Latest & greatest articles for low back pain

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Top results for low back pain

121. Evidence of splinting in low back pain? A systematic review of perturbation studies. (PubMed)

Evidence of splinting in low back pain? A systematic review of perturbation studies. The purpose of this systematic review was to assess whether LBP patients demonstrate signs of splinting by evaluating the reactions to unexpected mechanical perturbations in terms of (1) trunk muscle activity, (2) kinetic and (3) kinematic trunk responses and (4) estimated mechanical properties of the trunk.The literature was systematically reviewed to identify studies that compared responses to mechanical

2017 European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society

122. Back Schools for chronic non-specific low back pain. (Full text)

Back Schools for chronic non-specific low back pain. Many people with low back pain (LBP) become frequent users of healthcare services in their attempt to find treatments that minimise the severity of their symptoms. Back School consists of a therapeutic programme given to groups of people that includes both education and exercise. However, the content of Back School has changed over time and appears to vary widely today. This review is an update of a Cochrane review of randomised controlled (...) that Back School is more effective than no treatment (mean difference (MD) -6.10, 95% confidence interval (CI) -10.18 to -2.01). However, we found very low-quality evidence that there is no significant difference between Back School and no treatment at intermediate-term (MD -4.34, 95% CI -14.37 to 5.68) or long-term follow-up (MD -12.16, 95% CI -29.14 to 4.83). There was very low-quality evidence that Back School reduces pain at short-term follow-up compared to medical care (MD -10.16, 95% CI -19.11

2017 Cochrane PubMed

123. Aquatic Exercises in the Treatment of Low Back Pain: A Systematic Review of the Literature and Meta-Analysis of Eight Studies. (PubMed)

Aquatic Exercises in the Treatment of Low Back Pain: A Systematic Review of the Literature and Meta-Analysis of Eight Studies. Low back pain is the most common musculoskeletal condition with a high prevalence. There was no sufficient evidence to recommend that aquatic exercise was potentially beneficial to patients with low back pain. The aim of this study was to systematically analyze all evidence available in the literature about effectiveness of the aquatic exercise.A comprehensive search (...) of PubMed, the Cochrane Library, Embase, and Cumulative Index to Nursing and Allied Health was conducted from their inceptions to November 2016 for randomized controlled trials, which concerned the therapeutic aquatic exercise for low back pain. The results were expressed in terms of standardized mean difference and the corresponding 95% confidence interval.Eight trials involving 331 patients were included in the meta-analysis, and the results showed a relief of pain (standardized mean difference

2017 American journal of physical medicine & rehabilitation

124. Effect of Radiofrequency Denervation on Pain Intensity Among Patients With Chronic Low Back Pain: The Mint Randomized Clinical Trials. (Full text)

Effect of Radiofrequency Denervation on Pain Intensity Among Patients With Chronic Low Back Pain: The Mint Randomized Clinical Trials. Radiofrequency denervation is a commonly used treatment for chronic low back pain, but high-quality evidence for its effectiveness is lacking.To evaluate the effectiveness of radiofrequency denervation added to a standardized exercise program for patients with chronic low back pain.Three pragmatic multicenter, nonblinded randomized clinical trials (...) on the effectiveness of minimal interventional treatments for participants with chronic low back pain (Mint study) were conducted in 16 multidisciplinary pain clinics in the Netherlands. Eligible participants were included between January 1, 2013, and October 24, 2014, and had chronic low back pain, a positive diagnostic block at the facet joints (facet joint trial, 251 participants), sacroiliac joints (sacroiliac joint trial, 228 participants), or a combination of facet joints, sacroiliac joints

2017 JAMA PubMed

125. Cost Utility Analysis of Lumbar Interlaminar Epidural Injections in the Treatment of Lumbar Disc Herniation, Central Spinal Stenosis, and Axial or Discogenic Low Back Pain

