PMID- 31845031
OWN - NLM
STAT- MEDLINE
DCOM- 20210528
LR  - 20210528
IS  - 1432-0932 (Electronic)
IS  - 0940-6719 (Linking)
VI  - 29
IP  - 3
DP  - 2020 Mar
TI  - Efficacy of an integrated, active rehabilitation protocol in patients >/= 65 years 
      of age with chronic mechanical low back pain.
PG  - 586-595
LID - 10.1007/s00586-019-06248-y [doi]
AB  - PURPOSE: This retrospective study aimed to determine the efficacy of an 
      integrated active, rehabilitation protocol in patients >/= 65 years of age with 
      chronic mechanical low back pain and compare the results in similar patients in 
      50-64 years age group. METHODS: Pre- and post-treatment mean numerical pain 
      rating scale (NPRS) score, mean Oswestry disability index (ODI) score, treatment 
      outcome category and minimal clinically important difference (MCID) thresholds 
      achieved for NPRS and ODI scores post-treatment were compared among 697 patients 
      in the 50-64 years and 495 patients in the >/= 65 years age groups. RESULTS: At a 
      mean treatment duration of 57 days (range, 30-90 days), both mean NPRS score 
      (p < 0.0001) and mean ODI score (p < 0.0001) were significantly higher in 
      the >/= 65 years age group when compared to the 50-64 years age group. However, 
      post-treatment outcome categories (p = 0.17) and percentage of patients who 
      achieved MCID thresholds for NPRS score (p = 0.13) and ODI score (p = 0.18) were 
      not significantly different between the two groups. There was a significant 
      correlation between post-treatment NPRS score and patient age and pre-treatment 
      NPRS score and between post-treatment ODI score and incidence of osteoporosis and 
      pre-treatment ODI score. CONCLUSION: Although mean NPRS and ODI scores achieved 
      were significantly better in patients of 50-64 years of age, our integrated 
      active, rehabilitation protocol helped achieve significant improvement in NPRS 
      score, MCID thresholds for NPRS and ODI scores and treatment outcomes in 
      patients >/= 65 years of age, similar to patients in the 50-64 years of age group, 
      at the end of 3 months of treatment. These slides can be retrieved under 
      Electronic Supplementary Material.
FAU - Shetty, Gautam M
AU  - Shetty GM
AUID- ORCID: 0000-0002-5211-2376
AD  - Research and Clinical Excellence, QI Spine Clinic, Mumbai, India. 
      gautam.shetty@qispine.com.
AD  - QI India Healthcare, #6 Level 2 Phoenix Market City, LBS Road, Kamani, Kurla 
      (West), Mumbai, 400070, India. gautam.shetty@qispine.com.
FAU - Solanki, Umesh
AU  - Solanki U
AD  - QI Spine Clinic, Delhi, India.
FAU - Jain, Shikha
AU  - Jain S
AD  - QI Spine Clinic, Delhi, India.
FAU - Linjhara, Sanya
AU  - Linjhara S
AD  - QI Spine Clinic, Delhi, India.
FAU - Anandani, Garima
AU  - Anandani G
AD  - QI India Healthcare, #6 Level 2 Phoenix Market City, LBS Road, Kamani, Kurla 
      (West), Mumbai, 400070, India.
AD  - QI Spine Clinic, Mumbai, India.
FAU - Ram, C S
AU  - Ram CS
AD  - I.T.S College of Physiotherapy, Ghaziabad, India.
FAU - Thakur, Harshad
AU  - Thakur H
AD  - Centre for Public Health, Tata Institute of Social Sciences, Mumbai, India.
LA  - eng
PT  - Journal Article
DEP - 20191216
PL  - Germany
TA  - Eur Spine J
JT  - European spine journal : official publication of the European Spine Society, the 
      European Spinal Deformity Society, and the European Section of the Cervical Spine 
      Research Society
JID - 9301980
SB  - IM
MH  - Aged
MH  - Disability Evaluation
MH  - Female
MH  - Humans
MH  - *Low Back Pain/rehabilitation
MH  - Male
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Elderly
OT  - Low back pain
OT  - Physical therapy modalities
OT  - Rehabilitation
OT  - Spine
EDAT- 2019/12/18 06:00
MHDA- 2021/05/29 06:00
CRDT- 2019/12/18 06:00
PHST- 2019/05/09 00:00 [received]
PHST- 2019/12/06 00:00 [accepted]
PHST- 2019/10/03 00:00 [revised]
PHST- 2019/12/18 06:00 [pubmed]
PHST- 2021/05/29 06:00 [medline]
PHST- 2019/12/18 06:00 [entrez]
AID - 10.1007/s00586-019-06248-y [pii]
AID - 10.1007/s00586-019-06248-y [doi]
PST - ppublish
SO  - Eur Spine J. 2020 Mar;29(3):586-595. doi: 10.1007/s00586-019-06248-y. Epub 2019 
      Dec 16.