Academic Journal
The association between a lifetime history of low back injury in a motor vehicle collision and future low back pain: a population-based cohort study: a population-based cohort study
| Title: | The association between a lifetime history of low back injury in a motor vehicle collision and future low back pain: a population-based cohort study: a population-based cohort study |
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| Authors: | Nolet, Paul S., Kristman, Vicki L., Côté, Pierre, Carroll, Linda J., Cassidy, J. David |
| Source: | Nolet, P S, Kristman, V L, Côté, P, Carroll, L J & Cassidy, J D 2018, ' The association between a lifetime history of low back injury in a motor vehicle collision and future low back pain : a population-based cohort study ', European Spine Journal, vol. 27, no. 1, pp. 136-144 . https://doi.org/10.1007/s00586-017-5090-y |
| Publisher Information: | Springer Science and Business Media LLC, 2017. |
| Publication Year: | 2017 |
| Subject Terms: | Adult, Male, Back Injuries/complications, Cohort Studies, 03 medical and health sciences, 0302 clinical medicine, Whiplash injuries, Risk Factors, Surveys and Questionnaires, Humans, Low back pain, Prospective Studies, Accidents, Traffic/statistics & numerical data, Traffic accidents, Traffic/statistics & numerical data, Accidents, Traffic, Middle Aged, 16. Peace & justice, Saskatchewan, Cross-Sectional Studies, Risk factors, Low Back Pain/epidemiology, Accidents, Back Injuries, Cohort studies, Female, Low Back Pain, Follow-Up Studies |
| Description: | This population-based cohort study investigated the association between a lifetime history of a low back injury in a motor vehicle collision (MVC) and future troublesome low back pain. Participants with a history of a low back injury in a motor vehicle collision who had recovered (no or mild low back pain) were compared to those without a history of injury. Current evidence from two cross-sectional and one prospective study suggests that individuals with a history of a low back injury in a MVC are more likely to experience future LBP. There is a need to test this association prospectively in population-based cohorts with adequate control of known confounders.We formed a cohort of 789 randomly sampled Saskatchewan adults with no or mild LBP. At baseline, participants were asked if they had ever injured their low back in a MVC. Six and 12 months later, participants were asked about the presence of troublesome LBP (grade II-IV) on the Chronic Pain Grade Questionnaire. Multivariable Cox proportional hazards regression analysis was used to estimate the association while controlling for known confounders.The follow-up rate was 74.8% (590/789) at 6 months and 64.5% (509/789) at 12 months. There was a positive crude association between a history of low back injury in a MVC and the development of troublesome LBP over a 12-month period (HRR = 2.76; 95% CI 1.42-5.39). Controlling for arthritis reduced this association (HRR = 2.25; 95% CI 1.11-4.56). Adding confounders that may be on the casual pathway (baseline LBP, depression and HRQoL) to the multivariable model further reduced the association (HRR = 2.20; 95% CI 1.04-4.68).Our analysis suggests that a history of low back injury in a MVC is a risk factor for developing future troublesome LBP. The consequences of a low back injury in a MVC can predispose individuals to experience recurrent episodes of low back pain. |
| Document Type: | Article |
| Language: | English |
| ISSN: | 1432-0932 0940-6719 |
| DOI: | 10.1007/s00586-017-5090-y |
| Access URL: | https://pubmed.ncbi.nlm.nih.gov/28391385 http://www.scopus.com/inward/record.url?scp=85017093279&partnerID=8YFLogxK https://portal.findresearcher.sdu.dk/da/publications/c5fe9260-e1d6-4948-97fa-9544a4317e79 https://doi.org/10.1007/s00586-017-5090-y |
| Rights: | Springer TDM |
| Accession Number: | edsair.doi.dedup.....689d89f49cb2283c906bd59790f610c2 |
| Database: | OpenAIRE |
| ISSN: | 14320932 09406719 |
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| DOI: | 10.1007/s00586-017-5090-y |