51758
2018
2018
deu
359
373
15
5
56
review
Springer
Heidelberg
1
2018-09-03
2018-09-03
--
Psychosoziale Risikofaktoren für chronischen Rückenschmerz in der Allgemeingesellschaft und im Leistungssport
Psychosocial Risk Factors for chronic Back Pain in the General Population and in Competitive Sports
Hintergrund
Lumbale Ruckenschmerzen und ihre Neigung zur Chronifizierung stellen nicht nur in der Allgemeinbevolkerung, sondern auch im Leistungssport ein bedeutendes Gesundheitsproblem dar. Im Gegensatz zu Nichtathleten ist die Erforschung psychosozialer Risikofaktoren sowie von Screeningfragebogen, die moglichst fruhzeitig die Entwicklung chronischer Schmerzen erkennen und vorhersagen konnen, im Leistungssport noch in den Anfangen. Das vorliegende systematische Review gibt einen uberblick uber den Stand der Risikofaktorenforschung in beiden Feldern und untersucht die pradiktive Qualitat verschiedener Screeningfragebogen bei Nichtathleten.
Methodik
Die Literatursuche erfolgte zwischen Marz und Juni 2016 in den Datenbanken MEDLINE, PubMed und PsycINFO mit den Suchbegriffen psychosocial screening, low back pain, sciatica und prognosis, athletes. Eingeschlossen wurden prospektive Studien an Patienten mit lumbalen Ruckenschmerzen mit und ohne Ausstrahlung in das Bein, 18Jahre und mit einem Follow-up von mindestens 3-monatiger Dauer.
Ergebnisse
In das Review zu Screeninginstrumenten wurden 16Studien einbezogen. Alle waren an klinischen Stichproben der Allgemeingesellschaft durchgefuhrt worden. Zu den am haufigsten publizierten Screeningfragebogen gehoren der orebro Musculoskeletal Pain Screening Questionnaire (oMPSQ) mit einer zufriedenstellenden Fruherkennung der Wiederherstellung der Arbeitsfahigkeit sowie das STarT Back Screening Tool (SBT) mit guter Vorhersage schmerzbedingter Beeintrachtigung. Fur die Vorhersage kunftiger Schmerzen eignen sich die Risikoanalyse der Schmerzchronifizierung (RISC-R) und der Heidelberger Kurzfragebogen (HKF).
Schlussfolgerungen
Psychosoziale Risikofaktoren fur chronische Ruckenschmerzen, wie z.B. chronischer Stress, ungunstige Schmerzverarbeitung und depressive Stimmungslagen, werden zunehmend auch im Leistungssport erkannt. Screeninginstrumente, die sich in der Allgemeingesellschaft als hinreichend vorhersagestark erwiesen haben, werden aktuell im MiSpEx-Forschungsverbund auf ihre Eignung uberpruft.
Background
Lumbar back pain and the high risk of chronic complaints is not only an important health concern in the general population but also in high performance athletes. In contrast to non-athletes, there is a lack of research into psychosocial risk factors in athletes. Moreover, the development of psychosocial screening questionnaires that would be qualified to detect athletes with a high risk of chronicity is in the early stages. The purpose of this review is to give an overview of research into psychosocial risk factors in both populations and to evaluate the performance of screening instruments in non-athletes.
Methods
The databases MEDLINE, PubMed, and PsycINFO were searched from March to June 2016 using the keywords “psychosocial screening”, “low back pain”, “sciatica” and “prognosis”, “athletes”. We included prospective studies conducted in patients with low back pain with and without radiation to the legs, aged ≥18 years and a follow-up of at least 3 months.
Results
We identified 16 eligible studies, all of them conducted in samples of non-athletes. Among the most frequently published screening questionnaires, the Örebro Musculoskeletal Pain Screening Questionnaire (ÖMPSQ) demonstrated a sufficient early prediction of return to work and the STarT Back Screening Tool (SBT) revealed acceptable performance predicting pain-related impairment. The prediction of future pain was sufficient with the Risk Analysis of Back Pain Chronification (RISC-BP) and the Heidelberg Short Questionnaire (HKF).
Conclusion
Psychosocial risk factors of chronic back pain, such as chronic stress, depressive mood, and maladaptive pain processing are becoming increasingly more recognized in competitive sports. Screening instruments that have been shown to be predictive in the general population are currently being tested for suitability in the German MiSpEx research consortium.
Manuelle Medizin
Von der Modellbildung zum klinischen Screening – ein Review aus dem MiSpEx-Netzwerk
From theory to clinical screening—a review from the MiSpEx network A Review from the MiSpEx Network
10.1007/s00337-018-0450-1
0025-2514
1433-0466
wos:2018
WOS:000447011000004
Hasenbring, MI (reprint author), Ruhr Univ Bochum, Fak Med, Abt Med Psychol & Soziol, Univ Str 150, Bochum, Germany., Monika.Hasenbring@rub.de
2021-09-14T12:20:55+00:00
sword
importub
filename=package.tar
f3d8fe40ff3e4f408cd7146c73e36153
Hasenbring, M. I.