Cost Utility Analysis of Lumbar Interlaminar Epidural Injections in the Treatment of Lumbar Disc Herniation, Central Spinal Stenosis, and Axial or Discogenic Low Back Pain Cost utility or cost effective analysis continues to take center stage in the United States for defining and measuring the value of treatments in interventional pain management. Appropriate cost utility analysis has been performed for caudal epidural injections, percutaneous adhesiolysis, and spinal cord stimulation. However (...) , the literature pertaining to lumbar interlaminar epidural injections is lacking, specifically in reference to cost utility analysis derived from randomized controlled trials (RCTs) with a pragmatic approach in a practical setting.To assess the cost utility of lumbar interlaminar epidural injections in managing chronic low back and/or lower extremity pain secondary to lumbar disc herniation, spinal stenosis, and axial or discogenic low back pain.Analysis based on 3 previously published randomized trials

2017 EvidenceUpdates

126. Facet joint injections for people with persistent non-specific low back pain (Facet Injection Study): a feasibility study for a randomised controlled trial

Facet joint injections for people with persistent non-specific low back pain (Facet Injection Study): a feasibility study for a randomised controlled trial Facet joint injections for people with persistent non-specific low back pain (Facet Injection Study): a feasibility study for a randomised controlled trial Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please (...) choose a page from the navigation or try a website search above to find the information you need. >> >> >> >> Issue {{metadata .Issue }} Toolkit 1)"> 0)"> 1)"> {{metadata.Title}} {{metadata.Headline}} This feasibility study achieved consensus on the main challenges in a trial of facet-joint injections for people with persistent non-specific low back pain, but the pilot RCT did not achieve its recruitment target. {{author}} {{($index , , , , , , , , , , , , , , , & . David R Ellard 1 , Martin

2017 NIHR HTA programme

127. Multidisciplinary biopsychosocial rehabilitation for subacute low back pain. (Full text)

Multidisciplinary biopsychosocial rehabilitation for subacute low back pain. Low back pain (LBP) is associated with enormous personal and societal burdens, especially when it reaches the chronic stage of the disorder (pain for a duration of more than three months). Indeed, individuals who reach the chronic stage tend to show a more persistent course, and they account for the majority of social and economic costs. As a result, there is increasing emphasis on the importance of intervening (...) of a series of reviews on MBR for musculoskeletal pain published by the Cochrane Back and Neck Group and the Cochrane Musculoskeletal Group.To examine the effectiveness of MBR for subacute LBP (pain for a duration of six to 12 weeks) among adults, with a focus on pain, back-specific disability, and work status.We searched for relevant trials in any language by a computer-aided search of CENTRAL, MEDLINE, Embase, CINAHL, PsycINFO and two trials registers. Our search is current to 13 July 2016.We included

2017 Cochrane PubMed

128. Effects of lower body quadrant neural mobilization in healthy and low back pain populations: A systematic review and meta-analysis. (PubMed)

Effects of lower body quadrant neural mobilization in healthy and low back pain populations: A systematic review and meta-analysis. Neural mobilization (NM) is widely used to assess and treat several neuromuscular disorders. However, information regarding the NM effects targeting the lower body quadrant is scarce.To determine the effects of NM techniques targeting the lower body quadrant in healthy and low back pain (LBP) populations.Systematic review with meta-analysis.Randomized controlled (...) trials were included if any form of NM was applied to the lower body quadrant. Pain, disability, and lower limb flexibility were the main outcomes. PEDro scale was used to assess methodological quality.Forty-five studies were selected for full-text analysis, and ten were included in the meta-analysis, involving 502 participants. Overall, studies presented fair to good quality, with a mean PEDro score of 6.3 (from 4 to 8). Five studies used healthy participants, and five targeted people with LBP

2017 Musculoskeletal science & practice

129. Yoga, Physical Therapy, or Education for Chronic Low Back Pain: A Randomized Noninferiority Trial. (PubMed)

Yoga, Physical Therapy, or Education for Chronic Low Back Pain: A Randomized Noninferiority Trial. Yoga is effective for mild to moderate chronic low back pain (cLBP), but its comparative effectiveness with physical therapy (PT) is unknown. Moreover, little is known about yoga's effectiveness in underserved patients with more severe functional disability and pain.To determine whether yoga is noninferior to PT for cLBP.12-week, single-blind, 3-group randomized noninferiority trial and subsequent (...) 40-week maintenance phase. (ClinicalTrials.gov: NCT01343927).Academic safety-net hospital and 7 affiliated community health centers.320 predominantly low-income, racially diverse adults with nonspecific cLBP.Participants received 12 weekly yoga classes, 15 PT visits, or an educational book and newsletters. The maintenance phase compared yoga drop-in classes versus home practice and PT booster sessions versus home practice.Primary outcomes were back-related function, measured by the Roland Morris

