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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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Ozone therapy for lowbackpain. A systematic review. Lowbackpain associated with lumbar disc herniation is common in the general population, with evident repercussion in quality of life and a significant economic burden. Patients refractory to conservative treatment seek additional treatment and minimally invasive interventions were proposed as valid options. Ozone therapy has been suggested as an alternative due to its potential analgesic and anti-inflammatory effect.This systematic review (...) aims to investigate the effectiveness and safety of ozone therapy for lowbackpain in patients with lumbar disc herniation.A systematic search was performed in Pubmed and Scopus, followed by a three-step selection process. Data was processed by 2 independent reviewers and information was gathered based in pre-defined variables. Only articles performed in humans; original and English written; on treatment with ozone; comparing the result of ozone therapy (experimental group) with another non-ozone
Using Public Cost Information During LowBackPain Visits: A Qualitative Study. Patients desire information about health care costs because they are increasingly responsible for these costs. Public Web sites that offer cost information could inform provider-patient discussions of costs at the point of care.To evaluate tools to facilitate the use of publicly available cost information during clinical visits for lowbackpain (LBP).Qualitative study using individual and group interviews (...) . In contrast, patients valued cost conversations and found the tools useful, and over one half reported intending to use CompareMaine.org during future care decisions.Generalizability was limited by the small number of practices and participants. Lower-than-anticipated participation precluded examination of the effect of the tool on the frequency of cost-of-care conversations.This multicomponent intervention to introduce publicly reported cost information into LBP clinical discussions had low provider
Credibility, Accuracy, and Comprehensiveness of Internet-Based Information About LowBackPain: A Systematic Review. Lowbackpain (LBP) affects millions of people worldwide, and misconceptions about effective treatment options for this condition are very common. Websites sponsored by organizations recognized as trustworthy by the public, such as government agencies, hospitals, universities, professional associations, health care organizations and consumer organizations are an important source (...) recommendations that were appropriately covered by a website).We included 79 websites from 6 English-speaking countries. In terms of credibility, 31% (25/79) of the websites clearly disclosed that they had been updated after the publication of the NICE guidelines. Only 43.28% (487/1125) website treatment recommendations were judged as accurate. Comprehensiveness of treatment recommendations correctly covered by websites was very low across all types of LBP. For acute LBP, an average of 28% (4/14) guideline
Physician-reported barriers to using evidence-based recommendations for lowbackpain in clinical practice: a systematic review and synthesis of qualitative studies using the Theoretical Domains Framework. Adoption of lowbackpain guidelines is a well-documented problem. Information to guide the development of behaviour change interventions is needed. The review is the first to synthesise the evidence regarding physicians' barriers to providing evidence-based care for LBP using the Theoretical
Are opioids effective in the treatment of chronic lowbackpain? Are Opioids Effective in the Treatment of Chronic LowBackPain? – Clinical Correlations Search Are Opioids Effective in the Treatment of Chronic LowBackPain? April 17, 2019 4 min read By Anna Hirsch Peer Reviewed The use of opioid medications for chronic lowbackpain, or for any chronic non-cancer pain complaint, is still a source of controversy in the medical community, with a large divide between the recommendations (...) for these figures comes from the National Health and Nutritional Examination Survey, in which 14.5% of . 5 Previously, the best evidence to support the use of opioids for chronic lowbackpain–and the evidence on which the three organizations based their recommendations–came from a few dozen short-term randomized controlled trials comparing the use of opioids against placebo for the treatment of backpain. A meta-analysis published in 2016 in JAMA Internal Medicine analyzed the results from 13 of these trials
