Relationship between perceived level of function and measured performance on a standardized lifting assessment in individuals with chronic low back pain receiving workers compensation
Notice bibliographique
Résumé
Low back pain is the most common musculoskeletal complaint in adults and one of the leading causes for being off work. The complex biopsychosocial nature of low back pain is recognized extensively in the low back pain literature. Studies have suggested that outcomes of low back pain are more likely related to psychosocial factors than any specific physical factor. More recently there has been a move towards a more client-centred approach to low back pain. Many studies have examined the treatment and assessment of low back pain, but none have included an individualized, client-centred approach. The purpose of this study was to investigate the relationship between the Canadian Occupational Performance Measure (COPM), a client-centred individualized assessment, the Progressive Isoinertial Lifting Evaluation (PILE) and the Oswestry Low Back Pain Disability Questionnaire (ODQ), two standard low back assessments. In addition, the ability of each assessment to differentiate between individuals who returned to work and those that did not at both discharge and at 3-month follow-up was examined. Subjects consisted of those individuals who had sustained a low back injury while at work and who were currently attending or about to attend a rehabilitation program. Forty six individuals (mean age 40.6 years, range 20 to 61) completed initial and discharge assessments and all were contacted 3 months following discharge to determine work status. A significant correlation was found between the COPM Performance and the ODQ (r=-.434, p<.001). No significant correlation was found between the COPM Satisfaction and the ODQ. A weak to moderate relationship was found between the COPM Performance, ODQ and the PILE (r values from -.250 to -.552). No relationship was found between the COPM Satisfaction and the PILE. Results indicate the COPM measures a different aspect of function than both the ODQ and the PILE. Both the COPM Performance and ODQ were able to differentiate between individuals who returned to work at discharge and those that did not (p<.05). This is a new finding and supports the use of an individualized, client-centred outcome measure in a chronic low back pain population. No other variable, including age and duration of injury were able to differentiate return to work status at either discharge or 3-months follow-up. This study confirms previous research which indicate return to work is a complex, multifaceted issue. This is the first study to examine the use of an individualized, clientcentred approach and provides initial support for the use of such measure in a chronic low back pain population.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,007 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».