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Interpreting Change Scores for Pain and Functional Status in Low Back Pain

Spine · 2008 · Vol. 33(1) · pp. 90–94
Raymond OsteloRick DeyoPaul W. StratfordGordon WaddellPeter CroftMichael Von KorffL.M. BouterHenrica C. W. de Vet

Abstract

For a range of commonly used back pain outcome measures, a 30% change from baseline may be considered clinically meaningful improvement when comparing before and after measures for individual patients. It is hoped that these proposals facilitate the use of these measures in clinical practice and the comparability of future studies. The proposed MIC values are not the final answer but offer a common starting point for future research.

Musculoskeletal pain and rehabilitationSpine and Intervertebral Disc PathologyPregnancy-related medical researchMedicineLow back painPhysical therapyBack painPhysical medicine and rehabilitationAlternative medicine

MeSH terms

Disability EvaluationExpert TestimonyFollow-Up StudiesUnited KingdomHumansInternational CooperationNetherlandsNorth AmericaPain MeasurementSurveys and QuestionnairesSeverity of Illness IndexOutcome Assessment, Health CareLow Back PainRecovery of Function
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