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Qualitative research back pain

Michele Maiers, Maria A Hondras, Stacie A Salsbury, Gert Bronfort, Roni Evans
BACKGROUND: Patient perceptions may influence the effectiveness and utilization of healthcare interventions, particularly for complex health conditions such as sciatica or back-related leg pain (BRLP). OBJECTIVES: To explore BRLP patients' perceptions of spinal manipulative therapy (SMT) and home exercise with advice (HEA). DESIGN: Qualitative study in a controlled clinical trial. METHOD: Semi-structured interviews conducted after 12 weeks of treatment asked participants about satisfaction with care and whether treatment was worthwhile...
September 23, 2016: Manual Therapy
I Petruschke, B Ramsauer, T Borde, M David
Introduction: The starting point of this study was the considerably lower rate of epidural analgesia use among women of Turkish origin in Germany compared to non-immigrant women in the German Research Foundation (DFG)-funded study entitled "Perinatal Health and Migration Berlin". The study aimed to identify possible differences in the women's attitudes towards epidural analgesia. Methods: Exploratory study with semi-structured interviews, interviews lasting 17 minutes on average were conducted with 19 women of Turkish origin and 11 non-immigrant women at a Berlin hospital...
September 2016: Geburtshilfe und Frauenheilkunde
Susan L Deems-Dluhy, Chandrasekaran Jayaraman, Steve Green, Mark V Albert, Arun Jayaraman
BACKGROUND: Difficulty ascending ramps and inclines with a manual wheelchair adversely affects the everyday mobility and overall quality of life of manual wheelchair users. Currently, various anti-rollback devices are available to assist manual wheelchair users to ascend ramps and inclines. However, these devices have 2 main shortcomings: restriction to backward motion limiting recovery from an overturning wheelie, which is a safety concern; and difficulty in engaging/disengaging the device while on the ramp...
September 21, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
Ann B Kennedy, Jerrilyn A Cambron, Patricia A Sharpe, Ravensara S Travillian, Ruth P Saunders
BACKGROUND: Massage therapists are at times unclear about the definition of massage therapy, which creates challenges for the profession. It is important to investigate the current definitions and to consider the field as a whole in order to move toward clarity on what constitutes the constructs within the profession. PURPOSE: To determine how a sample of experts understand and describe the field of massage therapy as a step toward clarifying definitions for massage and massage therapy, and framing the process of massage therapy practice...
September 2016: International Journal of Therapeutic Massage & Bodywork
Janet A Deane, Alison H McGregor
OBJECTIVES: Despite lumbar degenerative disc disease (LDDD) being significantly associated with non-specific low back pain and effective treatment remaining elusive, specialist multidisciplinary clinical stakeholder opinion remains unexplored. The present study examines the views of such experts. DESIGN: A reliable and valid electronic survey was designed to establish trends using theoretical constructs relating to current assessment and management practices. Clinicians from the Society of Back Pain Research (SBPR) UK were invited to take part...
September 15, 2016: BMJ Open
Aaron J Yang, Rogelio A Coronado, Lilian Hoffecker, Chan Gao, Kelly Saurwein, Danielle Shoreman, Adam S Hoffberg, Venu Akuthota
OBJECTIVE: To evaluate the degree to which conservative care and failure was specifically defined in studies comparing non-operative treatment versus surgery for low back pain (LBP) conditions in adults. DATA SOURCES: A comprehensive literature search was conducted by an experienced librarian using MEDLINE (PubMed), EMBASE, Google Scholar, and CENTRAL (the Cochrane Central Register of Controlled Trials) from January 2003 to June 2014. Endnote bibliographic management application was utilized to remove duplicates and organize the citations...
August 26, 2016: Archives of Physical Medicine and Rehabilitation
Maggie Killington, Ruth Walker, Maria Crotty
PURPOSE OF THE STUDY: To understand the journey experienced by nursing home residents following hip fracture and impressions of an outreach rehabilitation program offered after their return home. DESIGN AND METHODS: A qualitative investigation was undertaken in parallel with a randomised controlled trial investigating the efficacy and cost utility of providing a hospital outreach rehabilitation program for older nursing home residents who have recently returned from hospital following hip fracture...
