (LBP) is a highly prevalent condition that substantially impairs individuals’ physical functioning. This highlights the need for effective management strategies to improve patient outcomes. It is, therefore, crucial to have knowledge of physical functioning prognostic factors that can predict outcomes to facilitate the development of targeted treatment plans aiming to achieve better patient outcomes. There is no synthesis of evidence for physical functioning measures as prognostic factors in the LBP population. The objective of this systematic review is to synthesize e

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Hartmann, Claudia, Gregor Liegl, Matthias Rose, and Felix Fischer. "Towards Standardized Assessment of Outcomes in Back Pain—Validation of Linking Studies Between Disease-Specific and Generic Patient-Reported Outcome Measures." Journal of Clinical Medicine 13, no. 21 (2024): 6524. http://dx.doi.org/10.3390/jcm13216524.

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Background: Comparing outcomes across different health measurement tools is essential where various patient-reported outcome measures (PROMs) are used. In spinal surgery, where recent studies show that over 30 different PROMs are applied, this need becomes even more pressing. Although several statistical transformations between the Oswestry Disability Index (ODI) and the PROMIS Profile 29 have been proposed, validation studies on conversion equations and cross-walk tables remain limited. In this study, we examined the agreement between observed ODI scores and those predicted from the PROMIS Pr

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Yakovlev, Alexander. "Outcomes of Percutaneous Disc Decompression Utilizing Nucleoplasty for the Treatment of Chronic Discogenic Pain." Pain Physician 2;10, no. 3;2 (2007): 319–27. http://dx.doi.org/10.36076/ppj.2007/10/319.

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Background: Percutaneous disc decompression utilizing Nucleoplasty has emerged as one of the minimally invasive techniques for treatment of low back pain and lower extremity pain due to contained herniated discs. Only 1 study to date has examined its effect on functional activity and pain medication use; however, results were not analyzed over time, and recall bias was a limitation. Objective: Evaluation of the effect of Nucleoplasty on pain and opioid use in improving functional activity in patients with radicular or axial low back pain secondary to contained herniated discs. Design: Retrospe

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Habenicht, Richard, Elisabeth Fehrmann, Peter Blohm, et al. "Machine Learning Based Linking of Patient Reported Outcome Measures to WHO International Classification of Functioning, Disability, and Health Activity/Participation Categories." Journal of Clinical Medicine 12, no. 17 (2023): 5609. http://dx.doi.org/10.3390/jcm12175609.

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Background: In the primary and secondary medical health sector, patient reported outcome measures (PROMs) are widely used to assess a patient’s disease-related functional health state. However, the World Health Organization (WHO), in its recently adopted resolution on “strengthening rehabilitation in all health systems”, encourages that all health sectors, not only the rehabilitation sector, classify a patient’s functioning and health state according to the International Classification of Functioning, Disability and Health (ICF). Aim: This research sought to optimize machine learning (ML) meth

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Hiyama, Akihiko, Daisuke Sakai, Hiroyuki Katoh, Masato Sato, and Masahiko Watanabe. "Does Bone Density Affect Outcomes in Lateral Lumbar Interbody Fusion? A Propensity Score-Matched Analysis of Preoperative Hounsfield Units." Journal of Clinical Medicine 13, no. 21 (2024): 6374. http://dx.doi.org/10.3390/jcm13216374.

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Background: This study aimed to assess whether preoperative Hounsfield unit (HU) values differ in short-term clinical outcomes after lateral lumbar interbody fusion (LLIF) surgery. Methods: In a retrospective analysis, 109 patients undergoing LLIF for lumbar degenerative diseases (LDD) were reviewed. Preoperative Computed Tomography (CT) scans measured HU values at the L1–L4 vertebrae, dividing patients into low and high HU groups. After conducting a cluster analysis of preoperative Hounsfield unit (HU) values, patients were categorized into low and high HU groups using propensity score matchi

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Schröder, Karin, Birgitta Öberg, Paul Enthoven, Henrik Hedevik, Maria Fors, and Allan Abbott. "Effectiveness and Quality of Implementing a Best Practice Model of Care for Low Back Pain (BetterBack) Compared with Routine Care in Physiotherapy: A Hybrid Type 2 Trial." Journal of Clinical Medicine 10, no. 6 (2021): 1230. http://dx.doi.org/10.3390/jcm10061230.

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Low back pain (LBP) occurs in all ages and first-line treatment by physiotherapists is common. The main aim of the current study was to evaluate the effectiveness of implementing a best practice model of care for LBP (intervention group—BetterBack☺ MoC) compared to routine physiotherapy care (control group) regarding longitudinal patient reported outcomes. The BetterBack☺ MoC contains clinical guideline recommendations and support tools to facilitate clinician adherence to guidelines. A secondary exploratory aim was to compare patient outcomes based on the fidelity of fulfilling a clinical pra

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Cooper, Jesse C., Jordan A. Gliedt, and Katherine A. Pohlman. "A descriptive analysis of clinical application of patient-reported outcome measures and screening tools for low back pain patients in US chiropractic teaching institutions." Journal of Chiropractic Education, July 28, 2020. http://dx.doi.org/10.7899/jce-19-12.

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Objective To describe the clinical use of patient-reported outcome measures (PROMs) and screening tools (STs) for low back pain (LBP) in clinics of chiropractic teaching institutions in the United States. Methods A descriptive analysis was completed with data collection achieved between June 2018 and March 2019. PROMs/STs were classified as disability/functional measures, pain measures, psychosocial measures, and other measures. Frequencies of use of PROM/ST instruments were calculated. Results Representatives from 18 of 19 chiropractic institutions (94.75%) provided a description of PROM/ST u

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Clohesy, Natalie, Anthony Schneiders, Gaery Barbery, and Steven Obst. "Clinicians’ perceived value and demographic factors that predict the utilisation of patient reported outcome measures for low back pain amongst chiropractors in Australia." Chiropractic & Manual Therapies 29, no. 1 (2021). http://dx.doi.org/10.1186/s12998-021-00399-w.

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Abstract Background Factors that influence utilisation rates of patient reported outcome measures (PROMs) for low back pain (LBP) within the chiropractic profession of Australia are currently unknown. This study aimed to examine whether factors, including age, sex, experience level, clinical title (principal vs associate), or a clinicians’ perceived value of PROMs, are predictive of the frequency and/or type of PROMs used by chiropractors in the management of LBP. Methods A cross sectional online survey was distributed to members of the Chiropractic Association of Australia (CAA now known as A

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Carmichael, Joel, Kent Stuber, Katherine A. Pohlman, Amy Ferguson, and Michele Maiers. "Where are the chiropractic clinical outcomes registries? A scoping review." Chiropractic & Manual Therapies 33, no. 1 (2025). https://doi.org/10.1186/s12998-025-00583-2.

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Abstract Objective This scoping review maps chiropractic-specific clinical outcomes registries. Introduction Clinical outcomes registries track patient outcomes to improve evidence-based practice and quality of care; however, their role in chiropractic remains unclear. Methods This research adhered to Joanna Briggs Institute’s scoping review outline and methodology, as well as the PRISMA-ScR guidelines. Five databases were searched on January 9, 2025, with subsequent search of grey literature and citation tracking. Sources were included if they described chiropractic-specific registries that r

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