Comparison between the STarT Back Screening Tool and the Örebro Musculoskeletal Pain Screening Questionnaire: Which tool for what purpose? A semi-systematic review / Alexis Lheureux in Annals of physical and rehabilitation medicine, Vol. 62, n°3 (Mai 2019)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 62, n°3 (Mai 2019) . - p. 178-188 Titre : Comparison between the STarT Back Screening Tool and the Örebro Musculoskeletal Pain Screening Questionnaire: Which tool for what purpose? A semi-systematic review Type de document : texte imprimé Auteurs : Alexis Lheureux ; Anne Berquin Année de publication : 2019 Article en page(s) : p. 178-188 Note générale : https://doi.org/10.1016/j.rehab.2018.09.007 Langues : Anglais (eng) Mots-clés : STarT Back Screening Tool (SBST)  Örebro Musculoskeletal Pain Screening Questionnaire (OMPSQ)  Low back pain  Predicting questionnaires Résumé : Background Prevention of chronicization of low back pain requires accurate detection of at-risk patients. Questionnaires have been validated, including the STarT Back Screening Tool (SBST) and the Örebro Musculoskeletal Pain Screening Questionnaire (OMPSQ). This review aims to compare these questionnaires in terms of predictive value and in terms of aims, to guide the choice in clinical practice. Methods This study is a semi-systematic literature review. Studies evaluating at least one of the questionnaires and written between 1997 and October 10th 2017 were selected from Pubmed database. Inclusion criteria were pain duration < 3 months, outcomes including pain, function and/or global recovery. For work outcomes, inclusion criteria were extended to chronic patients. Studies had to provide information on sensitivity, specificity and area under the ROC Curve (AUC). Results Twenty-eight studies met our inclusion criteria (7 SBST, 21 original OMPSQ, 3 short OMPSQ). The OMPSQ best predicted a Pain NRS ≥ 3 at 3 months (AUC = 0.64 (0.50–0.78)) and at 6 months (AUC between 0.70 (no confidence interval provided) and 0.84 (0.71–0.97)). The SBST and the OMPSQ are comparable to predict an Oswestry Disability Index ≥ 30% at 6 months. A single study showed no difference between the SBST and the OMPSQ to predict absenteeism ≥ 30 days at 6 months. The two questionnaires cannot be compared for “global recovery” outcomes. Conclusion The OMPSQ seems better than the SBST for predicting “pain” and “work” outcomes, the SBST may be better for “function” outcomes. These results should be taken with caution because of the high heterogeneity between studies. It should be noted that the OMPSQ was elaborated with the aim of creating a prognostic tool while the SBST was devised as a treatment-allocating tool and is easier to use in clinical practice. This should guide the choice of using one questionnaire rather than the other. Permalink : ./index.php?lvl=notice_display&id=84117 [article] Comparison between the STarT Back Screening Tool and the Örebro Musculoskeletal Pain Screening Questionnaire: Which tool for what purpose? A semi-systematic review [texte imprimé] / Alexis Lheureux ; Anne Berquin . - 2019 . - p. 178-188. https://doi.org/10.1016/j.rehab.2018.09.007 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°3 (Mai 2019) . - p. 178-188 Mots-clés : STarT Back Screening Tool (SBST)  Örebro Musculoskeletal Pain Screening Questionnaire (OMPSQ)  Low back pain  Predicting questionnaires Résumé : Background Prevention of chronicization of low back pain requires accurate detection of at-risk patients. Questionnaires have been validated, including the STarT Back Screening Tool (SBST) and the Örebro Musculoskeletal Pain Screening Questionnaire (OMPSQ). This review aims to compare these questionnaires in terms of predictive value and in terms of aims, to guide the choice in clinical practice. Methods This study is a semi-systematic literature review. Studies evaluating at least one of the questionnaires and written between 1997 and October 10th 2017 were selected from Pubmed database. Inclusion criteria were pain duration < 3 months, outcomes including pain, function and/or global recovery. For work outcomes, inclusion criteria were extended to chronic patients. Studies had to provide information on sensitivity, specificity and area under the ROC Curve (AUC). Results Twenty-eight studies met our inclusion criteria (7 SBST, 21 original OMPSQ, 3 short OMPSQ). The OMPSQ best predicted a Pain NRS ≥ 3 at 3 months (AUC = 0.64 (0.50–0.78)) and at 6 months (AUC between 0.70 (no confidence interval provided) and 0.84 (0.71–0.97)). The SBST and the OMPSQ are comparable to predict an Oswestry Disability Index ≥ 30% at 6 months. A single study showed no difference between the SBST and the OMPSQ to predict absenteeism ≥ 30 days at 6 months. The two questionnaires cannot be compared for “global recovery” outcomes. Conclusion The OMPSQ seems better than the SBST for predicting “pain” and “work” outcomes, the SBST may be better for “function” outcomes. These results should be taken with caution because of the high heterogeneity between studies. It should be noted that the OMPSQ was elaborated with the aim of creating a prognostic tool while the SBST was devised as a treatment-allocating tool and is easier to use in clinical practice. This should guide the choice of using one questionnaire rather than the other. Permalink : ./index.php?lvl=notice_display&id=84117

