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1.
Background
Brief intervention programs for subacute low back pain (LBP) result in significant reduction of sick leave compared to treatment as usual. Although effective, a substantial proportion of the patients do not return to work. This study investigates predictors of return to work in LBP patients participating in a randomized controlled trial comparing a brief intervention program (BI) with BI and physical exercise. 相似文献2.
Zoe A. Michaleff Steven J. Kamper Christopher G. Maher Roni Evans Carolyn Broderick Nicholas Henschke 《European spine journal》2014,23(10):2046-2058
Purpose
To identify and evaluate the effectiveness of conservative treatment approaches used in children and adolescents to manage and prevent low back pain (LBP).Methods
Five electronic databases and the reference lists of systematic reviews were searched for relevant studies. Randomised controlled trials (RCTs) were considered eligible for inclusion if they enrolled a sample of children or adolescents (<18 years old) and evaluated the effectiveness of any conservative intervention to treat or prevent LBP. Two authors independently screened search results, extracted data, assessed risk of bias using the PEDro scale, and rated the quality of evidence using the GRADE criteria.Results
Four RCTs on intervention and eleven RCTs on prevention of LBP were included. All included studies had a high risk of bias scoring ≤7 on the PEDro scale. For the treatment of LBP, a supervised exercise program compared to no treatment improved the average pain intensity over the past month by 2.9 points (95 % CI 1.6–4.1) measured by a 0–10 scale (2 studies; n = 125). For the prevention of LBP, there was moderate quality evidence to suggest back education and promotion programs are not effective in reducing LBP prevalence in children and adolescents.Conclusions
While exercise interventions appear to be promising to treat LBP in children and adolescents, there is a dearth of research data relevant to paediatric populations. Future studies conducted in children and adolescents with LBP should incorporate what has been learnt from adult LBP research and be of rigorous methodological quality. 相似文献3.
Erik L Werner Kjersti Storheim Ida Løchting Margreth Grotle 《BMC musculoskeletal disorders》2010,11(1):33
Background
Non-specific low back pain (LBP) is usually self-limiting within 4-6 weeks. Longstanding pain and disability are not predictable from clinical signs or pathoanatomical findings. Pain cognition and physical performance have been shown to improve patients with chronic LBP following neurophysiological education. The primary aim of this study is to evaluate whether a specific cognitive based education programme for patients with LBP in primary care is more effective than normal care in terms of increased function. The secondary aims of the study are to evaluate whether this intervention also results in earlier return to work, decreased pain, increased patient satisfaction, increased quality-of-life, and cost utility. 相似文献4.
We reviewed the literature to clarify the effects of exercise in preventing and treating nonspecific low back pain. We evaluated several characteristics of exercise programs including specificity, individual tailoring, supervision, motivation enhancement, volume, and intensity. The results show that exercise is effective in the primary and secondary prevention of low back pain. When used for curative treatment, exercise diminishes disability and pain severity while improving fitness and occupational status in patients who have subacute, recurrent, or chronic low back pain. Patients with acute low back pain are usually advised to continue their everyday activities to the greatest extent possible rather than to start an exercise program. Supervision is crucial to the efficacy of exercise programs. Whether general or specific exercises are preferable is unclear, and neither is there clear evidence that one-on-one sessions are superior to group sessions. Further studies are needed to determine which patient subsets respond to specific characteristics of exercise programs and which exercise volumes and intensities are optimal. 相似文献
5.
Christopher M Williams Jane Latimer Christopher G Maher Andrew J McLachlan Chris W Cooper Mark J Hancock Richard O Day James H McAuley Chung-Wei Christine Lin 《BMC musculoskeletal disorders》2010,11(1):169
Background
Clinical practice guidelines recommend that the initial treatment of acute low back pain (LBP) should consist of advice to stay active and regular simple analgesics such as paracetamol 4 g daily. Despite this recommendation in all international LBP guidelines there are no placebo controlled trials assessing the efficacy of paracetamol for LBP at any dose or dose regimen. This study aims to determine whether 4 g of paracetamol daily (in divided doses) results in a more rapid recovery from acute LBP than placebo. A secondary aim is to determine if ingesting paracetamol in a time-contingent manner is more effective than paracetamol taken when required (PRN) for recovery from acute LBP. 相似文献6.
Background
Although low back pain (LBP) among nursing staff, especially in nursing aides (NAs), has been a major health problem around the world, there is limited information on its prevalence in Taiwan. In addition, various measurements have been used to determine LBP; understanding the risk factors for each measurement of LBP is essential for prevention. This study aimed to assess the prevalence of and risk factors for different measures of LBP among NAs in Taiwan. 相似文献7.