Monika Ilona Hasenbring
Claudia Levenig
D. Hallner
Anne-Katrin Puschmann
A. Weiffen
Jens Kleinert
J. Belz
Marcus Schiltenwolf
A. -C. Pfeifer
Jahan . Heidari
M. Kellmann
Pia-Maria Wippert
deu
uncontrolled
Chronischer Rückenschmerz
deu
uncontrolled
Psychosoziale Risikofaktoren
deu
uncontrolled
Screening
deu
uncontrolled
Prognose
eng
uncontrolled
Chronic back pain
eng
uncontrolled
Psychosocial risk factors
eng
uncontrolled
Screening
eng
uncontrolled
Prognosis
Medizin und Gesundheit
Referiert
Department Sport- und Gesundheitswissenschaften
Import
52332
2018
2018
eng
259
273
15
4
32
review
Springer
Heidelberg
1
--
2018-06-26
--
Psychosocial risk factors for chronic back pain in the general population and in competitive sports
Lumbar back pain and the high risk of chronic complaints is not only an important health concern in the general population but also in high performance athletes. In contrast to non-athletes, there is a lack of research into psychosocial risk factors in athletes. Moreover, the development of psychosocial screening questionnaires that would be qualified to detect athletes with a high risk of chronicity is in the early stages. The purpose of this review is to give an overview of research into psychosocial risk factors in both populations and to evaluate the performance of screening instruments in non-athletes. The databases MEDLINE, PubMed, and PsycINFO were searched from March to June 2016 using the keywords "psychosocial screening", "low back pain", "sciatica" and "prognosis", "athletes". We included prospective studies conducted in patients with low back pain with and without radiation to the legs, aged ae<yen>18 years and a follow-up of at least 3 months. We identified 16 eligible studies, all of them conducted in samples of non-athletes. Among the most frequently published screening questionnaires, the A-rebro Musculoskeletal Pain Screening Questionnaire (A-MPSQ) demonstrated a sufficient early prediction of return to work and the STarT Back Screening Tool (SBT) revealed acceptable performance predicting pain-related impairment. The prediction of future pain was sufficient with the Risk Analysis of Back Pain Chronification (RISC-BP) and the Heidelberg Short Questionnaire (HKF). Psychosocial risk factors of chronic back pain, such as chronic stress, depressive mood, and maladaptive pain processing are becoming increasingly more recognized in competitive sports. Screening instruments that have been shown to be predictive in the general population are currently being tested for suitability in the German MiSpEx research consortium.
Der Schmerz : Organ der Deutschen Gesellschaft zum Studium des Schmerzes, der Österreichischen Schmerzgesellschaft und der Deutschen Interdisziplinären Vereinigung für Schmerztherapie
from theory to clinical screening- a review fromthe MiSpEx network
Von der Modellbildung zum klinischen Screening – ein Review aus dem MiSpEx-Netzwerk
Psychosoziale Risikofaktoren für chronischen Rückenschmerz in der Allgemeingesellschaft und im Leistungssport
10.1007/s00482-018-0307-5
29946960
0932-433X
1432-2129
wos:2018
WOS:000440408100006
Hasenbring, MI (reprint author), Ruhr Univ Bochum, Fak Med, Abt Med Psychol & Soziol, Univ Str 150, Bochum, Germany., Monika.Hasenbring@rub.de
2021-10-20T13:05:07+00:00
sword
importub
filename=package.tar
a73b93feeb059af615a50b13d44175c1
Hasenbring, Monika Ilona
false
true
Monika Ilona Hasenbring
Claudia Levenig
D. Hallner
Anne-Katrin Puschmann
A. Weiffen
Jens Kleinert
J. Belz
Marcus Schiltenwolf
A. -C. Pfeifer
Jahan Heidari
M. Kellmann
Pia-Maria Wippert
deu
uncontrolled
Chronic back pain
deu
uncontrolled
Psychosocial risk factors
deu
uncontrolled
Screening
deu
uncontrolled
Prognosis
Medizin und Gesundheit
Department Sport- und Gesundheitswissenschaften
Import
51112
2018
2018
deu
479
481
3
6
32
other
Springer Medizin Verlag GmbH
Heidelberg
1
2018-11-07
2018-11-07
--
Screeninginstrumente
Der Schmerz : Organ der Deutschen Gesellschaft zum Studium des Schmerzes, der Österreichischen Schmerzgesellschaft und der Deutschen Interdisziplinären Vereinigung für Schmerztherapie
mehr Licht als Schatten
10.1007/s00482-018-0340-4
30406294
0932-433X
1432-2129
wos:2018
WOS:000451030900013
Hasenbring, MI (reprint author), Ruhr Univ Bochum, Fak Med, Abt Med Psychol & Soziol, Univ Str 150, Bochum, Germany., Monika.Hasenbring@rub.de
2021-06-24T08:38:46+00:00
sword
importub
filename=package.tar
3c5e6195ef6315a396ef317eaf6d1d5d
Hasenbring, Monika
false
true
Monika Ilona Hasenbring
Claudia Levenig
D. Hallner
Anne-Katrin Puschmann
A. Weiffen
Jens Kleinert
Johanna Belz
Marcus Schiltenwolf
Ann-Christin Pfeifer
Jahan Heidari
Michael Kellmann
Pia-Maria Wippert
Psychologie
Medizin und Gesundheit
Referiert
Department Sport- und Gesundheitswissenschaften
Import
46012
2020
2019
eng
613
621
9
13
article
Dove Medical Press
Albany, Auckland
1
2020-03-24
2019-07-19
--
Stress and Self-Efficacy as Long-Term Predictors for Chronic Low Back Pain
Purpose: Psychosocial variables are known risk factors for the development and chronification of low back pain (LBP). Psychosocial stress is one of these risk factors. Therefore, this study aims to identify the most important types of stress predicting LBP. Self-efficacy was included as a potential protective factor related to both, stress and pain.
