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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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Effect of auriculotherapy on chronic lowbackpain: A protocol for systematic review and meta-analysis. Chronic lowbackpain (CLBP) is a clinically common and recurrent disease. However, many trials have shown that auriculotherapy (AT) can effectively treat CLBP. There are currently no systematic reviews of this therapy. The plan aims to evaluate the effectiveness and safety of this treatment in patients with CLBP.This systematic evaluation will entail an electronic and manual search of all (...) of a visual analog scale, a short pain scale, or other effective scale. Secondary outcomes included effectiveness, Oswestry dysfunction index, self-rating anxiety scale, self-depression rating scale, Pittsburgh sleep quality index, follow-up relapse rate, and adverse events. The system searches for randomized controlled trials of this therapy for CLBP. Implement the Cochrane RevMan V5.3 bias assessment tool to assess bias risk, data integration risk, meta-analysis risk, and subgroup analysis risk
Physical Activity for the Treatment of Chronic LowBackPain in Elderly Patients: A Systematic Review. Chronic lowbackpain (CLBP) affects nearly 20-25% of the population older than 65 years, and it is currently the main cause of disability both in the developed and developing countries. It is crucial to reach an optimal management of this condition in older patients to improve their quality of life. This review evaluates the effectiveness of physical activity (PA) to improve disability (...) for disability and pain. However, considering the low quality of evidence of the studies, the high risk of bias, the languages limitations, the lack of significant results of some studies, and the lack of literature on this argument, further studies are necessary to improve the evidences on the topic.
Association Between Inflammatory Biomarkers and Nonspecific LowBackPain: A Systematic Review. Chronic inflammation increases the production of cytokines and activates proinflammatory pathways which may lead to nonspecific lowbackpain (LBP). We systematically reviewed the literature to investigate whether inflammatory biomarkers are associated with nonspecific LBP.CINAHL, Medline, and Embase were searched between January 1946 and May 2018. MeSH terms and key words were used to identify (...) studies examining the association between inflammatory biomarkers and LBP. Two reviewers performed the risk of bias assessment and 3 reviewers extracted data independently. Qualitative evidence synthesis was performed.Thirteen studies, ranging from fair to low quality, were included. Five studies examined the association between C-reactive protein (CRP)/high-sensitivity CRP and LBP; 6 studies assessed tumor necrosis factors (TNFs); 8 studies assessed interleukins (ILs); and 2 studies assessed
A systematic review of the effectiveness of mass media campaigns for the management of lowbackpain. Purpose: To synthesize evidence on the effectiveness of mass media campaigns for the management of LBP on beliefs of the general public and health care providers, LBP-related disability, health utilization, and LBP clinical outcomes.Materials and Methods: Five electronic databases were searched from inception to December 17, 2019. Any studies evaluating the effectiveness of mass media campaigns (...) positive effects. Health care provider beliefs also consistently improved. Results for behavioural outcomes (disability behaviour and health utilization) were mixed and appeared dependent on campaign characteristics and local context.Conclusions: Mass media campaigns for LBP appear effective for improving beliefs of the general public and health care providers.Registration: Prospero CRD42018116797IMPLICATIONS FOR REHABILITATIONMass media campaigns about lowbackpain (LBP) appear effective
Quality of complementary and alternative medicine recommendations in lowbackpain guidelines: a systematic review. Individuals with lowbackpain (LBP) often turn to complementary and alternative medicine (CAM) to seek relief. The purpose of this study was to determine mention of CAM in LBP clinical practice guidelines and assess the quality of CAM recommendations using the Appraisal of Guidelines, Research and Evaluation II (AGREE II) instrument.A systematic review was conducted to identify
Efficacy and safety of duloxetine in osteoarthritis or chronic lowbackpain: a Systematic review and meta-analysis. To evaluate the efficacy and safety of duloxetine in the treatment of patients with osteoarthritis (OA) or chronic lowbackpain (CLBP).Relevant randomized controlled trials (RCTs) were searched in PubMed, Embase, Web of Science, Cochrane Central Register of Controlled Trials, and ClinicalTrials.gov. Included RCTs compared the efficacy and safety of duloxetine vs placebo (...) in the treatment of OA or CLBP. Weighted mean difference (WMD) were calculated for continuous outcomes while risk ratio (RR) were calculated for dichotomous outcomes.Nine RCTs were included in our meta-analysis. Duloxetine had significant improvement over placebo in Brief Pain Inventory 24-h average pain [WMD: -0.67; 95% confidence interval (CI):-0.80, -0.53], weekly mean of the 24-h average pain (WMD: -0.65; 95% CI: -0.79, -0.52), Patient's Global Impression of Improvement (WMD: -0.41; 95% CI: -0.49, -0.32
The effectiveness of patient education in improving pain, disability and quality of life among older people with lowbackpain: A systematic review. This study aimed to gain an overview of patient education and the effects of patient education for older people with lowbackpain (LBP).The search strategies were performed via EBSCO MEDLINE, EBSCO CINAHL, Science Direct, PubMed, and PEDro databases from 2006 to 2016. The keywords "patient education", "lowbackpain", "elderly", "older adults (...) , and postural education. The high methodological quality of the studies revealed that patient education showed improvement in terms of pain, disability and quality of life among older people with LBP.Patient education improved pain and had positive effects on disability and quality of life among older people with LBP. However, due to the limited number of RCTs more studies are needed to provide evidence for its effectiveness.
