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https://www.readbyqxmd.com/read/29787734/osteopathic-manipulative-treatment-including-specific-diaphragm-techniques-improves-pain-and-disability-in-chronic-non-specific-low-back-pain-a-randomized-trial
#1
Mireia Martí-Salvador, Laura Hidalgo-Moreno, Julio Doménech-Fernández, Juan Francisco Lisón, Maria Dolores Arguisuelas
OBJECTIVE: To investigate the effects of an osteopathic manipulative treatment (OMT) which includes a diaphragm intervention compared to the same OMT with a sham-diaphragm intervention in chronic non-specific low back pain (NS-CLBP). DESIGN: Parallel group randomized controlled trial SETTING: private and institutional health centers. PARTICIPANTS: Sixty-six subjects (18-60 yrs.) with a diagnosis of NS-CLBP lasting at least 3 months. INTERVENTIONS: Participants were randomized to receive either an OMT protocol including specific diaphragm techniques (n=33) or the same OMT protocol with a sham-diaphragm intervention (n=33), conducted in five sessions provided during 4 weeks...
May 19, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29782198/a-multidisciplinary-integrative-medicine-team-in-the-treatment-of-chronic-low-back-pain-an-observational-comparative-effectiveness-study
#2
Peter M Wayne, David M Eisenberg, Kamila Osypiuk, Brian J Gow, Claudia M Witt, Roger B Davis, Julie E Buring
OBJECTIVES: Chronic low-back pain (CLBP) is burdensome and costly, and a common condition for which adults use integrative therapies. The effectiveness of multidisciplinary integrative approaches has not been well studied. The purpose of this observational study was to compare characteristics and outcomes of CLBP patients treated at the Osher Clinical Center (OCC) versus other clinics at Brigham and Women's Hospital. DESIGN: Observational comparative effectiveness study...
May 21, 2018: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/29771180/patient-adherence-to-an-exercise-program-for-chronic-low-back-pain-measured-by-patient-report-physiotherapist-perception-and-observational-data
#3
Kerry Peek, Mariko Carey, Lisa Mackenzie, Robert Sanson-Fisher
The effectiveness of exercise programs for chronic low back pain (CLBP) is dependent upon patient adherence which is problematic to measure accurately. This cross-sectional observational study aimed to compare patient-reported levels of adherence with physiotherapists' perceptions of patient adherence; and to explore the proportion of patients who could accurately recall and demonstrate the exercises contained within their prescribed exercise program for CLBP. Participating patients (n = 61) included those attending for a follow-up consultation with a physiotherapist (n = 15) at a consenting practice (n = 6) who had been prescribed an exercise program for CLBP...
May 17, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29756567/chronic-low-back-pain-current-pharmacotherapeutic-therapies-and-a-new-biological-approach
#4
Karel Pavelka, Hana Jarosova, Olga Sleglova, Radka Svobodova, Leonello Milani, Martina Votavova, Zdenek Prochazka, Lucie Kotlarova, Pavel Kostiuk, Jiri Sliva, Alberto Marco Meroni
The syndrome of chronic low back pain (CLBP) represents one of the leading causes of long-term disability worldwide. The prevalence of CLBP rises significantly in relation to increasing average of life expectancy. CLBP arises by chronification of acute low back pain. There are many factors that contribute to the emergency of CLBP; frequent etiopathogenetic factors include e.g. a functional blockage of intervertebral joints. The treatment of CLBP has a complex character. An important part of treatment consists of pharmacotherapy of pain, under which several groups of drugs are being used...
May 13, 2018: Current Medicinal Chemistry
https://www.readbyqxmd.com/read/29705759/education-job-position-income-or-multidimensional-indices-associations-between-different-socioeconomic-status-indicators-and-chronic-low-back-pain-in-a-german-sample-a-longitudinal-field-study
#5
Michael Fliesser, Jessie De Witt Huberts, Pia-Maria Wippert
OBJECTIVE: To investigate associations between socioeconomic status (SES) indicators (education, job position, income, multidimensional index) and the genesis of chronic low back pain (CLBP). DESIGN: Longitudinal field study (baseline and 6-month follow-up). SETTING: Four medical clinics across Germany. PARTICIPANTS: 352 people were included according to the following criteria: (1) between 18 and 65 years of age, (2) intermittent pain and (3) an understanding of the study and the ability to answer a questionnaire without help...
