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Table 2 Diagnostic classification criteria through PRAP

From: Cross-cultural adaptation and reliability of the pain response to activity and position questionnaire

Classification criteria for spinal stenosis

Classification criteria for benign low back pain

If at least one of these five symptoms is present:

1. Back pain is worse when you stand

2. for more than 5 min.

3. Back pain is worse when walking for a block or more.

4. Leg pain is worse when carrying heavy objects.

5. Leg pain is worse when you push heavy objects.

6. Leg pain is worse when standing for more than 5 min.

If at least one of these two symptoms is present:

1. Back pain is worse when sitting for more than 5 min.

2. Back pain is worse when walking for more than one block.

And at least one of these two symptoms is present:

1 Back pain is absent, better, or does not change when sitting for more than 5 min.

2 Leg pain is absent, better, or does not change when sitting for more than 5 min.

And at least one of these three symptoms is present:

1. Back pain is absent, better, or does not change when moving from sitting to standing.

2. Leg pain is absent, better, or does not change when moving from sitting to standing.

3. Leg pain is absent, better, or does not change when walking for more than one block.

And at least one of these two symptoms is present:

1 Leg pain is absent, better, or does not change when waking up in the morning.

2 Leg pain is absent, better, or does not change at the end of the day.

And at least one of these three symptoms is present:

1. Leg pain is absent, better, or does not change when sitting for more than five minutes.

2. Leg pain is absent, better, or does not change when lifting heavy objects.

3. Leg pain is absent, better, or does not change when leaning forward.

Classification criteria for disc herniation

Classification criteria for disc herniation with spinal stenosis

 

If at least one of these three symptoms is present:

1 Back pain is worse when pushing heavy objects.

2 Leg pain is worse when carrying heavy objects.

3 Leg pain is worse when standing for more than five minutes.

And at least one of these two symptoms is present:

1 Back pain is worse when waking up in the morning.

2 Leg pain is worse when driving a car.

If at least one of these four symptoms is present:

1 Back pain is worse when driving a car.

2 Back pain is worse when sitting for more than 5 min.

3 Leg pain is worse when driving a car.

4 Leg pain is worse when sitting for more than 5 min.

 

And at least one of these three symptoms is present:

1. Leg pain is absent, better, or does not change when pushing heavy objects.

2. Leg pain is absent, better, or does not change when standing for more than 5 min.

3. Leg pain is absent, better, or does not change when lying on stomach.