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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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Effects of intracutaneous injections of sterile water in patients with acute lowbackpain: a randomized, controlled, clinical trial. Intracutaneous sterile water injection (ISWI) is used for relief of lowbackpain during labor, acute attacks of urolithiasis, chronic neck and shoulder pain following whiplash injuries, and chronic myofascial pain syndrome. We conducted a randomized, double-blinded, placebo-controlled trial to evaluate the effect of ISWI for relief of acute lowbackpain (aLBP (...) ). A total of 68 patients (41 females and 27 males) between 18 and 55 years old experiencing aLBP with moderate to severe pain (scores ≥5 on an 11-point visual analogue scale [VAS]) were recruited and randomly assigned to receive either ISWIs (n=34) or intracutaneous isotonic saline injections (placebo treatment; n=34). The primary outcome was improvement in pain intensity using the VAS at 10, 45, and 90 min and 1 day after treatment. The secondary outcome was functional improvement, which was assessed
Percutaneous coblation of the intervertebral disc for lowbackpain and sciatica P Percutaneous coblation of the interv ercutaneous coblation of the intervertebr ertebral disc al disc for lowbackpain and sciatica for lowbackpain and sciatica Interventional procedures guidance Published: 27 January 2016 nice.org.uk/guidance/ipg543 Y Y our responsibility our responsibility This guidance represents the view of NICE, arrived at after careful consideration of the evidence available. When (...) . Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 1 of 71 1 Recommendations Recommendations 1.1 Current evidence on percutaneous coblation of the intervertebral disc for lowbackpain and sciatica raises no major safety concerns. The evidence on efficacy is adequate and includes large numbers of patients with appropriate follow-up periods. Therefore, this procedure may be used provided that normal arrangements are in place for clinical governance
Evaluation of Efficacy of Bone Scan With SPECT/CT in the Management of LowBackPain: A Study Supported by Differential Diagnostic Local Anesthetic Blocks Conventional radiologic modalities provide details only about the anatomic aspect of the various structures of the spine. Frequently the structures that show abnormal morphology may not be the cause of lowbackpain (LBP). Functional imaging in the form of bone scan along with single photon emission computerized tomography (SPECT/CT) may (...) be helpful in identifying structures causing pain, whether morphologically normal or not. The objective of this study is to evaluate the role of bone scan with SPECT/CT in management of patients with LBP.This is randomized double-blinded controlled study performed on 80 patients with LBP aged 20 to 80 years, ASA physical status I to III. Patients were randomized into bone scan and control groups consisting of 40 patients each. On the basis of the clinical features and radiologic findings a clinical
Nitrous Oxide for the Treatment of Chronic LowBackPain Neuropathic backpain is mediated, at least partially, by N-methyl-D-aspartate (NMDA) receptors. Nitrous oxide (N2O) is an NMDA receptor antagonist. We therefore tested the primary hypothesis that patients receiving N2O have lower pain scores after epidural steroid injection than patients not receiving N2O.Patients with recurrent lowbackpain scheduled for epidural steroid blocks were randomly assigned to receive either oxygen (O2, n (...) versus O2; P = 0.12).N2O administration did not improve pain or psychological or physical aspects of health-related quality of life. N2O does not appear to be an effective treatment for chronic neuropathic backpain.