April 28, 2018: BMJ Open
https://www.readbyqxmd.com/read/29705466/effectiveness-of-yoga-and-educational-intervention-on-disability-anxiety-depression-and-pain-in-people-with-clbp-a-randomized-controlled-trial
#6
Goran Kuvačić, Patrizia Fratini, Johnny Padulo, Dello Iacono Antonio, Andrea De Giorgio
OBJECTIVE: The current study investigates the effects of an 8-week yoga program with educational intervention compared with an informational pamphlet on disability, anxiety, depression, and pain, in people affected by chronic low back pain (CLBP). METHODS: Thirty individuals (age 34.2 ± 4.52 yrs) with CLBP were randomly assigned into a Yoga Group (YG, n = 15) and a Pamphlet Group (PG, n = 15). The YG participated in an 8-week (2 days per week) yoga program which included education on spine anatomy/biomechanics and the management of CLBP...
May 2018: Complementary Therapies in Clinical Practice
https://www.readbyqxmd.com/read/29701812/pain-intensity-disability-and-quality-of-life-in-patients-with-chronic-low-back-pain-does-age-matter
#7
Markus Wettstein, Wolfgang Eich, Christiane Bieber, Jonas Tesarz
Objective: Nonspecific chronic low back pain (CLBP) is a frequent medical condition among middle-aged and older adults. Its detrimental consequences for functional ability and quality of life are well known. However, less is known about associations of chronological age with disability and well-being among CLBP patients. Coping with pain may be harder with advancing age due to additional age-associated losses of physical, sensory, and other resources, resulting in higher disability and lower quality of life...
April 25, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29696316/attention-demands-of-postural-control-in-non-specific-chronic-low-back-pain-subjects-with-low-and-high-pain-related-anxiety
#8
Sanaz Shanbehzadeh, Mahyar Salavati, Saeed Talebian, Khosro Khademi-Kalantari, Mahnaz Tavahomi
Impaired postural control in chronic low back pain (CLBP) has been attributed to deficits in sensory and motor functions. However, it is not known if pain-related anxiety affects motor and cognitive function of postural control. The aim of this study was to compare the interactive effects of postural and cognitive function in CLBP patients with high and low pain-related anxiety and healthy subjects. Thirty-eight patients with nonspecific CLBP (19 with low and 19 with high pain-related anxiety levels) and 20 asymptomatic subjects participated...
April 25, 2018: Experimental Brain Research. Experimentelle Hirnforschung. Expérimentation Cérébrale
https://www.readbyqxmd.com/read/29695727/functional-and-morphological-changes-in-the-deep-lumbar-multifidus-using-electromyography-and-ultrasound
#9
Shanshan Zhang, Yi Xu, Xiulan Han, Wen Wu, Yan Tang, Chuhuai Wang
Surface electromyography (sEMG) studies have indicated that chronic low back pain (cLBP) involves altered electromyographic activity and morphological structure of the lumbar multifidus (LM) beyond pain perception; however, most studies have evaluated the superficial lumbar multifidus. It is difficult to record electromyography (EMG) signals from the deep multifidus (DM) to determine the neuromuscular activation patterns, making it difficult to determine the relationship between functional and structural changes in cLBP...
April 25, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29689006/a-comparison-of-isolated-lumbar-extension-strength-between-healthy-asymptomatic-participants-and-chronic-low-back-pain-subjects-without-previous-lumbar-spine-surgery
#10
Rebecca Conway, Jessica Behennah, James Fisher, Neil Osborne, James Steele
STUDY DESIGN: Cross-sectional case-control study. OBJECTIVE: To compare isolated lumbar extension strength between healthy asymptomatic participants and participants with chronic low back pain (CLBP), whilst controlling for previous lumbar spine surgery. SUMMARY OF BACKGROUND DATA: Deconditioning of the lumbar musculature is common in those with previous lumbar surgery, resulting in decreased strength and endurance. Evidence is required to support whether this is the case for participants with CLBP yet no previous surgery compared with asymptomatic participants...
