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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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The Epidemiology of LowBackPain and Injury in Dance: A Systematic Review. Dance is a physical pursuit that involves loading the spine through repetitive dynamic movements and lifting tasks. As such, lowbackpain (LBP) and lowback injury (LBI) have been identified as common health problems in contemporary and classical ballet dancers. However, clarity regarding the experience of LBP and LBI in dance is lacking.To systematically review and synthesize the epidemiology of LBP and LBI in dance (...) populations.A comprehensive search of 6 electronic databases, back catalogs of dance science-specific journals, and reference lists of relevant articles and a forward citation search were performed.Fifty full-text articles were included in the final systematic review. There was considerable methodological heterogeneity among the included studies. The median (range) point, yearly, and lifetime prevalence of LBP was 27% (17%-39%), 73% (41%-82%), and 50% (17%-88%), respectively. The lower back contributed
Are there differences in lifting technique between those with and without lowbackpain? A systematic review. Background and aims To systemically review the literature to compare freestyle lifting technique, by muscle activity and kinematics, between people with and without lowbackpain (LBP). Methods Five databases were searched along with manual searches of retrieved articles by a single reviewer. Studies were included if they compared a freestyle lifting activity between participants (...) with and without LBP. Data were extracted by two reviewers, and studies were appraised using the CASP tool for case-control studies. Results Nine studies were eligible. Heterogeneity did not allow for meta-analysis. Most studies (n = 8 studies) reported that people with LBP lift differently to pain-free controls. Specifically, people with LBP lift more slowly (n = 6 studies), use their legs more than their back especially when initiating lifting (n = 3 studies), and jerk less during lifting (n = 1 studies
Effectiveness of communicative and educative strategies in chronic lowbackpain patients: A systematic review. To investigate the effectiveness of communicative and educative strategies on 1) patient's lowbackpain awareness/knowledge, 2) maladaptive behavior modification and 3) compliance with exercise in patients with chronic lowback pain.A systematic review was conducted. Searches were performed on 13 databases. Only randomized controlled trials enrolling patients ≥ 18 years of age were (...) therapy as unique treatment or combined with other treatments (multimodal interventions), coaching, mindfulness, pain science education, self-management, graded activity and graded exposure.Patient's lowbackpain awareness/knowledge is still a grey area of literature. Pain science education, graded exposure and multimodal interventions are the most effective for behavior modification and compliance with exercise with benefits also in the long-term, while self-management, graded activity and coaching
Measurement Properties of Visual Analogue Scale, Numeric Rating Scale, and Pain Severity Subscale of the Brief Pain Inventory in Patients With LowBackPain: A Systematic Review. The Visual Analogue Scale (VAS), Numeric Rating Scale (NRS), and Pain Severity subscale of the Brief Pain Inventory (BPI-PS) are the most frequently used instruments to measure pain intensity in lowbackpain. However, their measurement properties in this population have not been reviewed systematically. The goal (...) of this study was to provide such systematic evidence synthesis. Six electronic sources (MEDLINE, EMBASE, CINAHL, PsycINFO, SportDiscus, Google Scholar) were searched (July 2017). Studies assessing any measurement property in patients with nonspecific lowbackpain were included. Two reviewers independently screened articles and assessed risk of bias using the COSMIN checklist. For each measurement property, evidence quality was rated as high, moderate, low, or very low (GRADE approach) and results were
