Predictive factors for the outcome of multidisciplinary treatments in chronic low back pain at the first multidisciplinary pain center of Japan.
[Purpose] Multidisciplinary treatments are recommended for treatment of chronic low back pain. The aim of this study was to show the associations among multidisciplinary treatment outcomes, pretreatment psychological factors, self-reported pain levels, and history of pain in chronic low back pain patients. [Subjects and Methods] A total of 221 chronic low back pain patients were chosen for the study. The pretreatment scores for the 10-cm Visual Analogue Scale, Hospital Anxiety and Depression Scale, Pain Catastrophizing Scale, Short-Form McGill Pain Questionnaire, Pain Disability Assessment Scale, pain drawings, and history of pain were collected. The patients were divided into two treatment outcome groups a year later: a good outcome group and a poor outcome group. [Results] One-hundred eighteen patients were allocated to the good outcome group. The scores for the Visual Analogue Scale, Pain Disability Assessment Scale, and affective subscale of the Short-Form McGill Pain Questionnaire and number of nonorganic pain drawings in the good outcome group were significantly lower than those in the poor outcome group. Duration of pain in the good outcome group was significantly shorter than in the poor outcome group. [Conclusion] These findings help better predict the efficacy of multidisciplinary treatments in chronic low back pain patients.
Multidisciplinary Pain Center, Aichi Medical University, Japan ; Program in Physical and Occupational Therapy, Graduate School of Medicine, Nagoya University, Japan ; Department of Rehabilitation, Nagoya University Hospital, Japan.
Kazuhiro
K
Hayashi
Multidisciplinary Pain Center, Aichi Medical University, Japan.
Young-Chang P
YC
Arai
Multidisciplinary Pain Center, Aichi Medical University, Japan.
Tatsunori
T
Ikemoto
Multidisciplinary Pain Center, Aichi Medical University, Japan.
Makoto
M
Nishihara
Program in Physical and Occupational Therapy, Graduate School of Medicine, Nagoya University, Japan.
Shigeyuki
S
Suzuki
Program in Physical and Occupational Therapy, Graduate School of Medicine, Nagoya University, Japan.
Tomoe
T
Hirakawa
Program in Physical and Occupational Therapy, Graduate School of Medicine, Nagoya University, Japan.
Shingo
S
Matsuo
Program in Physical and Occupational Therapy, Graduate School of Medicine, Nagoya University, Japan.
Mami
M
Kobayashi
Program in Physical and Occupational Therapy, Graduate School of Medicine, Nagoya University, Japan.
Midori
M
Haruta
Program in Physical and Occupational Therapy, Graduate School of Medicine, Nagoya University, Japan.
Yuka
Y
Kawabata
Program in Physical and Occupational Therapy, Graduate School of Medicine, Nagoya University, Japan.
Hiroki
H
Togo
Program in Physical and Occupational Therapy, Graduate School of Medicine, Nagoya University, Japan.
Taiji
T
Noguchi
Program in Physical and Occupational Therapy, Graduate School of Medicine, Nagoya University, Japan.
Toshiyuki
T
Hase
Program in Physical and Occupational Therapy, Graduate School of Medicine, Nagoya University, Japan.
Genki
G
Hatano
Multidisciplinary Pain Center, Aichi Medical University, Japan.
Takahiro
T
Ushida
Chronic pain; Low back pain; Multidisciplinary treatments