Latest & greatest articles for low back pain

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Top results for low back pain

481. Spinal manipulation for low back pain: an updated systematic review of randomized clinical trials

Spinal manipulation for low back pain: an updated systematic review of randomized clinical trials Spinal manipulation for low back pain: an updated systematic review of randomized clinical trials Spinal manipulation for low back pain: an updated systematic review of randomized clinical trials Koes B W, Assendelft W J, van der Heijden G J, Bouter L M Authors' objectives To assess the efficacy of spinal manipulation for patients with lower-back pain. Searching MEDLINE was searched from 1966 (...) manipulation or mobilisation of the spine (additional interventions were allowed) and the participants suffered from lower-back pain. Specific interventions included in the review Spinal manipulations studied included both high velocity thrust to a joint beyond its restricted range of movement and spinal mobilisations consisting of low velocity, passive movements within or at the limit of joint range. Manipulations were of the following types: osteopathic, chiropractic, rotational, Cyriax, Kaltenborn

1996 DARE.

482. Randomised controlled trial for evaluation of fitness programme for patients with chronic low back pain. Full Text available with Trip Pro

Randomised controlled trial for evaluation of fitness programme for patients with chronic low back pain. To evaluate a progressive fitness programme for patients with chronic low back pain.Single blind randomised controlled trial. Assessments were carried out before and after treatment by an observer blinded to the study and included a battery of validated measures. All patients were followed up by postal questionnaire six months after treatment.Physiotherapy department of orthopaedic hospital (...) .81 patients with chronic low back pain referred from orthopaedic consultants for physiotherapy. The patients were randomly allocated to a fitness programme or control group.Both groups were taught specific exercises to carry out at home and referred to a back-school for education in back care. Patients allocated to the fitness class attended eight exercise classes over four weeks in addition to the home programme and backschool.Significant differences between the groups were shown in the changes

1995 BMJ Controlled trial quality: uncertain

483. The treatment of acute low back pain--bed rest, exercises, or ordinary activity? (Abstract)

The treatment of acute low back pain--bed rest, exercises, or ordinary activity? Bed rest and back-extension exercises are often prescribed for patients with acute low back pain, but the effectiveness of these two competing treatments remains controversial.We conducted a controlled trial among employees of the city of Helsinki, Finland, who presented to an occupational health care center with acute, nonspecific low back pain. The patients were randomly assigned to one of three treatments: bed (...) as measured subjectively, the Oswestry back-disability index, and number of days absent from work. Recovery was slowest among the patients assigned to bed rest. The overall costs of care did not differ significantly among the three groups.Among patients with acute low back pain, continuing ordinary activities within the limits permitted by the pain leads to more rapid recovery than either bed rest or back-mobilizing exercises.

1995 NEJM Controlled trial quality: uncertain

484. Randomised comparison of chiropractic and hospital outpatient management for low back pain: results from extended follow up. Full Text available with Trip Pro

Randomised comparison of chiropractic and hospital outpatient management for low back pain: results from extended follow up. To compare the effectiveness over three years of chiropractic and hospital outpatient management for low back pain.Randomised allocation of patients to chiropractic or hospital outpatient management.Chiropractic clinics and hospital outpatient departments within reasonable travelling distance of each other in 11 centres.741 men and women aged 18-64 years with low back (...) of trial treatment. Among both those initially referred from chiropractors and from hospitals more rated chiropractic helpful at three years than hospital management.At three years the results confirm the findings of an earlier report that when chiropractic or hospital therapists treat patients with low back pain as they would in day to day practice those treated by chiropractic derive more benefit and long term satisfaction than those treated by hospitals.

1995 BMJ Controlled trial quality: uncertain

485. Efficacy of traction for non-specific low back pain: a randomised clinical trial. (Abstract)

Efficacy of traction for non-specific low back pain: a randomised clinical trial. Previous trials to assess the efficacy of lumbar traction for back pain have been methodologically flawed. To avoid these shortcomings, we conducted a randomised controlled trial in which high-dose traction was compared with sham traction. The sham traction was given with a specially developed brace that tightens in the back during traction. To the patient, the experience is that of traction. The patients (...) and outcome assessor were blinded for the assigned treatment. 151 patients with at least six weeks of non-specific low back pain were randomised. Intention to treat analysis showed no differences between the groups on all outcome measures (patients' global perceived effect, severity of main complaints, functional status and pain); all 95% confidence intervals included the value zero. The number of withdrawals from treatment, loss to follow-up, and protocol deviations was low. Consequently, the per

