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Latest & greatest articles for low back pain
The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on low back pain or other clinical topics then use Trip today.
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Back schools for acute and subacute non-specific low-backpain. Since the introduction of the Swedish back school in 1969, back schools have frequently been used for treating people with low-backpain (LBP). However, the content of back schools has changed and appears to vary widely today. In this review we defined back school as a therapeutic programme given to groups of people, which includes both education and exercise. This is an update of a Cochrane review first published in 1999 (...) a placebo (or sham or attention control) or another treatment (physical therapies, myofascial therapy, joint manipulations, advice) on pain, disability, work status and adverse events at short-term, intermediate-term and long-term follow-up. There is very low quality evidence that shows a statistically significant difference between back schools and a placebo (or sham or attention control) for return to work at short-term follow-up in favour of back school. Very low quality evidence suggests that back
The Effectiveness of Mechanical Traction Among Subgroups of Patients With LowBackPain and Leg Pain: A Randomized Trial Randomized clinical trial. Background The recommended initial management strategy for patients with lowbackpain and signs of nerve root compression is conservative treatment, but there is little evidence to guide the most appropriate management strategy. Preliminary research suggests that a treatment protocol of mechanical traction and extension-oriented exercises may (...) be effective, particularly in a specific subgroup of patients.To examine the effectiveness of mechanical traction in patients with lumbar nerve root compression and within a predefined subgroup.One hundred twenty patients with lowbackpain with nerve root compression were recruited from physical therapy clinics. Using predefined subgrouping criteria, patients were stratified at baseline and randomized to receive an extension-oriented treatment approach with or without the addition of mechanical traction
Noninvasive treatments for lowbackpain Noninvasive treatments for lowbackpain Noninvasive treatments for lowbackpain Chou R, Deyo R, Friedly J, Skelly A, Hashimoto R, Weimer M, Fu R, Dana T, Kraegel P, Griffin J, Grusing S, Brodt E Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Chou R, Deyo R, Friedly J, Skelly A, Hashimoto R (...) , Weimer M, Fu R, Dana T, Kraegel P, Griffin J, Grusing S, Brodt E. Noninvasive treatments for lowbackpain. Rockville: Agency for Healthcare Research and Quality (AHRQ). Comparative Effectiveness Review No. 169. 2016 Authors' objectives Lowbackpain is common, and many pharmacological and nonpharmacological therapies are available. This review examines the evidence on the comparative benefits and harms of noninvasive treatments for lowbackpain. Authors' conclusions A number of pharmacological
Frequency of sacroiliitis among patients with lowbackpain Sacroiliitis is one of the important symptoms in patients attending infectious diseases and rheumatology clinics. Some patients with sacroiliitis are asymptomatic, and some have unspecific symptoms. The aim of this study was to determine the frequency of sacroiliitis causes among patients attending Shahid Sadoughi's infectious disease and rheumatology clinics.In this study, we evaluated patients attending Shahid Sadoughi rheumatology
Effect of Mindfulness-Based Stress Reduction vs Cognitive Behavioral Therapy or Usual Care on BackPain and Functional Limitations in Adults With Chronic LowBackPain: A Randomized Clinical Trial. Mindfulness-based stress reduction (MBSR) has not been rigorously evaluated for young and middle-aged adults with chronic lowback pain.To evaluate the effectiveness for chronic lowbackpain of MBSR vs cognitive behavioral therapy (CBT) or usual care.Randomized, interviewer-blind, clinical trial (...) in an integrated health care system in Washington State of 342 adults aged 20 to 70 years with chronic lowbackpain enrolled between September 2012 and April 2014 and randomly assigned to receive MBSR (n = 116), CBT (n = 113), or usual care (n = 113).CBT (training to change pain-related thoughts and behaviors) and MBSR (training in mindfulness meditation and yoga) were delivered in 8 weekly 2-hour groups. Usual care included whatever care participants received.Coprimary outcomes were the percentages
