Latest & greatest articles for low back pain

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Top results for low back pain

481. Barriers to primary care clinician adherence to clinical guidelines for the management of low back pain: protocol of a systematic review and meta-synthesis of qualitative studies. (Full text)

Barriers to primary care clinician adherence to clinical guidelines for the management of low back pain: protocol of a systematic review and meta-synthesis of qualitative studies. Low back pain is the highest ranked condition contributing to years lived with disability, and is a significant economic and societal burden. Evidence-based clinical practice guidelines are designed to improve quality of care and reduce practice variation by providing graded recommendations based on the best available (...) evidence. Studies of low back pain guideline implementation have shown no or modest effects at changing clinical practice.To identify enablers and barriers to adherence to clinical practice guidelines for the management of low back pain.A systematic review and meta-synthesis of qualitative studies that will be conducted and reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement guidelines. Eight databases will be searched using a priori inclusion

2015 BMJ open PubMed abstract

482. Effectiveness of transcranial direct current stimulation preceding cognitive behavioural management for chronic low back pain: sham controlled double blinded randomised controlled trial. (Full text)

Effectiveness of transcranial direct current stimulation preceding cognitive behavioural management for chronic low back pain: sham controlled double blinded randomised controlled trial. To evaluate the effectiveness of transcranial direct current stimulation alone and in combination with cognitive behavioural management in patients with non-specific chronic low back pain.Double blind parallel group randomised controlled trial with six months' follow-up conducted May 2011-March 2013 (...) . Participants, physiotherapists, assessors, and analyses were blinded to group allocation.Interdisciplinary chronic pain centre.135 participants with non-specific chronic low back pain >12 weeks were recruited from 225 patients assessed for eligibility.Participants were randomised to receive anodal (20 minutes to motor cortex at 2 mA) or sham transcranial direct current stimulation (identical electrode position, stimulator switched off after 30 seconds) for five consecutive days immediately before cognitive

2015 BMJ Controlled trial quality: predicted high PubMed abstract

483. Physiotherapists may stigmatise or feel unprepared to treat people with low back pain and psychosocial factors that influence recovery: a systematic review. (Full text)

Physiotherapists may stigmatise or feel unprepared to treat people with low back pain and psychosocial factors that influence recovery: a systematic review. What are physiotherapists' perceptions about identifying and managing the cognitive, psychological and social factors that may act as barriers to recovery for people with low back pain (LBP)?Systematic review and qualitative metasynthesis of qualitative studies in which physiotherapists were questioned, using focus groups or semi-structured (...) , Dankaerts W, O'Sullivan P, O'Sullivan K (2015) Physiotherapists may stigmatise or feel unprepared to treat people with low back pain and psychosocial factors that influence recovery: a systematic review.Journal of Physiotherapy61: 68-76].Copyright © 2015. Published by Elsevier B.V.

2015 Journal of physiotherapy PubMed abstract

484. Ultrasound ineffective for chronic low-back pain

Ultrasound ineffective for chronic low-back pain Ultrasound ineffective for chronic low-back pain | Cochrane Primary Care Trusted evidence. Informed decisions. Better health. Enter terms Ultrasound ineffective for chronic low-back pain Cochrane Trusted evidence. Informed decisions. Better health. Copyright © 2019 The Cochrane Collaboration | | We use cookies to improve your experience on our site.

2015 Cochrane PEARLS

485. Validation and impact analysis of prognostic clinical prediction rules for low back pain is needed: a systematic review. (Abstract)

Validation and impact analysis of prognostic clinical prediction rules for low back pain is needed: a systematic review. To identify prognostic forms of clinical prediction rules (CPRs) related to the nonsurgical management of adults with low back pain (LBP) and to evaluate their current stage of development.Systematic review using a sensitive search strategy across seven databases with hand searching and citation tracking.A total of 10,005 records were screened for eligibility with 35 studies

2015 Journal of Clinical Epidemiology

486. Clinical examination findings as prognostic factors in low back pain: a systematic review of the literature. (Full text)