Participants and Methods: This prospective observational study assessed n = 1071 subjects with low back pain over 2 years. Psychosocial stress was evaluated in a broad manner using instruments assessing perceived stress, stress experiences in work and social contexts, vital exhaustion and life-event stress. Further, self-efficacy and pain (characteristic pain intensity and disability) were assessed. Using least absolute shrinkage selection operator regression, important predictors of characteristic pain intensity and pain-related disability at 1-year and 2-years follow-up were analyzed.
Results: The final sample for the statistic procedure consisted of 588 subjects (age: 39.2 (± 13.4) years; baseline pain intensity: 27.8 (± 18.4); disability: 14.3 (± 17.9)). In the 1-year follow-up, the stress types “tendency to worry”, “social isolation”, “work discontent” as well as vital exhaustion and negative life events were identified as risk factors for both pain intensity and pain-related disability. Within the 2-years follow-up, Lasso models identified the stress types “tendency to worry”, “social isolation”, “social conflicts”, and “perceived long-term stress” as potential risk factors for both pain intensity and disability. Furthermore, “self-efficacy” (“internality”, “self-concept”) and “social externality” play a role in reducing pain-related disability.
Conclusion: Stress experiences in social and work-related contexts were identified as important risk factors for LBP 1 or 2 years in the future, even in subjects with low initial pain levels. Self-efficacy turned out to be a protective factor for pain development, especially in the long-term follow-up. Results suggest a differentiation of stress types in addressing psychosocial factors in research, prevention and therapy approaches.
Journal of Pain Research
A Prospective Longitudinal Study
10.2147/JPR.S223893
1178-7090
Universität Potsdam
PA 2020_013
1999.20
<a href="https://doi.org/10.25932/publishup-46013">Zweitveröffentlichung in der Schriftenreihe Postprints der Universität Potsdam : Humanwissenschaftliche Reihe ; 617</a>
false
false
Anne-Katrin Puschmann
David Drießlein
Heidrun Beck
Adamantios Arampatzis
Maria Moreno Catalá
Marcus Schiltenwolf
Frank Mayer
Pia-Maria Wippert
eng
uncontrolled
low back pain
eng
uncontrolled
psychosocial risk factors
eng
uncontrolled
stress
eng
uncontrolled
self-efficacy
eng
uncontrolled
MiSpEx
Medizin und Gesundheit
Humanwissenschaftliche Fakultät
Referiert
Publikationsfonds der Universität Potsdam
Open Access
45453
2016
2016
eng
A91
A91
1
78
other
Elsevier
Philadelphia
1
--
--
--
BACK PAIN: THE STUDY OF MECHANISMS AND THE TRANSLATION IN INTERVENTIONS WITHIN THE MISPEX NETWORK
Psychosomatic medicine
0033-3174
1534-7796
wos2016:2019
74th Annual Meeting of the American-Psychosomatic-Society
MAR 09-12, 2015
WOS:000373949800288
Denver, CO
German Federal Institute of Sport Science
importub
2020-03-22T18:40:01+00:00
filename=package.tar
0f912bc986eda44006e910a96b059cd7
Pia-Maria Wippert
Anne-Katrin Puschmann
Marcus Schiltenwolf
Christine Wiebking
Frank Mayer
Referiert
Exzellenzbereich Kognitionswissenschaften
Import
46013
2020
2020
eng
613
621
11
postprint
1
2020-04-14
2020-04-14
--
Stress and Self-Efficacy as Long-Term Predictors for Chronic Low Back Pain
Purpose: Psychosocial variables are known risk factors for the development and chronification of low back pain (LBP). Psychosocial stress is one of these risk factors. Therefore, this study aims to identify the most important types of stress predicting LBP. Self-efficacy was included as a potential protective factor related to both, stress and pain.
Participants and Methods: This prospective observational study assessed n = 1071 subjects with low back pain over 2 years. Psychosocial stress was evaluated in a broad manner using instruments assessing perceived stress, stress experiences in work and social contexts, vital exhaustion and life-event stress. Further, self-efficacy and pain (characteristic pain intensity and disability) were assessed. Using least absolute shrinkage selection operator regression, important predictors of characteristic pain intensity and pain-related disability at 1-year and 2-years follow-up were analyzed.
Results: The final sample for the statistic procedure consisted of 588 subjects (age: 39.2 (± 13.4) years; baseline pain intensity: 27.8 (± 18.4); disability: 14.3 (± 17.9)). In the 1-year follow-up, the stress types “tendency to worry”, “social isolation”, “work discontent” as well as vital exhaustion and negative life events were identified as risk factors for both pain intensity and pain-related disability. Within the 2-years follow-up, Lasso models identified the stress types “tendency to worry”, “social isolation”, “social conflicts”, and “perceived long-term stress” as potential risk factors for both pain intensity and disability. Furthermore, “self-efficacy” (“internality”, “self-concept”) and “social externality” play a role in reducing pain-related disability.
