Latest & greatest articles for low back pain

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Top results for low back pain

221. Low Back Pain

Low Back Pain Clinical Guidelines ANTHONY DELITTO, PT , PhD • STEVEN Z. GEORGE, PT , PhD • LINDA VAN DILLEN, PT , PhD • JULIE M. WHITMAN, PT , DSc GWENDOLYN SOWA, MD, PhD • PAUL SHEKELLE, MD, PhD • THOMAS R. DENNINGER, DPT • JOSEPH J. GODGES, DPT , MA Low Back Pain Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association J Orthop Sports Phys Ther. 2012;42(4):A1-A57 (...) AUTHOR/REVIEWER AFFILIATIONS AND CONTACTS . . . . . . A47 REFERENCES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A48 42-04 Guidelines.indd 1 3/21/2012 5:07:07 PMLow Back Pain: Clinical Practice Guidelines a2 | april 2012 | volume 42 | number 4 | journal of orthopaedic & sports physical therapy RISK FACTORS: Current literature does not support a defini - tive cause for initial episodes of low back pain. Risk factors

2012 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

222. The effectiveness of lumbar interlaminar epidural injections in managing chronic low back and lower extremity pain

The effectiveness of lumbar interlaminar epidural injections in managing chronic low back and lower extremity pain The effectiveness of lumbar interlaminar epidural injections in managing chronic low back and lower extremity pain The effectiveness of lumbar interlaminar epidural injections in managing chronic low back and lower extremity pain Benyamin RM, Manchikanti L, Parr AT, Diwan S, Singh V, Falco FJ, Datta S, Abdi S, Hirsch JA CRD summary The review concluded that the strength of evidence (...) for the effectiveness of lumbar interlaminar epidural injections under fluoroscopy for managing chronic low back and lower extremity pain varied by condition, but it was overall more successful with local anaesthetic plus steroids. Evidence, study quality and review process limitations imply the authors' conclusions may not be reliable. Authors' objectives To evaluate the effectiveness of lumbar interlaminar epidural injections in managing chronic low back pain and lower extremity pain resulting from disc

2012 DARE.

223. Effectiveness of physical therapist administered spinal manipulation for the treatment of low back pain: a systematic review of the literature

Effectiveness of physical therapist administered spinal manipulation for the treatment of low back pain: a systematic review of the literature Effectiveness of physical therapist administered spinal manipulation for the treatment of low back pain: a systematic review of the literature Effectiveness of physical therapist administered spinal manipulation for the treatment of low back pain: a systematic review of the literature Kuczynski JJ, Schwieterman B, Columber K, Knupp D, Shaub L, Cook CE (...) CRD summary The review concluded that physical therapy spinal manipulation appeared to be a safe intervention that improved clinical outcomes for patients with low back pain. These conclusions may not be reliable due to some review limitations. Authors' objectives To examine the effectiveness of physical therapy spinal manipulations for the treatment of patients with low back pain. Searching PubMed, CINAHL, SPORTDiscus, ProQuest Nursing & Allied Health Source, Scopus and Cochrane Central Register

2012 DARE.

224. Systematic review and meta-analysis: High-quality evidence that spinal manipulative therapy for chronic low back pain has a small, short-term greater effect on pain and functional status compared with other interventions

Systematic review and meta-analysis: High-quality evidence that spinal manipulative therapy for chronic low back pain has a small, short-term greater effect on pain and functional status compared with other interventions High-quality evidence that spinal manipulative therapy for chronic low back pain has a small, short-term greater effect on pain and functional status compared with other interventions | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content (...) are here High-quality evidence that spinal manipulative therapy for chronic low back pain has a small, short-term greater effect on pain and functional status compared with other interventions Article Text Therapeutics Systematic review and meta-analysis High-quality evidence that spinal manipulative therapy for chronic low back pain has a small, short-term greater effect on pain and functional status compared with other interventions Gert Bronfort Statistics from Altmetric.com Commentary

2012 Evidence-Based Medicine

225. Oral opioid analgesics vs spinal steroid injections in the treatment of low back pain syndromes Full Text available with Trip Pro

Oral opioid analgesics vs spinal steroid injections in the treatment of low back pain syndromes Oral opioid analgesics vs spinal steroid injections in the treatment of low back pain syndromes Oral opioid analgesics vs spinal steroid injections in the treatment of low back pain syndromes Nampiaparampil DE, Nampiaparampil GM, Nampiaparampil RG CRD summary This review found that opioid therapy and percutaneous spinal steroid injections were both helpful for low back pain and disability but high (...) drop-out rates precluded conclusions about opioid therapy for chronic low back pain. The cautious conclusion reflects problems with the evidence but its reliability is limited by a lack of detail on review methods and study quality. Authors' objectives To evaluate outcomes and adverse effects of oral opioid analgesics and spinal steroid injections in the treatment of low back pain syndromes. Searching Ten databases including MEDLINE, EMBASE and clinical trials registries were searched without

