Latest & greatest articles for low back pain

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Top results for low back pain

41. A systematic review of the role of inflammatory biomarkers in acute, subacute and chronic non-specific low back pain. (Full text)

A systematic review of the role of inflammatory biomarkers in acute, subacute and chronic non-specific low back pain. Low back pain (LBP) is one of the greatest contributors to disability in the world and there is growing interest on the role of biomarkers in LBP. To purpose of this review was to analyze available evidence on the relationship between inflammatory biomarkers, clinical presentation, and outcomes in patients with acute, subacute and chronic non-specific low back pain (NSLBP (...) in this review. All results assessed using the modified GRADE demonstrated low to very low quality evidence given the small number of studies and small sample. Three studies examined C-reactive protein (CRP), one of which found significantly higher CRP levels in an acute NSLBP group than in controls and an association between high pain intensity and elevated CRP. Three studies examined tumor necrosis factor alpha (TNF-α), two of which found elevated TNF-α in chronic NSLBP participants compared to controls

2020 BMC musculoskeletal disorders PubMed abstract

42. Do patients with chronic low-back pain experience a loss of health-related quality of life? A protocol for a systematic review and meta-analysis. (Full text)

Do patients with chronic low-back pain experience a loss of health-related quality of life? A protocol for a systematic review and meta-analysis. Health-related quality of life in chronic low back pain (LBP) is an important issue since various individual factors such as perceived loss of autonomy, inability to continue daily life and anxiety can contribute to maintenance or deterioration of this condition. Health-related quality of life is also important because it can predict the probability

2020 BMJ open PubMed abstract

43. On "Short-Term Effect of Kinesiotaping on Chronic Nonspecific Low Back Pain and Disability: A Meta-Analysis of Randomized Controlled Trials." Lin S, Zhu, B. Phys Ther. 2020;100:238-254. (Abstract)

On "Short-Term Effect of Kinesiotaping on Chronic Nonspecific Low Back Pain and Disability: A Meta-Analysis of Randomized Controlled Trials." Lin S, Zhu, B. Phys Ther. 2020;100:238-254. 32157311 2020 03 11 1538-6724 2020 Mar 11 Physical therapy Phys Ther On "Short-Term Effect of Kinesiotaping on Chronic Nonspecific Low Back Pain and Disability: A Meta-Analysis of Randomized Controlled Trials." Lin S, Zhu, B. Phys Ther. 2020;100:238-254. pzaa037 10.1093/ptj/pzaa037 Saueressig Tobias T

2020 Physical therapy

44. Systematic Review of Decision Analytic Modelling in Economic Evaluations of Low Back Pain and Sciatica. (Full text)

Systematic Review of Decision Analytic Modelling in Economic Evaluations of Low Back Pain and Sciatica. Low back pain (LBP) and sciatica place significant burden on individuals and healthcare systems, with societal costs alone likely to be in excess of £15 billion. Two recent systematic reviews for LBP and sciatica identified a shortage of modelling studies in both conditions.The aim of this systematic review was to document existing model-based economic evaluations for the treatment

2020 Applied Health Economics and Health Policy PubMed abstract

45. Expression of concern: Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis. (Full text)

Expression of concern: Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis. 32139370 2020 03 09 1473-0480 2020 03 05 British journal of sports medicine Br J Sports Med Expression of concern: Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis. bjsports-2019-100886eoc1 10.1136/bjsports-2019-100886eoc1 eng Journal Article Expression of Concern 2020 03 05 England Br J Sports Med

2020 British Journal of Sports Medicine PubMed abstract

46. The natural course of low back pain from childhood to young adulthood - a systematic review. (Full text)

The natural course of low back pain from childhood to young adulthood - a systematic review. Taking the natural course of recurrent and fluctuating low back pain (LBP) seen in longitudinal studies of adults into consideration, the aetiology and development of LBP in children and adolescents also needs to be reflected in a long-term course. Therefore, a systematic critical literature review was undertaken to assess the natural course of LBP in the general population from childhood through (...) adolescence to young adulthood.A systematic literature search was conducted in MEDLINE, EMBASE, CINAHL and PsycINFO with synonyms of search terms for 1) low back pain; 2) natural course; 3) cohort study and 4) children. Records in English, German, French, Danish, Swedish, and Norwegian were included. To assess the methodological quality of the studies, the NIH quality assessment checklist for cohort studies was adapted and risk of bias was assessed on a study level. Two authors independently reviewed