Randomized Trial of Sacroiliac Joint Arthrodesis Compared with Conservative Management for Chronic LowBackPain Attributed to the Sacroiliac Joint Sacroiliac joint pain is increasingly recognized as a cause of lowbackpain. We compared the safety and effectiveness of minimally invasive sacroiliac joint arthrodesis using triangular titanium implants and conservative management in patients with chronic sacroiliac joint pain.This study was a prospective, multicenter randomized controlled trial (...) of adults with chronic sacroiliac joint pain assigned to either conservative management or sacroiliac joint arthrodesis with triangular titanium implants. The study end points included self-rated lowbackpain (visual analog scale [VAS]), back dysfunction (Oswestry Disability Index [ODI]), and quality of life. Ninety percent of subjects in both groups completed the study.Between June 6, 2013, and May 15, 2015, 103 subjects were randomly assigned to conservative management (n = 51) or sacroiliac joint
Treatment Effect Sizes of Mechanical Diagnosis and Therapy for Pain and Disability in Patients With LowBackPain: A Systematic Review Mechanical Diagnosis and Therapy (MDT) is a treatment-based classification system founded on 3 core principles: classification into diagnostic syndromes, classification-based intervention, and appropriate application of force. Many randomized controlled trials have investigated the efficacy of MDT for lowbackpain; however, results have varied. The inconsistent (...) delivery of MDT across trials may explain the different findings.To compare treatment effect sizes for pain or disability between trials that delivered MDT consistent with the core principles of the approach and trials that met some or none of these principles.In this systematic review, databases were searched from inception to June 2018 for studies that delivered MDT compared to nonpharmacological, conservative control interventions in patients with lowbackpain and reported outcomes of pain
Pain and Pain-Related Disability Associated With Proprioceptive Impairment in Chronic LowBackPain Patients: A Systematic Review. The purpose of this study was to systematically review the evidence on the correlation between lumbar proprioception and clinical lowbackpain (LBP) characteristics.The literature was investigated through a systematic review. Six electronic databases (EMBASE, Scopus, Elsevier, PubMed, ProQuest, and Google Scholar) and reference lists of the relevant articles were (...) searched from inception until December 2017. Studies that investigated the correlation between lumbar proprioception and pain and disability in patients with chronic nonspecific LBP were included in the analytical review.Five studies (204 patients) were included. Lumbar proprioception was measured via active or passive joint repositioning error or threshold to detection of passive motion. Four of the studies were rated as medium and only 1 as high quality. Four studies had investigated the correlation
Effects of aerobic exercise on pain and disability in patients with non-specific chronic lowbackpain: a systematic review protocol. Aerobic exercise programs have been used for various health conditions, including musculoskeletal disorders. However, the literature is still limited regarding the effect of aerobic exercise on pain and disability in patients with chronic non-specific lowback pain.Search strategies will be performed in the following databases: PubMed, EMBASE ( https (...) ) approach.This systematic review will provide a synthesis of current evidence on the effects of aerobic exercise in patients with chronic lowbackpain on pain and disability outcomes. This information can help healthcare professionals in decision-making related to the use of aerobic exercise in patients with lowbackpain. Following the guidelines, this systematic review protocol was registered on the Prospective International Register of Systematic Reviews (PROSPERO) number CRD42017071945.