Conclusion: Stress experiences in social and work-related contexts were identified as important risk factors for LBP 1 or 2 years in the future, even in subjects with low initial pain levels. Self-efficacy turned out to be a protective factor for pain development, especially in the long-term follow-up. Results suggest a differentiation of stress types in addressing psychosocial factors in research, prevention and therapy approaches.
Postprints der Universität Potsdam : Humanwissenschaftliche Reihe
A Prospective Longitudinal Study
10.25932/publishup-46013
urn:nbn:de:kobv:517-opus4-460134
1866-8364
Journal of Pain Research 13 (2020) 613–621 DOI:10.2147/JPR.S223893
<a href="http://publishup.uni-potsdam.de/46012">Bibliographieeintrag der Originalveröffentlichung/Quelle</a>
Anne-Katrin Puschmann
David Drießlein
Heidrun Beck
Adamantios Arampatzis
Maria Moreno Catalá
Marcus Schiltenwolf
Frank Mayer
Pia-Maria Wippert
Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe
617
eng
uncontrolled
low back pain
eng
uncontrolled
psychosocial risk factors
eng
uncontrolled
stress
eng
uncontrolled
self-efficacy
eng
uncontrolled
MiSpEx
Medizin und Gesundheit
open_access
Humanwissenschaftliche Fakultät
Referiert
Open Access
Universität Potsdam
https://publishup.uni-potsdam.de/files/46013/phr617.pdf
40730
2016
2018
eng
9
444
postprint
1
2018-06-19
2018-06-19
--
Medicine in spine exercise (MiSpEx) for nonspecific low back pain patients
Background:
Arising from the relevance of sensorimotor training in the therapy of nonspecific low back pain patients and from the value of individualized therapy, the present trial aims to test the feasibility and efficacy of individualized sensorimotor training interventions in patients suffering from nonspecific low back pain.
Methods and study design:
A multicentre, single-blind two-armed randomized controlled trial to evaluate the
effects of a 12-week (3 weeks supervised centre-based and 9 weeks home-based) individualized sensorimotor exercise program is performed. The control group stays inactive during this period. Outcomes are pain, and pain-associated function as well as motor function in adults with nonspecific low back pain. Each participant is scheduled to five measurement dates: baseline (M1), following centre-based training (M2), following home-based training (M3) and at two follow-up time points 6 months (M4) and 12 months (M5) after M1. All investigations and the assessment of the primary and secondary outcomes are performed in a standardized order: questionnaires – clinical examination – biomechanics (motor function). Subsequent statistical procedures are executed after the examination of underlying assumptions for parametric or rather non-parametric testing.
Discussion:
The results and practical relevance of the study will be of clinical and practical relevance not only for researchers and policy makers but also for the general population suffering from nonspecific low back pain.
Trial registration:
Identification number DRKS00010129. German Clinical Trial registered on 3 March 2016.
Postprints der Universität Potsdam : Humanwissenschaftliche Reihe
study protocol for a multicentre, single-blind randomized controlled trial
urn:nbn:de:kobv:517-opus4-407308
online registration
Trials 17 (2016), DOI: 10.1186/s13063-016-1645-1
CC-BY - Namensnennung 4.0 International
Daniel Niederer
Lutz Vogt
Pia-Maria Wippert
Anne-Katrin Puschmann
Ann-Christin Pfeifer
Marcus Schiltenwolf
Winfried Banzer
Frank Mayer
Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe
444
eng
uncontrolled
sensorimotor training
eng
uncontrolled
motor control
eng
uncontrolled
exercise
eng
uncontrolled
low back painExercise
eng
uncontrolled
functional capacity
eng
uncontrolled
individualized intervention
Medizin und Gesundheit
open_access
Referiert
Open Access
Department Sport- und Gesundheitswissenschaften
BioMed Central
Institut für Sportmedizin und Prävention
Universität Potsdam
https://publishup.uni-potsdam.de/files/40730/phr_444.online.pdf
40342
2017
2017
eng
11
postprint
1
--
2017-11-10
--
Development of a risk stratification and prevention index for stratified care in chronic low back pain. Focus: yellow flags (MiSpEx network)
Introduction: Chronic low back pain (LBP) is a major cause of disability; early diagnosis and stratification of care remain challenges.
Objectives: This article describes the development of a screening tool for the 1-year prognosis of patients with high chronic LBP risk (risk stratification index) and for treatment allocation according to treatment-modifiable yellow flag indicators (risk prevention indices, RPI-S).
Methods: Screening tools were derived from a multicentre longitudinal study (n = 1071, age >18, intermittent LBP). The greatest prognostic predictors of 4 flag domains ("pain," "distress," "social-environment," "medical care-environment") were determined using least absolute shrinkage and selection operator regression analysis. Internal validity and prognosis error were evaluated after 1-year follow-up. Receiver operating characteristic curves for discrimination (area under the curve) and cutoff values were determined.
