Predictors of Occurrence and Severity of First Time Low Back Pain Episodes: Findings from a Military Inception Cohort
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Mendeley | Further Information

{"title"=>"Predictors of occurrence and severity of first time low back pain episodes: Findings from a military inception cohort", "type"=>"journal", "authors"=>[{"first_name"=>"Steven Z.", "last_name"=>"George", "scopus_author_id"=>"55318883400"}, {"first_name"=>"John D.", "last_name"=>"Childs", "scopus_author_id"=>"26643302700"}, {"first_name"=>"Deydre S.", "last_name"=>"Teyhen", "scopus_author_id"=>"8232151700"}, {"first_name"=>"Samuel S.", "last_name"=>"Wu", "scopus_author_id"=>"7407178318"}, {"first_name"=>"Alison C.", "last_name"=>"Wright", "scopus_author_id"=>"35768651200"}, {"first_name"=>"Jessica L.", "last_name"=>"Dugan", "scopus_author_id"=>"23038759000"}, {"first_name"=>"Michael E.", "last_name"=>"Robinson", "scopus_author_id"=>"57118708900"}], "year"=>2012, "source"=>"PLoS ONE", "identifiers"=>{"pui"=>"364268082", "sgr"=>"84857076183", "issn"=>"19326203", "pmid"=>"22355317", "scopus"=>"2-s2.0-84857076183", "doi"=>"10.1371/journal.pone.0030597", "isbn"=>"1932-6203"}, "id"=>"905b9c15-bfae-301c-bdb4-ea41b30e7c2f", "abstract"=>"Primary prevention studies suggest that additional research on identifying risk factors predictive of low back pain (LBP) is necessary before additional interventions can be developed. In the current study we assembled a large military cohort that was initially free of LBP and followed over 2 years. The purposes of this study were to identify baseline variables from demographic, socioeconomic, general health, and psychological domains that were predictive of a) occurrence; b) time; and c) severity for first episode of self-reported LBP. Baseline and outcome measures were collected via web-based surveillance system or phone to capture monthly information over 2 years. The assembled cohort consisted of 1230 Soldiers who provided self-report data with 518 (42.1%) reporting at least one episode of LBP over 2 years. Multivariate logistic regression analysis indicated that gender, active duty status, mental and physical health scores were significant predictors of LBP. Cox regression revealed that the time to first episode of LBP was significantly shorter for Soldiers that were female, active duty, reported previous injury, and had increased BMI. Multivariate linear regression analysis investigated severity of the first episode by identifying baseline predictors of pain intensity, disability, and psychological distress. Education level and physical fitness were consistent predictors of pain intensity, while gender, smoking status, and previous injury status were predictors of disability. Gender, smoking status, physical health scores, and beliefs of back pain were consistent predictors of psychological distress. These results provide additional data to confirm the multi-factorial nature of LBP and suggest future preventative interventions focus on multi-modal approaches that target modifiable risk factors specific to the population of interest.", "link"=>"http://www.mendeley.com/research/predictors-occurrence-severity-first-time-low-back-pain-episodes-findings-military-inception-cohort", "reader_count"=>93, "reader_count_by_academic_status"=>{"Unspecified"=>4, "Professor > Associate Professor"=>6, "Librarian"=>1, "Researcher"=>17, "Student > Doctoral Student"=>4, "Student > Ph. D. Student"=>17, "Student > Postgraduate"=>6, "Student > Master"=>15, "Other"=>7, "Student > Bachelor"=>6, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>2, "Professor"=>7}, "reader_count_by_user_role"=>{"Unspecified"=>4, "Professor > Associate Professor"=>6, "Librarian"=>1, "Researcher"=>17, "Student > Doctoral Student"=>4, "Student > Ph. D. Student"=>17, "Student > Postgraduate"=>6, "Student > Master"=>15, "Other"=>7, "Student > Bachelor"=>6, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>2, "Professor"=>7}, "reader_count_by_subject_area"=>{"Unspecified"=>6, "Agricultural and Biological Sciences"=>5, "Business, Management and Accounting"=>1, "Chemistry"=>1, "Engineering"=>3, "Nursing and Health Professions"=>14, "Biochemistry, Genetics and Molecular Biology"=>1, "Mathematics"=>1, "Medicine and Dentistry"=>39, "Design"=>1, "Neuroscience"=>1, "Sports and Recreations"=>7, "Psychology"=>9, "Social Sciences"=>4}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>39}, "Social Sciences"=>{"Social Sciences"=>4}, "Sports and Recreations"=>{"Sports and Recreations"=>7}, "Psychology"=>{"Psychology"=>9}, "Mathematics"=>{"Mathematics"=>1}, "Unspecified"=>{"Unspecified"=>6}, "Design"=>{"Design"=>1}, "Engineering"=>{"Engineering"=>3}, "Chemistry"=>{"Chemistry"=>1}, "Neuroscience"=>{"Neuroscience"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>5}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>14}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}}, "reader_count_by_country"=>{"Netherlands"=>1, "United States"=>1, "Norway"=>1, "Australia"=>2}, "group_count"=>9}

