Browsing by Author "George, Steven Z"
Now showing items 1-20 of 36
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A value proposition for early physical therapist management of neck pain: a retrospective cohort analysis.
Horn, Maggie E; Brennan, Gerard P; George, Steven Z; Harman, Jeffrey S; Bishop, Mark D (BMC Health Serv Res, 2016-07-12)BACKGROUND: Neck pain is one of the most common reasons for entry into the healthcare system. Recent increases in healthcare utilization and medical costs have not correlated with improvements in health. Therefore there ... -
Adding Physical Impairment to Risk Stratification Improved Outcome Prediction in Low Back Pain.
Beneciuk, Jason M; George, Steven Z (Physical therapy, 2020-09-24)OBJECTIVE:Identifying subgroups of low back pain (LBP) has the potential to improve prediction of clinical outcomes. Risk stratification is one such strategy that identifies similar characteristics indicative of a common ... -
Assessment of Common Comorbidity Phenotypes Among Older Adults With Knee Osteoarthritis to Inform Integrated Care Models.
Lentz, Trevor A; Hellkamp, Anne S; Bhavsar, Nrupen A; Goode, Adam P; Manhapra, Ajay; George, Steven Z (Mayo Clinic proceedings. Innovations, quality & outcomes, 2021-04)<h4>Objective</h4>To establish the frequency of concordant, discordant, and clinically dominant comorbidities among Medicare beneficiaries with knee osteoarthritis (KOA) and to identify common concordant condition ... -
Association of Biomarkers with Individual and Multiple Body Sites of Pain: The Johnston County Osteoarthritis Project.
Norman, Katherine S; Goode, Adam P; Alvarez, Carolina; Hu, David; George, Steven Z; Schwartz, Todd A; Danyluk, Stephanie T; ... (14 authors) (Journal of pain research, 2022-01)<h4>Introduction</h4>Biochemical biomarkers may provide insight into musculoskeletal pain reported at individual or multiple body sites. The purpose of this study was to determine if biomarkers or pressure-pain threshold ... -
Can PROMIS measures be used to create subgroups for patients seeking orthopaedic care?
George, Steven Z; Yan, Xiaofang; Luo, Sheng; Olson, Steven A; Reinke, Emily K; Bolognesi, Michael P; Horn, Maggie E (Bone & joint open, 2021-07)<h4>Aims</h4>Patient-reported outcome measures have become an important part of routine care. The aim of this study was to determine if Patient-Reported Outcomes Measurement Information System (PROMIS) measures can be used ... -
Clinical Outcomes, Utilization, and Charges in Persons With Neck Pain Receiving Guideline Adherent Physical Therapy.
Horn, Maggie E; Brennan, Gerard P; George, Steven Z; Harman, Jeffrey S; Bishop, Mark D (Eval Health Prof, 2016-12)In efforts to decrease practice variation, clinical practice guidelines for neck pain have been published. The purpose of this study was to determine the effect of receiving guideline adherent physical therapy (PT) on clinical ... -
Derivation of a Risk Assessment Tool for Prediction of Long-Term Pain Intensity Reduction After Physical Therapy.
Horn, Maggie E; George, Steven Z; Li, Cai; Luo, Sheng; Lentz, Trevor A (Journal of pain research, 2021-01)<h4>Rationale</h4>Risk assessment tools can improve clinical decision-making for individuals with musculoskeletal pain, but do not currently exist for predicting reduction of pain intensity as an outcome from physical ... -
Description of Common Clinical Presentations and Associated Short-Term Physical Therapy Clinical Outcomes in Patients With Neck Pain.
Horn, Maggie E; Brennan, Gerard P; George, Steven Z; Harman, Jeffrey S; Bishop, Mark D (Arch Phys Med Rehabil, 2015-10)OBJECTIVE: To determine the effect of clinical presentations of neck pain on short-term physical therapy outcomes. DESIGN: Retrospective analysis of pair-matched groups from a clinical cohort. SETTING: Thirteen outpatient ... -
Exercise-induced pain intensity predicted by pre-exercise fear of pain and pain sensitivity.
Bishop, Mark D; Horn, Maggie E; George, Steven Z (Clin J Pain, 2011-06)OBJECTIVES: Our primary goals were to determine whether preexisting fear of pain and pain sensitivity contributed to post-exercise pain intensity. METHODS: Delayed-onset muscle pain was induced in the trunk extensors of ... -
Framework for improving outcome prediction for acute to chronic low back pain transitions.
George, Steven Z; Lentz, Trevor A; Beneciuk, Jason M; Bhavsar, Nrupen A; Mundt, Jennifer M; Boissoneault, Jeff (Pain reports, 2020-03-04)Clinical practice guidelines and the Federal Pain Research Strategy (United States) have recently highlighted research priorities to lessen the public health impact of low back pain (LBP). It may be necessary to improve ... -
High-Impact Chronic Pain Transition in Lumbar Surgery Recipients.
