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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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Pain Mechanisms in LowBackPain: A Systematic Review With Meta-analysis of Mechanical Quantitative Sensory Testing Outcomes in People With Nonspecific LowBackPain. Mechanical quantitative sensory testing (QST) assesses sensory functioning and detects functional changes in (central) nociceptive processing. It has been hypothesized that these functional changes might be apparent in people with nonspecific lowbackpain (LBP), although the results are mixed.The aim of this systematic review (...) was to examine whether sensory function, measured with QST, was altered in people with nonspecific LBP.This systematic review was conducted according to PRISMA guidelines. Six databases were searched for relevant literature. Studies comparing mechanical QST measures involving people with subacute and chronic LBP and healthy controls were included if (1) pressure pain thresholds (PPTs), (2) temporal summation, or (3) conditioned pain modulation were reported. Risk of bias was assessed using the Newcastle
A systematic review on quantifiable physical risk factors for non-specific adolescent lowbackpain. The aim of this systematic review was to analyze the results of studies on quantifiable physical risk factors (beyond questionnaires) for adolescent lowbackpain (LBP).A systematic search was conducted in Medline (OvidSP), Premedline (PubMed), EMBASE, Cochrane, CINAHL, PEDro and PsycINFO. Cross-sectional, prospective and retrospective English language studies on LBP in adolescents aged 10 to 18 (...) years were included.Twenty-two mostly cross-sectional studies were included. Trunk muscle endurance in particular seemed to be associated with adolescent LBP, while a possible association of trunk muscle strength and spinal flexibility was less clear.There is a need for prospective studies on quantifiable physical risk factors for adolescent LBP. Such studies should focus on back and abdominal muscle endurance, possibly in combination with sagittal spinal mobility, sagittal postural alignment
Sitting Posture During Occupational Driving Causes LowBackPain; Evidence-Based Position or Dogma? A Systematic Review. In this review, we determine if there is evidence to demonstrate a relationship between occupational driving posture and lowback pain.The burden of lowbackpain is increasing. An understanding of this relationship is required to enable the development of recommendations for clinicians and policy-makers for the driving industry.Five databases were searched up to March 12 (...) , 2018. Study quality was assessed using the National Heart, Lung, and Blood Institute's Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies, followed by a GRADE analysis to consider the evidence as a whole. A narrative, critical synthesis was completed that considered the methods by which driving posture and lowbackpain were measured and analyzed.There were 653 articles identified, with seven eligible for review. Four articles identified an association between occupational
Effectiveness of spa therapy for patients with chronic lowbackpain: An updated systematic review and meta-analysis. Lowbackpain (LBP) is a major health problem around the world. Two previous meta-analyses showed that the spa therapy has a positive effect on reducing pain among patients with LBP based on studies published before 2006 and studies published between 2006 and 2013. In recent years, more studies reported the effect of spa therapy on treating chronic lowbackpain (CLBP). Our (...) met the inclusion criteria for the systematic review and were included in meta-analysis. There was a significant decrease in pain based on visual analogue scale (VAS) (mean difference [MD] 16.07, 95% confidence interval [CI] [9.57, 22.57], P < .00001, I = 88%, n = 966), and lumbar spine function in Oswestry disability index (ODI) (MD 7.12, 95% CI [3.77, 10.47], P < .00001, I = 87%, n = 468) comparing spa therapy group to control group. Methodological assessment for included studies showed
Effect of Tai Chi alone or as additional therapy on lowbackpain: Systematic review and meta-analysis of randomized controlled trials. This is the first systematic review evaluating and statistically synthesis the current studies regarding the effects of Tai Chi on pain and disability in patients with lowbackpain (LBP).Seven electronic databases including PubMed, EMBASE, Web of Science, Cochrane Library, China National Knowledge Infrastructure (CNKI), Wanfang and VIP information from (...) inception to early March 2019 were searched. The Physiotherapy Evidence Database (PEDro) Scale was used to assess quality of all included randomized controlled trials (RCTs). The pooled effect size (weight mean difference, WMD) and 95% confidence interval (CI) were calculated to determine the effect of Tai Chi on pain and disability among LBP patients based on random effects model.The aggregated results of the meta-analysis suggested that Tai Chi significantly decreased pain (WMD = -1.27, 95%CI -1.50
