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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 ofLumbar 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.show moreshow less

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Author details:Monika Ilona HasenbringORCiDGND, Claudia LevenigORCiDGND, D. Hallner, Anne-Katrin PuschmannORCiDGND, A. Weiffen, Jens KleinertORCiDGND, J. Belz, Marcus SchiltenwolfORCiDGND, A. -C. Pfeifer, Jahan HeidariORCiDGND, M. Kellmann, Pia-Maria WippertORCiDGND
DOI:https://doi.org/10.1007/s00482-018-0307-5
ISSN:0932-433X
ISSN:1432-2129
Pubmed ID:https://pubmed.ncbi.nlm.nih.gov/29946960
Title of parent work (German):Der Schmerz : Organ der Deutschen Gesellschaft zum Studium des Schmerzes, der Österreichischen Schmerzgesellschaft und der Deutschen Interdisziplinären Vereinigung für Schmerztherapie
Subtitle (English):from theory to clinical screening- a review fromthe MiSpEx network
Subtitle (German):Von der Modellbildung zum klinischen Screening – ein Review aus dem MiSpEx-Netzwerk
translated title (German):Psychosoziale Risikofaktoren für chronischen Rückenschmerz in der Allgemeingesellschaft und im Leistungssport
Publisher:Springer
Place of publishing:Heidelberg
Publication type:Review
Language:English
Date of first publication:2018/06/26
Publication year:2018
Release date:2021/10/20
Tag:Chronic back pain; Prognosis; Psychosocial risk factors; Screening
Volume:32
Issue:4
Number of pages:15
First page:259
Last Page:273
Organizational units:Humanwissenschaftliche Fakultät / Strukturbereich Kognitionswissenschaften / Department Sport- und Gesundheitswissenschaften
DDC classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
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