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pain low back guideline review

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https://www.readbyqxmd.com/read/30099402/pain-education-for-patients-with-non-specific-low-back-pain-in-nepal-protocol-of-a-feasibility-randomised-clinical-trial-pen-lbp-trial
#1
Saurab Sharma, Mark P Jensen, G Lorimer Moseley, J Haxby Abbott
INTRODUCTION: Low back pain (LBP) is the leading cause of years lived with disability in Nepal and elsewhere. Management of LBP that is evidence-based, easily accessible, cost-effective and culturally appropriate is desirable. The primary aim of this feasibility study is to determine if it is feasible to conduct a full randomised clinical trial evaluating the effectiveness of pain education as an intervention for individuals with LBP in Nepal, relative to guideline-based physiotherapy treatment...
August 10, 2018: BMJ Open
https://www.readbyqxmd.com/read/30050749/effectiveness-of-classic-physical-therapy-proposals-for-chronic-non-specific-low-back-pain-a-literature-review
#2
Ferran Cuenca-Martínez, Sara Cortés-Amador, Gemma Victoria Espí-López
INTRODUCTION: Chronic low back pain is a pathological process that compromises the functionality and quality of life worldwide. The objective of the study was to evaluate the effectiveness of classical physiotherapy in the management of non-specific chronic low back pain. METHODS: A literature search in English electronic databases was performed from November to December of 2015. Only those studies addressing chronic non-specific low back pain by manual therapy and different types of exercises methods were included, and those, which combined acute or subacute pain with systematic reviews and clinical practice guidelines, were excluded...
2018: Physical Therapy Research
https://www.readbyqxmd.com/read/30042627/the-impact-of-pragmatic-vs-prescriptive-study-designs-on-the-outcomes-of-low-back-and-neck-pain-when-using-mobilization-or-manipulation-techniques-a-systematic-review-and-meta-analysis
#3
Daniel Roenz, Jake Broccolo, Steven Brust, Jordan Billings, Alexander Perrott, Jeremy Hagadorn, Chad Cook, Joshua Cleland
Objective: The purpose of this systematic review and meta-analysis was to examine the impact of pragmatic versus prescriptive study designs on the outcomes of low back and neck pain when using mobilization or manipulation techniques. Methods: This study design was a systematic review and meta-analysis, which was performed according to the PRISMA guidelines. A search of MEDLINE and CINAHL complete databases was performed. Article titles and abstracts were reviewed to identify studies comparing mobilization and manipulation in low back or neck pain that met eligibility criteria...
July 2018: Journal of Manual & Manipulative Therapy
https://www.readbyqxmd.com/read/29983004/patients-perceived-needs-for-allied-health-and-complementary-and-alternative-medicines-for-low-back-pain-a-systematic-scoping-review
#4
REVIEW
Louisa Chou, Tom A Ranger, Waruna Peiris, Flavia M Cicuttini, Donna M Urquhart, Andrew M Briggs, Anita E Wluka
OBJECTIVES: Allied health and complementary and alternative medicines (CAM) are therapeutic therapies commonly accessed by consumers to manage low back pain (LBP). We aimed to identify the literature regarding patients' perceived needs for physiotherapy, chiropractic therapy and CAM for the management of LBP. METHODS: A systematic scoping review of MEDLINE, EMBASE, CINAHL and PsycINFO (1990-2016) was conducted to identify studies examining patients' perceived needs for allied health and CAM for LBP...
July 7, 2018: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/29971708/clinical-practice-guidelines-for-the-management-of-non-specific-low-back-pain-in-primary-care-an-updated-overview
#5
REVIEW
Crystian B Oliveira, Chris G Maher, Rafael Z Pinto, Adrian C Traeger, Chung-Wei Christine Lin, Jean-François Chenot, Maurits van Tulder, Bart W Koes
OBJECTIVE: The aim of this study was to provide an overview of the recommendations regarding the diagnosis and treatment contained in current clinical practice guidelines for patients with non-specific low back pain in primary care. We also aimed to examine how recommendations have changed since our last overview in 2010. METHOD: The searches for clinical practice guidelines were performed for the period from 2008 to 2017 in electronic databases. Guidelines including information regarding either the diagnosis or treatment of non-specific low back pain, and targeted at a multidisciplinary audience in the primary care setting, were considered eligible...
