II. Indications
-
Low Back Injury and Return to Work
- Assesses risk for progression from Acute Low Back Pain to Chronic Low Back Pain
III. Criteria: Yes/No Questions (assign one point for each yes or agree answer)
- My back pain has spread down my leg(s) at the same time
- I have had pain in the neck or Shoulder at the same time
- I have only walked short distances because of my back pain
- I have dressed more slowly than usual because of back pain
- It is not really safe for a person with a condition like mine to be physically active
- Worrying thoughts have been going through my mind a lot of the time
- I feel that my back pain is terrible and that it is never going to get any better
- In general, I have not enjoyed all the things I used to enjoy
IV. Criteria: Severity
- Overall how bothersome has your back pain been in the last 2 weeks?
- Score 0: Not at all, Slightly or Moderately
- Score 1: Very much or Extremely
V. Interpretation
- Add the criteria (0-9 points total)
- One point for each YES or AGREE answer from the top 8 criteria questions
- One point if the severity in the last 2 weeks has been very or extremely severe
- Interpretation
- Score <=3: Low risk of progression to Chronic Low Back Pain
- Score >3: Higher risk of Chronic Low Back Pain