2012 DARE.

226. Sacroiliac joint fusion for the treatment of adult low back pain

Sacroiliac joint fusion for the treatment of adult low back pain Sacroiliac joint fusion for the treatment of adult low back pain Sacroiliac joint fusion for the treatment of adult low back pain 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 Sacroiliac joint fusion for the treatment of adult low back pain. Lansdale: HAYES, Inc.. Healthcare Technology Brief (...) Publication. 2012 Authors' conclusions Low back pain (LBP) is a significant health problem and one of the leading reasons for physician visits in the United States. The lifetime prevalence of LBP for adults in the United States is between 60% and 80%. In most cases, LBP is temporary and can be relieved through rest and conservative therapies such as nonsteroidal anti-inflammatory drugs, muscle relaxants, and an appropriate exercise program. However, for 5% to 10% of patients, LBP becomes a chronic

2012 Health Technology Assessment (HTA) Database.

227. Radiofrequency ablation for low back pain

Radiofrequency ablation for low back pain Radiofrequency ablation for low back pain Radiofrequency ablation for low back pain Steadman R, Sevick L, Lorenzetti D, MacKean G, Noseworthy T, Rose S, Clement F 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 Steadman R, Sevick L, Lorenzetti D, MacKean G, Noseworthy T, Rose S, Clement F (...) . Radiofrequency ablation for low back pain. Calgary: HTA Unit, University of Calgary 2012 Authors' conclusions The use of RFA for all back pain has dramatically increased in Alberta between 2005 and 2011 indicating the popularity of the procedure in mitigating chronic back pain. The volume of patients seeking RFA treatment for CLBP has contributed to long waitlists, but not all patients with CLBP are good candidates for the procedure. Key informants have suggested that Alberta needs a more comprehensive

2012 Health Technology Assessment (HTA) Database.

228. Aerobic exercise training in addition to conventional physiotherapy for chronic low back pain: a randomized controlled trial (Abstract)

Aerobic exercise training in addition to conventional physiotherapy for chronic low back pain: a randomized controlled trial To examine the effect of adding aerobic exercise to conventional physiotherapy treatment for patients with chronic low back pain (LBP) in reducing pain and disability.Randomized controlled trial.A physiotherapy outpatient setting in Hong Kong.Patients with chronic LBP (N=46) were recruited and randomly assigned to either a control (n=22) or an intervention (n=24) group.An (...) 8-week intervention; both groups received conventional physiotherapy with additional individually tailored aerobic exercise prescribed only to the intervention group.Visual analog pain scale, Aberdeen Low Back Pain Disability Scale, and physical fitness measurements were taken at baseline, 8 weeks, and 12 months from the commencement of the intervention. Multivariate analysis of variance was performed to examine between-group differences.Both groups demonstrated a significant reduction in pain

2012 EvidenceUpdates Controlled trial quality: uncertain

229. A randomized controlled trial of the effects of muscle stretching, manual therapy and steroid injections in addition to `stay active` care on health-related quality of life in acute or subacute low back pain (Abstract)

A randomized controlled trial of the effects of muscle stretching, manual therapy and steroid injections in addition to `stay active` care on health-related quality of life in acute or subacute low back pain To evaluate the health-related quality of life effects of muscle stretching, manual therapy and steroid injections in addition to 'stay active' care in acute or subacute low back pain patients.A randomized, controlled trial during 10 weeks with four treatment groups.Nine primary health care (...) and one outpatient orthopaedic hospital department.One hundred and sixty patients with acute or subacute low back pain.Ten weeks of 'stay active' care only (group 1), or 'stay active' and muscle stretching (group 2), or 'stay active', muscle stretching and manual therapy (group 3), or 'stay active', muscle stretching, manual therapy and steroid injections (group 4).The Gothenburg Quality of Life instrument subscales Well-being score and Complaint score.In a multivariate analysis adjusted for possible

2012 EvidenceUpdates Controlled trial quality: uncertain

230. Ozone therapy as a treatment for low back pain secondary to herniated disc: a systematic review and meta-analysis of randomized controlled trials