April 23, 2018: Spine
https://www.readbyqxmd.com/read/29678564/prescription-medication-use-among-community-based-us-adults-with-chronic-low-back-pain-a-cross-sectional-population-based-study
#11
Anna Shmagel, Linh Ngo, Kristine Ensrud, Robert Foley
Many classes of medications have been evaluated in chronic low back pain (cLBP), however their utilization in the community remains unclear. We examine patterns of prescription medication use among Americans with cLBP in a nationally representative, community-based sample. The Back Pain Survey was administered to a representative sample of US adults aged 20-69 (N = 5103) during the 2009-2010 cycle of the National Health and Nutrition Examination Survey (NHANES). cLBP was defined as self-reported pain in the area between the lower posterior margin of the ribcage and the horizontal gluteal fold on most days for at least 3 months (N = 700)...
April 17, 2018: Journal of Pain: Official Journal of the American Pain Society
https://www.readbyqxmd.com/read/29672748/biopsychosocial-profiles-and-functional-correlates-in-older-adults-with-chronic-low-back-pain-a-preliminary-study
#12
Debra K Weiner, Angela Gentili, Katherine Coffey-Vega, Natalia Morone, Michelle Rossi, Subashan Perera
Objective: To describe key peripheral and central nervous system (CNS) conditions in a group of older adults with chronic low back pain (CLBP) and their association with pain severity and self-reported and performance-based physical function. Design: Cross-sectional. Setting: Outpatient VA clinics. Subjects: Forty-seven community-dwelling veterans with CLBP (age 68.0 ± 6.5 years, range = 60-88 years, 12.8% female, 66% white) participated...
April 16, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29669086/effects-of-a-home-based-telephone-supported-physical-activity-program-for-older-adult-veterans-with-chronic-low-back-pain
#13
Adam P Goode, Shannon Stark Taylor, Susan N Hastings, Catherine Stanwyck, Cynthia J Coffman, Kelli D Allen
Background: Chronic low back pain (CLBP) is highly prevalent in older adults, leading to functional decline. Objective: The objective of this study was to evaluate physical activity (PA) only and PA plus cognitive-behavioral therapy for pain (CBT-P) among older adult veterans with CLBP. Design: This study was a pilot randomized trial comparing a 12-week telephone-supported PA-only intervention group (PA group) or PA plus CBT-P intervention group (PA + CBT-P group) and a wait-list control group (WL group)...
May 1, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29643158/is-an-enhanced-behaviour-change-intervention-cost-effective-compared-with-physiotherapy-for-patients-with-chronic-low-back-pain-results-from-a-multicentre-trial-in-israel
#14
Alastair Canaway, Tamar Pincus, Martin Underwood, Yair Shapiro, Gabriel Chodick, Noa Ben-Ami
OBJECTIVE: To assess the cost-effectiveness of an enhanced transtheoretical model of behaviour change in conjunction with physiotherapy compared with standard care (physiotherapy) in patients with chronic lower back pain (CLBP). DESIGN: Cost-utility and cost-effectiveness analyses alongside a multicentre controlled trial from a healthcare perspective with a 1-year time horizon. SETTING: The trial was conducted in eight centres within the Sharon district in Israel...
April 10, 2018: BMJ Open
https://www.readbyqxmd.com/read/29628802/relationship-between-radiographic-lumbosacral-spine-mensuration-and-chronic-low-back-pain-intensity-a-cross-sectional-study
#15
Savannah K Shortz, Mitchell Haas
Objective: The purpose of this study was to investigate correlative factors affecting chronic low back pain (CLBP), with special emphasis on the radiographic postural findings in the sagittal lumbosacral spine. Methods: A cross-sectional study alongside a randomized trial was conducted. Standing lateral lumbar spine radiographs from 352 patients with CLBP enrolled in a randomized trial were analyzed and radiographic mensuration of lumbar lordosis, lumbosacral disc angle, and sacral inclination performed...
