Abstract
Background
Chronic low back pain (CLBP) is a major burden. The Pain and Disability Drivers Management (PDDM) model is a framework developed to analyse factors contributing to disability and pain in CLBP patients.
Objective
The primary objective was to explore the prognostic value of the PDDM model using real-life data. The secondary objective was to explore its analytical value.
Methods
A monocentric retrospective cohort study included CLBP patients who underwent a multidisciplinary rehabilitation program between January 2014 and December 2020. Regression analyses were performed using the five domains of the PDDM as explanatory variables. To assess its prognostic value, the main outcome was the change in disability over the course of the program. Secondary outcomes were change in pain and return to work. To assess its analytical value, the outcome was baseline disability.
Results
Cognitive-emotional domain of the PDDM predicted change in disability. Nociceptive, Nervous System Dysfunction and Cognitive-Emotional domains of the PDDM were associated with baseline disability.
Conclusions
The PDDM model showed limited prognostic value in our context but provided valuable insights into the bio-psycho-social dimensions contributing to disability in CLBP patients.
Get full access to this article
View all access options for this article.
References
Supplementary Material
Please find the following supplemental material available below.
For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.
For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.
