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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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Acupuncture for chronic lowbackpain: a multicenter, randomized, patient-assessor blind, sham-controlled clinical trial Multicenter, randomized, patient-assessor blind, sham-controlled clinical trial.To investigate the efficacy of acupuncture treatment with individualized setting for reduction of bothersomeness in participants with chronic lowbackpain (cLBP).Lowbackpain is one of the main reasons of disability among adults of working age. Acupuncture is known as an effective treatment (...) of cLBP. Secondary outcomes included VAS score for pain intensity and questionnaires including Oswestry Disability Index, general health status (Short Form-36), and Beck Depression Inventory (BDI).There were no baseline differences observed between the 2 groups, except in the Oswestry Disability Index. One hundred sixteen participants finished the treatments and 3- and 6-month follow-ups, with 14 subjects dropping out. Significant difference in VAS score for bothersomeness and pain intensity score
Osteopathic manual treatment and ultrasound therapy for chronic lowbackpain: a randomized controlled trial We studied the efficacy of osteopathic manual treatment (OMT) and ultrasound therapy (UST) for chronic lowback pain.A randomized, double-blind, sham-controlled, 2 × 2 factorial design was used to study OMT and UST for short-term relief of nonspecific chronic lowbackpain. The 455 patients were randomized to OMT (n = 230) or sham OMT (n = 225) main effects groups, and to UST (n = 233 (...) ) or sham UST (n = 222) main effects groups. Six treatment sessions were provided over 8 weeks. Intention-to-treat analysis was performed to measure moderate and substantial improvements in lowbackpain at week 12 (30% or greater and 50% or greater pain reductions from baseline, respectively). Five secondary outcomes, safety, and treatment adherence were also assessed.There was no statistical interaction between OMT and UST. Patients receiving OMT were more likely than patients receiving sham OMT
Epidural steroid injections for lowbackpain and sciatica Epidural steroid injections for lowbackpain and sciatica Epidural steroid injections for lowbackpain and sciatica 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 Epidural steroid injections for lowbackpain and sciatica. Lansdale: HAYES, Inc.. Directory Publication. 2013 Authors' conclusions (...) Epidural steroid injection (ESI) is a nonsurgical treatment for managing lowbackpain and sciatica caused by disc herniation or degenerative changes in the vertebrae. The goal of ESI is to relieve pain, improve function, and reduce the need for surgical intervention. Final publication URL The report may be purchased from: Indexing Status Subject indexing assigned by CRD MeSH Injections, Epidurals; LowBackPain; Sciatica; Steroids Language Published English Country of organisation United States
Short-term effects of interferential current electro-massage in adults with chronic non-specific lowbackpain: a randomized controlled trial To analyse the effectiveness of a combined procedure of massage and electrotherapy with interferential current in individuals with chronic non-specific lowbackpain of mechanical aetiology.A single blinded randomized controlled trial.Clinical setting.Sixty-two individuals with chronic non-specific lowbackpain were randomly assigned to an experimental (...) (F = 11.247; P = 0.001)).In individuals with chronic non-specific lowbackpain, interferential current electro-massage achieved a significantly greater improvement in disability, pain and quality of life in comparison to superficial massage after 20 treatment sessions.
Percutaneous adhesiolysis in the management of chronic lowbackpain in post lumbar surgery syndrome and spinal stenosis: a systematic review Percutaneous adhesiolysis in the management of chronic lowbackpain in post lumbar surgery syndrome and spinal stenosis: a systematic review Percutaneous adhesiolysis in the management of chronic lowbackpain in post lumbar surgery syndrome and spinal stenosis: a systematic review Helm S, Benyamin RM, Chopra P, Deer TR, Justiz R CRD summary The review (...) concluded that there was fair evidence that percutaneous adhesiolysis was effective in relieving lowbackpain and/or leg pain due to post lumbar surgery syndrome or spinal stenosis. Given the paucity of the evidence base and limitations in the reporting the authors conclusions may not be reliable. Authors' objectives To assess the effectiveness of percutaneous adhesiolysis in the treatment of chronic (at least six months duration) lowback and/or leg pain in post lumbar surgery syndrome or spinal
[Neuroreflexotherapy in the treatment of nonspecific lowbackpain] Neurorreflejoterapia en el tratamiento del dolor lumbar inespecífico [Neuroreflexotherapy in the treatment of nonspecific lowbackpain] Neurorreflejoterapia en el tratamiento del dolor lumbar inespecífico [Neuroreflexotherapy in the treatment of nonspecific lowbackpain] Atienza Merino G, Queiro Verdes T 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 Atienza Merino G, Queiro Verdes T. Neurorreflejoterapia en el tratamiento del dolor lumbar inespecífico. [Neuroreflexotherapy in the treatment of nonspecific lowbackpain] . Santiago de Compostela: Galician Agency for Health Technology Assessment (AVALIA-T). Avalia-t 2011/02. 2012 Authors' objectives To assess the efficacy, effectiveness and safety of NRT in the treatment of non-specific lower backpain in adults
