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Table 1 Descriptions of the defined trajectory subgroups

From: How can latent trajectories of back pain be translated into defined subgroups?

Principal dimensions of trajectory subgroups

Terminology for labelling

Suggested definition

INTENSITY

 

Mean scores 0–10 Numerical Rating Scale

Severe pain

6–10

Moderate pain

4–5

Mild pain

2–3

Minor pain/Recovery a

0–1

VARIATION

Ongoing pain

An individual’s pain intensity stays within mean +/− 1-point (0–10 NRS)

Pain reported >4 days per week

Fluctuating pain

Variation in pain intensity exceeds 2 points*, without periods of no pain (0) lasting ≥1 month [21]

Episodic pain

Experiencing more than one period of pain over 1 year separated by periods with no pain (0) lasting ≥1 month

Single episode

Experiencing one episode lasting  ≤ 2 weeks within 1 year

Change pattern (likely to be most relevant for clinical populations)

Rapidly improving pain

Marked decrease in pain intensity within 1 month

Gradually improving pain

Marked decrease in pain intensity occurring gradually over more than 1 month

Progressing pain

An overall pattern of increasing pain intensity

  1. aOur interpretation of the definition of fluctuations was that the difference between minimum and maximum pain intensity exceeded 2 points
  2. From Kongsted A, Kent P, Axen I, Downie AS, Dunn KM. What have we learned from ten years of trajectory research in low back pain? BMC Musculoskelet Disord 2016; 17: 220