No consensus on causality of spine postures or physical exposure and lowbackpain: A systematic review of systematic reviews. Specific spinal postures and physical activities have been linked to lowbackpain (LBP) but previous reviews have produced contrasting outcomes. This umbrella review examined (1) what relationship, if any, is evident between specific spinal postures or physical activities and LBP; (2) the quality of existing systematic reviews in this area; and (3) the extent to which
What do we really know about the appropriateness of radiation emitting imaging for lowbackpain in primary and emergency care? A systematic review and meta-analysis of medical record reviews. Since 2000, guidelines have been consistent in recommending when diagnostic imaging for lowbackpain should be obtained to ensure patient safety and reduce unnecessary tests. This systematic review and meta-analysis was conducted to determine the pooled proportion of CT and x-ray imaging of the lumbar (...) spine that were considered appropriate in primary and emergency care.Pubmed, CINAHL, The Cochrane Database of Systematic Reviews and Embase were searched for synonyms of "lowbackpain", "guidelines", and "adherence" that were published after 2000. Titles, abstracts, and full texts were reviewed for inclusion with forward and backward tracking on included studies. Included studies had data extracted and synthesized. Risk of bias was performed on all studies, and GRADE was performed on included
Transcutaneous electric nerve stimulation (TENS) for acute lowbackpain: systematic review. Background and aims There has been no comprehensive evaluation of the efficacy of transcutaneous electric nerve stimulation (TENS) for acute lowbackpain (LBP). The aim of this systematic review was to investigate the efficacy and safety of TENS for acute LBP. Methods We searched MEDLINE, EMBASE, Cochrane Database of Systematic Reviews, CENTRAL, CINAHL and PsycINFO (inception to May 2018 (...) . One low quality trial (n = 63) provides low quality evidence that ~30 min treatment with TENS in an emergency-care setting provides clinically worthwhile pain relief for moderate to severe acute LBP in the immediate term compared with sham TENS [Mean Difference (MD) - 28.0 (95% CI - 32.7, -23.3)]. Two other studies which administered a course of TENS over 4-5 weeks, in more usual settings provide inconclusive evidence; MD -2.75 (95% CI -11.63, 6.13). There was limited data on adverse events
The effect of chronic, non-specific lowbackpain on superficial lumbar muscle activity: a protocol for a systematic review and meta-analysis. Chronic, non-specific lowbackpain is a major global cause of disability. One factor which might potentially contribute to ongoing pain is maladaptive variation in the level of activity in the lumbar musculature. Several studies have investigated this activity using surface electromyography, in varied muscles and during a number of functional activities (...) . Due to differences in the applied methodology, the results have been difficult to compare, and previous reviews have been limited in scope. In this protocol, we aim to perform a comprehensive review of the effect of chronic lowbackpain on lumbar muscle activity.This protocol was informed by the Preferred Reporting Items for Systematic Review and Meta-analysis Protocols (PRISMA-P) and results will be reported in line with the PRISMA. Searches will be conducted on the Web of Science, PubMed
On "Level of Evidence for Reliability, Validity, and Responsiveness of Physical Capacity Tasks Designed to Assess Functioning in Patients With LowBackPain: A Systematic Review Using the COSMIN Standards." Jakobsson M, Gutke A, Mokkink LB, Smeets R, Lund 32201875 2020 03 23 1538-6724 2020 Mar 23 Physical therapy Phys Ther On "Level of Evidence for Reliability, Validity, and Responsiveness of Physical Capacity Tasks Designed to Assess Functioning in Patients With LowBackPain: A Systematic
What is usual care for lowbackpain? A systematic review of health care provided to patients with lowbackpain in family practice and emergency departments. International clinical practice guidelines for lowbackpain (LBP) contain consistent recommendations including universal provision of information and advice to remain active, discouraging routine referral for imaging, and limited prescription of opioids. This systematic review describes usual care provided by first-contact physicians
Psychosocial areas of worklife and chronic lowbackpain: a systematic review and meta-analysis. The aim of this review was to synthesize the evidence on the potential relationship between psychosocial work factors from the Areas of Worklife (AW) model (workload, job control, social support, reward, fairness, and values) and chronic lowbackpain (CLBP; unspecific pain in the lumbar region lasting 3 months or longer).We conducted a systematic literature search of studies in Medline, PsycINFO (...) when developing programs to prevent chronic lowbackpain. Future studies should apply measures of CLBP that are more precise, and investigate the full areas of work life (AW) factors in combination.
Cost-effectiveness of pain management services for chronic lowbackpain: a systematic review of published studies. Chronic lowbackpain (CLBP) is a highly prevalent condition that has substantial impact on patients, the healthcare system and society. Pain management services (PMS), which aim to address the complex nature of backpain, are recommended in clinical practice guidelines to manage CLBP. Although the effectiveness of such services has been widely investigated in relation to CLBP (...) management services may be cost effective for the management of lowbackpain. However, this systematic review highlights the variability of evidence supporting pain management services for patients with backpain. This is due to the quality of the published studies and the variability of the setting, interventions, comparators and outcomes.
Assessment instruments of movement quality in patients with non-specific lowbackpain: A systematic review and selection of instruments. Observing and analyzing movement quality (MQ) in patients with non-specific lowbackpain (NS-LBP) is important in the clinical reasoning of primary care physiotherapists and exercise therapists. However, there is no standardized form of assessment.which MQ domains are measured with which instruments, and which activities are relevant, appropriate
Health-care utilisation for lowbackpain: a systematic review and meta-analysis of population-based observational studies. Lowbackpain (LBP) is a major public health problem globally, resulting in a significant personal and societal burden. However, little is known about health-care utilisation for optimal management of LBP. The aim of this systematic review and meta-analysis was to determine the prevalence rate of health-care utilisation for LBP. The electronic databases MEDLINE, EMBASE via (...) , a significant proportion of people with the pain fail to use health-care. It is apparent from this review that there is possibly skewed data, as the evidence to date is largely from developed countries. Therefore, it is warranted that future studies investigate the epidemiology of health-care utilisation for LBP in developing countries.