Results: The risk stratification index identified persons with increased risk of chronic LBP and accurately estimated expected pain intensity and disability on the Pain Grade Questionnaire (0-100 points) up to 1 year later with an average prognosis error of 15 points. In addition, 3-risk classes were discerned with an accuracy of area under the curve = 0.74 (95% confidence interval 0.63-0.85). The RPI-S also distinguished persons with potentially modifiable prognostic indicators from 4 flag domains and stratified allocation to biopsychosocial treatments accordingly.
Conclusion: The screening tools, developed in compliance with the PROGRESS and TRIPOD statements, revealed good validation and prognostic strength. These tools improve on existing screening tools because of their utility for secondary preventions, incorporation of exercise effect modifiers, exact pain estimations, and personalized allocation to multimodal treatments.
urn:nbn:de:kobv:517-opus4-403424
online registration
Pain reports 9 (2017). - DOI: 10.1097/PR9.0000000000000623
<a href="http://publishup.uni-potsdam.de/opus4-ubp/frontdoor/index/index/docId/40341">Bibliographieeintrag der Originalveröffentlichung/Quelle</a>
CC-BY - Namensnennung 4.0 International
Pia-Maria Wippert
Anne-Katrin Puschmann
David Drießlein
Adamantios Arampatzis
Winfried Banzer
Heidrun Beck
Marcus Schiltenwolf
Hendrik Schmidt
Christian Schneider
Frank Mayer
Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe
351
eng
uncontrolled
Back pain prognosis
eng
uncontrolled
Back pain diagnosis
eng
uncontrolled
Pain screening
eng
uncontrolled
PROGRESS/TRIPOD
eng
uncontrolled
Prediction of disability/intensity
eng
uncontrolled
Yellow flags
eng
uncontrolled
Exercise
Medizin und Gesundheit
open_access
Strukturbereich Kognitionswissenschaften
Referiert
Open Access
Universität Potsdam
https://publishup.uni-potsdam.de/files/40342/phr351_online.pdf
40341
2017
2017
eng
1
11
9
article
Wolters Kluwer Health
Riverwoods, IL
1
--
2017-09-28
--
Development of a risk stratification and prevention index for stratified care in chronic low back pain. Focus: yellow flags (MiSpEx network)
Introduction: Chronic low back pain (LBP) is a major cause of disability; early diagnosis and stratification of care remain challenges.
Objectives: This article describes the development of a screening tool for the 1-year prognosis of patients with high chronic LBP risk (risk stratification index) and for treatment allocation according to treatment-modifiable yellow flag indicators (risk prevention indices, RPI-S).
Methods: Screening tools were derived from a multicentre longitudinal study (n = 1071, age >18, intermittent LBP). The greatest prognostic predictors of 4 flag domains ("pain," "distress," "social-environment," "medical care-environment") were determined using least absolute shrinkage and selection operator regression analysis. Internal validity and prognosis error were evaluated after 1-year follow-up. Receiver operating characteristic curves for discrimination (area under the curve) and cutoff values were determined.
Results: The risk stratification index identified persons with increased risk of chronic LBP and accurately estimated expected pain intensity and disability on the Pain Grade Questionnaire (0-100 points) up to 1 year later with an average prognosis error of 15 points. In addition, 3-risk classes were discerned with an accuracy of area under the curve = 0.74 (95% confidence interval 0.63-0.85). The RPI-S also distinguished persons with potentially modifiable prognostic indicators from 4 flag domains and stratified allocation to biopsychosocial treatments accordingly.
Conclusion: The screening tools, developed in compliance with the PROGRESS and TRIPOD statements, revealed good validation and prognostic strength. These tools improve on existing screening tools because of their utility for secondary preventions, incorporation of exercise effect modifiers, exact pain estimations, and personalized allocation to multimodal treatments.