March 2018: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/29620591/a-new-comorbidity-in-female-patients-with-ankylosing-spondylitis-pelvic-organ-prolapse
#16
Mehmet Çağlayan, Pelin Oktayoğlu, Elif Ağaçayak, Abdullah Zübeyir Dagli, Mehmet Okçu, Kemal Nas
AIM: The aim of this study was to investigate whether increased intra-abdominal pressure caused by pelvic inflammation and frequent use of the Valsalva maneuver increases the incidence of pelvic organ prolapse (POP) among female patients with ankylosing spondylitis (AS). METHODS: Thirty-nine patients diagnosed as having AS through the use of the modified New York criteria, 47 patients with chronic low-back pain (CLBP), and 38 healthy controls (HCs) were included in this study...
March 19, 2018: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
https://www.readbyqxmd.com/read/29616222/does-a-better-perfusion-of-deconditioned-muscle-tissue-release-chronic-low-back-pain
#17
Paola Valdivieso, Martino V Franchi, Christian Gerber, Martin Flück
Non-specific chronic low back pain (nsCLBP) is a multifactorial condition of unknown etiology and pathogenesis. Physical and genetic factors may influence the predisposition of individuals to CLBP, which in many instances share a musculoskeletal origin. A reduced pain level in low back pain patients that participate in exercise therapy highlights that disuse-related muscle deconditioning may predispose individuals to nsCLBP. In this context, musculoskeletal pain may be the consequence of capillary rarefaction in inactive muscle as this would lower local tissue drainage and washing out of toxic waste...
2018: Frontiers in Medicine
https://www.readbyqxmd.com/read/29609566/pulsatile-dry-cupping-in-chronic-low-back-pain-a-randomized-three-armed-controlled-clinical-trial
#18
M Teut, A Ullmann, M Ortiz, G Rotter, S Binting, M Cree, F Lotz, S Roll, B Brinkhaus
BACKGROUND: We aimed to investigate the effectiveness of two different forms of dry pulsatile cupping in patients with chronic low back pain (cLBP) compared to medication on demand only in a three-armed randomized trial. METHODS: 110 cLBP patients were randomized to regular pulsatile cupping with 8 treatments plus paracetamol on demand (n = 37), minimal cupping with 8 treatments plus paracetamol on demand (n = 36) or the control group with paracetamol on demand only (n = 37)...
April 2, 2018: BMC Complementary and Alternative Medicine
https://www.readbyqxmd.com/read/29598770/living-a-life-full-of-pain-older-pain-clinic-patients-experience-of-living-with-chronic-low-back-pain
#19
Meredith Stensland, Sara Sanders
Chronic low back pain (CLBP) is older adults' most common pain complaint and is associated with many physical and psychosocial consequences, which have been quantitatively examined. However, little research has qualitatively examined the experience itself of CLBP in later life. Study objective was to understand older adults' lived CLBP experience. Guided by van Manen's phenomenological method, 21 pain clinic patients aged 66 to 83 completed semistructured interviews. Under the main theme "living a life full of pain," results are reflected in four existential subthemes: (a) Corporeality: The pain is relentless and constantly monitored, (b) Temporality: To live with pain is to live by pacing day and night, (c) Relationality: Pain creates limits that can be tested or obeyed, and (d) Spatiality: Manipulating the space around me to accommodate the pain...
March 1, 2018: Qualitative Health Research
https://www.readbyqxmd.com/read/29581659/effects-of-stabilization-exercise-using-flexi-bar-on-functional-disability-and-transverse-abdominis-thickness-in-patients-with-chronic-low-back-pain
#20
Sin Ho Chung, Young Youl You, Hyung Jin Lee, Sang Hyo Sim
[Purpose] The purpose of this study is to examine the effects of lumbar stabilization exercises using flexi-bar (FB) on pain, functional disability, transverse abdominis muscle (TrA) activation capacity and thickness in patients with chronic low back pain (CLBP). [Subjects and Methods] Twenty-seven patients were randomly assigned to an experimental (14 patients performing stabilization exercises with flexi-bar (FB)) or control (13 patients performing stabilization exercises) group. The patients in both groups then underwent stabilization exercises with or without FB 30 min/day, 3 times a week, for 6 weeks...
March 2018: Journal of Physical Therapy Science
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