ArticleSAGE open medicine2018
Psychosocial factors associated with change in pain and disability outcomes in chronic low back pain patients treated by physiotherapist: A systematic review.
Article in SAGE open medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
56 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Effect of Motivational Interviewing and Exercise on Chronic Low Back Pain: A Systematic Review and Meta-Analysis.Musculoskeletal care · 2025Pooled it
- Barriers and facilitators experienced by osteopaths in implementing a biopsychosocial (BPS) framework of care when managing people with musculoskeletal pain - a mixed methods systematic review.BMC health services research · 2021Pooled it
- Psychometric properties of chronic low back pain diagnostic classification systems: a systematic review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2021Pooled it
- Beyond the pain: A qualitative study exploring the physical therapy experience in patients with chronic low back pain.Physiotherapy theory and practice · 2023Trial
- A Person-Centred Prehabilitation Program based on Cognitive Behavioural Physical Therapy for patients scheduled for Lumbar Fusion surgery: A mediation analysis to assess fear of movement (kinesiophobia), self-efficacy and catastrophizing as mediators of health outcomes.European journal of pain (London, England) · 2022Trial
- Do Physical Therapy and Yoga Improve Pain and Disability through Psychological Mechanisms? A Causal Mediation Analysis of Adults with Chronic Low Back Pain.The Journal of orthopaedic and sports physical therapy · 2022Trial
- Effects of behavioural exercise therapy on the effectiveness of multidisciplinary rehabilitation for chronic non-specific low back pain: a randomised controlled trial.BMC musculoskeletal disorders · 2021Trial
- A randomized clinical trial comparing non-thrust manipulation with segmental and distal dry needling on pain, disability, and rate of recovery for patients with non-specific low back pain.The Journal of manual & manipulative therapy · 2019Trial
- Kinesiophobia and Clinical Outcomes in People with Chronic Low Back Pain: A Cross-Sectional Study.Journal of clinical medicine · 2026Article
- Article
- How individuals formulate their beliefs about chronic musculoskeletal pain: introducing the dual implicit-explicit processing (DIP) model of pain belief formation - a qualitative exploration.BMC musculoskeletal disorders · 2026Article
- Psychological mediators in chronic spinal pain after fully remote digital rehabilitation: a real-world, large-sample study.Physical therapy · 2026Article
- Association between clinical, psychosocial and sociodemographic factors and ICF-domains in adults with chronic non-specific low back pain: a cross-sectional study.BMC musculoskeletal disorders · 2026Article
- Exploring pain conceptualization in relation to outcomes in patients with chronic low back pain: a prospective observational study.Croatian medical journal · 2026Observational
- Intelligence without intuition: a mixed-methods pilot study on reasoning models in musculoskeletal physiotherapy for low-back pain.Frontiers in digital health · 2026Article
- Exploring the Impact of Behavioral Engagement Indicators on Pain Outcomes in AI-Enabled Musculoskeletal Rehabilitation: A Real-World Investigation.Journal of pain research · 2026Article
- Clinical Characterization of Hip Subgroups in Geriatric Chronic Low Back Pain.Archives of physical medicine and rehabilitation · 2025Article
- Low-level laser therapy in osteoarthritic pain: A narrative review with an approach to integrated clinical use.Osteoarthritis and cartilage open · 2025Review
- Are depression, anxiety, and fear-avoidance predictors of outcomes after digital care for chronic musculoskeletal pain?Pain reports · 2025Article
- Predictors for Poor Outcomes at Six Months on Pain, Disability, Psychological and Health Status in Greek Patients with Chronic Low Back Pain After Receiving Physiotherapy: A Prospective Cohort Study.Clinics and practice · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlmost 80% of people have low back pain at least once in their life. Clinical guidelines emphasize the use of conservative physiotherapy and the importance of staying active. While the psychological factors predicting poor recovery following surgical intervention are understood, the psychosocial factors associated with poor outcomes following physiotherapy have yet to be identified.
methodsElectronic searches of PubMed, Medline, CINAHL, PsycINFO and EBSCO were conducted using terms relating to psychosocial factors, chronic low back pain, disability and physiotherapy. Papers examining the relationship between psychosocial factors and pain and disability outcomes following physiotherapy were included. Two reviewers selected, appraised and extracted studies independently.
resultsIn total, 10 observational studies were identified that suggested an association between fear of movement, depression, self-efficacy and catastrophizing in modifying pain and disability outcomes following physiotherapy. DISCUSSION: Although limited by methodological shortcomings of included studies, and heterogeneity of physiotherapy interventions and measures of disability and psychosocial outcomes, the findings are consistent with other research in the context of back pain and physiotherapy, which suggest an association between psychosocial factors, including fear of movement, catastrophizing and self-efficacy and pain and disability outcomes in chronic low back pain patients treated by physiotherapist. However, a direct relationship cannot be concluded from this study.
conclusionFindings suggest an association between psychosocial factors, including fear of movement, catastrophizing and self-efficacy and pain and disability outcomes in chronic low back pain patients treated by physiotherapist, which warrants further study.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.