Maurice T Driessen Johannes R Anema Karin I Proper Paulien M Bongers Allard J van der Beek 《BMC musculoskeletal disorders》2008,9(1):145
Background
Low back pain (LBP) and neck pain (NP) are a major public health problem with considerable costs for individuals, companies and society. Therefore, prevention is imperative. The Stay@Work study investigates the (cost-)effectiveness of Participatory Ergonomics (PE) to prevent LBP and NP among workers. 相似文献8.
Christian C Apfel Ozlem S Cakmakkaya William Martin Charlotte Richmond Alex Macario Elizabeth George Maximilian Schaefer Joseph V Pergolizzi 《BMC musculoskeletal disorders》2010,11(1):155
Background
Because previous studies have suggested that motorized non-surgical spinal decompression can reduce chronic low back pain (LBP) due to disc degeneration (discogenic low back pain) and disc herniation, it has accordingly been hypothesized that the reduction of pressure on affected discs will facilitate their regeneration. The goal of this study was to determine if changes in LBP, as measured on a verbal rating scale, before and after a 6-week treatment period with non-surgical spinal decompression, correlate with changes in lumbar disc height, as measured on computed tomography (CT) scans. 相似文献9.
Carlo Ammendolia David Cassidy Ivan Steenstra Sophie Soklaridis Eleanor Boyle Stephanie Eng Hamer Howard Bains Bhupinder Pierre C?té 《BMC musculoskeletal disorders》2009,10(1):65
Background
Despite over 2 decades of research, the ability to prevent work-related low back pain (LBP) and disability remains elusive. Recent research suggests that interventions that are focused at the workplace and incorporate the principals of participatory ergonomics and return-to-work (RTW) coordination can improve RTW and reduce disability following a work-related back injury. Workplace interventions or programs to improve RTW are difficult to design and implement given the various individuals and environments involved, each with their own unique circumstances. Intervention mapping provides a framework for designing and implementing complex interventions or programs. The objective of this study is to design a best evidence RTW program for occupational LBP tailored to the Ontario setting using an intervention mapping approach. 相似文献10.
Thomas Maribo Berit Schiøttz-Christensen Lone Donbæk Jensen Niels Trolle Andersen Kristian Stengaard-Pedersen 《European spine journal》2012,21(3):425-431
Introduction
Altered postural control has been observed in low back pain (LBP) patients. They seem to be more dependent on vision when standing. The objective of the study was to determine concurrent and predictive validity of measures of postural stability in LBP patients. 相似文献11.
Carsten Oliver Schmidt Jean-François Chenot Michael Pfingsten Ruth Anja Fahland Gabriele Lindena Ulf Marnitz Klaus Pfeifer Thomas Kohlmann 《BMC musculoskeletal disorders》2010,11(1):5
Background
Although most patients with low back pain (LBP) recover within a few weeks a significant proportion has recurrent episodes or will develop chronic low back pain. Several mainly psychosocial risk factors for developing chronic LBP have been identified. However, effects of preventive interventions aiming at behavioural risk factors and unfavourable cognitions have yielded inconsistent results. Risk tailored interventions may provide a cost efficient and effective means to take systematic account of the individual risk factors but evidence is lacking. 相似文献12.
Introduction
With more than half of the population experiencing low back pain (LBP) before the age of 20, research must focus on young populations. Lifestyle-factors might be important elements of prevention, since they are modifiable in nature. Therefore, the objective of the present study is to investigate the association between smoking, alcohol consumption and overweight in adolescence and 1) present LBP (cross-sectionally) and 2) the risk of future LBP (longitudinally). 相似文献13.
Sarah L Krein Tabitha Metreger Reema Kadri Maria Hughes Eve A Kerr John D Piette Hyungjin Myra Kim Caroline R Richardson 《BMC musculoskeletal disorders》2010,11(1):205
Background
Chronic back pain is a significant problem worldwide and may be especially prevalent among patients receiving care in the U.S. Department of Veterans Affairs healthcare system. Back pain affects adults at all ages and is associated with disability, lost workplace productivity, functional limitations and social isolation. Exercise is one of the most effective strategies for managing chronic back pain. Yet, there are few clinical programs that use low cost approaches to help patients with chronic back pain initiate and maintain an exercise program. 相似文献14.
Francesca Bonetti Stefania Curti Stefano Mattioli Raffaele Mugnai Carla Vanti Francesco S Violante Paolo Pillastrini 《BMC musculoskeletal disorders》2010,11(1):285
Background
The aim of this non-randomized controlled trial was to evaluate the effectiveness of a Global Postural Reeducation (GPR) program as compared to a Stabilization Exercise (SE) program in subjects with persistent low back pain (LBP) at short- and mid-term follow-up (ie. 3 and 6 months). 相似文献15.
