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…

Therapeutic endoscopic division of epidural adhesions

Therapeutic endoscopic division of epidural adhesions
Aims: Endoscopic epidural procedures are used to treat lower back pain, particularly when radiculopathy is present. The epidural space is examined with an endoscope and further interventions may then be performed, such as mobilising spinal adhesions or administering drugs to inflamed tissue. (Source: Neurological Conditions Specialist Library)

Study protocol of effectiveness of a biopsychosocial multidisciplinary intervention in the evolution of non-speficic sub-acute low back pain in the working population: cluster randomised trial

Study protocol of effectiveness of a biopsychosocial multidisciplinary intervention in the evolution of non-speficic sub-acute low back pain in the working population: cluster randomised trial
This study will undertake an analysis of the effectiveness of a multidisciplinary intervention compared to usual clinical care to reduce disability, severity of pain, anxiety and depression, and to improve quality of life, reducing incidence of chronic low back pain in the working population with non-specific low back pain. Methods: A Cluster randomised clinical trial will be conducted in 38 Primary Health Care Centres located in Barcelona, Spain and surrounding area. They are randomly allocated to a multidisciplinary intervention or usual clinical care. Patients between 18 and 65 years old (n=932; 466 per arm) and with a diagnostic of a non-specific sub-acute low back pain are included. Patients in the intervention group are receiving the recommendations of clinical practice guidelines, i…

Cost effectiveness of two rehabilitation programmes for neck and back pain patients: A seven year follow-up. Jensen IB, Busch H, Bodin L, Hagberg J, Nygren A, Bergström G. Pain 2009;142(3): 202–8

Cost effectiveness of two rehabilitation programmes for neck and back pain patients: A seven year follow-up. Jensen IB, Busch H, Bodin L, Hagberg J, Nygren A, Bergström G. Pain 2009;142(3): 202–8
The cost effectiveness of work-oriented rehabilitation for persons on long-term sick leave needs to be assessed. This prospective observational study presents a follow-up seven years after rehabilitation using two different evidence-based work-oriented regimens. Individuals on sick leave for neck and back pain were referred to two rehabilitation programmes in Sweden. The first programme was a relatively low-intensity programme based on orthopaedic manual therapy and exercise programme (OMTP). The second programme was a full-time multidisciplinary programme (MDP). The primary outcome was sickness absence seven years after intervention. Cost effectiveness was calculated on the basis of loss of production due to sickness absence. The results show that participants referred to MDP and with les…

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)

Expectations, Perceptions, and Physiotherapy Predict Prolonged Sick Leave in Subacute Low Back Pain

Expectations, Perceptions, and Physiotherapy Predict Prolonged Sick Leave in Subacute Low Back Pain
Patients who receive brief intervention for back pain get better, but do they return to work faster? BMC Musculoskeletal Disorders (Source: Medscape Today Headlines)

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Yoga for chronic low back pain in a predominantly minority population: a pilot randomized controlled trial.

Yoga for chronic low back pain in a predominantly minority population: a pilot randomized controlled trial.
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Image-guided spine intervention yields long-term back pain relief

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Interpretive Bias in Acupuncture Research?: A Case Study

Interpretive Bias in Acupuncture Research?: A Case Study
Acupuncture is one of the most widely used and broadly researched of the complementary and alternative therapies, but high-quality trials generally show no benefit over sham acupuncture. Many would view this result as evidence of ineffectiveness for this intervention. This discussion article focuses on the report of a large multicenter randomized controlled trial of acupuncture for chronic low-back pain (CLBP) in the lay and academic press, the ensuing discussion, and its impact on both clinical practice and service provision. The authors suggest that interpretive bias has affected reporting, leading to questionable conclusions and advocacy in favor of this form of care that may exceed the evidence. They also suggest that a lack of understanding of research into the placebo effect may have…

People with low back pain who have externalised beliefs need to see greater improvements in symptoms to consider exercises worthwhile: an observational study.

People with low back pain who have externalised beliefs need to see greater improvements in symptoms to consider exercises worthwhile: an observational study.
Conclusion: Patients with low back pain who have externalised beliefs and agree more strongly with the notion that others are responsible for their condition report higher estimates of smallest worthwhile effect of an active intervention such as motor control exercise than patients who do not have externalised beliefs. PMID: 19929770 [PubMed - in process] (Source: The Australian Journal of Physiotherapy)

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