Cook, Chad E; George, Steven Z; Lentz, Trevor; Park, Christine; Shaffrey, Christopher I; Goodwin, C Rory; Than, Khoi D; ... (8 authors) (Pain medicine (Malden, Mass.), 2023-03)<h4>Objective</h4>High-impact chronic pain (HICP) is a term that characterizes the presence of a severe and troubling pain-related condition. To date, the prevalence of HICP in lumbar spine surgery recipients and their HICP ... -
High-impact chronic pain transition in surgical recipients with cervical spondylotic myelopathy.
Cook, Chad E; George, Steven Z; Asher, Anthony L; Bisson, Erica F; Buchholz, Avery L; Bydon, Mohamad; Chan, Andrew K; ... (15 authors) (Journal of neurosurgery. Spine, 2022-01)<h4>Objective</h4>High-impact chronic pain (HICP) is a recently proposed metric that indicates the presence of a severe and troubling pain-related condition. Surgery for cervical spondylotic myelopathy (CSM) is designed ... -
Implications of practice setting on clinical outcomes and efficiency of care in the delivery of physical therapy services.
Childs, John D; Harman, Jeffrey S; Rodeghero, Jason R; Horn, Maggie; George, Steven Z (J Orthop Sports Phys Ther, 2014-12)STUDY DESIGN: Retrospective analysis of episodes of care. OBJECTIVE: To assess the implications of practice setting (hospital outpatient settings versus private practice) on clinical outcomes and efficiency of care in the ... -
Improving Veteran Access to Integrated Management of Back Pain (AIM-Back): Protocol for an Embedded Pragmatic Cluster-Randomized Trial.
George, Steven Z; Coffman, Cynthia J; Allen, Kelli D; Lentz, Trevor A; Choate, Ashley; Goode, Adam P; Simon, Corey B; ... (17 authors) (Pain medicine (Malden, Mass.), 2020-12)<h4>Background</h4>Coordinated efforts between the National Institutes of Health, the Department of Defense, and the Department of Veterans Affairs have built the capacity for large-scale clinical research investigating ... -
Influence of Initial Provider on Health Care Utilization in Patients Seeking Care for Neck Pain.
Horn, Maggie E; George, Steven Z; Fritz, Julie M (Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 2017-12)To examine patients seeking care for neck pain to determine associations between the type of provider initially consulted and 1-year health care utilization.A retrospective cohort of 1702 patients (69.25% women, average ... -
Interventions for the Management of Acute and Chronic Low Back Pain: Revision 2021.
George, Steven Z; Fritz, Julie M; Silfies, Sheri P; Schneider, Michael J; Beneciuk, Jason M; Lentz, Trevor A; Gilliam, John R; ... (9 authors) (The Journal of orthopaedic and sports physical therapy, 2021-11)Low back pain (LBP) remains a musculoskeletal condition with an adverse societal impact. Globally, LBP is highly prevalent and a leading cause of disability. This is an update to the 2012 Academy of Orthopaedic Physical ... -
Introduction of a psychologically informed educational intervention for pre-licensure physical therapists in a classroom setting.
Ballengee, Lindsay A; Covington, J Kyle; George, Steven Z (BMC medical education, 2020-10-23)BACKGROUND:There is an increasing need for physical therapists to address psychosocial aspects of musculoskeletal pain. Psychologically informed practice is one way to deliver this type of care through the integration of ... -
Longitudinal Monitoring of Pain Associated Distress with the Optimal Screening for Prediction of Referral and Outcome Yellow Flag (OSPRO-YF) Tool: Predicting Reduction Pain Intensity and Disability.
George, Steven Z; Li, Cai; Luo, Sheng; Horn, Maggie E; Lentz, Trevor A (Archives of physical medicine and rehabilitation, 2020-06-26)OBJECTIVE:To investigate the Optimal Screening for Prediction of Referral and Outcome Yellow Flag (OSPRO-YF) tool for longitudinal monitoring of pain associated distress with the goal of improving prediction of 50% reduction ... -
Magnitude of spinal muscle damage is not statistically associated with exercise-induced low back pain intensity.
Bishop, Mark D; Horn, Maggie E; Lott, Donovan J; Arpan, Ishu; George, Steven Z (Spine J, 2011-12)BACKGROUND CONTEXT: Findings on imaging of noncontractile anatomic abnormalities and the intensity of low back pain have weak associations because of false-positive rates among asymptomatic individuals. This association ... -
Opioid legislation and narcotic filling in total hip arthroplasty: descriptive study of time and state-level trends in the United States.
Cunningham, Daniel J; Ryan, Sean P; George, Steven Z; Lewis, Brian D (Substance abuse treatment, prevention, and policy, 2021-09-28)<h4>Background</h4>The opioid misuse epidemic focused national attention on reducing opioid overprescribing. The purpose of this study is to describe the relationship of time and state-level interventions and opioid filling ...