The RCGP - Clinical and Special Projects, Clinical Guidelines, Acute Low Back Pain. Contents, Index page
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Chapter 2

Evidence Review

Diagnostic Triage

Initial Assessment Methods
(Adapted from AHCPR 1994)

X-Rays

Psychosocial Factors

Risk factors for chronicity

Management

Information to Patients

 

Psychosocial Factors

There is now a great deal of evidence on psychosocial factors in chronic low back pain. Several recent prospective cohort studies show that psychosocial factors are important at a much earlier stage than previously believed.

Psychological, social and economic factors play an important role in chronic low back pain and disability.

Waddell 1992, Waddell & Turk 1992



Psychosocial factors are important at a much earlier stage than previously believed .

Deyo & Diehl 1988, Burton et al 1995, Klenerman et al 1995, Gatchel et al 1995



Psychosocial factors influence a patientís response to treatment and rehabilitation.

Waddell 1992, Waddell & Turk 1992

 

Note: the work on psychosocial factors is on going. Materials about assessing psychosocial factors such as Kendall et al 1997: Guide to Assessing Psychosocial Yellow Flags (reproduced in Waddell 1998) are available.

 

 
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