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Défi environnemental et soins de santé : menace ou opportunité ? / Anne Berquin in Ethica Clinica, 114 (octobre 2024)

Public ISBD [article]  inEthica Clinica > 114 (octobre 2024) . - p. 4-10 Titre : Défi environnemental et soins de santé : menace ou opportunité ? Type de document : texte imprimé Auteurs : Anne Berquin Année de publication : 2024 Article en page(s) : p. 4-10 Langues : Français (fre) Permalink : ./index.php?lvl=notice_display&id=118487 [article] Défi environnemental et soins de santé : menace ou opportunité ? [texte imprimé] / Anne Berquin . - 2024 . - p. 4-10. Langues : Français (fre) in Ethica Clinica > 114 (octobre 2024) . - p. 4-10 Permalink : ./index.php?lvl=notice_display&id=118487

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Les mal-entendus de la douleur / Anne Berquin in Santé conjuguée, 108 (Septembre 2024)  

Public ISBD [article]  inSanté conjuguée > 108 (Septembre 2024) . - p. 17-19 Titre : Les mal-entendus de la douleur Type de document : document graphique à deux dimensions Auteurs : Anne Berquin Année de publication : 2024 Article en page(s) : p. 17-19 Langues : Français (fre) Mots-clés : Douleurs  Gestion de la douleur Résumé : S’il est une expérience commune à chacun et chacune d’entre nous, c’est bien celle de la douleur. La douleur est le premier motif de consultation en médecine générale. Signal d’alarme, nous avons appris à en analyser les caractéristiques pour diagnostiquer et traiter les maladies sous-jacentes. Mais quand la douleur dure, et souvent perd cette fonction d’alerte, s’ouvre une tout autre histoire. En ligne : https://www.maisonmedicale.org/les-mal-entendus-de-la-douleur/ Permalink : ./index.php?lvl=notice_display&id=119096 [article] Les mal-entendus de la douleur [document graphique à deux dimensions] / Anne Berquin . - 2024 . - p. 17-19. Langues : Français (fre) in Santé conjuguée > 108 (Septembre 2024) . - p. 17-19 Mots-clés : Douleurs  Gestion de la douleur Résumé : S’il est une expérience commune à chacun et chacune d’entre nous, c’est bien celle de la douleur. La douleur est le premier motif de consultation en médecine générale. Signal d’alarme, nous avons appris à en analyser les caractéristiques pour diagnostiquer et traiter les maladies sous-jacentes. Mais quand la douleur dure, et souvent perd cette fonction d’alerte, s’ouvre une tout autre histoire. En ligne : https://www.maisonmedicale.org/les-mal-entendus-de-la-douleur/ Permalink : ./index.php?lvl=notice_display&id=119096