The Influence of Cognitive Behavioral Therapy on Pain, Quality of Life, and Depression in Patients Receiving Physical Therapy for Chronic LowBackPain: A Systematic Review. The purpose of this systematic review was to investigate the effect of adding the cognitive behavioral treatment (CBT) component to routine physical therapy (PT) on pain and depression reduction, improvement in quality of life, and enhanced function in patients with chronic lowbackpain (CLBP). TYPE: Systematic (...) " OR "exercise therapy" OR "electrotherapy" OR "electrical therapy" OR "manual therapy" OR "myofascial therapy" OR "rehabilitation" AND "lowbackpain" OR "lower backpain" OR "backpain" OR "chronic backpain" OR "chronic lower backpain", with no limitation on language, through January 2018.All randomized controlled trials that statistically compared the effectiveness of CBT + PT and PT were included for quality analysis. Studies were rated by high to poor quality, using Hailey's classification, based
Postsurgical rehabilitation for adults with lowbackpain with or without radiculopathy who were treated surgically: protocol for a mixed studies systematic review. Surgical rates for lowbackpain (LBP) have been increasing in Europe, North America and Asia. Many patients treated surgically will require postsurgical rehabilitation. Little is known about the effectiveness of postsurgical rehabilitation interventions on health outcomes or about patients' experiences with these interventions.To
Individual recovery expectations and prognosis of outcomes in non-specific lowbackpain: prognostic factor review. Lowbackpain is costly and disabling. Prognostic factor evidence can help healthcare providers and patients understand likely prognosis, inform the development of prediction models to identify subgroups, and may inform new treatment strategies. Recent studies have suggested that people who have poor expectations for recovery experience more backpain disability, but study results (...) have differed.To synthesise evidence on the association between recovery expectations and disability outcomes in adults with lowbackpain, and explore sources of heterogeneity.The search strategy included broad and focused electronic searches of MEDLINE, Embase, CINAHL, and PsycINFO to 12 March 2019, reference list searches of relevant reviews and included studies, and citation searches of relevant expectation measurement tools.We included lowbackpain prognosis studies from any setting assessing
The efficacy of e-health in the self-management of chronic lowbackpain: A meta analysis. Globally, more than half a billion people are suffering from chronic lowbackpain, which results in poor quality of life for patients and major welfare cost for society. Currently, e-Health has been considered as a potential strategy to deliver self-management programs for chronic lowbackpain, but its effects are uncertain.To assess the efficacy on pain intensity and disability of e-Health based self (...) -management programs on chronic lowback pain.Systematic review and meta-analysis DATA SOURCES: Searches of Pubmed, the Cochrane Library, Web of Science, Cumulative Index of Nursing and Allied Health Literature, Elsevier, Physiotherapy Evidence Database and ProQuest from inception through 2nd April 2019.Randomized controlled trials were screened and selected if they examined e-Health based self-management programs on chronic lowbackpain and assessed pain intensity and disability as primary outcomes
A methodological quality assessment of systematic reviews and meta-analyses of antidepressants effect on lowbackpain using updated AMSTAR. Antidepressants are prescribed widely to manage lowbackpain. There are a number of systematic reviews and meta-analyses which have investigated the efficacy of the treatments, while the methodological quality of them has not been assessed yet. This study aims to evaluate the methodological quality of the systematic reviews and meta-analyses investigating (...) the effect of antidepressants on lowback pain.A systematic search was conducted in PubMed, EMBASE, Medline, and Cochrane Library databases up to November 2018. The 16-item Assessment of Multiple Systematic Reviews (AMSTAR2) scale was used to assess the methodological quality of the studies. Systematic reviews and meta-analyses of the Antidepressants treatment effects on lowbackpain published in English language were included. There was no limitation on the type of Antidepressants drugs, clinical
Author Correction: The association between physical activity and lowbackpain: a systematic review and meta-analysis of observational studies. An amendment to this paper has been published and can be accessed via a link at the top of the paper.