Exploring the cost-utility of stratified primary care management for lowbackpain compared with current best practice within risk-defined subgroups Exploring the cost-utility of stratified primary care management for lowbackpain compared with current best practice within risk-defined subgroups Exploring the cost-utility of stratified primary care management for lowbackpain compared with current best practice within risk-defined subgroups Whitehurst DG, Bryan S, Lewis M, Hill J, Hay EM (...) Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. CRD summary The objective was to assess the cost-effectiveness of stratified primary care for risk-defined subgroups of patients with lowbackpain, compared with best practice. The authors concluded
Red flags to screen for malignancy in patients with low-backpain. The identification of serious pathologies, such as spinal malignancy, is one of the primary purposes of the clinical assessment of patients with low-backpain (LBP). Clinical guidelines recommend awareness of "red flag" features from the patient's clinical history and physical examination to achieve this. However, there are limited empirical data on the diagnostic accuracy of these features and there remains very little
A pragmatic multicentered randomized controlled trial of yoga for chronic lowbackpain: economic evaluation Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.
Caudal epidural injections in the management of chronic lowbackpain: a systematic appraisal of the literature Caudal epidural injections in the management of chronic lowbackpain: a systematic appraisal of the literature Caudal epidural injections in the management of chronic lowbackpain: a systematic appraisal of the literature Parr AT, Manchikanti L, Hameed H, Conn A, Manchikanti KN, Benyamin RM, Diwan S, Singh V, Abdi S CRD summary This review concluded that there was good evidence (...) for short-term and long-term pain relief with local anaesthetic and steroids for chronic pain emanating as a result of disc herniation or radiculitis and fair evidence for pain relief with local anaesthetic only. These conclusions reflect the evidence presented and are likely to be reliable. Authors' objectives To assess the effect of caudal epidural injections with or without steroids in the management of various types of chronic lowbackpain with or without lower extremity pain emanating as a result
Red flags to screen for vertebral fracture in patients presenting with low-backpain. Low-backpain (LBP) is a common condition seen in primary care. A principal aim during a clinical examination is to identify patients with a higher likelihood of underlying serious pathology, such as vertebral fracture, who may require additional investigation and specific treatment. All 'evidence-based' clinical practice guidelines recommend the use of red flags to screen for serious causes of backpain
Peripheral nerve-field stimulation for chronic lowbackpain (IPG451) Overview | Peripheral nerve-field stimulation for chronic lowbackpain | Guidance | NICE Peripheral nerve-field stimulation for chronic lowbackpain Interventional procedures guidance [IPG451] Published date: March 2013 Share Save Guidance The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Peripheral nerve-field stimulation (...) for chronic lowbackpain. Description The lower back is commonly defined as the area between the bottom of the rib cage and the buttock creases. Chronic lowbackpain is tension, soreness and/or stiffness often worsened by movement lasting more than six weeks in the lower back region. Lowbackpain is a common disorder, affecting around one-third of the UK adult population each year. Peripheral nerve-field stimulation involves implanting electrodes in the back, connected to a neurostimulator under
Cost utility analysis of caudal epidural injections in the treatment of lumbar disc herniation, axial or discogenic lowbackpain, central spinal stenosis, and post lumbar surgery syndrome Cost utility analysis of caudal epidural injections in the treatment of lumbar disc herniation, axial or discogenic lowbackpain, central spinal stenosis, and post lumbar surgery syndrome Cost utility analysis of caudal epidural injections in the treatment of lumbar disc herniation, axial or discogenic low (...) of caudal epidural injections, after conservative management failure, for chronic lowbackpain. The authors concluded that caudal epidural injections showed clinical and cost utility at less than $2,200 per quality-adjusted life-year. This was not a cost-utility analysis; several economic terms were misused. The reporting was poor and the methods were unclear. The economic and clinical results should not be relied on. Type of economic evaluation Not an economic evaluation Study objective This study
Clinical effects of a nine-month web-based intervention in subacute non-specific lowbackpain patients: a randomized controlled trial To test the clinical effect of a web-based lower backpain intervention on quality of life and selected lower backpain outcomes.A prospective single-blinded randomized intervention.Occupational preventive service.One hundred office workers with non-specific subacute lower back pain.The 50 intervention group subjects were educated daily about sitting correctly (...) improvement). Logistic regression analysis revealed positive changes in EuroQol questionnaire, increasing the likelihood of observing positive changes in StarT Back Screening Tool (OR = 15.5) and Oswestry Disability Index (OR = 4.5).The intervention showed clinical improvements in quality of life and selected lower backpain outcomes in the experimental group compared to the control group.