2020 Chiropractic & manual therapies PubMed abstract

47. Can We Trust the Literature on Risk Factors and Triggers for Low Back Pain? A Systematic Review of a Sample of Contemporary Literature. (Full text)

Can We Trust the Literature on Risk Factors and Triggers for Low Back Pain? A Systematic Review of a Sample of Contemporary Literature. Risk factors (RFs) for the "disease" of low back pain (LBP) are probably different from the triggers of new episodes of LBP. Investigating RFs for the onset of the "disease" and the triggers of LBP is problematic if researchers fail to discern the different types of pain-free status of participants at and before baseline. There is a difference between never (...) having had LBP and having been pain-free for a certain period only. In this review, we assessed the dependability of contemporary literature on RFs and triggers of LBP, in relation to the "disease" and the episodes, respectively.A literature search from 2010 until 2017 was performed. Information on the definitions of LBP, potential RFs/triggers, and study design was extracted. Studies were reclassified based on the type of LBP concerning the "disease," episode, or mixed/unclear/chronic. RFs

2020 Pain research & management PubMed abstract

48. The association between headache and low back pain: a systematic review. (Full text)

The association between headache and low back pain: a systematic review. To systematically review studies quantifying the association between primary chronic headaches and persistent low back pain (LBP).We searched five electronic databases. We included case-control, cross-sectional and cohort studies that included a headache and back pain free group, reporting on any association between persistent LBP and primary headache disorders. Methodological quality was assessed using Newcastle-Ottawa

2020 The journal of headache and pain PubMed abstract

49. Letter in response to: 'Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis' by Owen (Abstract)

Letter in response to: 'Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis' by Owen 32024645 2020 03 09 1473-0480 2020 02 05 British journal of sports medicine Br J Sports Med Letter in response to: 'Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis' by Owen et al . bjsports-2019-101812 10.1136/bjsports-2019-101812 Maher Chris G CG 0000-0002-1628-7857 Sydney School of Public (...) exercise for low back pain (the topic of the review we comment upon in this letter) 2019 12 17 2020 2 7 6 0 2020 2 7 6 0 2020 2 7 6 0 aheadofprint 32024645 bjsports-2019-101812 10.1136/bjsports-2019-101812

2020 British Journal of Sports Medicine

50. Gluteus medius muscle function in people with and without low back pain: a systematic review. (Full text)

Gluteus medius muscle function in people with and without low back pain: a systematic review. Globally, low back pain (LBP) is one of the greatest causes of disability. In people with LBP, dysfunction of muscles such as the gluteus medius have been demonstrated to increase spinal loading and reduce spinal stability. Differences in gluteus medius function have been reported in those with LBP compared to those without, although this has only been reported in individual studies. The aim

2020 BMC musculoskeletal disorders PubMed abstract

51. The effectiveness of McKenzie method compared to manual therapy for treating chronic low back pain: a systematic review. (Abstract)

The effectiveness of McKenzie method compared to manual therapy for treating chronic low back pain: a systematic review. The aim of this study was to evaluate the effectiveness of the McKenzie method compared to manual therapy in the management of patients with chronic low back pain (CLBP). Randomised controlled trials evaluating the McKenzie method in treating CLBP in adults compared to manual therapy (MT) were searched in MEDLINE, CINAHL, Cochrane Library, and PEDro. The primary outcomes were (...) pain and disability. Five trials were eligible for inclusion in the review, of which, most had a score of 8 out of 11 on the PEDro scale. At 2-3 months, all studies reported significant improvement in the pain level in the McKenzie group, and more than that in the MT group. At 6 months, significant improvements had occurred in the disability index reported by two trials in the McKenzie group than the MT group. At 12 months follow-up, there were no significant differences in measures of LBP

2020 Journal of musculoskeletal & neuronal interactions

52. To Flex or Not to Flex? Is There a Relationship Between Lumbar Spine Flexion During Lifting and Low Back Pain? A Systematic Review With Meta-analysis. (Abstract)

To Flex or Not to Flex? Is There a Relationship Between Lumbar Spine Flexion During Lifting and Low Back Pain? A Systematic Review With Meta-analysis. To evaluate whether lumbar spine flexion during lifting is a risk factor for low back pain (LBP) onset/persistence or a differentiator of people with and without LBP.Etiology systematic review with meta-analysis.Database search of ProQuest, CINAHL, MEDLINE, and Embase up to August 21, 2018.We included peer-reviewed articles that investigated (...) flexion than people without LBP (95% CI: -11.2°, -0.9°; P = .02). Most (9/11) studies reported no significant between-group differences in lumbar flexion during lifting. The included studies were of low quality.There was low-quality evidence that greater lumbar spine flexion during lifting was not a risk factor for LBP onset/persistence or a differentiator of people with and without LBP. J Orthop Sports Phys Ther 2020;50(3):121-130. Epub 28 Nov 2019. doi:10.2519/jospt.2020.9218.

