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J Occup Rehabil. 2009 Mar;19(1):25-40. doi: 10.1007/s10926-008-9161-0. Epub 2009 Jan 6.

Systematic review of the ability of recovery expectations to predict outcomes in non-chronic non-specific low back pain.

Author information

1
School of Physiotherapy, La Trobe University, Melbourne, 3086, Australia. r.iles@latrobe.edu.au

Abstract

OBJECTIVE:

The aim of the current review was to determine the predictive strength of low recovery expectations for activity limitation outcomes in people with non-chronic NSLBP.

METHODS:

A systematic review of prognostic studies was performed. Included studies took baseline measures in the non-chronic phase of NSLBP, included at least one baseline measure of recovery expectation, defined as a prediction or judgement made by the person with NSLBP regarding any aspect of prognosis, and studied a sample with at least 75% of participants with NSLBP.

RESULTS:

Recovery expectations measured using a time-based, specific single-item tool produced a strong prediction of work outcome. Recovery expectations measured within 3 weeks of NSLBP onset provide a strong prediction of outcome. It is not clear whether predictive strength of recovery expectations is affected by the length of time between the expectation measure and outcome measure.

CONCLUSION:

Recovery expectations when measured using a specific, time-based measure within the first 3 weeks of NSLBP can identify people at risk of poor outcome.

PMID:
19127345
DOI:
10.1007/s10926-008-9161-0
[Indexed for MEDLINE]

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