Assessment of the relationship between prognostic risk factors for lower back pain and extent of its interference with daily activities
DOI:
https://doi.org/10.32782/2077-6594/2025.3/21Keywords:
rehabilitation, physical therapy, rehabilitation evaluation, back pain, daily activities, quality of life, client- centeredness, restoration of functional independenceAbstract
Purpose. Chronic lower back pain (CLBP) disrupts daily activities and negatively affects work capacity and socio-economic well-being worldwide. This study aimed to explore the relationship between prognostic physical and psychosocial risk factors and interference with daily activities in patients with non-specific back pain using the stratified approach of the STarT Back Screening Tool. Materials and methods. The study was conducted at the «Institute of Vertebrology and Rehabilitation» in Kyiv, Ukraine, involving 146 participants (66 males and 80 females) with lower back pain complaints. Assessment tools included: Numerical Rating Scale (NRS) for pain intensity, STarT Back Screening Tool (SBST) for chronic pain risk stratification, Oswestry Disability Index (ODI) for evaluating the impact of pain on daily activities. Patients were categorized into low (112 patients, 76.7%), medium (28 patients, 19.2%), and high-risk groups based on the SBST.Results. A moderate positive correlation between SBST and ODI scores was observed (ρ = 0.551). Fear, anxiety, and depression were statistically predominant among psychometric factors (χ² = 60.521; p < 0.05). Anxiety and depression were the most frequently reported psychological risks contributing to chronic pain. Demographic and anthropometric indicators (such as age and BMI) showed only weak or no correlation with pain characteristics. Psychological factors were dominant predictors of pain chronicity, regardless of gender.Conclusions. This is the first study in Ukraine to assess the relationship between SBST and functional disability in patients with non-specific back pain during wartime. The findings highlight the importance of integrating psychological risk factor screening (particularly anxiety and depression) into rehabilitation strategies to enhance functional outcomes.
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