ArticlePhysical therapy2016
Preliminary Evaluation of a Modified STarT Back Screening Tool Across Different Musculoskeletal Pain Conditions.
Article in Physical therapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Trial
- Early kinesiophobia and its associated factors among patients after arthroscopic rotator cuff repair: a cross-sectional study based on latent profile analysis.BMC musculoskeletal disorders · 2025Article
- The effects of psychologically informed physical therapy on kinesiophobia, pain, disability, depression, and anxiety in patients with chronic low back pain: an intervention study focusing on graded exposure.Journal of physical therapy science · 2025Article
- Novel approaches to recruiting clinical sites for embedded pragmatic clinical trials: Insights from the AIM-back trial.Contemporary clinical trials communications · 2025Article
- Psychological profiles of patients reporting with musculoskeletal shoulder or elbow pain.JSES international · 2025Article
- Identifying Clinical Phenotypes in People Who Are Hispanic/Latino With Chronic Low Back Pain: Use of Sensor-Based Measures of Posture and Movement, Pain, and Psychological Factors.Physical therapy · 2024Article
- Guideline adherent screening and referral: do third year Doctor of Physical Therapy students identify red and yellow flags within descriptive patient cases? a United States based survey study.The Journal of manual & manipulative therapy · 2023Article
- What influences patient satisfaction after total knee replacement? A qualitative long-term follow-up study.BMJ open · 2021Article
- Development and validation of a shoulder-specific body-perception questionnaire in people with persistent shoulder pain.BMC musculoskeletal disorders · 2021Article
- Derivation of a Risk Assessment Tool for Prediction of Long-Term Pain Intensity Reduction After Physical Therapy.Journal of pain research · 2021Article
- Development and Psychometric Testing of the Japanese Version of the Fremantle Neck Awareness Questionnaire: A Cross-Sectional Study.Journal of pain research · 2021Article
- Pain-related beliefs are associated with arm function in persons with frozen shoulder.Shoulder & elbow · 2020Article
- Musculoskeletal pain stakeholder engagement and partnership development: determining patient-centered research priorities.Research involvement and engagement · 2020Article
- Are Psychologic Factors Associated With Shoulder Scores After Rotator Cuff Surgery?Clinical orthopaedics and related research · 2018Observational
- Prediction of healthcare utilization following an episode of physical therapy for musculoskeletal pain.BMC health services research · 2018Article
- Optimal Screening for Prediction of Referral and Outcome (OSPRO) for Musculoskeletal Pain Conditions: Results From the Validation Cohort.The Journal of orthopaedic and sports physical therapy · 2018Observational
- Advancing Psychologically Informed Practice for Patients With Persistent Musculoskeletal Pain: Promise, Pitfalls, and Solutions.Physical therapy · 2018Review
- Psychometric Evaluation of the Optimal Screening for Prediction of Referral and Outcome Yellow Flag (OSPRO-YF) Tool: Factor Structure, Reliability, and Validity.The journal of painArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundThe STarT Back Screening Tool is a validated multidimensional screening measure and risk stratification tool for people with low back pain.
objectiveThe study objective was to compare relationships between a modified STarT Back Screening Tool (mSBT) and clinical and psychological measures in people with low back, neck, shoulder, and knee pain. The hypothesis was that the relationships between mSBT scores and clinical and psychological measure scores would be similar across the included musculoskeletal pain conditions.
designA cross-sectional, secondary analysis was done in this study.
methodsParticipants with low back (n=118), neck (n=92), shoulder (n=106), or knee (n=111) pain were recruited, and an mSBT was developed for use across the pain conditions. Separate hierarchical linear regression models were developed, with clinical (health status, pain intensity, and disability) and psychological (kinesiophobia, catastrophizing, fear avoidance, anxiety, depressive symptoms, and self-efficacy) measures as dependent variables. Demographic and pain region variables were entered in the first step, mSBT scores were entered in the second step, and pain region × mSBT interactions were entered in the last step.
resultsIn the final models, no interactions were identified, suggesting that dependent measure scores did not differ by pain region. The strongest contributor for all dependent variables was mSBT scores (β=|0.32|-|0.68|); higher mSBT scores were associated with poorer health status and self-efficacy and with higher levels of pain intensity, disability, kinesiophobia, catastrophizing, fear avoidance, anxiety, and depressive symptoms. LIMITATIONS: Generalizability was restricted to physical therapy outpatients with the included pain conditions. The mSBT used in this study is not ready for clinical implementation.
conclusionsThe results of this study support the feasibility of using a single measure for concise risk assessment across different musculoskeletal pain conditions. Further longitudinal studies are needed to better direct the clinical use of an mSBT in people with low back, neck, shoulder, and knee pain.
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