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Non-specific Low Back Pain

Päivi Kolu, Kari Tokola, Markku Kankaanpää, Jaana Suni
STUDY DESIGN: A cross-sectional study, part of a randomized controlled trial. OBJECTIVE: To evaluate the association of physical activity, cardiorespiratory fitness, and neuromuscular fitness with direct health-care costs and sickness-related absence among nursing personnel with nonspecific low back pain. SUMMARY OF BACKGROUND DATA: Low back pain creates a huge economic burden due to increased sick leave and use of health-care services. METHODS: Female nursing personnel with nonspecific low back pain were included (n = 219)...
October 6, 2016: Spine
Chris Maher, Martin Underwood, Rachelle Buchbinder
Non-specific low back pain affects people of all ages and is a leading contributor to disease burden worldwide. Management guidelines endorse triage to identify the rare cases of low back pain that are caused by medically serious pathology, and so require diagnostic work-up or specialist referral, or both. Because non-specific low back pain does not have a known pathoanatomical cause, treatment focuses on reducing pain and its consequences. Management consists of education and reassurance, analgesic medicines, non-pharmacological therapies, and timely review...
October 10, 2016: Lancet
J C Hill, E K Afolabi, M Lewis, K M Dunn, E Roddy, D A van der Windt, N E Foster
OBJECTIVES: The STarT Back Tool has good predictive performance for non-specific low back pain in primary care. We therefore aimed to investigate whether a modified STarT Back Tool predicted outcome with a broader group of musculoskeletal patients, and assessed the consequences of using existing risk-group cut-points across different pain regions. SETTING: Secondary analysis of prospective data from 2 cohorts: (1) outpatient musculoskeletal physiotherapy services (PhysioDirect trial n=1887) and (2) musculoskeletal primary-secondary care interface services (SAMBA study n=1082)...
October 14, 2016: BMJ Open
R Whittle, G Mansell, P Jellema, D van der Windt
BACKGROUND: Many randomized controlled trials (RCTs) of psychosocial interventions for low back pain (LBP) have been found to have only small effects on disability outcomes. Investigations of the specific mechanisms that may lead to an improvement in outcome have therefore been called for. METHODS: We present an application of the causal inference approach to mediation analysis using the example of a cluster RCT in a primary care population with (sub)acute LBP randomized to either usual GP care (n = 171) or a minimal psychosocial intervention (n = 143)...
October 14, 2016: European Journal of Pain: EJP
Flávia A Carvalho, Chris G Maher, Marcia R Franco, Priscila K Morelhão, Crystian B Oliveira, Fernanda G Silva, Rafael Z Pinto
OBJECTIVE: To assess the association of physical activity measures, derived from accelerometer and a self-reported questionnaire, with fear of movement in patients with chronic non-specific low back pain (LBP), and to investigate the association between disability and fear of movement in this population. DESIGN: Cross-sectional study. SETTING: Outpatient physical therapy university clinics. PARTICIPANTS: Patients presenting with non-specific LBP of greater than 3 months duration...
October 3, 2016: Archives of Physical Medicine and Rehabilitation
Naiane Teixeira Bastos de Oliveira, Sandra Maria Sbeghen Ferreira Freitas, Fernanda Ferreira Fuhro, Maurício Antônio da Luz Júnior, Cesar Ferreira Amorim, Cristina Maria Nunes Cabral
OBJECTIVE: To determine the amplitude of the electromyographic activity of trunk muscles during Pilates exercises in women with and without chronic low back pain (LBP). DESIGN: Case control study. SETTING: Clinic of a school. PARTICIPANTS: Sixty women divided into LBP Group (LBPG) and Control Group (CG). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Amplitude of the electromyographic activity (root mean square values) of the gluteus maximus and external oblique muscles collected during three Pilates exercises: Shoulder bridge performed in the mat, and Hip roll and Breathing performed in equipment...
