{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T16:26:22Z","timestamp":1790958382480,"version":"4.1.0"},"reference-count":79,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,9,18]],"date-time":"2018-09-18T00:00:00Z","timestamp":1537228800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The evidence for the effectiveness of interventions targeting acute low back pain (LBP) is suboptimal. It is difficult to identify those patients who are more likely to develop chronic pain and disability after an acute episode of LBP. These shortcomings may be attributed to considering LBP as one homogenous condition.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this quasi\u2010experimental study, we examined and analysed a prospective cohort of 267 patients with first\u2010onset LBP and classified them into one of the groups based on treatment\u2010based classification: direction\u2010specified exercises (Group 2), manipulation (Group 3), stabilization exercises (Group 4), traction (Group 5), and a physician care group (Group 1). Disability and pain were assessed at baseline, after treatment, and at 6\u00a0months using the Oswestry Disability Index and the Numerical Rating Scale, respectively. Comparisons were made between the groups, and we predicted measures of disability and pain intensity at 6\u00a0months with age, gender, fear avoidance behaviour, centralization phenomenon (CP), expectations about recovery, CP, group classification, baseline pain, and disability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Analysis showed that all the heterogeneous groups of LBP improved their outcomes with the respective treatment provided. However, when the entire sample was considered as one homogenous group of LBP, the results showed improvement with time (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.05) only and no difference was found between groups (<jats:italic>p<\/jats:italic>\u00a0&gt;\u00a00.05). None of the studied factors, except baseline pain (<jats:italic>R<\/jats:italic>\u00a0=\u00a00.227,<jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u00a00.051,<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.05), were able to accurately predict the development of chronic pain in our study sample.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Though our results showed no differences between the subgroups in the reduction of pain and disability, we conclude that classifying and treating patients with LBP into subgroups based on signs and symptoms produce better outcomes. Baseline pain alone may predict a small percentage of people who may develop chronic pain.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pri.1747","type":"journal-article","created":{"date-parts":[[2018,9,18]],"date-time":"2018-09-18T14:48:05Z","timestamp":1537282085000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["A subgroup analysis to compare patients with acute low back pain classified as per treatment\u2010based classification"],"prefix":"10.1002","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9264-2312","authenticated-orcid":false,"given":"G. Shankar","family":"Ganesh","sequence":"first","affiliation":[{"name":"Department of Physiotherapy Composite Regional Centre for Persons with Disabilities Lucknow India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pradeep Kumar","family":"Sahu","sequence":"additional","affiliation":[{"name":"Neurosciences Centre All India Institute of Medical Sciences New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sakti Prasad","family":"Das","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Swami Vivekanand National Institute of Rehabilitation Training and Research Cuttack India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chittaranjan","family":"Mishra","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Swami Vivekanand National Institute of Rehabilitation Training and Research Cuttack India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sapna","family":"Dhiman","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy Delhi Pharmaceutical Sciences and Research University New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,9,18]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-11-58"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1179\/106698111X13129729551903"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2010.01.013"},{"key":"e_1_2_11_5_1","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1093\/oso\/9780198525141.003.0001","volume-title":"Understanding and treating fear of pain","author":"Asmundson G.","year":"2004"},{"key":"e_1_2_11_6_1","doi-asserted-by":"crossref","first-page":"1215","DOI":"10.1097\/01.BRS.0000065493.26069.1C","article-title":"Cochrane back review group","volume":"28","author":"Bouter L. 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