Clinical examination findings as prognostic factors in low back pain: a systematic review of the literature. There is a strong tradition of performing a clinical examination of low back pain (LBP) patients and this is generally recommended in guidelines. However, establishing a pathoanatomic diagnosis does not seem possible in most LBP patients and clinical tests may potentially be more relevant as prognostic factors. The aim of this review of the literature was to systematically assess (...) the association between low-tech clinical tests commonly used in adult patients with acute, recurrent or chronic LBP and short- and long-term outcome.MEDLINE, Embase, and MANTIS were searched from inception to June 2012. Prospective clinical studies of adult patients with LBP with or without leg pain and/or signs of nerve root involvement or spinal stenosis, receiving non-surgical or no treatment, which investigated the association between low-tech clinical tests and outcome were included. Study selection

2015 Chiropractic & manual therapies PubMed abstract

487. Effect of Primary Care-Based Education on Reassurance in Patients With Acute Low Back Pain: Systematic Review and Meta-analysis. (Full text)

Effect of Primary Care-Based Education on Reassurance in Patients With Acute Low Back Pain: Systematic Review and Meta-analysis. Reassurance is a core aspect of daily medical practice, yet little is known on how it can be achieved.To determine whether patient education in primary care increases reassurance in patients with acute or subacute low back pain (LBP).Medline, EMBASE, Cochrane Central Register for Controlled Trials, and PsychINFO databases were searched to June 2014.Systematic review

2015 JAMA Internal Medicine PubMed abstract

488. Trunk Muscles Activation Pattern During Walking in Subjects With and Without Chronic Low Back Pain: A Systematic Review. (Abstract)

Trunk Muscles Activation Pattern During Walking in Subjects With and Without Chronic Low Back Pain: A Systematic Review. The purpose of this study was to identify how activity patterns of trunk muscles change in chronic LBP during walking. TYPE: This was a systematic reviewELSEVIER, Pro Quest, PubMed, Google scholar and MEDLINE electronic databases were explored for the period from the earliest researchable time to August 2014. Articles investigating patients with chronic LBP and analyzing

2015 PM & R : the journal of injury, function, and rehabilitation

489. Experiences of chronic low back pain: a meta-ethnography of qualitative research. (Abstract)

Experiences of chronic low back pain: a meta-ethnography of qualitative research. Chronic low back pain (CLBP) is associated with a number of costly disability-related outcomes. It has received increasing attention from qualitative researchers studying its consequences for personal, social, and health care experiences. As research questions and methods diversify, there is a growing need to integrate findings emerging from these studies. A meta-ethnography was carried out to synthesise (...) the findings of 38 separate qualitative articles published on the subjective experience of CLBP between 1994 and 2011. Studies were identified following a literature search and quality appraisal. Four themes were proposed after a process of translating the meaning of text extracts from the findings sections across all the articles. The themes referred to the undermining influence of pain, its disempowering impact on all levels, unsatisfying relationships with health care professionals, and learning to live

2015 Health psychology review

490. Whole-body vibration and the risk of low back pain and sciatica: a systematic review and meta-analysis. (Abstract)

Whole-body vibration and the risk of low back pain and sciatica: a systematic review and meta-analysis. The aim of this systematic literature review was to evaluate the association between whole-body vibration (WBV) and low back pain (LBP) and sciatica with special attention given to exposure estimates. Moreover, the aim was to estimate the magnitude of such an association using meta-analysis and to compare our findings with previous reviews.The authors systematically searched the PubMed (...) with increased prevalence of LBP and sciatica [pooled odds ratio (OR) = 2.17, 95% confidence interval (CI) 1.61-2.91 and OR 1.92, 95% CI 1.38-2.67, respectively]. Workers exposed to high vibration levels had a pooled risk estimate of 1.5 for both outcomes when compared with workers exposed to low levels of vibration. The results also indicate that some publication bias could have occurred especially for sciatica.This review shows that there is scientific evidence that exposure to WBV increases the risk

2015 International archives of occupational and environmental health

491. Identifying potential moderators for response to treatment in low back pain: A systematic review. (Full text)

Identifying potential moderators for response to treatment in low back pain: A systematic review. Identifying which patients with non-specific low back pain are likely to gain the greatest benefit from different treatments is an important research priority. Few studies are large enough to produce data on sub-group effects from different treatments. Data from existing large studies may help identify potential moderators to use in future individual patient data meta-analyses.To systematically (...) review papers of therapist delivered interventions for low back pain to identify potential moderators to inform an individual patient data meta-analysis.We searched MEDLINE, EMBASE, Web of Science and Citation Index and Cochrane Register of Controlled Trials (CENTRALhttp://www.cochrane.org/editorial-and-publishing-policy-resource/cochrane-central-register-controlled-trials-central) for relevant papers.We screened for randomised controlled trials with ≥500 or more participants, and cohort studies

