Global Consensus From Clinicians Regarding Low Back Pain Outcome Indicators for Older Adults: Pairwise Wiki Survey Using Crowdsourcing.
Arnold Yl Wong, Henrik H Lauridsen, Dino Samartzis and 3 others
PMID 30664493WHAT IT FOUND
Clinicians ranked returning to 80% of prior daily activities, independent walking, and grocery shopping as the most important low back pain outcomes for older adults.
Pain scores and straight-leg raise ranked low.
Key findings
01The three highest-scoring indicators were performing 80% of prior daily activities (score 72), walking independently with or without aids (score 69), and grocery shopping without significant pain increase (score 66).
02Pain and physical-exam indicators scored low: a 2-point decrease on the visual analogue scale scored 32, and straight-leg-raise improvement scored 18.
03The age-specific indicator able to take care of grandkids scored 57.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
The survey did not include older adults with low back pain, so it reports clinician opinions rather than patient outcomes. It did not collect detailed demographics, so the disciplines, experience, countries, and ages of respondents are not known. The sample was self-selected through social media; 179 visitors did not vote, and the response rate was 41.7%. One late-added idea was shown only 55 times, so its rank is uncertain. The study did not test whether these indicators are valid, responsive, or able to improve treatment decisions.
The easy way to misread this
Do not read these scores as validated outcome measures or proof that functional goals improve care. They are the rankings of a self-selected online survey of clinicians, without older patients or demographic data.