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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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LowBackPain in Persons with Lower Extremity Amputation: A Systematic Review of the Literature. Lower extremity amputation (LEA) is associated with an elevated risk for development and progression of secondary health conditions. Lowbackpain (LBP) is one such condition adversely affecting function, independence, and quality of life.The purpose of this study was to systematically review the literature to determine the strength of evidence relating the presence and severity of LBP secondary (...) . Only the EES on epidemiology was supported by evidence at the moderate confidence level given support by eight moderate quality studies. The four EESs for amputation level, leg length, posture, and spinal kinematics were supported by evidence at the low confidence level given that each of these statements had some evidence not supporting the statement but ultimately more evidence (and of higher quality) currently supporting the statement. The remaining three EESs that addressed function, disability
Diagnostic accuracy of diagnostic imaging for lumbar disc herniation in adults with lowbackpain or sciatica is unknown; a systematic review We aim to summarize the available evidence on the diagnostic accuracy of imaging (index test) compared to surgery (reference test) for identifying lumbar disc herniation (LDH) in adult patients.For this systematic review we searched MEDLINE, EMBASE and CINAHL (June 2017) for studies that assessed the diagnostic accuracy of imaging for LDH in adult (...) patients with lowbackpain and surgery as the reference standard. Two review authors independently selected studies, extracted data and assessed risk of bias. We calculated summary estimates of sensitivity and specificity using bivariate analysis, generated linked ROC plots in case of direct comparison of diagnostic imaging tests and assessed the quality of evidence using the GRADE-approach.We found 14 studies, all but one done before 1995, including 940 patients. Nine studies investigated Computed
Lowbackpain Top results for lowbackpain - Trip Database or use your Google+ account Turning Research Into Practice ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches by placing the search numbers in the top search box and pressing the search button. An example search might look like (#1 or #2 (...) ) and (#3 or #4) Loading history... Population: Intervention: Comparison: Outcome: Population: Intervention: Latest & greatest articles for lowbackpain 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
The effects of transcranial direct current stimulation (tDCS) combined with group exercise treatment in subjects with chronic lowbackpain: a pilot randomized control trial To test the efficacy of transcranial direct current stimulation (tDCS) in addition to group exercise on non-specific chronic lowback pain.Double-blinded randomized control trial.Patients with non-specific chronic lowback pain.A total of 35 subjects were recruited and allocated to real- or sham-tDCS followed by a group (...) exercise protocol. Each patient underwent five sessions of brain stimulation followed by 10 sessions of group exercise. Subjects were evaluated before and after tDCS, after group exercise and one month after the combined treatment. Outcome measures were Visual Analog Scale for pain intensity, Roland Morris Disability Questionnaire, EuroQuol-5 Dimension and Patient Health Questionnaire-9.Significant between-group difference in pain intensity (-27.7 ± 30.4 mm in real-tDCS group compared to -2.2 ± 30.1 mm
Transaxial interbody lumbosacral fusion for severe chronic lowbackpain T T r ransaxial interbody lumbosacr ansaxial interbody lumbosacral fusion for al fusion for se sev vere chronic lowbackpain ere chronic lowbackpain Interventional procedures guidance Published: 25 July 2018 nice.org.uk/guidance/ipg620 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 (...) (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 1 of 41 1 Recommendations Recommendations 1.1 Evidence on the safety of transaxial interbody lumbosacral fusion for severe chronic lowbackpain shows that 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
Tuina for lowbackpain: Protocol for a systematic review and meta-analysis. Lowbackpain (LBP) is one of the most common symptoms prompting patients to seek treatment. In China, tuina is a common treatment for LBP, but its effects and safety remain uncertain. This protocol is to provide the methods used to assess the effectiveness and safety of tuina for the treatment of patients with LBP.We will search the following databases by electronic methods: MEDLINE, PUBMED, EMBASE, CINAHL
Anticonvulsants in the treatment of lowbackpain and lumbar radicular pain: a systematic review and meta-analysis The use of anticonvulsants (e.g., gabapentin, pregabalin) to treat lowbackpain has increased substantially in recent years despite limited supporting evidence. We aimed to determine the efficacy and tolerability of anticonvulsants in the treatment of lowbackpain and lumbar radicular pain compared with placebo.A search was conducted in 5 databases for studies comparing (...) an anticonvulsant to placebo in patients with nonspecific lowbackpain, sciatica or neurogenic claudication of any duration. The outcomes were self-reported pain, disability and adverse events. Risk of bias was assessed using the Physiotherapy Evidence Database (PEDro) scale, and quality of evidence was assessed using Grading of Recommendations Assessment, Development and Evaluation (GRADE). Data were pooled and treatment effects were quantified using mean differences for continuous and risk ratios