Evidence of efficacy of acupuncture in the management of lowbackpain: a systematic review and meta-analysis of randomised placebo- or sham-controlled trials. To assess the evidence for the efficacy of acupuncture for non-specific lowbackpain (NSLBP), compared with sham or placebo therapies.We searched Cochrane CENTRAL to December 2016, and conducted searches from 1980 to December 2016 in PubMed, MEDLINE and Embase. There were no regional restrictions applied. We included only randomised (...) controlled trials of adults with NSLBP. Placebo/sham procedures were required of the control interventions. The trials were combined using meta-analysis when the data reported allowed for statistical pooling.14 trials (2110 participants) were included in the review, and 9 were included in the meta-analysis. Immediately after the acupuncture treatment we found statistically significant differences in pain reduction between acupuncture and sham or placebo therapy (standardised mean difference (SMD) -0.40
Short-Term Effect of Kinesiotaping on Chronic Nonspecific LowBackPain and Disability: A Meta-Analysis of Randomized Controlled Trials. Lowbackpain (LBP) is a very common and disabling disorder in modern society. The intervention strategies for LBP include drug therapy, surgery, and physical interventions. Recently, kinesiotaping, as a simple and noninvasive treatment, has been used to treat chronic nonspecific LBP, but its effectiveness and true merit remains unclear.The purpose (...) of this study was to summarize the results of randomized controlled trials (RCTs) on the effectiveness of kinesiotaping (KT) for chronic nonspecific lowbackpain (CNLBP) and disability.Medline, Cochrane Library, Google Scholar, Web of Science, and EmBase were searched from inception to September 1, 2018.Studies were included in the review if they met the following criteria: RCTs published in English; patients (>18 years old) diagnosed with CNLBP (pain duration of > 12 weeks), with or without leg pain; KT
Pulsed electromagnetic field therapy effectiveness in lowbackpain: A systematic review of randomized controlled trials. Lowbackpain is a worldwide prevalent musculoskeletal condition in the general population. In this sense, the pulsed electromagnetic fields (PEMF) therapy has shown significant clinical benefits in several musculoskeletal conditions.To assess the effectiveness of the PEMF therapy in reducing pain and clinical symptomatology in patients with lowback pathological (...) conditions.It was performed a comprehensive database search using Pubmed, Scopus, Cochrane Library and PEDro databases to assess the effectiveness of the PEMF therapy in reducing pain and clinical symptomatology in patients with lowback pathological conditions. The search was performed from January 2005 to August 2015 and conducted by two independent investigators, which scrutinize the reference list of most relevant studies. The methodological quality was assessed by the PEDro scale and the level
Effect of Combined Diclofenac and B Vitamins (Thiamine, Pyridoxine, and Cyanocobalamin) for LowBackPain Management: Systematic Review and Meta-analysis. Cumulative evidence suggests an analgesic effect of thiamine, pyridoxine, and cyanocobalamin (TPC) in monotherapy, and also when combined with nonsteroidal anti-inflammatory drugs (NSAIDs), particularly diclofenac, in a synergistic manner. The aim of this review was to determine the effects of diclofenac combined with TPC compared (...) with diclofenac monotherapy for lowbackpain (LBP) management.We searched for randomized clinical trials on the MEDLINE, EMBASE, LILACS, and Cochrane databases of records of clinical trials, among other sources. We evaluated the risk of bias regarding randomization, allocation concealment, blinding, incomplete outcome data, selective reporting, and other biases. A random-effects meta-analysis to examine patients with acute LBP (N = 1,108 adults) was performed, along with a subsequent sensitivity
Effects of physical exercise at the workplace for treatment of lowbackpain: a systematic review with meta-analysis. The prevalence of lowbackpain is high among the economically active population. Lowbackpain reduces productivity and causes absenteeism, impaired quality of life and leaves of absence. Several measures were suggested to reduce the occurrence of this occupational condition, among which physical exercise at the workplace stands out.To analyze studies which assessed physical (...) exercise at the workplace for treatment of lowback pain.The present study consisted of a systematic review with meta-analysis. An electronic search was conducted on database MEDLINE using keywords "workplace," "lowbackpain" and "exercise," synonyms and headings located on Health Sciences Descriptors and Medical Subject Headings. We considered all the studies that included physical exercise at the workplace and defined lowbackpain as outcome.We located 499 potential studies and finally included 15
Sustainability effects of motor control stabilisation exercises on pain and function in chronic nonspecific lowbackpain patients: A systematic review with meta-analysis and meta-regression. Systematic review with meta-analysis and meta-regression.We systematically reviewed and delineated the existing evidence on sustainability effects of motor control exercises on pain intensity and disability in chronic lowbackpain patients when compared with an inactive or passive control group (...) or with other exercises. Secondary aims were to reveal whether moderating factors like the time after intervention completion, the study quality, and the training characteristics affect the potential sustainability effects.Relevant scientific databases (Medline, Web of Knowledge, Cochrane) were screened. Eligibility criteria for selecting studies: All RCTs und CTs on chronic (≥ 12/13 weeks) nonspecific lowbackpain, written in English or German and adopting a longitudinal core-specific/stabilizing
The association between physical activity and lowbackpain: a systematic review and meta-analysis of observational studies. The aim of this review was to investigate the association between total and domain-specific physical activity (PA) and non-specific lowbackpain (LBP) in adults. Seven databases were searched for cohort and cross-sectional studies. Pooled estimates of the association of medium and high levels PA and LBP, using the generic inverse-variance method with fixed- and random