Pain reports
10.1097/PR9.0000000000000623
Universität Potsdam, Publikationsfonds
PA 2017_48
1955.75
online registration
e623
<a href="http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-403424">Zweitveröffentlichung in der Schriftenreihe Postprints der Universität Potsdam : Humanwissenschaftliche Reihe ; 351</a>
CC-BY - Namensnennung 4.0 International
Pia-Maria Wippert
Anne-Katrin Puschmann
David Drießlein
Adamantios Arampatzis
Winfried Banzer
Heidrun Beck
Marcus Schiltenwolf
Hendrik Schmidt
Christian Schneider
Frank Mayer
eng
uncontrolled
Back pain prognosis
eng
uncontrolled
Back pain diagnosis
eng
uncontrolled
Pain screening
eng
uncontrolled
PROGRESS/TRIPOD
eng
uncontrolled
Prediction of disability/intensity
eng
uncontrolled
Yellow flags
eng
uncontrolled
Exercise
Medizin und Gesundheit
Strukturbereich Kognitionswissenschaften
Referiert
Publikationsfonds der Universität Potsdam
Open Access
Universität Potsdam
44581
2020
2020
eng
17
840
postprint
1
2020-03-10
2020-03-10
--
The Feasibility and Effectiveness of a New Practical Multidisciplinary Treatment for Low-Back Pain
Low-back pain is a major health problem exacerbated by the fact that most treatments are not suitable for self-management in everyday life. Particularly, interdisciplinary programs consist of intensive therapy lasting several weeks. Additionally, therapy components are rarely coordinated regarding reinforcing effects, which would improve complaints in persons with higher pain. This study assesses the effectiveness of a self-management program, firstly for persons suffering from higher pain and secondly compared to regular routines. Study objectives were treated in a single-blind multicenter controlled trial. A total of n = 439 volunteers (age 18–65 years) were randomly assigned to a twelve-week multidisciplinary sensorimotor training (3-weeks-center- and 9-weeks-homebased) or control group. The primary outcome pain (Chronic-Pain-Grade) as well as mental health were assessed by questionnaires at baseline and follow-up (3/6/12/24 weeks, M2-M5). For statistical analysis, multiple linear regression models were used. N = 291 (age 39.7 ± 12.7 years, female = 61.1%, 77% CPG = 1) completed training (M1/M4/M5), showing a significantly stronger reduction of mental health complaints (anxiety, vital exhaustion) in people with higher than those with lower pain in multidisciplinary treatment. Compared to regular routines, the self-management–multidisciplinary treatment led to a clinically relevant reduction of pain–disability and significant mental health improvements. Low-cost exercise programs may provide enormous relief for therapeutic processes, rehabilitation aftercare, and thus, cost savings for the health system
Postprints der Universität Potsdam : Mathematisch Naturwissenschaftliche Reihe
A Randomized Controlled Trial
10.25932/publishup-44581
urn:nbn:de:kobv:517-opus4-445814
1866-8372
Journal of Clinical Medicine 9 (2020) 115 DOI: 10.3390/jcm9010115
<a href="http://publishup.uni-potsdam.de/44582">Bibliographieeintrag der Originalveröffentlichung/Quelle</a>
CC-BY - Namensnennung 4.0 International
Pia-Maria Wippert
David Drießlein
Heidrun Beck
Christian Schneider
Anne-Katrin Puschmann
Winfried Banzer
Marcus Schiltenwolf
Zweitveröffentlichungen der Universität Potsdam : Mathematisch-Naturwissenschaftliche Reihe
840
eng
uncontrolled
low-back pain
eng
uncontrolled
multidisciplinary pain treatment
eng
uncontrolled
sensorimotor exercise training
eng
uncontrolled
classical conditioning
eng
uncontrolled
executive function
eng
uncontrolled
MiSpEx Network
Medizin und Gesundheit
open_access
Mathematisch-Naturwissenschaftliche Fakultät
Referiert
Open Access
Universität Potsdam
https://publishup.uni-potsdam.de/files/44581/pmnr840.pdf
47199
2020
2021
eng
13
690
postprint
1
2021-01-08
2021-01-08
--
Personalized treatment suggestions
Background: The back pain screening tool Risk-Prevention-Index Social (RPI-S) identifies the individual psychosocial risk for low back pain chronification and supports the allocation of patients at risk in additional multidisciplinary treatments. The study objectives were to evaluate (1) the prognostic validity of the RPI-S for a 6-month time frame and (2) the clinical benefit of the RPI-S.
Methods: In a multicenter single-blind 3-armed randomized controlled trial, n = 660 persons (age 18–65 years) were randomly assigned to a twelve-week uni- or multidisciplinary exercise intervention or control group. Psychosocial risk was assessed by the RPI-S domain social environment (RPI-SSE) and the outcome pain by the Chronic Pain Grade Questionnaire (baseline M1, 12-weeks M4, 24-weeks M5). Prognostic validity was quantified by the root mean squared error (RMSE) within the control group. The clinical benefit of RPI-SSE was calculated by repeated measures ANOVA in intervention groups.
Results: A subsample of n = 274 participants (mean = 38.0 years, SD 13.1) was analyzed, of which 30% were classified at risk in their psychosocial profile. The half-year prognostic validity was good (RMSE for disability of 9.04 at M4 and of 9.73 at M5; RMSE for pain intensity of 12.45 at M4 and of 14.49 at M5). People at risk showed significantly stronger reduction in pain disability and intensity at M4/M5, if participating in a multidisciplinary exercise treatment. Subjects at no risk showed a smaller reduction in pain disability in both interventions and no group differences for pain intensity. Regarding disability due to pain, around 41% of the sample would gain an unfitted treatment without the back pain screening.
Conclusion: The RPI-SSE prognostic validity demonstrated good applicability and a clinical benefit confirmed by a clear advantage of an individualized treatment possibility.
