Orthopedics Book



Start Back Screening Tool

Aka: Start Back Screening Tool
  1. See Also
    1. Low Back Injury and Return to Work
    2. Low Back Pain
  2. Indications
    1. Low Back Injury and Return to Work
      1. Assesses risk for progression from Acute Low Back Pain to chronic Low Back Pain
  3. Criteria: Yes/No Questions (assign one point for each yes or agree answer)
    1. My back pain has spread down my leg(s) at the same time
    2. I have had pain in the neck or Shoulder at the same time
    3. I have only walked short distances because of my back pain
    4. I have dressed more slowly than usual because of back pain
    5. It is not really safe for a person with a condition like mine to be physically active
    6. Worrying thoughts have been going through my mind a lot of the time
    7. I feel that my back pain is terrible and that it is never going to get any better
    8. In general, I have not enjoyed all the things I used to enjoy
  4. Criteria: Severity
    1. Overall how bothersome has your back pain been in the last 2 weeks?
      1. Score 0: Not at all, Slightly or Moderately
      2. Score 1: Very much or Extremely
  5. Interpretation
    1. Add the criteria (0-9 points total)
      1. One point for each YES or AGREE answer from the top 8 criteria questions
      2. One point if the severity in the last 2 weeks has been very or extremely severe
    2. Interpretation
      1. Score <=3: Low risk of progression to chronic Low Back Pain
      2. Score >3: Higher risk of chronic Low Back Pain
  6. References
    1. Sowden (2012) Fam Pract 29(1): 50-62 [PubMed]

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