A web-based intervention to improve and prevent lowbackpain among office workers: a randomized controlled trial Randomized controlled trial.To test the feasibility, safety, and efficacy of a web-based multidisciplinary intervention for office workers with subacute, nonspecific lowback pain.Low backpain is one of the most frequent ailments seen in primary care consultations.The trial included 100 office workers with subacute lowbackpain. The intervention group had access to both the study (...) by the Roland-Morris Disability Questionnaire, and health-related quality of life, as measured by the European Quality of Life-5 Dimensions-3 Levels. Secondary outcomes were the number of episodes of lowbackpain and trunk muscle endurance. Outcomes were measured before and after the 9-month intervention period.Over the 9-month study, the score on the Roland-Morris Disability Questionnaire for the participants in the web-based intervention group improved by a mean of -7.36 points (95% confidence interval
Kinesio Taping reduces disability and pain slightly in chronic non-specific lowbackpain: a randomised trial Does Kinesio Taping reduce disability, pain, and kinesiophobia in people with chronic non-specific lowbackpain?Randomised trial, with concealed allocation, assessor blinding, and intention-to-treat analysis.Sixty adults with chronic non-specific lowback pain.The experimental intervention was Kinesio Taping over the lumbar spine for one week; the control intervention was sham (...) taping.The following outcomes were measured at baseline, immediately after the week with the tape in situ, and four weeks later: Oswestry Disability Index, Roland- Morris LowBackPain and Disability Questionnaire, pain on a 10-cm visual analogue scale, Tampa kinesiophobia scale, trunk flexion range of motion, and the McQuade test of trunk muscle endurance.At one week, the experimental group had significantly greater improvement in disability, by 4 points (95% CI 2 to 6) on the Oswestry score and by 1.2
Can Supervised Group Exercises Including Ergonomic Advice Reduce the Prevalence and Severity of LowBackPain and Pelvic Girdle Pain in Pregnancy? A Randomized Controlled Trial Many women have lowbackpain (LBP) or pelvic girdle pain (PGP) during pregnancy, but there is limited evidence of effective primary and secondary preventive strategies.The purpose of this study was to investigate whether a group-based exercise program can reduce the prevalence and severity of LBP and PGP in pregnant (...) = 0.50 to 1.19). For the secondary outcomes, the estimated mean differences between the groups were -0.4 (95% CI = -0.8 to 0.1) for pain intensity in the morning, -0.4 (95% CI = -1.0 to 0.2) for pain intensity in the evening, -1.0 (95% CI = -2.2 to 0.0) for disability, 1.8 (95% CI = 0.0 to 3.7) for the SF-8 PCS, and -0.6 (95% CI = -2.2 to 1.4) for the SF-8 MCS.Due to low statistical power, the estimates for the primary outcomes are imprecise.Supervised group exercise did not reduce the prevalence
Integration of subclassification strategies in randomised controlled clinical trials evaluating manual therapy treatment and exercise therapy for non-specific chronic lowbackpain: a systematic review Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.
Post-treatment exercises effective for prevention of recurrences of low-backpain PEARLS Practical Evidence About Real Life Situations PEARLS are succinct summaries of Cochrane Systematic Reviews for primary care practitioners. They Post-treatment exercises effective for prevention of recurrences of low- backpain Clinical question How effective are exercises for prevention of recurrences of low-backpain? Bottom line There was moderate quality evidence post-treatment exercises (provided (...) to patients after their regular treatment for an episode of low-backpain had been finished) were more effective than no intervention for reducing the rate of recurrences at 1 year. There was moderate quality evidence from 2 studies that the number of recurrences was significantly reduced at 6 months to 2 years' follow-up. There was very low quality evidence the days on sick leave were reduced by post- treatment exercises at 6 months to 2 years' follow-up. There was conflicting evidence
Individual participant data (IPD) of mechanical workplace risk factors and lowbackpain with assessment of confounding and heterogeneity of effect measures Individual participant data (IPD) of mechanical workplace risk factors and lowbackpain with assessment of confounding and heterogeneity of effect measures | SCPHRP Publication Information Date of Publication 01/02/2012 Link