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/682136"], "description"=>"<p>Initial Entry Training (IET), Low Back Pain (LBP), Prevention of Low Back Pain in the Military (POLM), n = total number of soldiers.</p>", "links"=>[], "tags"=>["diagram", "inception", "cohort", "responders", "email"], "article_id"=>352608, "categories"=>["Physiology", "Neuroscience", "Biotechnology"], "users"=>["Steven Z. George", "John D. Childs", "Deydre S. Teyhen", "Samuel S. Wu", "Alison C. Wright", "Jessica L. Dugan", "Michael E. Robinson"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0030597.g001", "stats"=>{"downloads"=>1, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Flow_diagram_for_inception_cohort_and_responders_to_email_surveys_/352608", "title"=>"Flow diagram for inception cohort and responders to email surveys.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 08:59:53"}
  • {"files"=>["https://ndownloader.figshare.com/files/682462"], "description"=>"<p>Responders = those responding to online survey, Non-responders = those not responding to survey, LBP = low back pain,</p><p>* = p-values for comparison of those with LBP and those without LBP (responders only),</p>#<p> = p-values for comparison of those responding to survey and those not responding to survey,</p><p>BMI = Body Mass Index, BDI = Beck Depression Inventory, FPQ = Fear of Pain Questionnaire (9 items), BBQ = Back Beliefs Questionnaire, STAI = State Trait Anxiety Inventory (state portion only). Bold font indicates p-value less than 0.05.</p>", "links"=>[], "tags"=>["baseline", "innate", "characteristics", "had", "lbp"], "article_id"=>352940, "categories"=>["Physiology", "Neuroscience", "Biotechnology"], "users"=>["Steven Z. George", "John D. Childs", "Deydre S. Teyhen", "Samuel S. Wu", "Alison C. Wright", "Jessica L. Dugan", "Michael E. Robinson"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0030597.t001", "stats"=>{"downloads"=>0, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Comparison_of_baseline_innate_and_psychological_characteristics_between_those_who_had_LBP_and_those_who_had_no_LBP_/352940", "title"=>"Comparison of baseline innate and psychological characteristics between those who had LBP and those who had no LBP.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 09:01:38"}
  • {"files"=>["https://ndownloader.figshare.com/files/682415"], "description"=>"<p>LBP = low back pain, BMI = body mass index, BDI = Beck Depression Inventory, FPQ = Fear of Pain Questionnaire (9 items), BBQ = Back Beliefs Questionnaire, STAI = State Trait Anxiety Inventory (state portion only), PCS (SF-12) = Physical Component Summary Score from the Short Form Medical Survey (12 items), MCS (SF-12) = Mental Component Summary Score from the Short Form Medical Survey (12 items), TEP = traditional exercise program, PSEP = psychosocial education program, CSEP = core stabilization exercise program. Bold font indicates p-value less than 0.05.</p>", "links"=>[], "tags"=>["regression", "baseline"], "article_id"=>352902, "categories"=>["Physiology", "Neuroscience", "Biotechnology"], "users"=>["Steven Z. George", "John D. Childs", "Deydre S. Teyhen", "Samuel S. Wu", "Alison C. Wright", "Jessica L. Dugan", "Michael E. Robinson"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0030597.t003", "stats"=>{"downloads"=>1, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Logistic_regression_for_baseline_prediction_of_reporting_first_episode_of_low_back_pain_/352902", "title"=>"Logistic regression for baseline prediction of reporting first episode of low back pain.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 09:01:26"}
  • {"files"=>["https://ndownloader.figshare.com/files/682268"], "description"=>"<p>ROC curve for the multivariate logistic regression model predicting initial low back pain occurrence.</p>", "links"=>[], "tags"=>["multivariate", "logistic", "regression", "predicting"], "article_id"=>352756, "categories"=>["Physiology", "Neuroscience", "Biotechnology"], "users"=>["Steven Z. George", "John D. Childs", "Deydre S. Teyhen", "Samuel S. Wu", "Alison C. Wright", "Jessica L. Dugan", "Michael E. Robinson"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0030597.g002", "stats"=>{"downloads"=>1, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_ROC_curve_for_the_multivariate_logistic_regression_model_predicting_initial_low_back_pain_occurrence_/352756", "title"=>"ROC curve for the multivariate logistic regression model predicting initial low back pain occurrence.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 09:00:39"}
  • {"files"=>["https://ndownloader.figshare.com/files/682373"], "description"=>"<p>Responders = those responding to online survey, Non-responders = those not responding to survey, LBP = low back pain,</p><p>* = p-values for comparison of those with LBP and those without LBP (responders only),</p>#<p> = p-values for comparison of those responding to survey and those not responding to survey,</p><p>PCS (SF-12) = Physical Component Summary Score from the Short Form Medical Survey (12 items), MCS (SF-12) = Mental Component Summary Score from the Short Form Medical Survey (12 items), APFT = Army Physical Fitness Test, Profiled = injured during training, USI = ultrasound imaging, PSEP = psychosocial education program, TEP = traditional exercise program, CSEP = core stabilization exercise program. Bold font indicates p-value less than 0.05.</p>", "links"=>[], "tags"=>["baseline", "had", "lbp"], "article_id"=>352855, "categories"=>["Physiology", "Neuroscience", "Biotechnology"], "users"=>["Steven Z. George", "John D. Childs", "Deydre S. Teyhen", "Samuel S. Wu", "Alison C. Wright", "Jessica L. Dugan", "Michael E. Robinson"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0030597.t002", "stats"=>{"downloads"=>1, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Comparison_of_baseline_health_status_activity_and_attention_effects_between_those_who_had_LBP_and_those_who_had_no_LBP_/352855", "title"=>"Comparison of baseline health status, activity, and attention effects between those who had LBP and those who had no LBP.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 09:01:14"}

PMC Usage Stats | Further Information

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Relative Metric

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