2015 Physiotherapy PubMed abstract

492. The relationship between obesity, low back pain, and lumbar disc degeneration when genetics and the environment are considered: a systematic review of twin studies. (Abstract)

The relationship between obesity, low back pain, and lumbar disc degeneration when genetics and the environment are considered: a systematic review of twin studies. The relationships between obesity and low back pain (LBP) and lumbar disc degeneration (LDD) remain unclear. It is possible that familial factors, including genetics and early environment, affect these relationships.To investigate the relationship between obesity-related measures (eg, weight, body mass index [BMI]) and LBP and LDD

2015 The Spine Journal

493. Muscle energy technique for non-specific low-back pain. (Full text)

Muscle energy technique for non-specific low-back pain. Low-back pain (LBP) is responsible for considerable personal suffering due to pain and reduced function, as well as the societal burden due to costs of health care and lost work productivity. For the vast majority of people with LBP, no specific anatomical cause can be reliably identified. For these people with non-specific LBP there are numerous treatment options, few of which have been shown to be effective in reducing pain (...) to the patient population (acute or chronic LBP) and the nature of the control intervention. Most of the comparisons (five out of seven) included only one study, one comparison had two studies, and one comparison included seven studies.The meta-analyses provided low-quality evidence that MET provided no additional benefit when added to other therapies on the outcomes of chronic pain and disability in the short-term (weighted mean difference (WMD) for pain 0.00, 95% CI -2.97 to 2.98 on a 100-point scale

2015 Cochrane database of systematic reviews (Online) PubMed abstract

494. Imaging in Patients with Low Back Pain

Imaging in Patients with Low Back Pain Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources of the best evidence on the topic that CADTH could identify using all reasonable efforts within the time allowed. Rapid responses should be considered along with other types (...) , posted on a web site, redistributed by email or stored on an electronic system without the prior written permission of CADTH or applicable copyright owner. Links: This report may contain links to other information available on the websites of third parties on the Internet. CADTH does not have control over the content of such sites. Use of third party sites is governed by the owners’ own terms and conditions. TITLE: Imaging in Patients with Low Back Pain: Clinical Effectiveness and Guidelines DATE: 10

2015 Canadian Agency for Drugs and Technologies in Health - Rapid Review

495. Traditional chinese medicine for neck pain and low back pain: a systematic review and meta-analysis. (Full text)

Traditional chinese medicine for neck pain and low back pain: a systematic review and meta-analysis. Neck pain (NP) and low back pain (LBP) are common symptoms bothering people in daily life. Traditional Chinese medicine (TCM) has been used to treat various symptoms and diseases in China and has been demonstrated to be effective. The objective of the present study was to review and analyze the existing data about pain and disability in TCM treatments for NP and LBP.Studies were identified (...) by a comprehensive search of databases, such as MEDLINE, EMBASE, and Cochrane Library, up to September 1, 2013. A meta-analysis was performed to evaluate the efficacy and safety of TCM in managing NP and LBP.Seventy five randomized controlled trials (n = 11077) were included. Almost all of the studies investigated individuals experiencing chronic NP (CNP) or chronic LBP (CLBP). We found moderate evidence that acupuncture was more effective than sham-acupuncture in reducing pain immediately post-treatment for CNP

2015 PloS one PubMed abstract

496. [Opioids in chronic low back pain : A systematic review and meta-analysis of efficacy, tolerability and safety in randomized placebo-controlled studies of at least 4 weeks duration]. (Abstract)

[Opioids in chronic low back pain : A systematic review and meta-analysis of efficacy, tolerability and safety in randomized placebo-controlled studies of at least 4 weeks duration]. The efficacy and safety of opioid therapy in chronic low back pain (CLBP) is under debate. We updated a recent systematic review on the efficacy and safety of opioids in CLBP.We screened MEDLINE, Scopus and the Cochrane Central Register of Controlled Trials (CENTRAL) up until October 2013, as well as reference (...)  (41.2 %) used oxycodone; four (23.6 %) tramadol; buprenorphine and oxymorphone were each used in two (11.8 %) and hydromorphone and tapentadol each in one (5.8 %). The results for studies with parallel/cross-over design were as follows (with 95 % confidence interval, CI): opioids were superior to placebo in reducing pain intensity (SMD - 0.29 [- 0.37, - 0.21], p < 0.0001; six studies with 2896 participants). Opioids were superior to placebo in 50 % pain reduction (RD 0.05 [0.01, 0.10], p = 0.01; two

