Personalized Treatment Suggestions: The Validity and Applicability of the Risk-Prevention-Index Social in Low Back Pain Exercise Treatments.
作者： Pia-Maria Wippert , Anne-Katrin Puschmann , David Drießlein , Winfried Banzer , Heidrun Beck
DOI: 10.3390/JCM9041197
关键词: Back pain 、 Chronic pain 、 Psychosocial 、 Repeated measures design 、 Medicine 、 Psychological intervention 、 Randomized controlled trial 、 Physical therapy 、 Low back pain 、 Social environment
摘要: Background: The back pain screening tool Risk-Prevention-Index Social (RPI-S) identifies the individual psychosocial risk for low chronification and supports allocation of patients at in additional multidisciplinary treatments. study objectives were to evaluate (1) prognostic validity RPI-S a 6-month time frame (2) clinical benefit RPI-S. Methods: In multicenter single-blind 3-armed randomized controlled trial, n = 660 persons (age 18-65 years) randomly assigned twelve-week uni- or exercise intervention control group. Psychosocial was assessed by domain social environment (RPI-SSE) outcome Chronic Pain Grade Questionnaire (baseline M1, 12-weeks M4, 24-weeks M5). Prognostic quantified root mean squared error (RMSE) within RPI-SSE calculated repeated measures ANOVA groups. Results: A subsample 274 participants (mean 38.0 years, SD 13.1) analyzed, which 30% classified their profile. half-year good (RMSE disability 9.04 M4 9.73 M5; RMSE intensity 12.45 14.49 People showed significantly stronger reduction M4/M5, if participating treatment. Subjects no smaller both interventions group differences intensity. Regarding due pain, around 41% sample would gain an unfitted treatment without screening. Conclusion: demonstrated applicability confirmed clear advantage individualized possibility.
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