Postprints der Universität Potsdam : Humanwissenschaftliche Reihe
the validity and applicability of the risk-prevention-index social in low back pain exercise treatments
10.25932/publishup-47199
urn:nbn:de:kobv:517-opus4-471993
1866-8364
online registration
J. Clin. Med. 9(2020) 4, 1197; DOI: 10.3390/jcm9041197
1197
true
true
CC-BY - Namensnennung 4.0 International
Pia-Maria Wippert
Anne-Katrin Puschmann
David Drießlein
Winfried Banzer
Heidrun Beck
Marcus Schiltenwolf
Christian Schneider
Frank Mayer
Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe
690
eng
uncontrolled
back pain diagnosis
eng
uncontrolled
pain screening
eng
uncontrolled
exercise treatment
eng
uncontrolled
yellow flags
Medizin und Gesundheit
open_access
Referiert
Department Sport- und Gesundheitswissenschaften
Green Open-Access
Universität Potsdam
https://publishup.uni-potsdam.de/files/47199/phr690.pdf
44835
2016
2016
eng
9
17
article
BioMed Central
London
1
--
--
--
Medicine in spine exercise (MiSpEx) for nonspecific low back pain patients: study protocol for a multicentre, single-blind randomized controlled trial
Background: Arising from the relevance of sensorimotor training in the therapy of nonspecific low back pain patients and from the value of individualized therapy, the present trial aims to test the feasibility and efficacy of individualized sensorimotor training interventions in patients suffering from nonspecific low back pain. Methods and study design: A multicentre, single-blind two-armed randomized controlled trial to evaluate the effects of a 12-week (3 weeks supervised centre-based and 9 weeks home-based) individualized sensorimotor exercise program is performed. The control group stays inactive during this period. Outcomes are pain, and pain-associated function as well as motor function in adults with nonspecific low back pain. Each participant is scheduled to five measurement dates: baseline (M1), following centre-based training (M2), following home-based training (M3) and at two follow-up time points 6 months (M4) and 12 months (M5) after M1. All investigations and the assessment of the primary and secondary outcomes are performed in a standardized order: questionnaires - clinical examination biomechanics (motor function). Subsequent statistical procedures are executed after the examination of underlying assumptions for parametric or rather non-parametric testing. Discussion: The results and practical relevance of the study will be of clinical and practical relevance not only for researchers and policy makers but also for the general population suffering from nonspecific low back pain.
Trials
10.1186/s13063-016-1645-1
27765058
1745-6215
wos2016:2019
507
WOS:000385891600001
Niederer, D (reprint author), Goethe Univ Frankfurt, Dept Sports Med, Ginnheimer Landstr 39, D-40487 Frankfurt, Germany., niederer@sport.uni-frankfurt.de
German Federal Institute of Sport Science of the Federal Ministry of the Interior of Germany; MiSpEx - the National Research Network for Medicine in Spine Exercise [080102A/11-14]
importub
2020-03-22T13:30:01+00:00
filename=package.tar
815354dcacda9fd7242358e48c856520
Daniel Niederer
Lutz Vogt
Pia-Maria Wippert
Anne-Katrin Puschmann
Ann-Christin Pfeifer
Marcus Schiltenwolf
Winfried Banzer
Frank Mayer
eng
uncontrolled
Sensorimotor training
eng
uncontrolled
Motor control
eng
uncontrolled
Low back pain
eng
uncontrolled
Exercise
eng
uncontrolled
Functional capacity
eng
uncontrolled
Individualized intervention
Referiert
Exzellenzbereich Kognitionswissenschaften
Import
44582
2020
2020
eng
15
115
9
article
MDPI
Basel
1
2019-12-31
2019-12-31
--
The Feasibility and Effectiveness of a New Practical Multidisciplinary Treatment for Low-Back Pain
Low-back pain is a major health problem exacerbated by the fact that most treatments are not suitable for self-management in everyday life. Particularly, interdisciplinary programs consist of intensive therapy lasting several weeks. Additionally, therapy components are rarely coordinated regarding reinforcing effects, which would improve complaints in persons with higher pain. This study assesses the effectiveness of a self-management program, firstly for persons suffering from higher pain and secondly compared to regular routines. Study objectives were treated in a single-blind multicenter controlled trial. A total of n = 439 volunteers (age 18–65 years) were randomly assigned to a twelve-week multidisciplinary sensorimotor training (3-weeks-center- and 9-weeks-homebased) or control group. The primary outcome pain (Chronic-Pain-Grade) as well as mental health were assessed by questionnaires at baseline and follow-up (3/6/12/24 weeks, M2-M5). For statistical analysis, multiple linear regression models were used. N = 291 (age 39.7 ± 12.7 years, female = 61.1%, 77% CPG = 1) completed training (M1/M4/M5), showing a significantly stronger reduction of mental health complaints (anxiety, vital exhaustion) in people with higher than those with lower pain in multidisciplinary treatment. Compared to regular routines, the self-management–multidisciplinary treatment led to a clinically relevant reduction of pain–disability and significant mental health improvements. Low-cost exercise programs may provide enormous relief for therapeutic processes, rehabilitation aftercare, and thus, cost savings for the health system
Journal of Clinical Medicine
A Randomized Controlled Trial
10.3390/jcm9010115
2077-0383
Universität Potsdam
PA 2020_005
1474.77
<a href="https://doi.org/10.25932/publishup-44581">Zweitveröffentlichung in der Schriftenreihe Postprints der Universität Potsdam : Mathematisch-Naturwissenschaftliche Reihe ; 840</a>
CC-BY - Namensnennung 4.0 International
Pia-Maria Wippert
David Drießlein
Heidrun Beck
Christian Schneider
Anne-Katrin Puschmann
Winfried Banzer
Marcus Schiltenwolf
eng
uncontrolled
low-back pain
eng
uncontrolled
multidisciplinary pain treatment
eng
uncontrolled
sensorimotor exercise training
eng
uncontrolled
classical conditioning
eng
uncontrolled
executive function
eng
uncontrolled
MiSpEx Network
Medizin und Gesundheit
Mathematisch-Naturwissenschaftliche Fakultät
Referiert
Publikationsfonds der Universität Potsdam
Open Access
40739
2018
2018
eng
postprint
1
2018-02-19
2018-02-19
--
Diagnosis of psychosocial risk factors in prevention of low back pain in athletes (MiSpEx)
Background Low back pain (LBP) is a common pain syndrome in athletes, responsible for 28% of missed training days/year. Psychosocial factors contribute to chronic pain development. This study aims to investigate the transferability of psychosocial screening tools developed in the general population to athletes and to define athlete-specific thresholds.