2015 Schmerz (Berlin, Germany)

497. The association between lumbar spine radiographic features and low back pain: A systematic review and meta-analysis. (Abstract)

The association between lumbar spine radiographic features and low back pain: A systematic review and meta-analysis. Low back pain (LBP) is a prevalent musculoskeletal condition and represents a substantial socioeconomic burden. Plain film radiography is a commonly used imaging technique. Radiographic features (RFs) such as disc space narrowing, osteophytes, spondylosis, endplate sclerosis, spondylolisthesis, and facet joint osteoarthritis have all been debated as potential pain generators

2015 Seminars in arthritis and rheumatism

498. Exercise interventions for the treatment of chronic low back pain: A systematic review and meta-analysis of randomised controlled trials. (Full text)

Exercise interventions for the treatment of chronic low back pain: A systematic review and meta-analysis of randomised controlled trials. To determine, for adults with chronic low back pain, which exercise interventions are the most effective at reducing pain compared to other treatments.A search of MEDLINE, CINAHL, EMBASE, SPORTDiscus, PsycINFO and The Cochrane Library was conducted up to October 2014.Databases were searched for published reports of randomised trials that investigated (...) the treatment of chronic low back pain of non-specific origin with an exercise intervention. Two authors independently reviewed and selected relevant trials. Methodological quality was evaluated using the Downs and Black tool.Forty-five trials met the inclusion criteria and thirty-nine were included in the meta-analysis. Combined meta-analysis revealed significantly lower chronic low back pain with intervention groups using exercise compared to a control group or other treatment group (Standard Mean

2015 Clinical rehabilitation PubMed abstract

499. Diagnostic clinical prediction rules for specific subtypes of low back pain: a systematic review. (Abstract)

Diagnostic clinical prediction rules for specific subtypes of low back pain: a systematic review. Systematic review.To identify diagnostic clinical prediction rules (CPRs) for low back pain (LBP) and to assess their readiness for clinical application.Significant research has been invested into the development of CPRs that may assist in the meaningful subgrouping of patients with LBP. To date, very little is known about diagnostic forms of CPRs for LBP, which relate to the present status (...) Studies-2 and checklists composed of accepted methodological standards for the development of CPRs.Of 10 014 studies screened for eligibility, the search identified that 13 diagnostic CPRs for LBP have been derived. Among those, 1 tool for identifying lumbar spinal stenosis and 2 tools for identifying inflammatory back pain have undergone validation. No impact analysis studies were identified.Most diagnostic CPRs for LBP are in their initial development phase and cannot be recommended for use

2015 The Journal of orthopaedic and sports physical therapy

500. [Usefulness of magnetic resonance imaging for the diagnosis of non-specific low back pain]

[Usefulness of magnetic resonance imaging for the diagnosis of non-specific low back pain] Utilidad de la resonancia magnética en pacientes con dolor lumbar inespecífico [Usefulness of magnetic resonance imaging for the diagnosis of non-specific low back pain] Utilidad de la resonancia magnética en pacientes con dolor lumbar inespecífico [Usefulness of magnetic resonance imaging for the diagnosis of non-specific low back pain] Rodríguez-Rieiro C Citation Rodríguez-Rieiro C. Utilidad de la (...) resonancia magnética en pacientes con dolor lumbar inespecífico. [Usefulness of magnetic resonance imaging for the diagnosis of non-specific low back pain] Unidad de Evaluacion de Tecnologias Sanitarias (UETS). Informes de Evaluación de Tecnologías Sanitarias. 2014 Authors' objectives To summarize the appropriateness uses of magnetic resonance for the diagnosis of non-specific low back pain. Final publication URL Indexing Status Subject indexing assigned by CRD MeSH Humans; Low Back Pain; Magnetic

2015 Health Technology Assessment (HTA) Database.