November 2016: Archives of Gerontology and Geriatrics
Daiana Priscila Rodrigues-de-Souza, Domingo Palacios-Ceña, Lourdes Moro-Gutiérrez, Paula Rezende Camargo, Tania Fátima Salvini, Francisco Alburquerque-Sendín
BACKGROUND: Low back pain (LBP) could be influenced by socio-cultural factors. Pain narratives are important to understand the influence of environment on patients with chronic LBP. There are few studies that have explored the experience of patients with chronic LBP in different socio-cultural environments. The aim of this study was to describe the experience of patients with chronic LBP in Spain and Brazil. METHODS: A qualitative phenomenology approach was implemented...
2016: PloS One
Suzanne Forsyth Herling
This thesis contains four studies all focusing on women with endometrial cancer undergoing robotic-assisted laparoscopic hysterectomy (RALH). Women with endometrial cancer are typically elderly with co-morbidities. RALH is a relatively new treatment option which has been introduced and adopted over the last decade without randomised controlled trials (RCTs) to prove superiority over other surgical alternatives. The purpose of the thesis was to explore and describe patient and health economic outcomes of RALH for women with endometrial cancer using different research approaches...
July 2016: Danish Medical Journal
Yu Fu, Elaine McNichol, Kathryn Marczewski, S José Closs
Patients are encouraged to take an active role in self-managing their chronic back pain and functional problems. However, research suggests that patients do not self-manage, and they expect health professionals to fulfill a comprehensive role in managing pain. A partnership between patients and health professionals is called for, and self-management works best when they share knowledge and work together toward optimal goals. To explore how patients' partnerships with health professionals may influence their ability to self-manage pain by exploring patients' experiences...
October 2016: Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses
Linn Helen J Grødahl, Louise Fawcett, Madeleine Nazareth, Richard Smith, Simon Spencer, Nicola Heneghan, Alison Rushton
BACKGROUND: In adolescent athletes, low back pain has a 1-year prevalence of 57% and causes include spondylolysis and spondylolisthesis. An accurate diagnosis enables healing, prevention of progression and return to sport. OBJECTIVE: To evaluate the diagnostic utility of patient history and physical examination data to identify spondylolysis and/or spondylolisthesis in athletes. DESIGN: Systematic review was undertaken according to published guidelines, and reported in line with PRISMA...
August 2016: Manual Therapy
William J Hanney, Michael Masaracchio, Xinliang Liu, Morey J Kolber
BACKGROUND: Low back pain (LBP) is common and associated healthcare costs are significant. While clinical practice guidelines have been established in an attempt to reduce costs and healthcare utilization, it is unclear if adherence to physical therapy guidelines for those with LBP is efficacious. Therefore, the purpose of this study was to assess current evidence and evaluate the impact of physical therapy guideline adherence on subsequent healthcare costs and utilization for patients with LBP...
2016: PloS One
Katherine Bradbury, Miznah Al-Abbadey, Dawn Carnes, Borislav D Dimitrov, Susan Eardley, Carol Fawkes, Jo Foster, Maddy Greville-Harris, J Matthew Harvey, Janine Leach, George Lewith, Hugh MacPherson, Lisa Roberts, Laura Parry, Lucy Yardley, Felicity L Bishop
INTRODUCTION: Components other than the active ingredients of treatment can have substantial effects on pain and disability. Such 'non-specific' components include: the therapeutic relationship, the healthcare environment, incidental treatment characteristics, patients' beliefs and practitioners' beliefs. This study aims to: identify the most powerful non-specific treatment components for low back pain (LBP), compare their effects on patient outcomes across orthodox (physiotherapy) and complementary (osteopathy, acupuncture) therapies, test which theoretically derived mechanistic pathways explain the effects of non-specific components and identify similarities and differences between the therapies on patient-practitioner interactions...