September 29, 2016: Archives of Physical Medicine and Rehabilitation
E Billis, C Koutsojannis, C Matzaroglou, J Gliatis, K Fousekis, G Gioftsos, M Papandreou, C McCarthy, J A Oldham, E Tsepis
BACKGROUND: Although low back pain (LBP) is a debilitating problem internationally, there is not a lot of research on its impact on physical, psychosocial and lifestyle factors. Especially in Mediterranean countries, such as Greece, it is not sufficiently explored whether physical (pain location, activity limitation etc.), sociodemographic (education, smoking etc.) or lifestyle factors (i.e. quality of life or anxiety) are influenced by LBP. OBJECTIVE: To estimate LBP prevalence in the Greek general population and explore its association with particular sociodemographic, physical and lifestyle factors...
September 23, 2016: Journal of Back and Musculoskeletal Rehabilitation
Rihab Moncer, Sonia Jemni, Samia Frioui, Emna Toulgui, Iheb BelHadjYoussef, Fayçal Khachnaoui
OBJECTIVE: Determine the prevalence of non specific LBP in children and adolescents and identify factors directly associated with LBP, which will allow us to establish a program to prevent non specific LBP in childhood. MATERIAL/PATIENTS AND METHODS: We conducted an analytical cross-sectional study about 444 students, 201 boys and 243 girls, with average age of 14.95 years. Evaluation includes anthropometric assessment, extensibility of sub pelvic muscles and the endurance of back muscles and quadriceps with spine examination...
September 2016: Annals of Physical and Rehabilitation Medicine
Arnaud Dupeyron, Matthias Toulotte, Sophie Bastide, Sandrine Alonso, Emmanuel Coudeyre
OBJECTIVE: Fears and beliefs play a key role in the development of low back pain according to the biopsychosocial model without specific tool in French. The Back and Beliefs Questionnaire (BBQ) is a validated self-administered questionnaire, allowing to detect the presence of false beliefs related to lumbar disease and that can guide therapeutic management. The objectives of this study were to (i) translate, (ii) validate the BBQ in French, (iii) and compare results with published validations...
September 2016: Annals of Physical and Rehabilitation Medicine
Dorien Goubert, Jessica Van Oosterwijck, Mira Meeus, Lieven Danneels
BACKGROUND: Lumbar muscle dysfunction due to pain might be related to altered lumbar muscle structure. Macroscopically, muscle degeneration in low back pain (LBP) is characterized by a decrease in cross-sectional area and an increase in fat infiltration in the lumbar paraspinal muscles. In addition microscopic changes, such as changes in fiber distribution, might occur. Inconsistencies in results from different studies make it difficult to draw firm conclusions on which structural changes are present in the different types of non-specific LBP...
September 2016: Pain Physician
Chidozie Emmanuel Mbada, Opeyemi Ayodiipo Idowu, Olawale Richard Ogunjimi, Olusola Ayanniyi, Elkanah Ayodele Orimolade, Ajibola Babatunde Oladiran, Olubusola Esther Johnson, Adesanmi Akinsulore, Temitope Olawale Oni
STUDY DESIGN: Translation, cross-cultural adaptation, and psychometric analysis. OBJECTIVE: To translate, cross-culturally adapt and validate the Yoruba version of the RMDQ. SUMMARY OF BACKGROUND DATA: The Roland-Morris Disability Questionnaire (RMDQ) is a valid outcome tool for Low-Back Pain (LBP) in clinical and research settings. There seems to be no valid and reliable version of the RMDQ in the Nigerian languages. METHODS: Following the Guillemin criteria, the English version of the RMDQ was forward and back translated...
September 23, 2016: Spine
David W Polly, John Swofford, Peter G Whang, Clay J Frank, John A Glaser, Robert P Limoni, Daniel J Cher, Kathryn D Wine, Jonathan N Sembrano
BACKGROUND: Sacroiliac joint (SIJ) dysfunction is an important and underappreciated cause of chronic low back pain. OBJECTIVE: To prospectively and concurrently compare outcomes after surgical and non-surgical treatment for chronic SIJ dysfunction. METHODS: One hundred and forty-eight subjects with SIJ dysfunction were randomly assigned to minimally invasive SIJ fusion with triangular titanium implants (SIJF, n = 102) or non-surgical management (NSM, n = 46)...
