Integrative care for the management of low back pain: use of a clinical care pathway

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Published online 2010 Oct 29. doi: 10.1186/1472-6963-10-298

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Table 1

Information in patient profile

History	• Activity and employment status
	• Description of LBP
	• Response to previous treatment
	• Co-morbidities and medications
Examination	• Vitals (height, weight, blood pressure)
	• Orthopedic exam (Lasegue, Patrick Fabre, Kemp, Gaenslen, Femoral Nerve Stretch)
	• Neurologic exam (motor, sensory, reflex evaluation)
	• Soft tissue evaluation

Imaging	• X-ray results (obtained if clinically warranted)
	• DEXA results (obtained if clinically warranted)

Biomechanical Assessment	• Torso strength (flexion, extension)
	• Torso endurance (flexion, extension, lateral bridge)
	• Lumbar range of motion (flexion, extension, lateral bending, rotation)

Psychosocial Assessment	• Disability (modified Roland Morris)[32,33]
	• General health status (EuroQol) [34,35]
	• Fear avoidance (Fear Avoidance Beliefs Questionnaire)[36]
	• Kinesiophobia (Tampa Scale of Kinesiophobia)[37]
	• Coping style (Vanderbilt Pain Management Inventory)[38,39]
	• Pain self-efficacy (PSEQ)[40]
	• Depression (CES-D)[41,42]

Preferences	• Which modalities were preferred
	• Expectations for improvement with each modality (5 point scale)