Improving the coordination of care for low back pain patients by creating better links between acute and community services.

Improving the coordination of care for low back pain patients by creating better links between acute and community services.
Authors: Staiger PK, Serlachius A, Macfarlane S, Anderson S, Chan T, Young G This paper reports on the development of a care-pathway to improve service linkages between the acute setting and community health services in the treatment of low back pain. The pathway was informed by two processes: (1) a literature review based on best-practice guidelines in the assessment, treatment and continuity of care for low back pain patients; and (2) consultation with staff and key stakeholders. Stakeholders from both the acute and community sectors comprised the Working Group, who identified central areas of concern to be addressed in the care-pathway, with the goal of preventing chronicity of low back pain and reducing emergency department presentations. The main outcomes achieved include: the dev…

Back Pain Problems - You Are Not Alone!

Back Pain Problems - You Are Not Alone!
If you suffer from any kind of back pain problems, then to quote Michael Jackson “You are not alone.” Knowledge is the key to dealing with the issue, and I hope to enlighten you with information to help cure your back pain problems.

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Overcoming Back Pain? Choose Your Attitude

Overcoming Back Pain? Choose Your Attitude
There is one key thing that I have found in overcoming back pain. It consistently separates patients who will improve their back health and reduce back pain over the long-term, from those who do not. And I can sum it up in three words.

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[A comparison of multimodal programmes of patient education in the rehabilitation of chronic low back pain]

[A comparison of multimodal programmes of patient education in the rehabilitation of chronic low back pain]
Authors: Morfeld M, Küch D, Greitemann B, Dibbelt S, Salewski C, Franke GH, Liebenau A There is growing evidence for the effectiveness of multimodal intervention concepts for chronic low back pain in the international literature, and accordingly several German rehabilitation programmes for the treatment of chronic low back pain patients have been developed. Focus of this paper is to describe and compare frequently used German multimodal intervention programmes for in- and outpatient rehabilitation of patients with chronic low back pain. Programmes were chosen by searching the most relevant online resources as well as the online pages of Deutsche Rentenversicherung and Zentrum Patientenschulung during September 2008. Keywords guiding the search were: Patientenschulung, Rückenschme…

Recent advances in the evaluation and management of nonspecific low back pain and related disorders

Recent advances in the evaluation and management of nonspecific low back pain and related disorders
This issue of the journal aims to bring the busy clinician up to date with recent developments in key aspects of evaluation and management of non-specific low back pain, and presents a synthesis of the latest research on an array of clinical topics. Individual articles address the prognosis of low back pain; opportunities and challenges in identification of subgroups of patients who may benefit most from a particular treatment; the role of exercise in treatment and prevention; the influence of beliefs and expectations on recovery and how these can be addressed in the consultation; and the importance of work-related outcomes and ways to improve them. We continue the theme of evidence-informed decision making by providing up-to-date summaries of management of the common entities of sciatica,…

Core Muscle Activation During Swiss Ball and Traditional Abdominal Exercises

Core Muscle Activation During Swiss Ball and Traditional Abdominal Exercises
CONCLUSIONS: The roll-out and pike were the most effective exercises in activating upper and lower rectus abdominis, external and internal obliques, and latissimus dorsi muscles, while minimizing lumbar paraspinals and rectus femoris activity. J Orthop Sports Phys Ther 2010;40(5):265-276, Epub 22 April 2010. doi:10.2519/jospt.2010.3073 KEY WORDS: crunch, EMG, low back pain, lumbar spine, rectus abdominis, sit-up (Source: The Journal of Orthopaedic and Sports Physical Therapy)

Low back pain during pregnancy in Iranian women: Prevalence and risk factors.

Low back pain during pregnancy in Iranian women: Prevalence and risk factors.
Authors: Ansari NN, Hasson S, Naghdi S, Keyhani S, Jalaie S Low back pain (LBP) is a common and often disabling condition that deserves attention. Although LBP during pregnancy is a common clinical problem, only one study was found documenting prevalence of LBP during pregnancy in Iran. No investigation evaluated the diagnostic value of possible risk factors. The aims of the present, cross-sectional study were 1) to ascertain the prevalence of LBP of Iranian women during pregnancy and compare to other ethnic/cultural groups and 2) identify risk factors associated with LBP during pregnancy in Iranian women. One hundred three women were interviewed in the obstetric ward of a university hospital within 48 hours after giving birth. Possible risk factor associations were studied by using no…

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Self-reported assessment of disability and performance-based assessment of disability are influenced by different patient characteristics in acute low back pain

Self-reported assessment of disability and performance-based assessment of disability are influenced by different patient characteristics in acute low back pain
Abstract  For an individual, the functional consequences of an episode of low back pain is a key measure of their clinical status. Self-reported disability measures are commonly used to capture this component of the back pain experience. In non-acute low back pain there is some uncertainty of the validity of this approach. It appears that self-reported assessment of disability and direct measurements of functional status are only moderately related. In this cross-sectional study, we investigated this relationship in a sample of 94 acute low back pain patients. Both self-reported disability and a performance-based assessment of disability were assessed, along with extensive profiling of patient characteristics. Scale consistency of the performance-based assessment was investi…

The Secret Exercise to Back Pain Relief

The Secret Exercise to Back Pain Relief
Back pain has always been a problem for people yet it has become more prevalent in recent times due to an increased sedentary lifestyle and in particular as a result of spending more time, both at work and at leisure, sitting in front of a computer screen adopting an incorrect sitting posture. There are common causes of back pain and the key is how to simply, yet effectively cure them.

British Pain Society president ousted after row over NICE guidelines

British Pain Society president ousted after row over NICE guidelines
The National Institute for Health and Clinical Excellence’s controversial guidelines on low back pain have sparked an extraordinary row between its leaders, GPs and pain specialists, which has cost a key member of the guideline development… (Source: Pulse)

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