2016: BMJ Open
Ciara Close, Marlene Sinclair, Dianne Liddle, Julie Mc Cullough, Ciara Hughes
OBJECTIVE: to explore the experiences of women suffering low back and/or pelvic pain during pregnancy. DESIGN: a qualitative design using focus groups. Each group was recorded with a digital audio recorder and analysed using the Newell and Burnard framework for thematic analysis. SETTING: an urban maternity hospital. PARTICIPANTS: a self-selecting sample of 14 women who had taken part in a pilot randomised controlled trial investigating reflexology for pregnancyrelated low back and / or pelvic pain...
June 2016: Midwifery
Hjalte H Andersen, Anna Charlotte Lundgaard, Anne S Petersen, Lise E Hauberg, Neha Sharma, Sofie D Hansen, Jesper Elberling, Lars Arendt-Nielsen
BACKGROUND: Skin prick test (SPT) is a common test for diagnosing immunoglobulin E-mediated allergies. In clinical routine, technicalities, human errors or patient-related biases, occasionally results in suboptimal diagnosis of sensitization. OBJECTIVE: Although not previously assessed qualitatively, lancet weight is hypothesized to be important when performing SPT to minimize the frequency of false positives, false negatives, and unwanted discomfort. METHODS: Accurate weight-controlled SPT was performed on the volar forearms and backs of 20 healthy subjects...
2016: PloS One
M S Johansson, M Jensen Stochkendahl, J Hartvigsen, E Boyle, J D Cassidy
BACKGROUND AND OBJECTIVE: Despite being common early in life and affecting individuals' quality of life to the same degree as neck and low back pain, research into epidemiological aspects of mid-back pain (MBP) has been scarce. The purpose of our systematic review was therefore to describe the incidence and prognosis of MBP in the general population. The PRISMA Statement guided the study process. DATABASES: A systematic search was conducted in CINAHL, PEDro, PsycINFO and Scopus...
May 5, 2016: European Journal of Pain: EJP
Janne B Damsgaard, Annelise Norlyk, Lene B Jørgensen, Regner Birkelund
BACKGROUND: Research shows that suffering from back pain can be associated with great personal costs and that patients undergoing spinal fusion surgery experience particularly problematic illness trajectories and struggle with existential challenges related to living with pain for many years. AIM: This study aims to explore how patients with back pain experience their illness trajectories and their interaction with the healthcare system. METHOD: Data were collected through observations and semi-structured interviews...
May 2016: International Journal of Orthopaedic and Trauma Nursing
Ivan B Lin, Juli Coffin, Peter B O'Sullivan
BACKGROUND: Low back pain (LBP) care is frequently discordant with research evidence. This pilot study evaluated changes in LBP care following a systematic, theory informed intervention in a rural Australian Aboriginal Health Service. We aimed to improve three aspects of care; reduce inappropriate LBP radiological imaging referrals, increase psychosocial oriented patient assessment and, increase the provision of LBP self-management information to patients. METHODS: Three interventions to improve care were developed using a four-step systematic implementation approach...
2016: BMC Family Practice
Elaine Toomey, James Matthews, Suzanne Guerin, Deirdre A Hurley
BACKGROUND: Implementation fidelity is poorly addressed within physical therapy interventions, which may be due to limited research on how to develop and implement an implementation fidelity protocol. OBJECTIVE: The purpose of this study was to develop a feasible implementation fidelity protocol within a pilot study of a physical therapy-led intervention to promote self-management for people with chronic low back pain or osteoarthritis. DESIGN: A 2-phase mixed-methods design was used...
August 2016: Physical Therapy
Daniel Z Buchman, Anita Ho, Judy Illes
OBJECTIVE: Past research has demonstrated that trust is central to an effective therapeutic relationship, but the role of trust in chronic pain management is not well understood. The objective of this study was to provide an in-depth examination of how adults living with chronic pain negotiate trust and demonstrate trustworthiness with clinicians in therapeutic encounters. METHODS: This qualitative study focused on adults living in an urban setting in British Columbia, Canada...
August 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
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