CBT sessions ‘help’ back pain

CBT sessions ‘help’ back pain
Conclusion This well conducted randomised controlled trial found that group CBT was of benefit to people with chronic lower back pain compared with individuals who received one-off advice on how to manage their condition through activity modifications and symptom control. Although the therapy was effective, the researchers noted that 63% of people attended ‘sufficient’ CBT sessions to potentially benefit and 11% did not attend any of the sessions. Further research would be required to find out how to increase the numbers who attended the sessions. People who received CBT were also unlikely to have been using this intervention in isolation to manage their back pain, as advice was given to them about modifying their activities and pain medications. It should also be noted that this manag…

Effectiveness of manual therapies: the UK evidence report

Effectiveness of manual therapies: the UK evidence report
Conclusions: Spinal manipulation/mobilization is effective in adults for: acute, subacute, and chronic low back pain; migraine and cervicogenic headache; cervicogenic dizziness; manipulation/mobilization is effective for several extremity joint conditions; and thoracic manipulation/mobilization is effective for acute/subacute neck pain. The evidence is inconclusive for cervical manipulation/mobilization alone for neck pain of any duration, and for manipulation/mobilization for mid back pain, sciatica, tension-type headache, coccydynia, temporomandibular joint disorders, fibromyalgia, premenstrual syndrome, and pneumonia in older adults. Spinal manipulation is not effective for asthma and dysmenorrhea when compared to sham manipulation, or for Stage 1 hypertension when added to an antihyper…

Topical NSAID Therapy for Musculoskeletal Pain

Topical NSAID Therapy for Musculoskeletal Pain
Conclusions. Topical NSAIDs may vary significantly in their absorption kinetics and pharmacodynamic effects, based on NSAID molecule and the formulation chosen. Some topical NSAID formulations have been shown to be more effective than placebo in multiple studies, or to have comparable efficacy and a better safety profile than oral NSAIDs for single joint osteoarthritis and acute muscle injuries. In acute and chronic low back pain, widespread musculoskeletal pain, and in peripheral neuropathic pain syndromes, the current evidence does not support the use of topical NSAIDs. (Source: Pain Medicine)

Evaluation of the effectiveness of workplace exercise in controlling neck, shoulder and low back pain: a systematic review

bra target=_blank rel=nofollow href=http://www.medworm.com/index.php?rid=3222753cid=c_1_66_ffid=37447url=http://www.scielo.br/scielo.php?script=sci_arttextpid=S1413-35552009000600002lng=ennrm=isotlng=en Evaluation of the effectiveness of workplace exercise in controlling neck, shoulder and low back pain: a systematic review /abrCONCLUSIONS: The electronic search yielded a total of 8680 references published in English. At the end of the selection process, 18 studies were included. Strong evidence was found to support the effectiveness of physical exercise in controlling neck pain among workers who performed sedentary tasks in offices or administrative environments, while moderate evidence was found for low back pain relief among healthcare and industrial workers who performed heavy physical tasks. These positive results were reported when the training periods were longer than 10 weeks, the exercises were performed against some type of resistance and the sessions were supervised. None of the studies evaluating sedentary workers reported positive results for controlling musculoskeletal shoulder pain. Further randomi… br

Lateral back pain identifies prevalent vertebral fractures in post-menopausal women: cross-sectional analysis of a primary care-based cohort

Lateral back pain identifies prevalent vertebral fractures in post-menopausal women: cross-sectional analysis of a primary care-based cohort
Conclusions. In post-menopausal women with back pain, the presence of lateral waist pain, as shown on the Margolis pain diagram, may identify women at higher risk of prevalent VF. (Source: Rheumatology)

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The effectiveness of the McKenzie method in addition to first-line care for acute low back pain: a randomized controlled trial

The effectiveness of the McKenzie method in addition to first-line care for acute low back pain: a randomized controlled trial
Conclusions: When added to the currently recommended first-line care of acute low back pain, a treatment programme based on the McKenzie method does not produce appreciable additional short-term improvements in pain, disability, function or global perceived effect. However, the McKenzie method seems to reduce health utilization although it does not reduce patient’s risk of developing persistent symptoms.Trial Registration: Australian New Zealand Clinical Trials Registry: ACTRN12605000032651 (Source: BMC Medicine)

Which are the most important discriminatory items for subclassifying non-specific low back pain? A Delphi study among Greek health professionals

Which are the most important discriminatory items for subclassifying non-specific low back pain? A Delphi study among Greek health professionals
Conclusions This is the first study identifying important clinical items for LBP patients in Greece. It may be that these features are ‘discriminatory’ for different LBP subsets; however, further research is needed. (Source: Journal of Evaluation in Clinical Practice)

Lumbar Spine and Pelvic Posture Between Standing and Sitting: A Radiologic Investigation Including Reliability and Repeatability of the Lumbar Lordosis Measure

Lumbar Spine and Pelvic Posture Between Standing and Sitting: A Radiologic Investigation Including Reliability and Repeatability of the Lumbar Lordosis Measure
Conclusion: The significant differences in lumbar and pelvic measures from standing to sitting further emphasize the range of motion experienced at vertebral levels in sitting. Based on the results of this study, interventions to return motion segments to a less flexed posture should be investigated because they may play a role in preventing injury and low back pain. (Source: Journal of Manipulative and Physiological Therapeutics)

Evidences of memory dysfunction and maladaptive coping in chronic low back pain and rheumatoid arthritis patients: challenges for rehabilitation.

Evidences of memory dysfunction and maladaptive coping in chronic low back pain and rheumatoid arthritis patients: challenges for rehabilitation.
CONCLUSIONS: Both groups of chronic pain patients are likely to have impaired memory. Maladaptive coping correlates to LBP, but not to RA. A further controlled protocol must include greater sample of patients. By analyzing memory deficits of chronic pain patients, clinicians could establish targeted rehabilitation programs and outcomes. Some techniques are discussed. PMID: 19935619 [PubMed - as supplied by publisher] (Source: European Journal of Physical and Rehabilitation Medicine)

The Nordic back pain subpopulation program: Course patterns established through weekly follow-ups in patients treated for low back pain

The Nordic back pain subpopulation program: Course patterns established through weekly follow-ups in patients treated for low back pain
Conclusions: We suggest that follow-ups in studies concerning primary sector LBP care are conducted in week seven after treatment was initiated and at some later point which cannot be established from this study. In clinical practice we recommend that patients’ LBP status is systematically followed for the first four weeks since lack of improvement during that period should cause watchfulness. (Source: Chiropractic & Osteopathy)

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