1995 Lancet Controlled trial quality: predicted high

486. On the accuracy of history, physical examination and erythrocyte sedimentation rate in diagnosing low back pain in general practice: a criteria-based review of the literature

On the accuracy of history, physical examination and erythrocyte sedimentation rate in diagnosing low back pain in general practice: a criteria-based review of the literature On the accuracy of history, physical examination and erythrocyte sedimentation rate in diagnosing low back pain in general practice: a criteria-based review of the literature On the accuracy of history, physical examination and erythrocyte sedimentation rate in diagnosing low back pain in general practice: a criteria-based (...) and erythrocyte sedimentation rate in diagnosing low back pain in general practice: a criteria-based review of the literature. Spine 1995; 20(3): 318-327 PubMedID Indexing Status Subject indexing assigned by NLM MeSH Blood Sedimentation; Family Practice; Humans; Low Back Pain /etiology; Medical History Taking; Peripheral Nervous System Diseases /diagnosis; Physical Examination; Research Design; Retrospective Studies; Sensitivity and Specificity; Spinal Neoplasms /diagnosis; Spinal Nerve Roots; Spondylitis

1995 DARE.

487. Efficacy of comprehensive rehabilitation programs and back school for patients with low back pain: a meta-analysis

Efficacy of comprehensive rehabilitation programs and back school for patients with low back pain: a meta-analysis Efficacy of comprehensive rehabilitation programs and back school for patients with low back pain: a meta-analysis Efficacy of comprehensive rehabilitation programs and back school for patients with low back pain: a meta-analysis Di Fabio R P Authors' objectives To conduct a meta-analysis to synthesise existing evidence on back schools from a global perspective, encompassing issues (...) in the control groups were not described in detail. Implications of the review for practice and research The value of back school for patients with lower-back pain has not been substantiated. Bibliographic details Di Fabio R P. Efficacy of comprehensive rehabilitation programs and back school for patients with low back pain: a meta-analysis. Physical Therapy 1995; 75(10): 865-878 PubMedID Indexing Status Subject indexing assigned by NLM MeSH Comprehensive Health Care /organization & Effect Modifier

1995 DARE.

488. Clinical efficacy of SPECT bone imaging for low back pain

Clinical efficacy of SPECT bone imaging for low back pain Clinical efficacy of SPECT bone imaging for low back pain Clinical efficacy of SPECT bone imaging for low back pain Littenberg B, Siegel A, Tosteson A N, Mead T Authors' objectives To evaluate the diagnostic accuracy, clinical usefulness (effect on patient management), and cost-effectiveness of single-photon enhanced computed tomography (SPECT) for lower back pain. Searching MEDLINE was searched from 1966 to September 1993. Biological (...) : The authors stated that it is imperative that the medical community mounts a well-designed, prospective evaluation of SPECT in lower back pain. Funding The SPECT Project Foundation of the Society of Nuclear Medicine and the American College of Nuclear Physicians. Bibliographic details Littenberg B, Siegel A, Tosteson A N, Mead T. Clinical efficacy of SPECT bone imaging for low back pain. Journal of Nuclear Medicine 1995; 36(9): 1707-1713 PubMedID Original Paper URL Indexing Status Subject indexing

1995 DARE.

489. Efficacy of epidural steroid injections for low-back pain and sciatica: a systematic review of randomized clinical trials

Efficacy of epidural steroid injections for low-back pain and sciatica: a systematic review of randomized clinical trials Efficacy of epidural steroid injections for low-back pain and sciatica: a systematic review of randomized clinical trials Efficacy of epidural steroid injections for low-back pain and sciatica: a systematic review of randomized clinical trials Koes B W, Scholten R J, Mens J M, Bouter L M Authors' objectives To assess the efficacy of epidural steroid injections for lower-back (...) pain and sciatica. Searching MEDLINE was searched from 1966 to 1993 using the keywords 'backache' and 'low-back pain'. The references in relevant publications were further examined. Study selection Study designs of evaluations included in the review Randomised controlled trials (RCTs) were included. Specific interventions included in the review Epidural steroid injections were compared with saline, midazolam and dextrose, bupivacaine, dry needling, procaine and lignocaine. Participants included