Neurophysiological Pain Education for Patients With Chronic LowBackPain: A Systematic Review and Meta-Analysis To evaluate the effect of neurophysiological pain education (NPE) for patients with chronic lowbackpain (CLBP).A systematic search was performed in 6 electronic databases. Eligible randomized-controlled trials were those with at least 50 % of patients with CLBP and in which NPE was compared with no intervention or usual care. Methodological quality was assessed independently by 2 (...) of the authors using the Cochrane Collaboration Risk of Bias Tool. The effect of NPE was summarized in a random effect meta-analysis for pain, disability, and behavioral attitudes. Effect was estimated as weighted mean difference (WMD) if outcomes were on the same scale or as standardized mean difference (SMD). The overall quality of evidence was evaluated according to GRADE guidelines.Seven randomized-controlled trial studies (6 low and 1 high quality) were included. Statistically significant differences
Effect of LowBackPain Risk-Stratification Strategy on Patient Outcomes and Care Processes: the MATCH Randomized Trial in Primary Care The STarT Back strategy for categorizing and treating patients with lowbackpain (LBP) improved patients' function while reducing costs in England.This trial evaluated the effect of implementing an adaptation of this approach in a US setting.The Matching Appropriate Treatments to Consumer Healthcare needs (MATCH) trial was a pragmatic cluster randomized trial (...) Tool) to categorize patients' risk of persistent disabling pain. Primary care clinicians in the intervention clinics attended six didactic sessions to improve their understanding LBP management and received in-person training in the use of the tool that had been incorporated into the electronic health record (EHR). Physical therapists received 5 days of intensive training. Control clinics received no training.Primary outcomes were back-related physical function and pain severity. Intervention
Spinal manipulation and exercise for lowbackpain in adolescents: a randomized trial Lowbackpain (LBP) is common in adolescence, but there is a paucity of high-quality research to inform care. We conducted a multicenter randomized trial comparing 12 weeks of spinal manipulative therapy (SMT) combined with exercise therapy (ET) to ET alone. Participants were 185 adolescents aged 12 to 18 years with chronic LBP. The primary outcome was LBP severity at 12, 26, and 52 weeks. Secondary outcomes
The effectiveness of 12 weeks of Pilates intervention on disability, pain and kinesiophobia in patients with chronic lowbackpain: a randomized controlled trial To assess the effectiveness of 12 weeks of Pilates practice on disability, pain and kinesiophobia in patients with chronic non-specific lowback pain.This is a randomized controlled trial.This study was conducted in the university laboratory.A total of 64 participants with chronic non-specific lowbackpain were included.Participants (...) with Visual Analogue Scale scores of 2.40 (0.26) ( P < 0.001).Pilates intervention in patients with chronic non-specific lowbackpain is effective in the management of disability, pain and kinesiophobia.
Effectiveness of mobilization with movement (Mulligan concept techniques) on lowbackpain: a systematic review To evaluate evidence on the effectiveness of Mulligan techniques on lowback pain.PubMed/Medline, Scopus, Ovid, CINAHL, Embase, PEDro, Google Scholar, and Cochrane Library were searched from inception to 31 March 2018 for randomized clinical trials reporting outcomes of pain or disability in adult patients (⩾18 years) with lowback pain.Two authors screened the results and extracted (...) can decrease pain and disability and increase range of motion in patients with lowbackpain; however, the strength of conclusion for pain and disability was moderate. Furthermore, inconclusive results were observed for the effectiveness of Mulligan techniques on movement speed. In this review, eight studies were categorized as low risk of bias, while 12 studies had high risk of bias. Level of evidence analysis revealed that 17 studies were classified as level of evidence B, while three studies
The association between pro-inflammatory biomarkers and nonspecific lowbackpain: a systematic review. About 85% of the patients with lowbackpain seeking medical care have nonspecific lowbackpain (NsLBP), implying that no definitive cause can be identified. Nonspecific lowbackpain is defined as lowbackpain and disability which cannot be linked to an underlying pathology, such as cancer, spinal osteomyelitis, fracture, spinal stenosis, cauda equine, ankylosing spondylitis, and visceral (...) -referred pain. Many pain conditions are linked with elevated serum levels of pro-inflammatory biomarkers. Outcomes of interest are NsLBP and the level of pro-inflammatory biomarkers.To unravel the etiology and get better insight in the prognosis of NsLBP, the aim of this study was to assess the association between pro-inflammatory biomarkers and the presence and severity of NsLBP.A systematic literature search was made in Embase, Medline, Cinahl, Webof-science, and Google scholar up to January 19th
An update on the prevalence of lowbackpain in Africa: a systematic review and meta-analyses. Lowbackpain (LBP) remains a common health problem and one of the most prevalent musculoskeletal conditions found among developed and developing nations. The following paper reports on an updated search of the current literature into the prevalence of LBP among African nations and highlights the specific challenges faced in retrieving epidemiological information in Africa.A comprehensive search
Anticipatory and compensatory postural adjustments in people with lowbackpain: a systematic review and meta-analysis. Despite altered anticipatory (APAs) and compensatory postural adjustments (CPAs) being hypothesized to contribute to the onset and persistence of lowbackpain (LBP), results from studies comparing people with and without LBP are conflicting.This systematic review aimed to determine whether APAs or CPAs are altered in the presence of acute and chronic LBP.A systematic
Effects of a Home-Based Telephone-Supported Physical Activity Program for Older Adult Veterans With Chronic LowBackPain Chronic lowbackpain (CLBP) is highly prevalent in older adults, leading to functional decline.The objective of this study was to evaluate physical activity (PA) only and PA plus cognitive-behavioral therapy for pain (CBT-P) among older adult veterans with CLBP.This study was a pilot randomized trial comparing a 12-week telephone-supported PA-only intervention group (PA