July 3, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29889800/highly-cited-works-in-spinal-disorders-the-top-100-most-cited-papers-published-in-spine-journals
#6
Jetan H Badhiwala, Farshad Nassiri, Christopher D Witiw, Alireza Mansouri, Naif Alotaibi, Matthew Eagles, Saleh A Almenawer, Leodante da Costa, Jefferson R Wilson, Michael G Fehlings
STUDY DESIGN: Bibliometric analysis. OBJECTIVE: To identify, and summarize the key findings of, the top 100 most highly cited works published in spinal disorder topic-specific journals. SUMMARY OF BACKGROUND DATA: There is an abundance of published articles pertaining to spine surgery and spinal disorders. The number of citations a work receives provides a useful measure of its scientific impact. An understanding of the most cited works in spine surgery can identify literature that surgeons and researchers should be familiar with, point to the most active areas of research, inform the design of educational curricula, and help guide future research efforts...
June 8, 2018: Spine
https://www.readbyqxmd.com/read/29754321/chronic-low-back-pain-a-mini-review-on-pharmacological-management-and-pathophysiological-insights-from-clinical-and-pre-clinical-data
#7
REVIEW
Thomas S W Park, Andy Kuo, Maree T Smith
Globally, low back pain (LBP) is one of the most common health problems affecting humans. The lifetime prevalence of non-specific LBP is approximately 84%, with the chronic prevalence at about 23%. Chronic LBP in humans is defined as LBP that persists for more than 12 weeks without a significant pain improvement. Although there are numerous evidence-based guidelines on the management of acute LBP, this is not the case for chronic LBP, which is regarded as particularly difficult to treat. Research aimed at discovering new drug treatments for alleviation of chronic mechanical LBP is lacking due to the paucity of knowledge on the pathobiology of this condition, despite its high morbidity in the affected adult population...
May 12, 2018: Inflammopharmacology
https://www.readbyqxmd.com/read/29730460/imaging-for-low-back-pain-is-clinical-use-consistent-with-guidelines-a-systematic-review-and-meta-analysis
#8
Hazel J Jenkins, Aron S Downie, Chris G Maher, Niamh A Moloney, John S Magnussen, Mark J Hancock
BACKGROUND CONTEXT: The problem of imaging patients with low back pain (LBP) when it is not indicated is well recognized. The converse is also possible, although rarely considered. The extent of these two problems is presently unclear. PURPOSE: This study aimed to estimate how commonly overuse, and also underuse, of imaging occurs in the management of LBP, and how appropriate use of imaging is assessed. DESIGN: This is a systematic review and meta-analysis...
May 3, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29668650/impact-of-an-advanced-imaging-utilization-review-program-on-downstream-health-care-utilization-and-costs-for-low-back-pain
#9
Janessa M Graves, Deborah Fulton-Kehoe, Jeffrey G Jarvik, Gary M Franklin
BACKGROUND: Early magnetic resonance imaging (MRI) for acute low back pain (LBP) has been associated with increased costs, greater health care utilization, and longer disability duration in workers' compensation claimants. OBJECTIVES: To assess the impact of a state policy implemented in June 2010 that required prospective utilization review (UR) for early MRI among workers' compensation claimants with LBP. RESEARCH DESIGN: Interrupted time series...
June 2018: Medical Care
https://www.readbyqxmd.com/read/29614943/primary-care-management-of-non-specific-low-back-pain-key-messages-from-recent-clinical-guidelines
#10
Matheus Almeida, Bruno Saragiotto, Bethan Richards, Chris G Maher
Research in the past decade supports some major changes to the primary care management of non-specific low back pain (LBP). The present article summarises recommendations from recently published United Kingdom, Danish, Belgian and United States guidelines to alert readers to the important changes in recommendations for management, and the recommendations from previous guidelines that remain unchanged. Main recommendations: Use a clinical assessment to triage patients with LBP. Further diagnostic workup is only required for the small number of patients with suspected serious pathology...