1995 DARE.

490. Spinal cord stimulation for chronic low back pain: a systematic literature synthesis

Spinal cord stimulation for chronic low back pain: a systematic literature synthesis Spinal cord stimulation for chronic low back pain: a systematic literature synthesis Spinal cord stimulation for chronic low back pain: a systematic literature synthesis Turner J A, Loeser J D, Bell K G Authors' objectives To analyse the long-term benefits and risks of spinal cord stimulation (SCS) for people with chronic back or leg pain, who have already had one or more operations for lower-back and/or leg (...) and quality of life. Funding Washington State Department of Labor and Industries. Bibliographic details Turner J A, Loeser J D, Bell K G. Spinal cord stimulation for chronic low back pain: a systematic literature synthesis. Neurosurgery 1995; 37(6): 1088-1095 PubMedID Indexing Status Subject indexing assigned by NLM MeSH Adult; Aged; Aged, 80 and over; Electric Stimulation Therapy /instrumentation; Female; Follow-Up Studies; Humans; Low Back Pain /physiopathology /therapy; Male; Middle Aged; Pain

1995 DARE.

491. Randomized controlled trials in industrial low back pain relating to return to work - Part 1: acute interventions

Randomized controlled trials in industrial low back pain relating to return to work - Part 1: acute interventions Randomized controlled trials in industrial low back pain relating to return to work - Part 1: acute interventions Randomized controlled trials in industrial low back pain relating to return to work - Part 1: acute interventions Scheer S J, Radack K L, O'Brien D R Authors' objectives To identify treatment-related factors associated with successful return to work of patients (...) with lower-back pain (LBP). Searching MEDLINE, PsycINFO, REHABDATA, CINAHL and Dissertation Abstracts, as well as surveys of back pain literature, were searched from 1975 to 1993 using the keywords 'back pain' and 'low back pain', for articles published in the English language. Study selection Study designs of evaluations included in the review Randomised controlled trials (RCTs) with any concurrent reference comparison groups, including those that lacked a no-treatment or placebo control group, were

1995 DARE.

492. The outcomes and costs of care for acute low back pain among patients seen by primary care practitioners, chiropractors, and orthopedic surgeons

The outcomes and costs of care for acute low back pain among patients seen by primary care practitioners, chiropractors, and orthopedic surgeons The outcomes and costs of care for acute low back pain among patients seen by primary care practitioners, chiropractors, and orthopedic surgeons The outcomes and costs of care for acute low back pain among patients seen by primary care practitioners, chiropractors, and orthopedic surgeons Carey T S, Garrett J, Jackman A, McLaughlin C, Fryer J, Smucker (...) D R 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. Health technology Treatment for low back pain by primary care practitioners (rural or urban), chiropractors (rural or urban) and orthopaedic surgeons. Type of intervention Treatment. Economic

1995 NHS Economic Evaluation Database.

493. The treatment of acute low back pain: bed rest, exercises, or ordinary activity?

The treatment of acute low back pain: bed rest, exercises, or ordinary activity? 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.

1995 NHS Economic Evaluation Database.

494. The effectiveness of four interventions for the prevention of low back pain

The effectiveness of four interventions for the prevention of low back pain The effectiveness of four interventions for the prevention of low back pain The effectiveness of four interventions for the prevention of low back pain Lahad A, Malter A D, Berg A O, Deyo R A Authors' objectives To evaluate the effectiveness of 4 strategies for preventing lower-back pain in the clinical setting. Searching MEDLINE was searched from 1966 to 1993, and the bibliographies of identified articles were examined (...) studies were to be included or excluded. Funding Agency for Health Care Policy and Research, grant details: Health Services Research and Development Field, National Research Service Award and Training in Primary Care. Bibliographic details Lahad A, Malter A D, Berg A O, Deyo R A. The effectiveness of four interventions for the prevention of low back pain. JAMA 1994; 272(16): 1286-1291 PubMedID Indexing Status Subject indexing assigned by NLM MeSH Behavior Therapy; Braces; Exercise; Humans; Low Back

