Is there sufficient evidence to support a new subgroup within the non-specific low back pain category and would it be accepted?
Proposed by: Ronald Donelson, Raymond Ostelo, Kevin Spratt, and Helen Clare
The intent of the initial assessment of several current classification systems for ‘nonspecific’ LBP is to first attempt to elicit the pain response of centralization (Cn) and directional preference (DP). Over the past 25 years, a substantial body of published literature has validated both the inter-examiner reliability and validity of this form of assessment and these two clinical findings. Yet most international LBP clinical guidelines have so far failed to acknowledge this form of examination, these two clinical findings, and the subgroup they identify. The goals of this workshop are to evaluate the evidence regarding the validation of the Cn/DP subgroup and to direct and formulate future research activity. Before the workshop, attendees will develop a bibliography of relevant studies pertaining to the current and proposed LBP classification system that will be consolidated by the workshop leaders into a draft document that will be reviewed by attendees prior to the Forum. During the workshop, there will be presentations on current science and proposed research, discussion in order to establish a consensus, and the results will be merged into a position paper for publication that addresses the workshop’s objectives.
Ancillary Materials
12/01/08