Steven Z. George Deydre S. Teyhen Samuel S. Wu Alison C. Wright Jessica L. Dugan Guijun Yang Michael E. Robinson John D. Childs 《European spine journal》2009,18(7):1050-1058
The general population has a pessimistic view of low back pain (LBP), and evidence-based information has been used to positively
influence LBP beliefs in previously reported mass media studies. However, there is a lack of randomized trials investigating
whether LBP beliefs can be modified in primary prevention settings. This cluster randomized clinical trial investigated the
effect of an evidence-based psychosocial educational program (PSEP) on LBP beliefs for soldiers completing military training.
A military setting was selected for this clinical trial, because LBP is a common cause of soldier disability. Companies of
soldiers (n = 3,792) were recruited, and cluster randomized to receive a PSEP or no education (control group, CG). The PSEP consisted
of an interactive seminar, and soldiers were issued the Back Book for reference material. The primary outcome measure was the back beliefs questionnaire (BBQ), which assesses inevitable consequences
of and ability to cope with LBP. The BBQ was administered before randomization and 12 weeks later. A linear mixed model was
fitted for the BBQ at the 12-week follow-up, and a generalized linear mixed model was fitted for the dichotomous outcomes
on BBQ change of greater than two points. Sensitivity analyses were performed to account for drop out. BBQ scores (potential
range: 9–45) improved significantly from baseline of 25.6 ± 5.7 (mean ± SD) to 26.9 ± 6.2 for those receiving the PSEP, while
there was a significant decline from 26.1 ± 5.7 to 25.6 ± 6.0 for those in the CG. The adjusted mean BBQ score at follow-up
for those receiving the PSEP was 1.49 points higher than those in the CG (P < 0.0001). The adjusted odds ratio of BBQ improvement of greater than two points for those receiving the PSEP was 1.51 (95%
CI = 1.22–1.86) times that of those in the CG. BBQ improvement was also mildly associated with race and college education.
Sensitivity analyses suggested minimal influence of drop out. In conclusion, soldiers that received the PSEP had an improvement
in their beliefs related to the inevitable consequences of and ability to cope with LBP. This is the first randomized trial
to show positive influence on LBP beliefs in a primary prevention setting, and these findings have potentially important public
health implications for prevention of LBP. 相似文献
16.
Background
Non-specific chronic low back pain (NSCLBP) has become a significant problem due to high healthcare utilization, rising costs of care and perceived limitations of effectiveness of many current treatments. Systematic reviews have repeatedly concluded that, on average across participants, exercise for NSCLBP appears effective in decreasing pain and improving function. Not all people with NSCLBP benefit from exercise programs and it would assist care-providers and care-seekers if factors that impact on program effectiveness and success were identified. 相似文献17.
Wayne Hoskins Henry Pollard Chris Daff Andrew Odell Peter Garbutt Andrew McHardy Kate Hardy George Dragasevic 《BMC musculoskeletal disorders》2009,10(1):38
Background
Our understanding of the effects of football code participation on low back pain (LBP) is limited. It is unclear whether LBP is more prevalent in athletic populations or differs between levels of competition. Thus it was the aim of this study to document and compare the prevalence, intensity, quality and frequency of LBP between elite and semi-elite male Australian football code participants and a non-athletic group. 相似文献18.
Pia H Sorensen Tom Bendix Claus Manniche Lars Korsholm Dorte Lemvigh Aage Indahl 《BMC musculoskeletal disorders》2010,11(1):212
Background
In the treatment of chronic back pain, cognitive methods are attracting increased attention due to evidence of effectiveness similar to that of traditional therapies. The purpose of this study was to compare the effectiveness of performing a cognitive intervention based on a non-injury model with that of a symptom-based physical training method on the outcomes of low back pain (LBP), activity limitation, LBP attitudes (fear-avoidance beliefs and back beliefs), physical activity levels, sick leave, and quality of life, in chronic LBP patients. 相似文献19.
Michele J Maiers Jan Hartvigsen Craig Schulz Karen Schulz Roni L Evans Gert Bronfort 《BMC musculoskeletal disorders》2007,8(1):94
Background
Low back pain (LBP) and neck pain (NP) are common conditions in old age, leading to impaired functional ability and decreased independence. Manual and exercise therapies are common and effective therapies for the general LBP and NP populations. However, these treatments have not been adequately researched in older LBP and NP sufferers. 相似文献20.