1994 DARE.

495. Group education interventions for people with low back pain: an overview of the literature

Group education interventions for people with low back pain: an overview of the literature Group education interventions for people with low back pain: an overview of the literature Group education interventions for people with low back pain: an overview of the literature Cohen J E, Goel V, Frank J W, Bombardier C, Peloso P, Guillemin F Authors' objectives To make a recommendation regarding the effectiveness of group education as an intervention for people with lower-back pain. Searching (...) searched over different time periods. The group education interventions were not of uniform high quality. Only 2 out of 13 interventions were rated as either good or very good by both expert reviewers. Generally, the interventions were insufficiently described. Bibliographic details Cohen J E, Goel V, Frank J W, Bombardier C, Peloso P, Guillemin F. Group education interventions for people with low back pain: an overview of the literature. Spine 1994; 19(11): 1214-1222 PubMedID Indexing Status Subject

1994 DARE.

496. A controlled trial of corticosteroid injections into facet joints for chronic low back pain. (Abstract)

A controlled trial of corticosteroid injections into facet joints for chronic low back pain. Chronic low back pain is a common problem with many treatments, few of which have been rigorously evaluated. This randomized, placebo-controlled trial was designed to evaluate the efficacy of injections of corticosteroid into facet joints to treat chronic low back pain.Patients with chronic low back pain who reported immediate relief of their pain after injections of local anesthetic into the facet (...) in the treatment of patients with chronic low back pain.

1991 NEJM Controlled trial quality: predicted high

497. Low back pain of mechanical origin: randomised comparison of chiropractic and hospital outpatient treatment. Full Text available with Trip Pro

Low back pain of mechanical origin: randomised comparison of chiropractic and hospital outpatient treatment. To compare chiropractic and hospital outpatient treatment for managing low back pain of mechanical origin.Randomised controlled trial. Allocation to chiropractic or hospital management by minimisation to establish groups for analysis of results according to initial referral clinic, length of current episode, history, and severity of back pain. Patients were followed up for up two (...) flexion.Chiropractic treatment was more effective than hospital outpatient management, mainly for patients with chronic or severe back pain. A benefit of about 7% points on the Oswestry scale was seen at two years. The benefit of chiropractic treatment became more evident throughout the follow up period. Secondary outcome measures also showed that chiropractic was more beneficial.For patients with low back pain in whom manipulation is not contraindicated chiropractic almost certainly confers worthwhile, long term

1990 BMJ Controlled trial quality: uncertain

498. A controlled trial of transcutaneous electrical nerve stimulation (TENS) and exercise for chronic low back pain. (Abstract)

A controlled trial of transcutaneous electrical nerve stimulation (TENS) and exercise for chronic low back pain. A number of treatments are widely prescribed for chronic back pain, but few have been rigorously evaluated. We examined the effectiveness of transcutaneous electrical nerve stimulation (TENS), a program of stretching exercises, or a combination of both for low back pain. Patients with chronic low back pain (median duration, 4.1 years) were randomly assigned to receive daily treatment (...) , however, most patients had discontinued the exercises, and the initial improvements were gone. We conclude that for patients with chronic low back pain, treatment with TENS is no more effective than treatment with a placebo, and TENS adds no apparent benefit to that of exercise alone.

1990 NEJM Controlled trial quality: predicted high

499. Clinical trial of intensive muscle training for chronic low back pain. (Abstract)

Clinical trial of intensive muscle training for chronic low back pain. 105 patients who had chronic low back pain without clinical signs of lumbar nerve root compression or radiological evidence of spondylolysis or osteomalacia were randomised to three treatments: 30 sessions of intensive dynamic back extensor exercises over three months; a similar programme at one-fifth the exercise intensity; or one month of thermotherapy, massage, and mild exercises. The results consistently favoured

1989 Lancet Controlled trial quality: uncertain

500. A new approach to the treatment of chronic low back pain. (Abstract)

A new approach to the treatment of chronic low back pain. 81 patients with chronic low back pain (average duration 10 years) were randomised to two treatment groups. 40 received an empirically devised regimen of forceful spinal manipulation and injections of a dextrose-glycerine-phenol ("proliferant") solution into soft-tissue structures, as part of a programme to decrease pain and disability. The other 41 patients received parallel treatment in which the main differences were less extensive (...) and the numbers free from disability were 15 and 4, respectively (p less than 0.003). Visual analogue pain scores and pain diagrams likewise showed significant advantages for the experimental regimen.

1987 Lancet Controlled trial quality: uncertain