notes (if applicable):
|Why this is important:- People with poorer physical function and, in particular, those with psychological factors such as increased fear of activity, psychological distress, and negative feelings about back pain, are more disabled by their pain, and are more likely to have a poor outcome.
One randomised controlled trial has demonstrated the value of screening in improving outcome with respect to return to work. No UK study to date has demonstrated that targeting treatments based on a risk-factor profile leads to improved outcome or cost effectiveness.
Research into matching people with low back pain to the specific treatments recommended is needed. The role of both psychological and physical factors should be considered.
This should include studies to identify which people are likely to gain the greatest benefit from treatments that are recommended in this guideline, and studies to identify which people are likely to benefit from treatments that are not currently recommended.