2020 The Journal of orthopaedic and sports physical therapy

53. Lower limb muscle strength in patients with low back pain: a systematic review and meta-analysis. (Abstract)

Lower limb muscle strength in patients with low back pain: a systematic review and meta-analysis. To systematically review the published studies that compare lower limb muscle strength in patients with low back pain to matched healthy controls.We searched Medline, SciELO, Cumulative Index to Nursing and Allied Health (CINAHL), and Scopus up until December 2017. Studies comparing lower limb muscle strength in people diagnosed with low back pain to healthy control participants were included (...) in the systematic review.14 studies, which included 951 healthy controls and 919 patients with low back pain, fulfilled the inclusion criteria. Meta-analysis revealed a lower muscle strength of hip abductor/extensors and knee extensors in patients with low back pain in comparison to healthy controls. The average strength of hip abductors (Five studies, SMD=0.7 95% CI: 0.49 to 0.9) and hip extensors (Two studies, SMD=0.93, 95% CI: 0.62 to 1.23) was significantly lower in patients with low back pain compared

2020 Journal of musculoskeletal & neuronal interactions

54. How Do Physical Therapists Measure Treatment Outcomes in Adults With Chronic Low Back Pain? A Systematic Review. (Abstract)

How Do Physical Therapists Measure Treatment Outcomes in Adults With Chronic Low Back Pain? A Systematic Review. There is an increasing recognition of the importance of using a conceptual framework covering the full range of relevant health domains and outcome measures addressed by physical therapy modalities in patients with chronic low back pain (CLBP). However, little is known about what outcome domains have been measured and through what measures in physical therapy research.The purpose (...) for adults with CLBP were included.Study characteristics, outcome domains, instruments, and cutoff values were extracted by 2 reviewers. The PROMIS framework was used for domain categorization.One hundred ninety-five studies were included, with 52 outcome domains and 45 cutoff values identified from 182 instruments reported. Only 14 of 195 studies assessed all PROMIS health core areas, while the PROMIS physical health core area was assessed in all included studies. Pain intensity and disability were

2020 Physical therapy

55. The effect of an integrated multidisciplinary rehabilitation programme alternating inpatient interventions with home-based activities for patients with chronic low back pain: a randomized controlled trial (Full text)

The effect of an integrated multidisciplinary rehabilitation programme alternating inpatient interventions with home-based activities for patients with chronic low back pain: a randomized controlled trial To compare the effectiveness of an integrated rehabilitation programme with an existing rehabilitation programme in patients with chronic low back pain.A single-centre, pragmatic, two-arm parallel, randomized controlled trial (1:1 ratio).A rheumatology inpatient rehabilitation centre (...) in Denmark.A total of 165 adults (aged ⩾ 18 years) with chronic low back pain.An integrated rehabilitation programme comprising an alternation of three weeks of inpatient stay and 12 weeks of home-based activities was compared with an existing rehabilitation programme of four weeks of inpatient stay.Patient-reported outcomes were collected at baseline and at the 26-week follow-up. The primary outcome was back-specific disability (Oswestry Disability Index). Secondary outcomes included pain intensity

2020 EvidenceUpdates PubMed abstract

56. [Effectiveness of ozone therapy compared to other therapies for low back pain: a systematic review with meta-analysis of randomized clinical trials]. (Full text)

[Effectiveness of ozone therapy compared to other therapies for low back pain: a systematic review with meta-analysis of randomized clinical trials]. Low back pain is a prevalent disease in the adult population, whose quality of life is considerably affected. In order to solve this problem, several therapies have been developed, of which ozone therapy is an example. Our objective in this study was to determine the effectiveness of ozone therapy for lumbar pain relief in adult patients compared (...) to other therapies (steroid and placebo).We used randomized clinical trials to compare the effectiveness of ozone and other therapies for lumbar pain relief in adults (Prospero: CRD42018090807). Two independent reviewers searched the Medline (1966-April/2018), Scopus (2011-May/2018), Lilacs (1982-May/2018), and Embase (1974-March/2018) databases. We use the terms ozone and pain as descriptors. The primary variable was pain relief and the secondary ones were complication, degree of satisfaction, quality