2017 Annals of Internal Medicine

130. NSAIDs for Chronic Low Back Pain. (PubMed)

NSAIDs for Chronic Low Back Pain. Are nonsteroidal anti-inflammatory drugs (NSAIDs) associated with greater pain relief than placebo, other drugs, and nondrug treatments for patients with chronic low back pain?Compared with placebo, NSAIDs are associated with a small but significant improvement in pain and disability in patients with chronic low back pain, although this difference became nonsignificant when studies with high risk for bias were excluded. The associated benefits were smaller than

2017 JAMA

131. Low back pain and radicular pain: evaluation and management

Low back pain and radicular pain: evaluation and management 2017 www.kce.fgov.be KCE REPORT 287 LOW BACK PAIN AND RADICULAR PAIN: ASSESSMENT AND MANAGEMENT BVOT 2017 www.kce.fgov.be KCE REPORT 287 GOOD CLINICAL PRACTICE LOW BACK PAIN AND RADICULAR PAIN: ASSESSMENT AND MANAGEMENT PETER VAN WAMBEKE, ANJA DESOMER, LUC AILLIET, ANNE BERQUIN, CHRISTOPHE DEMOULIN, BART DEPREITERE, JOHAN DEWACHTER, MIEKE DOLPHENS, PATRICE FORGET, VIRGINIE FRASELLE, GUY HANS, DAVY HOSTE, GENEVIÈVE MAHIEU, JEF (...) MICHIELSEN, HENRI NIELENS, THOMAS ORBAN, THIERRY PARLEVLIET, EMMANUEL SIMONS, YANNICK TOBBACKX, JAN VAN ZUNDERT, JACQUES VANDERSTRAETEN, PATRICK VANSCHAEYBROECK, JOHAN VLAEYEN, PASCALE JONCKHEER COLOPHON Title: Low back pain and radicular pain: assessment and management Authors: Peter Van Wambeke (UZ Leuven, GDG president), Anja Desomer (KCE), Luc Ailliet (Belgische Vereniging van Chiropractors), Anne Berquin (Cliniques universitaires Saint-Luc), Christophe Demoulin (Université de Liège, CHU de Liège

2017 Belgian Health Care Knowledge Centre

132. Radiofrequency ablation for sacroiliac joint denervation for chronic low back pain

Radiofrequency ablation for sacroiliac joint denervation for chronic low back pain Radiofrequency ablation for sacroiliac joint denervation for chronic low back pain Radiofrequency ablation for sacroiliac joint denervation for chronic low back pain HAYES, Inc Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation HAYES, Inc. Radiofrequency ablation for sacroiliac joint (...) denervation for chronic low back pain. Lansdale: HAYES, Inc. Directory Publication. 2017 Authors' conclusions Radiofrequency ablation (RFA) is a percutaneous treatment for chronic low back pain (LBP), including pain originating in the sacroiliac joint (SIJ), using radiowave-induced heat to create a lesion in a spinal sensory nerve. Following a diagnostic blockade to target the affected nerve(s), radiofrequency (RF) current is applied for several minutes via a needle electrode to denervate the targeted