April 2, 2018: Medical Journal of Australia
https://www.readbyqxmd.com/read/29606335/spinal-manipulative-therapy-and-other-conservative-treatments-for-low-back-pain-a-guideline-from-the-canadian-chiropractic-guideline-initiative
#11
André E Bussières, Gregory Stewart, Fadi Al-Zoubi, Philip Decina, Martin Descarreaux, Danielle Haskett, Cesar Hincapié, Isabelle Pagé, Steven Passmore, John Srbely, Maja Stupar, Joel Weisberg, Joseph Ornelas
OBJECTIVE: The objective of this study was to develop a clinical practice guideline on the management of acute and chronic low back pain (LBP) in adults. The aim was to develop a guideline to provide best practice recommendations on the initial assessment and monitoring of people with low back pain and address the use of spinal manipulation therapy (SMT) compared with other commonly used conservative treatments. METHODS: The topic areas were chosen based on an Agency for Healthcare Research and Quality comparative effectiveness review, specific to spinal manipulation as a nonpharmacological intervention...
May 2018: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/29579232/guidelines-for-composing-and-assessing-a-paper-on-the-treatment-of-pain-a-practical-application-of-evidence-based-medicine-principles-to-the-mint-randomized-clinical-trials
#12
Zachary L McCormick, Yakov Vorobeychik, Jatinder S Gill, Ming-Chih J Kao, Belinda Duszynski, Matthew Smuck, Milan P Stojanovic
Objective: To perform a thorough assessment of the recently published Mint Trials in order to illustrate how to read and analyze a study critically, according to principles of evidence-based medicine. Design: Narrative review. Method: We have applied the recently published guidelines for composing and assessing studies on the treatment of pain to a recently published article describing a large study that claimed its "findings do not support the use of radiofrequency denervation to treat chronic low back pain...
March 20, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29549815/a-systematic-review-and-meta-analysis-of-the-reliability-and-validity-of-sensorimotor-measurement-instruments-in-people-with-chronic-low-back-pain
#13
REVIEW
Katja Ehrenbrusthoff, Cormac G Ryan, Christian Grüneberg, Denis J Martin
BACKGROUND: Deficits in the sensorimotor system and its peripheral and central processing of the affected body part might be a contributing factor to chronic low back pain (CLBP). Hence, sensorimotor assessment is important. Valid and reliable sensorimotor measurement instruments are needed. OBJECTIVE: To investigate the reliability and validity of sensorimotor measurement instruments for people with chronic low back pain (CLBP). DESIGN: Systematic review and meta-analysis...
June 2018: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/29509613/red-flags-for-low-back-pain-are-not-always-really-red-a-prospective-evaluation-of-the-clinical-utility-of-commonly-used-screening-questions-for-low-back-pain
#14
Ajay Premkumar, William Godfrey, Michael B Gottschalk, Scott D Boden
BACKGROUND: Low back pain has a high prevalence and morbidity, and is a source of substantial health-care spending. Numerous published guidelines support the use of so-called red flag questions to screen for serious pathology in patients with low back pain. This paper examines the effectiveness of red flag questions as a screening tool for patients presenting with low back pain to a multidisciplinary academic spine center. METHODS: We conducted a retrospective review of the cases of 9,940 patients with a chief complaint of low back pain...
March 7, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29492717/the-global-spine-care-initiative-a-systematic-review-for-the-assessment-of-spine-related-complaints-in-populations-with-limited-resources-and-in-low-and-middle-income-communities
#15
REVIEW
Margareta Nordin, Kristi Randhawa, Paola Torres, Hainan Yu, Scott Haldeman, O'Dane Brady, Pierre Côté, Carlos Torres, Michael Modic, Rajani Mullerpatan, Christine Cedraschi, Roger Chou, Emre Acaroğlu, Eric L Hurwitz, Nadège Lemeunier, Jean Dudler, Anne Taylor-Vaisey, Erkin Sönmez
PURPOSE: The purpose of this systematic literature review was to develop recommendations for the assessment of spine-related complaints in medically underserved areas with limited resources. METHODS: We conducted a systematic review and best evidence synthesis of guidelines on the assessment of spine-related complaints. Independent reviewers critically appraised eligible guidelines using the Appraisal of Guidelines for Research and Evaluation-II criteria. Low risk of bias clinical practice guidelines was used to develop recommendations...