Ozone therapy as a treatment for low back pain secondary to herniated disc: a systematic review and meta-analysis of randomized controlled trials Ozone therapy as a treatment for low back pain secondary to herniated disc: a systematic review and meta-analysis of randomized controlled trials Ozone therapy as a treatment for low back pain secondary to herniated disc: a systematic review and meta-analysis of randomized controlled trials Magalhaes FN, Dotta L, Sasse A, Teixera MJ, Fonoff ET CRD (...) summary This review concluded that percutaneous ozone therapy for treatment of chronic low back pain appeared to yield positive results and low morbidity rates. These conclusions accurately reflect the findings of the included evidence but the evidence consisted of a small number of studies with several methodological limitations. Authors' objectives To evaluate percutaneous injection of ozone for low back pain secondary to disc herniation. Searching PubMed, EMBASE, The Cochrane Library, DARE and HTA

2012 DARE.

231. The effects of core and lower extremity strengthening on pregnancy-related low back and pelvic girdle pain: a systematic review Full Text available with Trip Pro

The effects of core and lower extremity strengthening on pregnancy-related low back and pelvic girdle pain: a systematic review The effects of core and lower extremity strengthening on pregnancy-related low back and pelvic girdle pain: a systematic review The effects of core and lower extremity strengthening on pregnancy-related low back and pelvic girdle pain: a systematic review Lillios S, Young J CRD summary This review concluded that most studies reported a reduction in pain with exercise (...) , but there was insufficient evidence to support exercise as the standard treatment for pregnancy-related back pain and pelvic girdle pain. These conclusions reflect the evidence presented, but the limitations of the methods and reporting mean that the conclusions may not be wholly reliable. Authors' objectives To determine the effects of core stability and lower extremity strengthening exercise on pregnancy-related low back pain and pelvic girdle pain. Searching Five databases (including MEDLINE, CINAHL, and The Cochrane

2012 DARE.

232. Sacroiliac joint fusion for treatment of adult low back pain

Sacroiliac joint fusion for treatment of adult low back pain Sacroiliac joint fusion for treatment of adult low back pain Sacroiliac joint fusion for treatment of adult low back pain 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 Sacroiliac joint fusion for treatment of adult low back pain. Lansdale: HAYES, Inc.. Healthcare Technology Brief Publication. 2011 (...) Authors' objectives

Low back pain (LBP) is a significant health problem and one of the leading reasons for physician visits in the United States. The lifetime prevalence of LBP for adults in the United States is between 60% and 80%. In most cases, LBP is temporary and can be relieved through rest and conservative
therapies such as nonsteroidal anti-inflammatory drugs, muscle relaxants, and an appropriate exercise program. However, for 5% to 10% of patients, LBP becomes a chronic and disabling

2011 Health Technology Assessment (HTA) Database.

233. eXtreme lateral interbody fusion (XLIF, NuVasive Inc.) for treatment of chronic low back pain

eXtreme lateral interbody fusion (XLIF, NuVasive Inc.) for treatment of chronic low back pain eXtreme lateral interbody fusion (XLIF; NuVasive Inc.) for treatment of chronic low back pain eXtreme lateral interbody fusion (XLIF; NuVasive Inc.) for treatment of chronic low back pain 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 eXtreme lateral interbody fusion (...) (XLIF; NuVasive Inc.) for treatment of chronic low back pain. Lansdale: HAYES, Inc.. Healthcare Technology Brief Publication. 2011 Authors' objectives

Low back pain affects the majority of the U.S. population at some point in their lives. In most cases low back pain can be treated without surgery, but when conservative management fails, surgery may be required. Lumbar interbody fusion is frequently used to treat spinal degenerative conditions
with the goal of relieving pain associated

2011 Health Technology Assessment (HTA) Database.

234. Cooled radiofrequency denervation of the sacroiliac joint (pain management sInergy system, Baylis Medical Co. Inc.) for treatment of chronic low back pain

Cooled radiofrequency denervation of the sacroiliac joint (pain management sInergy system, Baylis Medical Co. Inc.) for treatment of chronic low back pain Cooled radiofrequency denervation of the sacroiliac joint (pain management sInergy system, Baylis Medical Co. Inc.) for treatment of chronic low back pain Cooled radiofrequency denervation of the sacroiliac joint (pain management sInergy system, Baylis Medical Co. Inc.) for treatment of chronic low back pain 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. Report may be purchased from . Citation Cooled radiofrequency denervation of the sacroiliac joint (pain management sInergy system, Baylis Medical Co. Inc.) for treatment of chronic low back pain. Lansdale: HAYES, Inc.. Healthcare Technology Brief Publication. 2011 Authors' objectives Low back pain affects the majority of the U.S. population at some point

2011 Health Technology Assessment (HTA) Database.

235. A systematic review on the effectiveness of pharmacological interventions for chronic non-specific low-back pain

A systematic review on the effectiveness of pharmacological interventions for chronic non-specific low-back pain 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.