2017 Health Technology Assessment (HTA) Database.

133. Percutaneous electrical nerve stimulation for treatment of low back pain

Percutaneous electrical nerve stimulation for treatment of low back pain Percutaneous electrical nerve stimulation for treatment of low back pain Percutaneous electrical nerve stimulation for treatment of low back pain HAYES, Inc Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation HAYES, Inc. Percutaneous electrical nerve stimulation for treatment of low back pain (...) . Lansdale: HAYES, Inc. Healthcare Technology Brief Publication. 2017 Authors' conclusions Mechanical low back pain (LBP) is common, affecting most individuals at some time. LBP is a leading reason for physician visits and work-related disability in the United States, with a lifetime prevalence of 60% to 80%. For an estimated 5% to 10% of patients, LBP becomes chronic (> 3 months in duration) with loss in work productivity and marked impact on healthcare utilization and costs. Description of Technology

2017 Health Technology Assessment (HTA) Database.

134. Mindfulness-Based Stress Reduction for Treating Low Back Pain: A Systematic Review and Meta-analysis. (PubMed)

Mindfulness-Based Stress Reduction for Treating Low Back Pain: A Systematic Review and Meta-analysis. Mindfulness-based stress reduction (MBSR) is frequently used to treat pain-related conditions, but its effects on low back pain are uncertain.To assess the efficacy and safety of MBSR in patients with low back pain.Searches of MEDLINE/PubMed, Scopus, the Cochrane Library, and PsycINFO to 15 June 2016.Randomized controlled trials (RCTs) that compared MBSR with usual care or an active comparator (...) and assessed pain intensity or pain-related disability as a primary outcome in patients with low back pain.Two reviewers independently extracted data on study characteristics, patients, interventions, outcome measures, and results at short- and long-term follow-up. Risk of bias was assessed using the Cochrane risk-of-bias tool.Seven RCTs involving 864 patients with low back pain were eligible for review. Compared with usual care, MBSR was associated with short-term improvements in pain intensity (4 RCTs

2017 Annals of Internal Medicine

135. Low back pain in older adults: risk factors, management options and future directions (Full text)

Low back pain in older adults: risk factors, management options and future directions Low back pain (LBP) is one of the major disabling health conditions among older adults aged 60 years or older. While most causes of LBP among older adults are non-specific and self-limiting, seniors are prone to develop certain LBP pathologies and/or chronic LBP given their age-related physical and psychosocial changes. Unfortunately, no review has previously summarized/discussed various factors that may (...) adults, older adults are more likely to develop certain LBP pathologies (e.g., osteoporotic vertebral fractures, tumors, spinal infection, and lumbar spinal stenosis). Importantly, various age-related physical, psychological, and mental changes (e.g., spinal degeneration, comorbidities, physical inactivity, age-related changes in central pain processing, and dementia), as well as multiple risk factors (e.g., genetic, gender, and ethnicity), may affect the prognosis and management of LBP in older

2017 Scoliosis and spinal disorders PubMed

136. Association of Spinal Manipulative Therapy With Clinical Benefit and Harm for Acute Low Back Pain: Systematic Review and Meta-analysis. (Full text)

Association of Spinal Manipulative Therapy With Clinical Benefit and Harm for Acute Low Back Pain: Systematic Review and Meta-analysis. Acute low back pain is common and spinal manipulative therapy (SMT) is a treatment option. Randomized clinical trials (RCTs) and meta-analyses have reported different conclusions about the effectiveness of SMT.To systematically review studies of the effectiveness and harms of SMT for acute (≤6 weeks) low back pain.Search of MEDLINE, Cochrane Database (...) of Systematic Reviews, EMBASE, and Current Nursing and Allied Health Literature from January 1, 2011, through February 6, 2017, as well as identified systematic reviews and RCTs, for RCTs of adults with low back pain treated in ambulatory settings with SMT compared with sham or alternative treatments, and that measured pain or function outcomes for up to 6 weeks. Observational studies were included to assess harms.Data extraction was done in duplicate. Study quality was assessed using the Cochrane Back

2017 JAMA PubMed

137. Intradiscal Glucocorticoid Injection for Patients With Chronic Low Back Pain Associated With Active Discopathy: A Randomized Trial. (PubMed)

