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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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Group education interventions for people with lowbackpain: an overview of the literature Group education interventions for people with lowbackpain: an overview of the literature Group education interventions for people with lowbackpain: an overview of the literature Cohen J E, Goel V, Frank J W, Bombardier C, Peloso P, Guillemin F Authors' objectives To make a recommendation regarding the effectiveness of group education as an intervention for people with lower-backpain. Searching (...) searched over different time periods. The group education interventions were not of uniform high quality. Only 2 out of 13 interventions were rated as either good or very good by both expert reviewers. Generally, the interventions were insufficiently described. Bibliographic details Cohen J E, Goel V, Frank J W, Bombardier C, Peloso P, Guillemin F. Group education interventions for people with lowbackpain: an overview of the literature. Spine 1994; 19(11): 1214-1222 PubMedID Indexing Status Subject
A controlled trial of corticosteroid injections into facet joints for chronic lowbackpain. Chronic lowbackpain is a common problem with many treatments, few of which have been rigorously evaluated. This randomized, placebo-controlled trial was designed to evaluate the efficacy of injections of corticosteroid into facet joints to treat chronic lowback pain.Patients with chronic lowbackpain who reported immediate relief of their pain after injections of local anesthetic into the facet (...) in the treatment of patients with chronic lowbackpain.
Lowbackpain of mechanical origin: randomised comparison of chiropractic and hospital outpatient treatment. To compare chiropractic and hospital outpatient treatment for managing lowbackpain of mechanical origin.Randomised controlled trial. Allocation to chiropractic or hospital management by minimisation to establish groups for analysis of results according to initial referral clinic, length of current episode, history, and severity of backpain. Patients were followed up for up two (...) flexion.Chiropractic treatment was more effective than hospital outpatient management, mainly for patients with chronic or severe backpain. A benefit of about 7% points on the Oswestry scale was seen at two years. The benefit of chiropractic treatment became more evident throughout the follow up period. Secondary outcome measures also showed that chiropractic was more beneficial.For patients with lowbackpain in whom manipulation is not contraindicated chiropractic almost certainly confers worthwhile, long term
A controlled trial of transcutaneous electrical nerve stimulation (TENS) and exercise for chronic lowbackpain. A number of treatments are widely prescribed for chronic backpain, but few have been rigorously evaluated. We examined the effectiveness of transcutaneous electrical nerve stimulation (TENS), a program of stretching exercises, or a combination of both for lowbackpain. Patients with chronic lowbackpain (median duration, 4.1 years) were randomly assigned to receive daily treatment (...) , however, most patients had discontinued the exercises, and the initial improvements were gone. We conclude that for patients with chronic lowbackpain, treatment with TENS is no more effective than treatment with a placebo, and TENS adds no apparent benefit to that of exercise alone.
Clinical trial of intensive muscle training for chronic lowbackpain. 105 patients who had chronic lowbackpain without clinical signs of lumbar nerve root compression or radiological evidence of spondylolysis or osteomalacia were randomised to three treatments: 30 sessions of intensive dynamic back extensor exercises over three months; a similar programme at one-fifth the exercise intensity; or one month of thermotherapy, massage, and mild exercises. The results consistently favoured
A new approach to the treatment of chronic lowbackpain. 81 patients with chronic lowbackpain (average duration 10 years) were randomised to two treatment groups. 40 received an empirically devised regimen of forceful spinal manipulation and injections of a dextrose-glycerine-phenol ("proliferant") solution into soft-tissue structures, as part of a programme to decrease pain and disability. The other 41 patients received parallel treatment in which the main differences were less extensive (...) and the numbers free from disability were 15 and 4, respectively (p less than 0.003). Visual analogue pain scores and pain diagrams likewise showed significant advantages for the experimental regimen.
How many days of bed rest for acute lowbackpain? A randomized clinical trial. Bed rest is usually recommended for acute lowbackpain. Although the optimal duration of bed rest is uncertain, a given prescription may directly affect the number of days lost from work or other activities. In a randomized trial, we compared the consequences of recommending two days of bed rest (Group I) with those of recommending seven days (Group II). The subjects were 203 walk-in patients with mechanical low (...) . For many patients without neuromotor deficits, clinicians may be able to recommend two days of bed rest rather than longer periods, without any perceptible difference in clinical outcome. If widely applied, this policy might substantially reduce absenteeism from work and the resulting indirect costs of lowbackpain for both patients and employers.
Controlled comparison of short-wave diathermy treatment with osteopathic treatment in non-specific lowbackpain. The effectiveness of spinal manipulation carried out by a non-medical qualified osteopath was compared with that of short-wave diathermy (SWD) and a placebo (detuned SWD) in 109 patients with lowbackpain. More than half the subjects in each of the 3 treatment groups benefited immediately from therapy. Significant improvements were observed in the 3 groups at the end of 2 weeks (...) ' treatment, and these were still apparent at 12 weeks. The outcome of treatment was unrelated to the initial severity or duration of pain or to the trend of pain towards deterioration or improvement. It is, therefore, unlikely that the results simply reflect the natural history of lowbackpain. Benefits obtained with osteopathy and SWD in this study may have been achieved through a placebo effect.
Spinal manipulation for lowbackpain. A randomized clinical trial of rotational manipulation was conducted on 95 patients with lowbackpain selected for (1) the absence of any contraindications for vertebral manipulation, (2) the absence of any psychosocial problems that might affect the outcome of treatment, (3) the absence of any previous experience with manipulative therapy, and (4) the presence of palpatory cues indicating that manipulation might be successful. Patients were randomly