Risk Factors Associated With LowBackPain in Golfers: A Systematic Review and Meta-analysis. Lowbackpain is common in golfers. The risk factors for golf-related lowbackpain are unclear but may include individual demographic, anthropometric, and practice factors as well as movement characteristics of the golf swing.The aims of this systematic review were to summarize and synthesize evidence for factors associated with lowbackpain in recreational and professional golfers.A systematic (...) literature search was conducted using the PubMed, CINAHL, and SPORTDiscus electronic databases through September 2017.Studies were included if they quantified demographic, anthropometric, biomechanical, or practice variables in individuals with and without golf-related lowback pain.Systematic review and meta-analysis.Level 3.Studies were independently reviewed for inclusion by 2 authors, and the following data were extracted: characterization of lowbackpain, participant demographics, anthropometrics
The association between the weight of schoolbags and lowbackpain among schoolchildren: A systematic review, meta-analysis and individual patient data meta-analysis. The objective of this study was to determine whether carrying a heavy schoolbag is associated to a higher prevalence of lowbackpain (LBP).A systematic review and meta-analysis was conducted (PROSPERO, CRD42018077839). Observational studies analysing the relationship between schoolbag weight and LBP, were searched for in 20 (...) based on age, gender or sport activity were found.Available evidence does not support that schoolbags weighing > 10% of bodyweight are associated with a higher prevalence of LBP among schoolchildren aged 9-16. The certainty of evidence is low. Further research is required on the relationship between schoolbag weight and LBP.This systematic review, with a meta-analysis and an IPD meta-analysis, failed to find a link between schoolbags weighing ≥ 10% of body weight and LBP among schoolchildren aged 9
Effectiveness of treatments for acute and sub-acute mechanical non-specific lowbackpain: protocol for a systematic review and network meta-analysis. Non-specific lowbackpain (LBP) is the leading cause of disability worldwide. Acute LBP usually has a good prognosis, with rapid improvement within the first 6 weeks. However, the majority of patients develop chronic LBP and suffer from recurrences. For clinical management, a plethora of treatments is currently available but evidence of the most (...) and comparators will include all conservative rehabilitation or pharmacological treatments provided by any health professional; the only eligible study design will be a randomized controlled trial. The primary outcomes will be pain intensity and back-specific functional status. Secondary outcomes will be any adverse events. Studies published in languages other than English will also potentially be included. Two reviewers will independently screen the titles and abstracts retrieved from a literature search
Letter to the Editor About the Article 'Aquatic Exercises in the Treatment of LowBackPain: A Systematic Review of the Literature and Meta-Analysis of Eight Studies'. 29851655 2019 08 07 2019 08 07 1537-7385 97 12 2018 12 American journal of physical medicine & rehabilitation Am J Phys Med Rehabil Letter to the Editor About the Article 'Aquatic Exercises in the Treatment of LowBackPain: A Systematic Review of the Literature and Meta-Analysis of Eight Studies'. 934-935 10.1097/PHM (...) Phys Med Rehabil. 2018 Feb;97(2):116-122 28759476 Exercise Exercise Therapy Humans LowBackPain 2018 6 1 6 0 2019 8 8 6 0 2018 6 1 6 0 ppublish 29851655 10.1097/PHM.0000000000000974
Clinical research on lumbar oblique-pulling manipulation in combination with sling exercise therapy for patients with chronic nonspecific lowbackpain. To investigate clinical curative effects of lumbar oblique-pulling manipulation in combination with sling-exercise-therapy training on chronic nonspecific lower back pain.A total of 60 patients with chronic nonspecific lower backpain in the Outpatient Department were included in this study. These patients were randomly divided into two groups
Are Functional Brain Alterations Present in LowBackPain? A Systematic Review of EEG Studies. This systematic review analyzed available literature on functional brain alterations in lowbackpain (LBP) measured with electroencephalography (EEG), as until now evidence thereof was unclear. Four electronic databases were systematically searched the 10th of March 2018, resulting in 12 included studies. Studies showed a risk of bias of 37.5 to 75% using the Newcastle-Ottawa Scale for case-control
Comparisons of hamstring flexibility between individuals with and without lowbackpain: systematic review with meta-analysis. Background: There is no robust evidence on the contribution of reduced hamstring flexibility to the development of lowbackpain (LBP) in cohort studies. Purpose: To investigate whether individuals with LBP have impaired hamstring flexibility and stiffness and what measures have been used to compare hamstring flexibility and stiffness between individuals (...) measures in the meta-analyses were very low. Conclusion: There have been four measures for hamstring flexibility and five for stiffness to evaluate individuals with and without LBP. It was impossible to conclude whether individuals with LBP have impaired hamstring flexibility and stiffness due to very low quality of evidence for meta-analyses.