2016: International Journal of Spine Surgery
Arnela Suman, Marije F Dikkers, Frederieke G Schaafsma, Maurits W van Tulder, Johannes R Anema
BACKGROUND: For the optimal use of clinical guidelines in daily practice, mere distribution of guidelines and materials is not enough, and active implementation is needed. This review investigated the effectiveness of multifaceted implementation strategies compared to minimal, single, or no implementation strategy for the implementation of non-specific low back and/or neck pain guidelines in health care. METHODS: The following electronic databases were searched from inception to June 1, 2015: MEDLINE, Embase, PsycInfo, the Cochrane Library, and CINAHL...
2016: Implementation Science: IS
F J Jassi, T Del Antônio, R Moraes, S Z George, T C Chaves
OBJECTIVES: To investigate the immediate and 1-month effects of functional taping to lumbar spine for pain intensity and postural control in patients with chronic non-specific low back pain. DESIGN: Randomised clinical trial. PARTICIPANTS: One hundred and twenty participants aged 18 to 50 years. INTERVENTIONS: Participants will be allocated at random to receive one of three interventions: functional star-shape taping for 7 days, sham functional taping for 7 days or minimal intervention, one session...
June 14, 2016: Physiotherapy
Siegfried Mense, Ulrich Hoheisel
Recently, the existence of nociceptive fibers in fascia tissue has attracted much interest. Fascia can be a source of pain in several disorders such as fasciitis and non-specific low back pain. However, little is known about the properties of fascia nociceptors and possible changes of the fascia innervation by nociceptors under pathological circumstances. In this histologic study, the density of presumably nociceptive fibers and free nerve endings was determined in the three layers of the rat TLF: inner layer (IL, covering the multifidus muscle), middle layer (ML) and outer layer (OL)...
July 2016: Journal of Bodywork and Movement Therapies
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
Marina Ciccarelli, Kerri Fraser, Sharmila Vaz
BACKGROUND/AIM: Children and adolescents are prolific users of information and communication technologies (ICT) in learning, leisure, and social communication activities. High exposure to ICT is associated with musculoskeletal injuries in adults; however, the management of ICT physical complaints in children is not well-understood. METHODS: An online survey of allied health professionals (occupational therapists, physiotherapists, and chiropractors) was undertaken to determine (i) the number of children and adolescents in Perth, Western Australia who accessed treatment for musculoskeletal complaints related to use of technology; (ii) the typical frequency and duration of service provision; and (iii) the nature of treatment provided...
September 16, 2016: Australian Occupational Therapy Journal
Barton E Anderson, Kellie C Huxel Bliven
No abstract text is available yet for this article.
August 24, 2016: Journal of Sport Rehabilitation
Yong-Jun Ahn, Joon-Shik Shin, Jinho Lee, Yoon Jae Lee, Me-Riong Kim, Ki Byung Park, Jun-Hwan Lee, Kyung-Min Shin, In-Hyuk Ha
OBJECTIVES: To assess medical care and costs of the 3 highest prevalence lumbar disorders-non-specific low back pain (nLBP), intervertebral disc disorder (IDD) and spinal stenosis (SS)-from national billing data to provide basic information for standards of appropriate management. DESIGN: Retrospective analysis of National Health Insurance National Patient Sample data provided by the Korean Health Insurance Review and Assessment Service (HIRA). SETTING: 2011 claims data from all medical institutions which filed billing statements to HIRA...
September 12, 2016: BMJ Open
Maria Dolores Arguisuelas, Juan Francisco Lisón, Daniel Sánchez-Zuriaga, Isabel Martínez-Hurtado, Julio Doménech-Fernández
STUDY DESIGN: Double-blind, randomized parallel sham-controlled trial with concealed allocation and intention-to treat analysis. OBJECTIVE: To investigate the effects of an isolate Myofascial Release protocol (MFR) on pain, disability and fear- avoidance beliefs in patients with chronic low back pain (CLBP). SUMMARY OF BACKGROUND DATA: MFR is a form of manual medicine widely used by physiotherapists in the management of different musculoskeletal pathologies...
September 9, 2016: Spine
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