Spine
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Randomized Controlled Trial Multicenter Study Clinical Trial
Efficiency and costs of medical exercise therapy, conventional physiotherapy, and self-exercise in patients with chronic low back pain. A pragmatic, randomized, single-blinded, controlled trial with 1-year follow-up.
A multicenter, randomized, single-blinded controlled trial with 1-year follow-up. ⋯ The efficiency of medical exercise therapy and conventional physiotherapy is shown. Leaving patients with chronic low back pain untampered poses a risk of worsening the disability, resulting in longer periods of sick leave.
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Randomized Controlled Trial Comparative Study Clinical Trial
Opioid therapy for chronic noncancer back pain. A randomized prospective study.
A randomized, open, long-term, repeated-dose comparison of an anti-inflammatory drug and two opioid regimens in 36 patients with back pain. ⋯ The results suggest that opioid therapy has a positive effect on pain and mood but little effect on activity and sleep. Opioid therapy for chronic back pain was used without significant risk of abuse. However, tapered-off opioid treatment is palliative and without long-term benefit.
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Randomized Controlled Trial Clinical Trial
The reduction of chronic nonspecific low back pain through the control of early morning lumbar flexion. A randomized controlled trial.
Eighteen-month, randomized controlled trial with partial crossover. ⋯ Controlling lumbar flexion in the early morning is a form of self-care with potential for reducing pain and costs associated with chronic, nonspecific low back pain.
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Randomized Controlled Trial Multicenter Study Clinical Trial
A randomized trial of a lay person-led self-management group intervention for back pain patients in primary care.
Randomized, controlled trial. ⋯ Self-management groups led by trained lay persons following a structured protocol were more effective than usual care in reducing worries, producing positive attitudes toward self-care, and reducing activity limitations among patients with back pain in primary care.