Transition from acute to chronic low back pain: A biopsychosocial perspective

Donnoli, F and Azari, M 2013, 'Transition from acute to chronic low back pain: A biopsychosocial perspective', Chiropractic Journal of Australia, vol. 43, no. 3, pp. 93-98.


Document type: Journal Article
Collection: Journal Articles

Title Transition from acute to chronic low back pain: A biopsychosocial perspective
Author(s) Donnoli, F
Azari, M
Year 2013
Journal name Chiropractic Journal of Australia
Volume number 43
Issue number 3
Start page 93
End page 98
Total pages 6
Publisher The Chiropractors' Association of Australia
Abstract Low back pain (LBP) is the most costly and the most common musculoskeletal condition in industrialised countries, and is the most common cause of disability particularly for those under the age of 4 5 . Most of disability and the associated costs relate to the condition when it becomes chronic. It is therefore necessary to study the factors that lead to chronicity, and the clinical predictors that can be used to warn clinicians against such an outcome. This review explores these predictors, as well as the beliefs and perceptions of practitioners about these predictors that inform their clinical decision-making that could impact on the patients' transition to chronicity. A number of these predictors of chronicity in LBP are beginning to be established, they include: Pain predictors: earlier literature categorises these predictors into three levels, primary or preinjury, secondary or pre chronicity and tertiary or chronic outcome predictors. Literature in recent times has pointed to psychological factors as being clearly associated with the development of chronicity. Disease related f actors: Few associations have been identified between the disease related factors and chronicity. O ccupational f actors: have been found to contribute significantly to the risk of chronicity. Workers with subacute LBP receiving workers compensation reported that stress, fear and beliefs about work correlated strongly with progression to chronicity.
Subject Chiropractic
Keyword(s) Low back pain
Psychology
Case management
Copyright notice © Chiropractors Association of Australia
ISSN 2200-8012
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Created: Mon, 16 Dec 2013, 14:15:00 EST by Catalyst Administrator
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