Intradiscal Glucocorticoid Injection for Patients With Chronic Low Back Pain Associated With Active Discopathy: A Randomized Trial. Active discopathy is associated with a specific phenotype of chronic low back pain (LBP). Local inflammation has a role in active discopathy-associated symptoms.To assess the efficacy of a single glucocorticoid intradiscal injection (GC IDI) in patients with chronic LBP with active discopathy.Prospective, parallel-group, double-blind, randomized, controlled study (...) . (ClinicalTrials.gov: NCT00804531).3 tertiary care centers in France.135 patients with chronic LBP with active discopathy on magnetic resonance imaging (MRI).A single GC IDI (25 mg prednisolone acetate) during discography (n = 67) or discography alone (n = 68).The primary outcome was the percentage of patients with LBP intensity less than 40 on an 11-point numerical rating scale (0 [no pain] to 100 [maximum pain] in 10-point increments) in the previous 48 hours at 1 month after the intervention. The main secondary

2017 Annals of Internal Medicine

138. Two-Year Follow-up of a Randomized Clinical Trial of Mindfulness-Based Stress Reduction vs Cognitive Behavioral Therapy or Usual Care for Chronic Low Back Pain. (Full text)

Two-Year Follow-up of a Randomized Clinical Trial of Mindfulness-Based Stress Reduction vs Cognitive Behavioral Therapy or Usual Care for Chronic Low Back Pain. 28196244 2017 03 17 2018 12 02 1538-3598 317 6 2017 02 14 JAMA JAMA Two-Year Follow-up of a Randomized Clinical Trial of Mindfulness-Based Stress Reduction vs Cognitive Behavioral Therapy or Usual Care for Chronic Low Back Pain. 642-644 10.1001/jama.2016.17814 Cherkin Daniel C DC Group Health Research Institute, Seattle, Washington (...) United States Letter Randomized Controlled Trial United States JAMA 7501160 0098-7484 AIM IM Adult Aged Chronic Pain therapy Cognitive Behavioral Therapy Disability Evaluation Follow-Up Studies Humans Low Back Pain therapy Middle Aged Mindfulness methods Mobility Limitation Outcome Assessment (Health Care) Regression Analysis Stress, Psychological therapy Surveys and Questionnaires Time Factors Treatment Outcome Young Adult 2017 2 15 6 0 2017 2 15 6 0 2017 3 18 6 0 ppublish 28196244 2601490 10.1001

2017 JAMA PubMed

139. Lateral interbody fusion in the lumbar spine for low back pain

Lateral interbody fusion in the lumbar spine for low back pain Later Lateral interbody fusion in the lumbar spine for al interbody fusion in the lumbar spine for low back pain low back pain Interventional procedures guidance Published: 22 February 2017 nice.org.uk/guidance/ipg574 Y Y our responsibility our responsibility This guidance represents the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, healthcare professionals (...) -and- conditions#notice-of-rights). Page 1 of 91 1 Recommendations Recommendations 1.1 Current evidence on the safety of lateral (including extreme, extra and direct lateral) interbody fusion in the lumbar spine for low back pain shows there are serious but well-recognised complications. Evidence on efficacy is adequate in quality and quantity. Therefore, this procedure may be used provided that standard arrangements are in place for clinical governance, consent and audit. 1.2 This procedure should only

2017 National Institute for Health and Clinical Excellence - Interventional Procedures

140. Content validity and test-retest reliability of a low back pain questionnaire in Zimbabwean adolescents (Full text)

Content validity and test-retest reliability of a low back pain questionnaire in Zimbabwean adolescents In Zimbabwe, a recent increase in the volume of research on recurrent non-specific low back pain (NSLBP) has revealed that adolescents are commonly affected. This is alarming to health professionals and parents and calls for serious primary preventative strategies to be developed and implemented forthwith. Early identification initiatives should be prioritised in order to curtail (...) completion for the reliability study was satisfactory. The questionnaire items had kappa values ranging from 0.17 (slight agreement) to 1 (perfect agreement). High levels of reliability were found for the questions on school bag use (k=0.94), sports participation (k=0.97), and lifetime prevalence (k=0.89).Excellent content validity and slight to perfect test-retest reliability was found for the Low Back Pain (LBP) questionnaire. These results are comparable to findings of other studies evaluating

2017 Archives of physiotherapy PubMed