Differences in personal and lifestyle characteristics among Zimbabwean high school adolescents with and without recurrent non-specific lowbackpain: a two part cross-sectional study Recurrent non-specific lowbackpain (NSLBP) is increasingly becoming common among adolescents worldwide. A recent study in Zimbabwe showed a relatively high prevalence (28.8 %) among high school students. Influential associated factors, however, remain unclear. This is a significant shortcoming. The aim
Self-management of chronic lowbackpain: Four viewpoints from patients and healthcare providers A move towards self-management is central to health strategy around chronic lowbackpain, but its concept and meaning for those involved are poorly understood. In the reported study, four distinct and shared viewpoints on self-management were identified among people with pain and healthcare providers using Q methodology. Each construes self-management in a distinctive manner and articulates
A Randomized Controlled Trial of Core Strengthening Exercises in Helicopter Crewmembers with LowBackPain. The purpose of this study was to determine if five core strengthening exercises would decrease pain severity and related disability in U.S. Air Force helicopter aircrew members with lowback pain.The study was a randomized control group repeated measures design. The experimental manipulation consisted of a set of five core strengthening exercises performed 4 d/wk for 12 wk. Self-reported (...) pain severity and disability were ascertained at baseline and 12 wk using the Numerical Pain Rating Scale (NPRS) and Modified Oswestry LowBackPain Disability Index (MODI), respectively. The NPRS was used to ascertain both daily pain (NPRS(daily)) and in-flight pain (NPRS(flight)). Self-reported improvement or deterioration in lowbackpain was measured using the Global Rating of Change Scale (GRCS).There were 12 subjects enrolled and 5 were randomized to the intervention group. The mean NPRS
Naproxen With Cyclobenzaprine, Oxycodone/Acetaminophen, or Placebo for Treating Acute LowBackPain: A Randomized Clinical Trial. Lowbackpain (LBP) is responsible for more than 2.5 million visits to US emergency departments (EDs) annually. These patients are usually treated with nonsteroidal anti-inflammatory drugs, acetaminophen, opioids, or skeletal muscle relaxants, often in combination.To compare functional outcomes and pain at 1 week and 3 months after an ED visit for acute LBP among (...) ), and for oxycodone/acetaminophen vs cyclobenzaprine, 0.9 (98.3% CI, -2.1 to 3.9; P = .45).Among patients with acute, nontraumatic, nonradicular LBP presenting to the ED, adding cyclobenzaprine or oxycodone/acetaminophen to naproxen alone did not improve functional outcomes or pain at 1-week follow-up. These findings do not support use of these additional medications in this setting.clinicaltrials.gov Identifier: NCT01587274.
Early Physical Therapy vs Usual Care in Patients With Recent-Onset LowBackPain: A Randomized Clinical Trial. Lowbackpain (LBP) is common in primary care. Guidelines recommend delaying referrals for physical therapy.To evaluate whether early physical therapy (manipulation and exercise) is more effective than usual care in improving disability for patients with LBP fitting a decision rule.Randomized clinical trial with 220 participants recruited between March 2011 and November 2013 (...) weeks.Primary outcome was change in the ODI score (range: 0-100; higher scores indicate greater disability; minimum clinically important difference, 6 points) at 3 months. Secondary outcomes included changes in the ODI score at 4-week and 1-year follow-up, and change in pain intensity, Pain Catastrophizing Scale (PCS) score, fear-avoidance beliefs, quality of life, patient-reported success, and health care utilization at 4-week, 3-month, and 1-year follow-up.One-year follow-up was completed by 207
Quebec BackPain Disability Scale for LowBackPain: Accuracy and Reliability Quebec BackPain Disability Scale for LowBackPain: Accuracy and Reliability | CADTH.ca Find the information you need Quebec BackPain Disability Scale for LowBackPain: Accuracy and Reliability Quebec BackPain Disability Scale for LowBackPain: Accuracy and Reliability Published on: July 14, 2015 Project Number: RB0886-000 Product Line: Research Type: Devices and Systems Report Type: Summary of Abstracts Result (...) type: Report Question What is the accuracy and reliability of the Quebec BackPain Disability Scale for lowbackpain? Key Message Two non-randomized studies were identified regarding accuracy and reliability of the Quebec BackPain Disability Scale for lowbackpain. Tags back ache, backpain, backache, disability evaluation, lowbackpain, lower backpain, pain measurement, quebec, questionnaires, rehabilitation, sensitivity and specificity, musculoskeletal, QBPDS, Quebec BackPain Disability