Sacroiliac joint fusion for lowbackpain: a systematic review and meta-analysis. Although pain is generally regarded as originating in the lumbar spine, it has been estimated that in 15-30 % of patients, LBP originates from the sacroiliac joint (SIJ).To determine whether sacroiliac joint fusion (SIJF) for LBP is effective in reducing pain when the SIJ is known to be the pain generator.Systematic review and meta-analysis.A systematic literature review and meta-analysis was performed (...) of observational studies describing outcome of SIJF in patients with LBP. Outcome measures were VAS pain, ODI, SF-36 PCS/MCS and Majeed score. The following databases were searched: PubMed, Web of Science, Embase, Medline and Google scholar. The methodological quality of selected studies was assessed using the National Heart Lung and Blood Institute case series quality assessment tool. Meta-analysis was used to combine the studies for each outcome and forest plots were prepared. Outcomes were expressed as mean
Noninvasive Treatments for LowBackPain Noninvasive Treatments for LowBackPain: Current State of the Evidence Focus of This Summary This review examines the evidence on the comparative benefits and harms of noninvasive treatments for acute, subacute, and chronic lowbackpain from 156 studies that were published before April 2015. Excluded from the review were studies conducted among patients with lowbackpain related to cancer, infection, inflammatory arthropathy, high-velocity trauma (...) , or fracture or lowbackpain associated with severe or progressive neurological deficits. The full report, listing all studies, is available at www.effectivehealthcare.ahrq.gov/low-back-pain. This summary is provided to assist in informed clinical decisionmaking. However, reviews of evidence should not be construed to represent clinical recommendations or guidelines. Conclusions Several interventions for lowbackpain are associated with small-to-moderate, primarily short-term effects on pain versus
Core stability versus conventional exercise for treating non-specific lowbackpain. BestBets: Core stability versus conventional exercise for treating non-specific lowbackpain. Core stability versus conventional exercise for treating non-specific lowbackpain. Report By: John Davin and Michael Callaghan. - 1st Team Rehabilitation Physiotherapist. Head of Therapies Institution: Manchester United Football Club Date Submitted: 9th December 2015 Date Completed: 17th February 2016 Last Modified (...) : 17th February 2016 Status: Green (complete) Three Part Question In [patients presenting with lowbackpain] is [a core stability programme more effective than conventional exercise based therapy] at [decreasing pain, increasing mobility and returning to play]. Clinical Scenario A 24 year old male presents with chronic lowbackpain. Investigations have ruled out any serious disc, joint or bony pathology. Current opinion advocates core stability as the ‘go to’ treatment for this non-specific pain
Intra-articular facet joint injections for lowbackpain: a systematic review. Evidence supporting the use of therapeutic intra-articular facet joint injections for patients with suspected facet joint pain is sparse. A systematic review including a narrative synthesis was carried out to determine if intra-articular facet joint injections with active drug are more effective in reducing backpain and backpain-related disability than a sham procedure or a placebo/inactive injection. Secondly (...) , to determine if intra-articular facet joint injections with active drug or placebo/inactive injection are more effective in reducing backpain and backpain-related disability than conservative treatment.Medline, EMBASE, CINAHL, CENTRAL, Index to Chiropractic Literature and the Cochrane Central Register of Controlled Trials were searched from inception through April 2015. Data were screened and single extraction with independent verification and risk of bias assessment was performed.A total of 391 records