Acupoint injection for nonspecific chronic lowbackpain: A protocol of systematic review. The aim of this study was to evaluate the effect of acupuncture injection therapy for the patients with nonspecific chronic lowbackpain (CLBP) systematically.Four English online databases and 4 Chinese online databases will be researched systematically from their inception to December 31, 2018. Reference management software, Endnote X7, will be used to manage and screen the records. After removing
Relative effectiveness of different forms of exercises for treatment of chronic lowbackpain: protocol for a systematic review incorporating Bayesian network meta-analysis. Exercise is considered as an effective intervention in the management of patients with chronic lowbackpain (cLBP). However, the relative effectiveness as well as the hierarchy of exercise interventions have not been well established, although various exercise options are available. Therefore, the present protocol proposes (...) will screen the literature and extract data independently based on predesigned rules, and evaluate the risk of bias of included studies using the Cochrane Risk of Bias Tool. Disagreements will be resolved through discussion or consultation with a senior reviewer. The primary outcomes of this study will be pain relief and improvement in function or disability for all interventions. Traditional pairwise meta-analysis and Bayesian NMA will be conducted to compare the effectiveness of different exercise
People with lowbackpain want clear, consistent and personalised information on prognosis, treatment options and self-management strategies: a systematic review. What health information needs are perceived by people with lowbackpain?Systematic review of publications examining perceived health information needs related to lowbackpain identified through Medline, EMBASE, CINAHL and PsycINFO (1990 to 2018).Adults with lowbackpain of any duration.Two reviewers independently extracted (...) descriptive data regarding study design and methodology, and assessed risk of bias. Aggregated findings of the perceived needs of people with lowbackpain regarding health information were meta-synthesised.Forty-one studies (34 qualitative, four quantitative and three mixed-methods) were identified. Two major areas of perceived health information needs for lowbackpain emerged. The first major area was needs related to information content: general information related to lowbackpain, its cause
The effects of hip-targeted physical therapy interventions on lowbackpain: A systematic review and meta-analysis. To investigate the effects of physical therapy interventions of the hip on outcomes of pain and disability in patients with lowback pain.PubMed, CINAHL, Scopus, Web of Science, and SPORTDiscus were searched from inception to 18 April 2018.The following inclusion criteria were required to be met: (1) randomized controlled trials; (2) populations with diagnosed lowbackpain (...) in the review and meta-analysis. Specific intervention categories that were found in the search included: hydrotherapy (n = 1); exercise therapy (n = 4); and manual therapy (n = 2). Trivial effect size was found for the pain outcomes and small effect size was found for disability. All of these studies were found to have high risk of bias according the Cochrane Risk of Bias tool.The meta-analyses from the pooled studies did not result in statistically significant reductions in either pain or disability
Comparison of intravenous NSAIDs and trigger point injection for lowbackpain in ED: A prospective randomized study Lowbackpain (LBP) is a common complaint originating from muscles Myofascial pain syndrome (MPS) is mainly associated with trigger points (TrP) in the muscle tissue. We compared the intravenously administered non-steroidal anti-inflammatory drug (NSAID) and trigger point injection (TPI) in the treatment of LBP patients admitted to the emergency department due to pain caused (...) by TrPs.After randomization, NSAID was administered intravenously in group 1 and TPIs were performed as specified by Travell and Simons in group 2. The TrPs were identified with the anamnesis and physical examination Demographic characteristics and vital signs of the patients were recorded. Pain scores were measured with the Visual Analogue Scale (VAS) at admission; and in minutes 5, 10, 15, 30, and 60.There were 32 patients in group 1 and 22 patients in group 2. The demographics, vital signs, and pain
[A systematic review of using myorelaxants in treatment of lowbackpain]. A systematic review summarizes the results of studies on the efficacy of myorelaxants (tolperisone, tizanidine, thiocolchicoside or baclofen) in the treatment of acute nonspecific lowbackpain published up to Dec. 2017. The authors conclude that there are enough data to confirm the efficacy of myorelaxants in treatment of nonspecific lowbackpain, myorelaxants are recommended as monotherapy or in combination
Adverse Outcomes Associated with Prescription Opioids for Acute LowBackPain: A Systematic Review and Meta-Analysis. Acute lowbackpain (ALBP) is a common clinical complaint that can last anywhere from 24 hours to 12 weeks. In recent years, there has been an opioid epidemic which is linked to the increased availability of prescription opioids. Though guidelines recommend that in the treatment of ALBP, opioids should be used when other treatments fail, we have seen an increase in opioid (...) there is a great need to conduct further investigations examining these adverse outcomes for ALBP patients.Acute lowbackpain, opioids, prescriptions, lowbackpain, long-term use, opioid use disorder.
Response to letter to the editor: Effectiveness of movement control exercise on patients with non-specific lowbackpain and movement control impairment: A systematic review and meta-analysis 2018. 30552026 2019 05 09 2019 05 09 2468-7812 39 2019 02 Musculoskeletal science & practice Musculoskelet Sci Pract Response to letter to the editor: Effectiveness of movement control exercise on patients with non-specific lowbackpain and movement control impairment: A systematic review and meta (...) Pract 101692753 2468-7812 IM Musculoskelet Sci Pract. 2018 Aug;36:1-11 29631119 Musculoskelet Sci Pract. 2019 Feb;39:e178 30683335 Exercise Exercise Therapy Humans LowBackPain 2018 12 16 6 0 2019 5 10 6 0 2018 12 16 6 0 ppublish 30552026 S2468-7812(18)30480-6 10.1016/j.msksp.2018.11.015