Management of acute musculoskeletal pain (excluding lowbackpain): protocol for a systematic review and network meta-analysis of randomised trials. Acute, non-lowback-related musculoskeletal pain is common and associated with significant socioeconomic costs. No review has evaluated all interventional studies for acute musculoskeletal pain, which limits attempts to make inferences regarding the relative effectiveness of treatments.We will conduct a systematic review of all randomised (...) controlled trials evaluating therapies for acute musculoskeletal pain (excluding lowbackpain). We will identify eligible, English-language, trials by a systematic search of the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Embase, Medline, Physiotherapy Evidence Database (PEDro) and the Cochrane Central Register of Controlled Trials (CENTRAL) from inception to February 2018. Eligible trials will: (1) enrol patients presenting with acute, non-lowback-related musculoskeletal pain
Baduanjin exercise for lowbackpain: A systematic review and meta-analysis. Lowbackpain (LBP) is one of the most common public health concerns worldwide. Baduanjin is very popular and widely practiced for the management of LBP. This study aims to systematically investigate the efficacy and safety of Baduanjin exercise for patients with LBP.The PubMed, EMBASE, CENTRAL, Web of Science Core Collection, CBM, CNKI, WANFANG and VIP databases were searched from inception to August 2018 to identify (...) pain, and the effect was moderate (MD= -1.04, 95% CI: -1.52 to -0.56, P < 0.0001). A descriptive analysis showed that Baduanjin plus other active treatments (such as massage, suspension, or routine drug plus general exercise) had small to moderate effects on lowbackpain relief compared with active treatments alone. One trial reported that Baduanjin decreased the Oswestry Disability Index (ODI) score compared with routine drug (MD= -4.92, 95% CI= -7.81 to -2.03, P = 0.0009). Another trial found
Harms and benefits of opioids for management of non-surgical acute and chronic lowbackpain: a systematic review. Consequences of prescription opioid use involve harms, addiction, tolerance and death. Despite routine prescription, opioids are not recommended for initial intervention by any major multidisciplinary lowbackpain (LBP) guideline.Our primary purpose was to improve overall understanding of the harms and benefits associated with oral opioid interventions prescribed for treatment (...) of acute or chronic backpain. Our second goal was to evaluate pain intensity and to compare and contrast these data with the harms. Our last objective was to evaluate conflicts of interest among the study authors and the findings.Studies incorporating oral prescription opioid management of non-surgical LBP were evaluated. After systematic assessment, no studies that met inclusion included participants with specifically acute LBP. Therefore, extracted data reflects only populations with subacute
Benefits and harms of spinal manipulative therapy for the treatment of chronic lowbackpain: systematic review and meta-analysis of randomised controlled trials. To assess the benefits and harms of spinal manipulative therapy (SMT) for the treatment of chronic lowback pain.Systematic review and meta-analysis of randomised controlled trials.Medline, PubMed, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), CINAHL, Physiotherapy Evidence Database (PEDro), Index to Chiropractic (...) Literature, and trial registries up to 4 May 2018, including reference lists of eligible trials and related reviews.Randomised controlled trials examining the effect of spinal manipulation or mobilisation in adults (≥18 years) with chronic lowbackpain with or without referred pain. Studies that exclusively examined sciatica were excluded, as was grey literature. No restrictions were applied to language or setting.Two reviewers independently selected studies, extracted data, and assessed risk of bias
Pulsed Radiofrequency Versus Continuous Radiofrequency for Facet Joint LowBackPain: A Systematic Review. To compare pulsed radiofrequency (PRF) treatment with continuous radiofrequency (CRF) to improve pain, functionality, and safety profile in patients with facet joint chronic lowback pain.A systematic, critical review of recent literature was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PubMed, Embase, Cochrane, Clinical Trials (...) , and LILACS databases were searched. Medical Subject Heading terms were "lowbackpain," "zygapophyseal joint," and "pulsed radiofrequency treatment." Original research articles in peer-reviewed journals were included in the review. The articles were thoroughly examined and compared on the basis of study design and outcomes. Only studies that met the eligibility criteria were included.Three randomized clinical trials comprising 103 patients (39 in PRF group, 44 in CRF group, and 20 in control group) were
A multicenter randomized controlled trial on the efficacy of intradiscal methylene blue injection for chronic discogenic lowbackpain: the IMBI study A study published in PAIN in 2010 showed remarkable effects of intradiscal methylene blue (MB) injections compared with placebo on pain intensity in patients with chronic discogenic lowbackpain (CD-LBP). Both groups received lidocaine hydrochloride injections for pain associated with the procedure. We replicated the design of the previously (...) published study and performed a multicenter, double-blind, randomized, placebo-controlled trial to assess whether the extraordinary effects of MB on pain intensity could be confirmed. The primary outcomes were treatment success defined as at least 30% reduction in pain intensity and the Patients' Global Impression of Change 6 months after the intervention. We included 84 patients with CD-LBP of which 14 (35%) in the MB plus lidocaine group showed treatment success compared with 11 (26.8%) in the control
Responsible, Safe, and Effective Use of Biologics in the Management of LowBackPain: American Society of Interventional Pain Physicians (ASIPP) Guidelines Regenerative medicine is a medical subspecialty that seeks to recruit and enhance the body's own inherent healing armamentarium in the treatment of patient pathology. This therapy's intention is to assist in the repair, and to potentially replace or restore damaged tissue through the use of autologous or allogenic biologics. This field (...) and the appropriate requirements for compliance with the FDA have been detailed in these guidelines.Regenerative medicine, platelet-rich plasma, medicinal signaling cells, mesenchymal stem cells, stromal vascular fraction, bone marrow concentrate, chronic lowbackpain, discogenic pain, facet joint pain, Food and Drug Administration, minimal manipulation, evidence synthesis.