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Secondary prevention of chronic musculoskeletal pain: A systematic review of clinical trials / Caroline Meyer in Annals of physical and rehabilitation medicine, Vol. 61, n°5 (Septembre 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 323-338 Titre : Secondary prevention of chronic musculoskeletal pain: A systematic review of clinical trials Type de document : texte imprimé Auteurs : Caroline Meyer ; Camille M. Denis ; Anne Berquin Année de publication : 2018 Article en page(s) : p. 323-338 Note générale : Doi : 10.1016/j.rehab.2018.03.002 Langues : Anglais (eng) Mots-clés : Musculoskeletal pain  Low back pain  Chronic pain  Secondary prevention  Stratified care Résumé : Background Chronic musculoskeletal pain disorders are highly prevalent and have high personal and societal cost. Hence, early detection and care of patients at risk of developing chronic pain is important. Risk factors are well known and screening tools exist, but much less is known about the care of at-risk patients. The aim of this study was to investigate the effectiveness of secondary prevention strategies for musculoskeletal pain. Methods We performed a systematic review of clinical trials in which treatments were adjusted to the risk of chronicity in adults with acute or subacute musculoskeletal pain. Clinical trials, systematic reviews and meta-analyses published after January 1, 2000 were searched in PubMed and PEDro databases and in the reference list of relevant papers. The risk of bias was assessed by the PEDro score. Results We identified 4807 potentially eligible articles; 13, corresponding to 9 studies, met the inclusion criteria. Most studies investigated low back pain. The overall risk of bias was moderate, mainly because of the difficulty of blinding in physiotherapy studies. As compared with a “one-size-fits-all” treatment, stratified programmes showed significant improvements in several domains of the International Classification of Functioning, Disability and Health: body structures and functions (pain, mood), activities (functional capacity), participation (return to work, quality of life), as well as environmental factors (healthcare consumption). Effect sizes were moderate. Overall, simple educational messages seemed sufficient for low-risk patients. Medium- and high-risk patients benefited from a physical reactivation programme combined with education. In high-risk patients, an additional cognitive-behavioural intervention further improved the outcome. Conclusions A stratified approach seems effective in reducing long-term disability in patients with musculoskeletal pain. However, more research is necessary to confirm these results. Permalink : ./index.php?lvl=notice_display&id=80631 [article] Secondary prevention of chronic musculoskeletal pain: A systematic review of clinical trials [texte imprimé] / Caroline Meyer ; Camille M. Denis ; Anne Berquin . - 2018 . - p. 323-338. Doi : 10.1016/j.rehab.2018.03.002 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 323-338 Mots-clés : Musculoskeletal pain  Low back pain  Chronic pain  Secondary prevention  Stratified care Résumé : Background Chronic musculoskeletal pain disorders are highly prevalent and have high personal and societal cost. Hence, early detection and care of patients at risk of developing chronic pain is important. Risk factors are well known and screening tools exist, but much less is known about the care of at-risk patients. The aim of this study was to investigate the effectiveness of secondary prevention strategies for musculoskeletal pain. Methods We performed a systematic review of clinical trials in which treatments were adjusted to the risk of chronicity in adults with acute or subacute musculoskeletal pain. Clinical trials, systematic reviews and meta-analyses published after January 1, 2000 were searched in PubMed and PEDro databases and in the reference list of relevant papers. The risk of bias was assessed by the PEDro score. Results We identified 4807 potentially eligible articles; 13, corresponding to 9 studies, met the inclusion criteria. Most studies investigated low back pain. The overall risk of bias was moderate, mainly because of the difficulty of blinding in physiotherapy studies. As compared with a “one-size-fits-all” treatment, stratified programmes showed significant improvements in several domains of the International Classification of Functioning, Disability and Health: body structures and functions (pain, mood), activities (functional capacity), participation (return to work, quality of life), as well as environmental factors (healthcare consumption). Effect sizes were moderate. Overall, simple educational messages seemed sufficient for low-risk patients. Medium- and high-risk patients benefited from a physical reactivation programme combined with education. In high-risk patients, an additional cognitive-behavioural intervention further improved the outcome. Conclusions A stratified approach seems effective in reducing long-term disability in patients with musculoskeletal pain. However, more research is necessary to confirm these results. Permalink : ./index.php?lvl=notice_display&id=80631

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Syndrome douloureux régional complexe : diagnostic et physiopathogénie / S. COCKX in La lettre de Médecine Physique et de Réadaptation, vol. 28/2 (juin 2012)

Public ISBD [article]  inLa lettre de Médecine Physique et de Réadaptation > vol. 28/2 (juin 2012) . - p. 70-75 Titre : Syndrome douloureux régional complexe : diagnostic et physiopathogénie Type de document : texte imprimé Auteurs : S. COCKX ; Anne Berquin Année de publication : 2012 Article en page(s) : p. 70-75 Langues : Français (fre) Mots-clés : Physiopathologie  Symptôme neurologique  Symptôme psychique  Génétique  Diagnostic  Facteur Résumé : Le syndrome douloureux régional complexe (SDRC) est une entité clinique difficile qui peut faire suite à un traumatisme ou une immobilisation. Le diagnostic fait essentiellement appel à l'interrogative et à l'examen clinique. Il repose sur quatre catégories de symptômes et signes : sensoriels, vasomateurs, sudomoteurs/œdème et moteurs/trophiques. La physiopathogénie complexe fait intervenir des facteurs inflammatoires, sympathiques, neurologiques,génétiques et peut-être physiologiques. Permalink : ./index.php?lvl=notice_display&id=16574 [article] Syndrome douloureux régional complexe : diagnostic et physiopathogénie [texte imprimé] / S. COCKX ; Anne Berquin . - 2012 . - p. 70-75. Langues : Français (fre) in La lettre de Médecine Physique et de Réadaptation > vol. 28/2 (juin 2012) . - p. 70-75 Mots-clés : Physiopathologie  Symptôme neurologique  Symptôme psychique  Génétique  Diagnostic  Facteur Résumé : Le syndrome douloureux régional complexe (SDRC) est une entité clinique difficile qui peut faire suite à un traumatisme ou une immobilisation. Le diagnostic fait essentiellement appel à l'interrogative et à l'examen clinique. Il repose sur quatre catégories de symptômes et signes : sensoriels, vasomateurs, sudomoteurs/œdème et moteurs/trophiques. La physiopathogénie complexe fait intervenir des facteurs inflammatoires, sympathiques, neurologiques,génétiques et peut-être physiologiques. Permalink : ./index.php?lvl=notice_display&id=16574

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