Pilates: new evidence on help for lowbackpain Pilates: new evidence on help for lowbackpain - Evidently Cochrane Search and hit Go By July 24, 2015 // Fresh from a Pilates class, I’ve looked at the new Cochrane evidence on Pilates for lowbackpain and asked Chartered Physiotherapist and Pilates teacher Jane Callaway to explain more about Pilates and to share her thoughts on the evidence. Backpain is a very common cause of disability and absence from work I went to my first Pilates class (...) from our sideways/upside down positions. I had more excuse than most for allowing my mind to wander off onto plans for the weekend, whether I might be feeling a bit hungry and how near we might be to the bit at the end where you’re allowed to just lie there (I think I did that several times before we were supposed to). It was good timing, anyway, as I’d been looking at new research on Pilates. I’m lucky not to be one of the many who suffer from non-specific lowbackpain (LBP), a major cause
Roland-Morris Disability Questionnaire for LowBackPain 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 (...) . It may not be copied, 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: Roland-Morris Disability Questionnaire for LowBackPain
The Use of Wet Cupping for Persistent Nonspecific LowBackPain: Randomized Controlled Clinical Trial. To evaluate the effectiveness and safety of wet cupping therapy as a single treatment for persistent nonspecific lowbackpain (PNSLBP).Randomized controlled trial comparing wet cupping versus no treatment in PNSLBP.Outpatient clinic in three secondary care hospitals in Saudi Arabia.Eighty eligible participants with PNSLBP for at least 3 months were randomly allocated to an intervention group (...) (n=40) or to a control group (n=40).Six wet cupping sessions within 2 weeks, each of which were done at two bladder meridian (BL) acupuncture points among BL23, BL24, and BL25. Only acetaminophen was allowed as a rescue treatment in both groups.The Numeric Rating Scale (NRS), McGill Present Pain Intensity (PPI), and Oswestry Disability Questionnaire (ODQ) were used as outcome measures. Numbers of acetaminophen tablets taken were compared at 4 weeks from baseline. Adverse events were recorded.At
Pain management injection therapies for lowbackpainPain management injection therapies for lowbackpainPain management injection therapies for lowbackpain Chou R, Hashimoto R, Friedly J, Fu Rochelle, Dana T, Sullivan S, Bougatsos C, Jarvik J Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Chou R, Hashimoto R, Friedly J, Fu Rochelle (...) , Dana T, Sullivan S, Bougatsos C, Jarvik J. Pain management injection therapies for lowbackpain. Rockville: Agency for Healthcare Research and Quality (AHRQ). Technology Assessment Report ESIB0813. 2015 Authors' objectives Lowbackpain is common and injections with corticosteroids are a frequently used treatment option. This report reviews the current evidence on effectiveness and harms of epidural, facet joint, and sacroiliac corticosteroid injections for lowbackpain conditions. Authors
Daily exercises and education for preventing lowbackpain in children: cluster randomized controlled trial Children report lowbackpain (LBP) as young as 8 years. Preventing LBP in children may prevent or delay adult incidence.The purpose of this study was to determine whether education and daily exercise affect LBP episodes in children compared with education alone.This was a prospective, multicenter cluster randomized controlled trial.The study was conducted at 7 New Zealand primary (...) schools.Children (n=708), aged 8 to 11 years, from 7 schools stratified by sample size (36, 114, 151, 168, 113, 45, 83) were randomized and allocated to 2 masked groups: intervention (4 schools, n=469) or control (3 schools, n=239).Participants in the intervention group were taught 4 spinal movements for daily practice. Both groups participated in education that emphasized "back awareness."Lowbackpain history at baseline was assessed. Children reported episodes of LBP during the previous week on trial days 7
Comparison of spinal manipulation methods and usual medical care for acute and subacute lowbackpain: a randomized clinical trial Randomized controlled trial with follow-up to 6 months.This was a comparative effectiveness trial of manual-thrust manipulation (MTM) versus mechanical-assisted manipulation (MAM); and manipulation versus usual medical care (UMC).Lowbackpain (LBP) is one of the most common conditions seen in primary care and physical medicine practice. MTM is a common treatment (...) for LBP. Claims that MAM is an effective alternative to MTM have yet to be substantiated. There is also question about the effectiveness of manipulation in acute and subacute LBP compared with UMC.A total of 107 adults with onset of LBP within the past 12 weeks were randomized to 1 of 3 treatment groups: MTM, MAM, or UMC. Outcome measures included the Oswestry LBP Disability Index (0-100 scale) and numeric pain rating (0-10 scale). Participants in the manipulation groups were treated twice weekly