Sports Orthopedics

Psychosocial risk factors significantly influence the genesis of chronic non-specific low back pain (CLBP) as one potential factor in its multifactorial etiology. Therefore, the European Guideline for Diagnostics and Therapy of Back Pain recommend screenings for these factors at an early stage of pr...

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Autores principales:	Wippert P-M, 2, Puschmann A-K, Gantz S, Pfeifer A-C, de Witt Huberts J, Neubauer E, Riewe E, Schiltenwolf M
Formato:	article
Lenguaje:	DE EN
Publicado:	Dynamic Media Sales Verlag 2018
Materias:	Sports medicine RC1200-1245
Acceso en línea:	https://doaj.org/article/525a89843e4b4da1812774cf027a1c6c
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spelling	oai:doaj.org-article:525a89843e4b4da1812774cf027a1c6c2021-11-16T19:01:41ZSports Orthopedics0344-59252510-526410.5960/dzsm.2018.338https://doaj.org/article/525a89843e4b4da1812774cf027a1c6c2018-07-01T00:00:00Zhttps://www.germanjournalsportsmedicine.com/archive/archive-2018/issue-7-8/preventing-low-back-pain-diagnosis-of-psychosocial-risk-factors-in-athletes-mispex-network/https://doaj.org/toc/0344-5925https://doaj.org/toc/2510-5264Psychosocial risk factors significantly influence the genesis of chronic non-specific low back pain (CLBP) as one potential factor in its multifactorial etiology. Therefore, the European Guideline for Diagnostics and Therapy of Back Pain recommend screenings for these factors at an early stage of preventive and therapeutic interventions. Relevant risk factors for the development of CLBP in athletes are pain experience and tolerance, stress, social and medical environment. However, as existing screening tools are not suitable for athletes, there is a need for indices that predict the risk of future back complaints and infer a stratified treatment allocation respecting the response to physical activity.The National Research Networkfor Medicine in Spine Exercise (MiSpEx) is aiming to fill that gap: a biopsychosocial diagnostic tool was developed which supports health care professionals to 1) predict the risk for pain chronicity, disability or extended absenteeism (risk-index, RSI), and 2) recommend a personalized treatment allocation to uni- or multimodal training (prevention-index, RPI-S). Both tools complement the functional indices developed in the MiSpEx network and add to adequate therapeutic strategies that fit individual needs. The present contribution summarizes the current state of research on psychosocial screenings and reports onthe development of RSI/RPI-S.Take Home: RSI and RPI-S can be used to identify biopsychosocial risk factors, which moderate the intervention success. An early screening is essential for athletes personalized care management and is strongly recommended.KEY WORDS: Pain-Diagnostic, Screening, Risk and Prevention Stratification, Personalized Therapy AllocationWippert P-M2Puschmann A-KGantz SPfeifer A-Cde Witt Huberts JNeubauer ERiewe ESchiltenwolf MDynamic Media Sales VerlagarticleSports medicineRC1200-1245DEENDeutsche Zeitschrift für Sportmedizin, Vol 69, Iss 7 (2018)
institution	DOAJ
collection	DOAJ
language	DE EN
topic	Sports medicine RC1200-1245
spellingShingle	Sports medicine RC1200-1245 Wippert P-M 2 Puschmann A-K Gantz S Pfeifer A-C de Witt Huberts J Neubauer E Riewe E Schiltenwolf M Sports Orthopedics
description	Psychosocial risk factors significantly influence the genesis of chronic non-specific low back pain (CLBP) as one potential factor in its multifactorial etiology. Therefore, the European Guideline for Diagnostics and Therapy of Back Pain recommend screenings for these factors at an early stage of preventive and therapeutic interventions. Relevant risk factors for the development of CLBP in athletes are pain experience and tolerance, stress, social and medical environment. However, as existing screening tools are not suitable for athletes, there is a need for indices that predict the risk of future back complaints and infer a stratified treatment allocation respecting the response to physical activity.The National Research Networkfor Medicine in Spine Exercise (MiSpEx) is aiming to fill that gap: a biopsychosocial diagnostic tool was developed which supports health care professionals to 1) predict the risk for pain chronicity, disability or extended absenteeism (risk-index, RSI), and 2) recommend a personalized treatment allocation to uni- or multimodal training (prevention-index, RPI-S). Both tools complement the functional indices developed in the MiSpEx network and add to adequate therapeutic strategies that fit individual needs. The present contribution summarizes the current state of research on psychosocial screenings and reports onthe development of RSI/RPI-S.Take Home: RSI and RPI-S can be used to identify biopsychosocial risk factors, which moderate the intervention success. An early screening is essential for athletes personalized care management and is strongly recommended.KEY WORDS: Pain-Diagnostic, Screening, Risk and Prevention Stratification, Personalized Therapy Allocation
format	article
author	Wippert P-M 2 Puschmann A-K Gantz S Pfeifer A-C de Witt Huberts J Neubauer E Riewe E Schiltenwolf M
author_facet	Wippert P-M 2 Puschmann A-K Gantz S Pfeifer A-C de Witt Huberts J Neubauer E Riewe E Schiltenwolf M
author_sort	Wippert P-M
title	Sports Orthopedics
title_short	Sports Orthopedics
title_full	Sports Orthopedics
title_fullStr	Sports Orthopedics
title_full_unstemmed	Sports Orthopedics
title_sort	sports orthopedics
publisher	Dynamic Media Sales Verlag
publishDate	2018
url	https://doaj.org/article/525a89843e4b4da1812774cf027a1c6c
work_keys_str_mv	AT wippertpm sportsorthopedics AT 2 sportsorthopedics AT puschmannak sportsorthopedics AT gantzs sportsorthopedics AT pfeiferac sportsorthopedics AT dewitthubertsj sportsorthopedics AT neubauere sportsorthopedics AT riewee sportsorthopedics AT schiltenwolfm sportsorthopedics
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Sports Orthopedics

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