February 28, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29482827/chiropractic-integrated-care-pathway-for-low-back-pain-in-veterans-results-of-a-delphi-consensus-process
#16
Anthony J Lisi, Stacie A Salsbury, Cheryl Hawk, Robert D Vining, Robert B Wallace, Richard Branson, Cynthia R Long, A Lucille Burgo-Black, Christine M Goertz
OBJECTIVE: The purpose of this study was to develop an integrated care pathway for doctors of chiropractic, primary care providers, and mental health professionals who manage veterans with low back pain, with or without mental health comorbidity, within Department of Veterans Affairs health care facilities. METHODS: The research method used was a consensus process. A multidisciplinary investigative team reviewed clinical guidelines and Veterans Affairs pain and mental health initiatives to develop seed statements and care algorithms to guide chiropractic management and collaborative care of veterans with low back pain...
February 2018: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/29480840/clinical-management-of-a-unique-case-of-pnet-of-the-uterus-during-pregnancy-and-review-of-the-literature
#17
REVIEW
Rosalba De Nola, Edoardo Di Naro, Luca Maria Schonauer, Giuseppe Lucarelli, Michele Battaglia, Maria Grazia Fiore, Salvatore Andrea Mastrolia, Giuseppe Loverro
RATIONALE: PNETs (primitive neuroectodermal tumors) are a family of highly malignant neoplasms characterized by small round cells of neuroepithelial origin. They usually involve bone and soft tissues, and have a higher incidence in childhood. PATIENT CONCERNS: In this case report, we describe the obstetric and oncological outcome of a huge mass diagnosed as a leiomyoma in a 39-year-old pregnant woman who complained of low back pain, dysuria, and urinary frequency at 22 weeks of gestation...
January 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29460009/the-global-spine-care-initiative-applying-evidence-based-guidelines-on-the-non-invasive-management-of-back-and-neck-pain-to-low-and-middle-income-communities
#18
REVIEW
Roger Chou, Pierre Côté, Kristi Randhawa, Paola Torres, Hainan Yu, Margareta Nordin, Eric L Hurwitz, Scott Haldeman, Christine Cedraschi
PURPOSE: The purpose of this review was to develop recommendations for the management of spinal disorders in low-income communities, with a focus on non-invasive pharmacological and non-pharmacological therapies for non-specific low back and neck pain. METHODS: We synthesized two evidence-based clinical practice guidelines for the management of low back and neck pain. Our recommendations considered benefits, harms, quality of evidence, and costs, with attention to feasibility in medically underserved areas and low- and middle-income countries...
February 19, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29449945/psychosocial-factors-associated-with-change-in-pain-and-disability-outcomes-in-chronic-low-back-pain-patients-treated-by-physiotherapist-a-systematic-review
#19
Ahmed Alhowimel, Mazyad AlOtaibi, Kathryn Radford, Neil Coulson
Background: Almost 80% of people have low back pain at least once in their life. Clinical guidelines emphasize the use of conservative physiotherapy and the importance of staying active. While the psychological factors predicting poor recovery following surgical intervention are understood, the psychosocial factors associated with poor outcomes following physiotherapy have yet to be identified. Methods: Electronic searches of PubMed, Medline, CINAHL, PsycINFO and EBSCO were conducted using terms relating to psychosocial factors, chronic low back pain, disability and physiotherapy...
2018: SAGE Open Medicine
https://www.readbyqxmd.com/read/29443723/neurophysiological-pain-education-for-patients-with-chronic-low-back-pain-a-systematic-review-and-meta-analysis
#20
Heidi Tegner, Pernille Frederiksen, Bente A Esbensen, Carsten Juhl
OBJECTIVE: To evaluate the effect of neurophysiological pain education (NPE) for patients with chronic low back pain (CLBP). METHODS: A systematic search was performed in 6 electronic databases. Eligible randomized-controlled trials were those with at least 50 % of patients with CLBP and in which NPE was compared with no intervention or usual care. Methodological quality was assessed independently by 2 of the authors using the Cochrane Collaboration Risk of Bias Tool...
August 2018: Clinical Journal of Pain
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