TY  - JOUR
AU  - Wippert, Pia-Maria
A2  - Wippert, Pia-Maria
A2  - Puschmann, Anne-Katrin
A2  - Arampatzis, Adamantios
A2  - Schiltenwolf, Marcus
A2  - Mayer, Frank
DB  - BISp
DP  - BISp
KW  - Befragung
KW  - Breitensport
KW  - Leistungssport
KW  - MiSpEx
KW  - Nichtsportler
KW  - Prognose
KW  - Psychosomatik
KW  - Risikofaktor
KW  - Rückenschmerz
KW  - Schmerz
KW  - Sportler
KW  - Sportpsychologie
KW  - Untersuchung, vergleichende
LA  - eng
TI  - Diagnosis of psychosocial risk factors in prevention of low back pain in athletes (MiSpEx)
TT  - Diagnose von psychosozialen Risikofaktoren bei der Prävention von Rückenschmerzen bei Sportlern (MiSpEx)
PY  - 2017
N2  - Background: Low back pain (LBP) is a common pain syndrome in athletes, responsible for 28% of missed training days/year. Psychosocial factors contribute to chronic pain development. This study aims to investigate the transferability of psychosocial screening tools developed in the general population to athletes and to define athlete-specific thresholds. Methods: Data from a prospective multicentre study on LBP were collected at baseline and 1-year follow-up (n=52 athletes, n=289 recreational athletes and n=246 non-athletes). Pain was assessed using the Chronic Pain Grade questionnaire. The psychosocial Risk Stratification Index (RSI) was used to obtain prognostic information regarding the risk of chronic LBP (CLBP). Individual psychosocial risk profile was gained with the Risk Prevention Index – Social (RPI-S). Differences between groups were calculated using general linear models and planned contrasts. Discrimination thresholds for athletes were defined with receiver operating characteristics (ROC) curves. Results: Athletes and recreational athletes showed significantly lower psychosocial risk profiles and prognostic risk for CLBP than non-athletes. ROC curves suggested discrimination thresholds for athletes were different compared with non-athletes. Both screenings demonstrated very good sensitivity (RSI=100%; RPI-S: 75%–100%) and specificity (RSI: 76%–93%; RPI-S: 71%–93%). RSI revealed two risk classes for pain intensity (area under the curve (AUC) 0.92(95% CI 0.85 to 1.0)) and pain disability (AUC 0.88(95% CI 0.71 to 1.0)). Conclusions: Both screening tools can be used for athletes. Athlete-specific thresholds will improve physicians’ decision making and allow stratified treatment and prevention.
L2  - http://bmjopensem.bmj.com/content/3/1/e000295
L2  - https://dx.doi.org/10.1136/bmjsem-2017-000295
DO  - 10.1136/bmjsem-2017-000295
SP  - e000295; [7 S.]
SN  - 2055-7647
JO  - BMJ open sport & exercise medicine
IS  - 1
VL  - 3
M3  - Elektronische Ressource (online)
ID  - PU201807004689
ER  -