2011 DARE.

236. Non-specific low back pain. Full Text available with Trip Pro

Non-specific low back pain. Non-specific low back pain has become a major public health problem worldwide. The lifetime prevalence of low back pain is reported to be as high as 84%, and the prevalence of chronic low back pain is about 23%, with 11-12% of the population being disabled by low back pain. Mechanical factors, such as lifting and carrying, probably do not have a major pathogenic role, but genetic constitution is important. History taking and clinical examination are included in most (...) diagnostic guidelines, but the use of clinical imaging for diagnosis should be restricted. The mechanism of action of many treatments is unclear, and effect sizes of most treatments are low. Both patient preferences and clinical evidence should be taken into account for pain management, but generally self-management, with appropriate support, is recommended and surgery and overtreatment should be avoided.Copyright © 2012 Elsevier Ltd. All rights reserved.

2011 Lancet

237. Efficacy of trunk balance exercises for individuals with chronic low back pain: a randomized clinical trial Full Text available with Trip Pro

Efficacy of trunk balance exercises for individuals with chronic low back pain: a randomized clinical trial Randomized clinical trial.To determine the efficacy of trunk balance exercises for individuals with chronic low back pain.The majority of exercises focusing on restoring lumbopelvic stability propose targeting the feedforward control of the lumbopelvic region. Less attention has been paid to feedback control during balance adjustments.Seventy-nine patients were randomly allocated to 2 (...) with chronic low back pain.

2011 EvidenceUpdates Controlled trial quality: predicted high

238. Supervised exercise, spinal manipulation, and home exercise for chronic low back pain: a randomized clinical trial (Abstract)

Supervised exercise, spinal manipulation, and home exercise for chronic low back pain: a randomized clinical trial Several conservative therapies have been shown to be beneficial in the treatment of chronic low back pain (CLBP), including different forms of exercise and spinal manipulative therapy (SMT). The efficacy of less time-consuming and less costly self-care interventions, for example, home exercise, remains inconclusive in CLBP populations.The purpose of this study was to assess (...) the relative efficacy of supervised exercise, spinal manipulation, and home exercise for the treatment of CLBP.An observer-blinded and mixed-method randomized clinical trial conducted in a university research clinic in Bloomington, MN, USA.Individuals, 18 to 65 years of age, who had a primary complaint of mechanical LBP of at least 6-week duration with or without radiating pain to the lower extremity were included in this trial.Patient-rated outcomes were pain, disability, general health status, medication

2011 EvidenceUpdates Controlled trial quality: uncertain

239. Strain-Counterstrain therapy combined with exercise is not more effective than exercise alone on pain and disability in people with acute low back pain: a randomised trial Full Text available with Trip Pro

Strain-Counterstrain therapy combined with exercise is not more effective than exercise alone on pain and disability in people with acute low back pain: a randomised trial Is Strain-Counterstrain treatment combined with exercise therapy more effective than exercise alone in reducing levels of pain and disability in people with acute low back pain?Randomised trial with concealed allocation, assessor blinding, and intention-to-treat analysis.89 (55 female) participants between 18 and 55 years (...) experiencing acute low back pain were randomised to experimental (n = 44) and control (n = 45) groups.Participants attended four treatments in two weeks. The experimental group received Strain-Counterstrain treatment and review of standardised exercises (abdominal bracing, knee to chest, and lumbar rotation). The control group performed the standardised exercises under supervision. Following the intervention period, all participants received exercise progression, manual therapy, and advice.The primary

2011 EvidenceUpdates Controlled trial quality: predicted high

240. One-year follow-up in employees sick-listed because of low back pain: randomized clinical trial comparing multidisciplinary and brief intervention Full Text available with Trip Pro

One-year follow-up in employees sick-listed because of low back pain: randomized clinical trial comparing multidisciplinary and brief intervention Randomized clinical trial comparing two interventions in employees sick-listed 3 to 16 weeks because of low back pain (LBP).To compare 1-year return to work (RTW), pain, disability and physical and mental health dimensions in subjects offered a hospital-based multidisciplinary intervention or a brief intervention.Previous studies in sick-listed (...) in the brief intervention group.Hospital-based multidisciplinary intervention may be no better than brief intervention to increase RTW and improve health in sick-listed employees with low back pain.

2011 EvidenceUpdates Controlled trial quality: uncertain