Methods Data from a prospective multicentre study on LBP were collected at baseline and 1-year follow-up (n=52 athletes, n=289 recreational athletes and n=246 non-athletes). Pain was assessed using the Chronic Pain Grade questionnaire. The psychosocial Risk Stratification Index (RSI) was used to obtain prognostic information regarding the risk of chronic LBP (CLBP). Individual psychosocial risk profile was gained with the Risk Prevention Index – Social (RPI-S). Differences between groups were calculated using general linear models and planned contrasts. Discrimination thresholds for athletes were defined with receiver operating characteristics (ROC) curves.
Results Athletes and recreational athletes showed significantly lower psychosocial risk profiles and prognostic risk for CLBP than non-athletes. ROC curves suggested discrimination thresholds for athletes were different compared with non-athletes. Both screenings demonstrated very good sensitivity (RSI=100%; RPI-S: 75%–100%) and specificity (RSI: 76%–93%; RPI-S: 71%–93%). RSI revealed two risk classes for pain intensity (area under the curve (AUC) 0.92(95% CI 0.85 to 1.0)) and pain disability (AUC 0.88(95% CI 0.71 to 1.0)).
Conclusions Both screening tools can be used for athletes. Athlete-specific thresholds will improve physicians’ decision making and allow stratified treatment and prevention.
urn:nbn:de:kobv:517-opus4-407391
1866-8364
online registration
<a href="https://publishup.uni-potsdam.de/frontdoor/index/index/docId/40738">Bibliographieeintrag der Originalveröffentlichung/Quelle</a>
CC-BY-NC - Namensnennung, nicht kommerziell 4.0 International
Pia-Maria Wippert
Anne-Katrin Puschmann
Adamantios Arampatzis
Marcus Schiltenwolf
Frank Mayer
Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe
376
Medizin und Gesundheit
open_access
Referiert
Open Access
Department Sport- und Gesundheitswissenschaften
Universität Potsdam
https://publishup.uni-potsdam.de/files/40739/phr376.pdf
40738
2017
2017
eng
1
3
article
1
2017-11-25
2017-11-25
--
Diagnosis of psychosocial risk factors in prevention of low back pain in athletes (MiSpEx)
Background Low back pain (LBP) is a common pain syndrome in athletes, responsible for 28% of missed training days/year. Psychosocial factors contribute to chronic pain development. This study aims to investigate the transferability of psychosocial screening tools developed in the general population to athletes and to define athlete-specific thresholds.
Methods Data from a prospective multicentre study on LBP were collected at baseline and 1-year follow-up (n=52 athletes, n=289 recreational athletes and n=246 non-athletes). Pain was assessed using the Chronic Pain Grade questionnaire. The psychosocial Risk Stratification Index (RSI) was used to obtain prognostic information regarding the risk of chronic LBP (CLBP). Individual psychosocial risk profile was gained with the Risk Prevention Index – Social (RPI-S). Differences between groups were calculated using general linear models and planned contrasts. Discrimination thresholds for athletes were defined with receiver operating characteristics (ROC) curves.
Results Athletes and recreational athletes showed significantly lower psychosocial risk profiles and prognostic risk for CLBP than non-athletes. ROC curves suggested discrimination thresholds for athletes were different compared with non-athletes. Both screenings demonstrated very good sensitivity (RSI=100%; RPI-S: 75%–100%) and specificity (RSI: 76%–93%; RPI-S: 71%–93%). RSI revealed two risk classes for pain intensity (area under the curve (AUC) 0.92(95% CI 0.85 to 1.0)) and pain disability (AUC 0.88(95% CI 0.71 to 1.0)).
Conclusions Both screening tools can be used for athletes. Athlete-specific thresholds will improve physicians’ decision making and allow stratified treatment and prevention.
BMJ Open Sport & Exercise Medicine
10.1136/bmjsem-2017-000295
2055-7647
online registration
e000295
2028.41
<a href="http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-407391">Zweitveröffentlichung in der Schriftenreihe Postprints der Universität Potsdam : Humanwissenschaftliche Reihe ; 376</a>
PA 2017_59
CC-BY-NC - Namensnennung, nicht kommerziell 4.0 International
Pia-Maria Wippert
Anne-Katrin Puschmann
Adamantios Arampatzis
Marcus Schiltenwolf
Frank Mayer
Medizin und Gesundheit
Referiert
Publikationsfonds der Universität Potsdam
Open Access
Department Sport- und Gesundheitswissenschaften