The effect of yoga on depression and pain in adult patients with chronic lowbackpain: a systematic review protocol. 26878920 2018 10 03 2019 03 18 2202-4433 14 1 2016 Jan JBI database of systematic reviews and implementation reports JBI Database System Rev Implement Rep The effect of yoga on depression and pain in adult patients with chronic lowbackpain: a systematic review protocol. 56-66 10.11124/jbisrir-2016-2409 Brinzo Julie A JA 1 Texas Tech University Health Sciences Center, Texas (...) , USA2 Texas Woman's University, Texas, USA3 Texas Christian University Center for Evidence Based Practice and Research: a Collaborating Center of the Joanna Briggs Institute, Texas, USA. Crenshaw Jeannette T JT Thomas Laura L Sapp Alysha A eng Journal Article Australia JBI Database System Rev Implement Rep 101648258 2202-4433 IM Adult Depression complications therapy Humans LowBackPain complications Pain Measurement Systematic Reviews as Topic Treatment Outcome Yoga 2016 2 17 6 0 2016 2 18 6 0
Motor control exercise for acute non-specific lowbackpain. Motor control exercise (MCE) is used by healthcare professionals worldwide as a common treatment for lowbackpain (LBP). However, the effectiveness of this intervention for acute LBP remains unclear.To evaluate the effectiveness of MCE for patients with acute non-specific LBP.We searched MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials (CENTRAL), four other databases and two trial registers from their inception (...) indicates that MCE showed no benefit over spinal manipulative therapy, other forms of exercise or medical treatment in decreasing pain and disability among patients with acute and subacute lowbackpain. Whether MCE can prevent recurrences of LBP remains uncertain.
Non-steroidal anti-inflammatory drugs for chronic lowbackpain. Chronic backpain is an important health problem. Non-steroidal anti-inflammatory drugs (NSAIDs) are widely used to treat people with lowbackpain, especially people with acute backpain. Short term NSAID use is also recommended for pain relief in people with chronic backpain. Two types of NSAIDs are available and used to treat backpain: non-selective NSAIDs and selective COX-2 NSAIDs. In 2008, a Cochrane review identified (...) a small but significant effect from NSAIDs compared to placebo in people with chronic backpain. This is an update of the Cochrane review published in 2008 and focuses on people with chronic lowback pain.To determine if NSAIDs are more efficacious than various comparison treatments for non-specific chronic lowbackpain and if so, which type of NSAID is most efficacious.We searched CENTRAL, MEDLINE, EMBASE, PubMed and two clinical trials registry databases up to 24 June 2015 for randomized controlled
Effects of intracutaneous injections of sterile water in patients with acute lowbackpain: a randomized, controlled, clinical trial. Intracutaneous sterile water injection (ISWI) is used for relief of lowbackpain during labor, acute attacks of urolithiasis, chronic neck and shoulder pain following whiplash injuries, and chronic myofascial pain syndrome. We conducted a randomized, double-blinded, placebo-controlled trial to evaluate the effect of ISWI for relief of acute lowbackpain (aLBP (...) ). A total of 68 patients (41 females and 27 males) between 18 and 55 years old experiencing aLBP with moderate to severe pain (scores ≥5 on an 11-point visual analogue scale [VAS]) were recruited and randomly assigned to receive either ISWIs (n=34) or intracutaneous isotonic saline injections (placebo treatment; n=34). The primary outcome was improvement in pain intensity using the VAS at 10, 45, and 90 min and 1 day after treatment. The secondary outcome was functional improvement, which was assessed
Percutaneous coblation of the intervertebral disc for lowbackpain and sciatica P Percutaneous coblation of the interv ercutaneous coblation of the intervertebr ertebral disc al disc for lowbackpain and sciatica for lowbackpain and sciatica Interventional procedures guidance Published: 27 January 2016 nice.org.uk/guidance/ipg543 Y Y our responsibility our responsibility This guidance represents the view of NICE, arrived at after careful consideration of the evidence available. When (...) . Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 1 of 71 1 Recommendations Recommendations 1.1 Current evidence on percutaneous coblation of the intervertebral disc for lowbackpain and sciatica raises no major safety concerns. The evidence on efficacy is adequate and includes large numbers of patients with appropriate follow-up periods. Therefore, this procedure may be used provided that normal arrangements are in place for clinical governance