2020 Revista brasileira de anestesiologia PubMed abstract

57. The effect of mechanical traction on low back pain in patients with herniated intervertebral disks: a systemic review and meta-analysis. (Abstract)

The effect of mechanical traction on low back pain in patients with herniated intervertebral disks: a systemic review and meta-analysis. To evaluate the effectiveness of traction in improving low back pain, functional outcome, and disk morphology in patients with herniated intervertebral disks.PubMed, Scopus, Embase, and the Cochrane Library were searched from the earliest record to July 2019.We included randomized control trials which (1) involved adult patients with low back pain associated (...) with herniated disk confirmed by magnetic resonance imaging or computed tomography, (2) compared lumbar traction to sham or no traction, and (3) provided quantitative measurements of pain and function before and after intervention. Methodological quality was assessed using the physiotherapy evidence database (PEDro) scale and Cochrane risk of bias assessment.Initial searches for literature yielded 3015 non-duplicated records. After exclusion based on the title, abstract, and full-text review, 7 articles

2020 Clinical rehabilitation

58. A Meta-Epidemiological Appraisal of the Effects of Interdisciplinary Multimodal Pain Therapy Dosing for Chronic Low Back Pain. (Full text)

A Meta-Epidemiological Appraisal of the Effects of Interdisciplinary Multimodal Pain Therapy Dosing for Chronic Low Back Pain. Using a meta-analysis, meta-regression, and a meta-epidemiological approach, we conducted a systematic review to examine the influence of interdisciplinary multimodal pain therapy (IMPT) dosage on pain, disability, return to work, quality of life, depression, and anxiety in published randomised controlled trials (RCTs) in patients with non-specific chronic low back pain (...) . Heterogeneity was quantified with the I2 metric. A total of 47 RCTs were selected. Subgroup meta-analysis showed that there were larger ES for pain and disability in RCTs with long-length, non-daily contact, and low intensity of treatment. Larger ES were also observed for quality of life in RCTs with short-length, non-daily contact, and low intensity treatment. However, these findings were not confirmed by the meta-regression analysis. Likewise, the summary RORs were not significant, indicating

2020 Journal of clinical medicine PubMed abstract

59. Treatment Efficacy, Clinical Utility, and Cost-Effectiveness of Multidisciplinary Biopsychosocial Rehabilitation Treatments for Persistent Low Back Pain: A Systematic Review. (Full text)

Treatment Efficacy, Clinical Utility, and Cost-Effectiveness of Multidisciplinary Biopsychosocial Rehabilitation Treatments for Persistent Low Back Pain: A Systematic Review. Systematic review.To review the current literature on the treatment efficacy, clinical utility, and cost-effectiveness of multidisciplinary biopsychosocial rehabilitation (MBR) for patients suffering from persistent (nonspecific) lower back pain (LBP) in relation to pain intensity, disability, health-related quality (...) the remaining articles dealing with the efficacy, utility, or cost-effectiveness of intensive (more than 25 hours per week) MBR encompassing at least 3 health domains and cognitive behavioral therapy-based psychological education were included.The search retrieved 1199 publications of which 1116 were duplicates or met the exclusion criteria. Seventy of the remaining 83 articles did not meet the inclusion criteria; thus 13 studies were reviewed. All studies reporting changes in pain intensity or disability

2020 Global spine journal PubMed abstract

60. Are movement-based classification systems more effective than therapeutic exercise or guideline based care in improving outcomes for patients with chronic low back pain? A systematic review. (Full text)

Are movement-based classification systems more effective than therapeutic exercise or guideline based care in improving outcomes for patients with chronic low back pain? A systematic review. Objectives: The purpose of this systematic review was to determine if movement-based classification (MBC) systems are more effective than therapeutic exercise or guideline-based care (GBC) in improving outcomes in patients with low back pain (LBP) based upon randomized clinical trials (RCT) with moderate (...) to high methodological quality and low to moderate risk of bias. Methods: The search strategy was developed by a librarian experienced in systematic review methodology and peer reviewed by a second research librarian. The following databases were searched from their inception to May 17, 2018: PubMed, Embase, Cochrane Central Register of Controlled Trials, ClinicalTrials.gov, and the WHO International Clinical Trials Registry Platform. The identified RCTs with a PEDro score of ≥6 were screened

2020 The Journal of manual & manipulative therapy PubMed abstract