Spine
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Randomized Controlled Trial
Multidisciplinary intensive functional restoration versus outpatient active physiotherapy in chronic low back pain: a randomized controlled trial.
Randomized parallel group comparative trial with a 1-year follow-up period. ⋯ Both programs are efficient in reducing disability and sick-leave days. The FRP is significantly more effective in reducing sick-leave days. Further analysis is required to determine if this overweighs the difference in costs of both programs.
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Review Case Reports
Nail gun injury to the sacrum: case report and review of the literature.
Case report. ⋯ On the basis of our experience and a review of the literature, in terms of treating a nail gun injury to the sacrum we recommend the following: exploration in the operating room to investigate the possibility of a dural tear, thorough irrigation, and debridement, especially in the case of barbed nails, and consultation with general surgery to determine if there is any injury to intrapelvic contents before surgery. An infectious disease consultation postoperatively may also assist in proper selection and duration of antibiotic therapy.
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Clinical Trial
The effects of three different types of orthoses on the range of motion of the lumbar spine during 15 activities of daily living.
Prospective cohort study. ⋯ The full, active ROM allowed by lumbar braces evaluated was greater than employed during ADLs in absence of any brace. The motion decrease beyond actual restriction of the braces suggests they will act primarily as proprioceptive guides to regulate movement.
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Randomized Controlled Trial Multicenter Study
Lumbar disc herniation in the Spine Patient Outcomes Research Trial: does educational attainment impact outcome?
Randomized trial with concurrent observational cohort. A total of 1171 patients were divided into subgroups by educational attainment: high school or less, some college, and college degree or above. ⋯ Patients with higher educational attainment demonstrated significantly greater improvement with nonoperative treatment while educational attainment was not associated with surgical outcomes.
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A prospective cohort study. ⋯ Outcome definitions that combine ratings from perceived recovery scales with pain and disability measures provide the highest accuracy in discriminating recovered patients from nonrecovered patients.