Spine
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Randomized Controlled Trial Comparative Study Clinical Trial
The effect of McKenzie therapy as compared with that of intensive strengthening training for the treatment of patients with subacute or chronic low back pain: A randomized controlled trial.
A randomized controlled comparative trial with an 8-month follow-up period was conducted. ⋯ The McKenzie method and intensive dynamic strengthening training seem to be equally effective in the treatment of patients with subacute or chronic low back pain.
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Review Comparative Study
The cochrane review of advice to stay active as a single treatment for low back pain and sciatica.
A systematic review was conducted within the Cochrane Collaboration Back Review Group. ⋯ The best available evidence suggests that advice to stay active alone has little beneficial effect for patients with acute, simple low back pain, and little or no effect for patients with sciatica. There is no evidence that advice to stay active is harmful for either acute low back pain or sciatica. Because there is no considerable difference between advice to stay active and advice for bed rest, and there are potential harmful effects of prolonged bed rest, it is reasonable to advise people with acute low back pain and sciatica to stay active. These conclusions are based on single trials.
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Review Case Reports
Acute progression of spondylolysis to isthmic spondylolisthesis in an adult.
Acute progression of spondylolysis to spondylolisthesis in an adult without degenerative disc disease at the slip level is reported. ⋯ This case is important because it illustrates the potential for acute progression of spondylolisthesis with minimal trauma. A patient with known spondylolysis who sustains acute severe exacerbation of his or her back pain should have repeat standing radiographs.
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Randomized Controlled Trial Clinical Trial
Back extension endurance and strength: the effect of variable-angle roman chair exercise training.
A pre- and postintervention randomized, controlled trial was conducted. ⋯ Dynamic progressive resistance exercise training on a variable-angle Roman chair is capable of developing back extension endurance. Future research is needed to determine the clinical applicability of variable-angle Roman chair exercise training for patients with low back pain patients.
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A 7-year prospective cohort study of 34,754 employed men and women was conducted. ⋯ In a broad public health perspective within a European welfare system, subjects at high risk for future back pain disability pension perceived their work as constantly physically demanding, had health complaints other than back pain, and mostly felt generally tired and worn out. The results indicate that interventions directed toward the painful back alone may be unsuccessful in preventing disability pensions.