Effectiveness of Slump Stretching on LowBackPain: A Systematic Review and Meta-analysis The slump test is a type of neurodynamic test that is believed to evaluate the mechanosensitivity of the neuromeningeal structures within the vertebral canal. The objective of this review was to investigate the effectiveness of slump stretching on backpain and disability in patients with lowbackpain (LBP).We searched eight electronic databases (PubMed/Medline, Scopus, Ovid, CINAHL, Embase, PEDro, Google (...) determined, favoring the use of slump stretching to decrease pain in patients with LBP. In addition, large effect sizes and significant results were also found for the effect of slump stretching on disability improvement (SMD = -8.03, 95% CI = -11.59 to -4.47) in the LBP population. A qualitative synthesis of results showed that slump stretching can significantly increase straight leg raise and active knee extension ROM.There is very low to moderate quality of evidence that slump stretching may have
Response to letter to the editor entitled "thrust manipulation may not decrease the intensity of chronic lowbackpain" concerning "manipulation and mobilization for treating chronic lowbackpain: a systematic review and meta-analysis" by Coulter etÂ al. 30442418 2019 03 01 2019 03 01 1878-1632 18 10 2018 10 The spine journal : official journal of the North American Spine Society Spine J Response to letter to the editor entitled "thrust manipulation may not decrease the intensity of chronic (...) lowbackpain" concerning "manipulation and mobilization for treating chronic lowbackpain: a systematic review and meta-analysis" by Coulter et al. TSJ; doi: 10.1016/j.spinee.2018.01.013. 1964 S1529-9430(18)30267-5 10.1016/j.spinee.2018.05.041 Coulter Ian D ID RAND Corporation, 1776 Main St, Santa Monica, CA 90407-2138, USA; UCLA School of Dentistry, Box 951668, Los Angeles, CA 90095-1668, USA; Southern California University of Health Sciences, 16200 Amber Valley Dr, Whittier, CA 90604, USA
Thrust manipulation may not decrease the intensity of chronic lowbackpain. Letter to the editor regarding "Manipulation and mobilization for treating chronic lowbackpain: a systematic review and meta-analysis" by Coulter et al. 30442417 2019 03 01 2019 03 01 1878-1632 18 10 2018 10 The spine journal : official journal of the North American Spine Society Spine J Thrust manipulation may not decrease the intensity of chronic lowbackpain. Letter to the editor regarding "Manipulation (...) and mobilization for treating chronic lowbackpain: a systematic review and meta-analysis" by Coulter et al. 1961-1963 S1529-9430(18)30265-1 10.1016/j.spinee.2018.05.039 Gibson W W School of Physiotherapy, The University of Notre Dame Australia, Fremantle, Australia. Electronic address: email@example.com. Palsson T S TS Department of Health Science and Technology, SMI, Aalborg University, Aalborg, Denmark. Coopes E E School of Physiotherapy and Exercise Science, Curtin University, Bentley, Australia