Document Detail


Determinants of change in perceived disability of patients with non-specific chronic low back pain.
MedLine Citation:
PMID:  20603692     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Change in psychophysical capacity, calculated as the ratio between physical capacity and perceived effort, may be a determinant of change in perceived disability. The aim of this study was to identify determinants for change in perceived disability, as measured with the Roland Morris Disability Questionnaire (RMDQ), in patients with non-specific chronic low back pain after rehabilitation. METHODS: Data were gathered for 84 outpatients. Psychophysical capacity (psychophysical static leg lift, psychophysical static trunk lift, and psychophysical dynamic lifting capacity), physical lifting capacity, perceived lifting effort, aerobic capacity and RMDQ were assessed. Associations between change in RMDQ and potential determinants were calculated. Variables associated with change in RMDQ were entered in a multivariate linear regression analysis (backward). RESULTS: Change in psychophysical static trunk lift (r = -0.51), psychophysical dynamic lifting capacity (r = -0.53) and psycho-physical static leg lift capacity (r = -0.23) were significantly associated with change in RMDQ. The RMDQ score at baseline (beta = -0.438), change in psychophysical dynamic lifting capacity (beta = -0.109), psychophysical static trunk lift capacity (beta = -0.038), psychophysical static leg lift capacity (beta = -0.012) and static leg lift capacity (beta = 0.007) all contributed significantly to the regression model (r2 = 52%). CONCLUSION: Improvements in psychophysical lifting capacity are determinants for a reduction in perceived disability.
Authors:
Audy P Hodselmans; Pieter U Dijkstra; Jan H B Geertzen; Henrica R Schiphorst Preuper; Cees P van der Schans
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine     Volume:  42     ISSN:  1651-2081     ISO Abbreviation:  J Rehabil Med     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-06     Completed Date:  2010-07-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101088169     Medline TA:  J Rehabil Med     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  630-5     Citation Subset:  IM    
Affiliation:
Research and Innovation Group in Health Care and Nursing, Hanze University Groningen Applied Sciences, University of Groningen, Groningen, The Netherlands. A.P.Hodselmans@pl.hanze.nl
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MeSH Terms
Descriptor/Qualifier:
Adult
Biomechanics
Chronic Disease
Cohort Studies
Disabled Persons / psychology
Female
Humans
Leg / physiology
Lifting
Low Back Pain / physiopathology,  psychology*,  rehabilitation
Male
Oxygen Consumption
Psychomotor Performance / physiology
Questionnaires
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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