AAAPT Diagnostic Criteria for Acute Low Back Pain with and Without Lower Extremity Pain
| العنوان: | AAAPT Diagnostic Criteria for Acute Low Back Pain with and Without Lower Extremity Pain |
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| المؤلفون: | Sohail K. Mirza, David Dickerson, David A. Edwards, Sean Mackey, Andrea L. Nicol, Meredith C.B. Adams, Robert W. Hurley, Debra B. Gordon |
| المصدر: | Pain Med |
| بيانات النشر: | Oxford University Press (OUP), 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Adult, medicine.medical_specialty, Population, Spine pain, Physical medicine and rehabilitation, Pain assessment, Multidisciplinary approach, medicine, Humans, education, Acute low back pain, Lower extremity pain, Pain Measurement, education.field_of_study, business.industry, General Medicine, Acute Pain, Low back pain, Lower limb pain, Anesthesiology and Pain Medicine, Lower Extremity, Acute & Perioperative Pain Section, Neurology (clinical), medicine.symptom, business, Low Back Pain |
| الوصف: | Objective Low back pain is one of the most common reasons for which people visit their doctor. Between 12% and 15% of the US population seek care for spine pain each year, with associated costs exceeding $200 billion. Up to 80% of adults will experience acute low back pain at some point in their lives. This staggering prevalence supports the need for increased research to support tailored clinical care of low back pain. This work proposes a multidimensional conceptual taxonomy. Methods A multidisciplinary task force of the ACTTION-APS-AAPM Pain Taxonomy (AAAPT) with clinical and research expertise performed a focused review and analysis, applying the AAAPT five-dimensional framework to acute low back pain. Results Application of the AAAPT framework yielded the following: 1) Core Criteria: location, timing, and severity of acute low back pain were defined; 2) Common Features: character and expected trajectories were established in relevant subgroups, and common pain assessment tools were identified; 3) Modulating Factors: biological, psychological, and social factors that modulate interindividual variability were delineated; 4) Impact/Functional Consequences: domains of impact were outlined and defined; 5) Neurobiological Mechanisms: putative mechanisms were specified including nerve injury, inflammation, peripheral and central sensitization, and affective and social processing of acute low back pain. Conclusions The goal of applying the AAAPT taxonomy to acute low back pain is to improve its assessment through a defined evidence and consensus-driven structure. The criteria proposed will enable more rigorous meta-analyses and promote more generalizable studies of interindividual variation in acute low back pain and its potential underlying mechanisms. |
| تدمد: | 1526-4637 1526-2375 |
| DOI: | 10.1093/pm/pnaa239 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::cdf8c77af92368e8f8b0b1f08c7349af https://doi.org/10.1093/pm/pnaa239 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....cdf8c77af92368e8f8b0b1f08c7349af |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15264637 15262375 |
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| DOI: | 10.1093/pm/pnaa239 |