Articles: back-pain.
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Comparative Study Clinical Trial
Functional capacity evaluation as a performance measure: evidence for a new approach for clients with chronic back pain.
To report the research and development of a new approach to Functional Capacity Evaluation, the Gibson Approach to Functional Capacity Evaluation (GAPP FCE) for chronic back pain clients. ⋯ The evidence thus far available supports the GAPP FCE as an approach that provides a sound method for evaluating the performance of the physical demands of work with clients with chronic back pain. The tool has been shown to have good face and content validity, to meet acceptable test standards, and to have reasonable interrater reliability. Further research is occurring to look at a larger interrater reliability study, to further examine content validity, and to examine predictive validity.
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The effectiveness of spinal manipulation as a treatment for back pain remains uncertain and controversial. This is because of methodological weakness in many of the published clinical trials and also because of markedly opposing interpretations of the primary data by different reviewers. We have systematically assessed a representative sample of recent reviews on this topic. ⋯ This indicates an association between authorship by osteopaths or chiropractors and low methodological quality and positive conclusion. We conclude that the outcomes of reviews of this subject are strongly influenced by both scientific rigour and profession of authors. The effectiveness of spinal manipulation for back pain is less certain than many reviews suggest; most high quality reviews reach negative conclusions.
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Z Orthop Ihre Grenzgeb · May 2005
Review Comparative Study[How can I assess the back pain status in my patients? The Mainz chronic disease staging method and its prognostic value].
Chronification of pain is not just a simple matter of duration, although many publications still pretend that this is so. Chronification is more a spread of pain on the physical level, on duration and even more on the psychological and social levels. We present different models to explain this process. ⋯ Results of different inquiries have shown the correlation between chronicity of pain and measurements of quality of life and effectiveness of medical treatment. Also the MPSS has a prognostic value about the effect of further treatment. To get a differentiated view on the results of examinations and treatment outcome, an evaluation of the chronification process of the patient's pain is a necessity.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · May 2005
Review Historical ArticleA historical perspective on pregnancy-related low back and/or pelvic girdle pain.
The growing interest in pregnancy-related low back and/or pelvic girdle pain has invoked research projects to this subject. Although it seems a modern syndrome, historical articles show that pregnancy-related pelvic girdle pain (PPGP) was already known centuries ago. ⋯ These differences can be explained by the use of different definitions and descriptions of pregnancy-related pelvic girdle pain between studies. In conclusion, it is necessary to search for an evidence-based overall definition of pregnancy-related pelvic girdle pain in order to provide more knowledge about incidence rates, etiologic factors and other related subjects.
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Z Orthop Ihre Grenzgeb · May 2005
[What do we know about the symptoms of back pain? Epidemiological results on prevalence, incidence, progression and risk factors].
This paper provides an overview of epidemiological findings concerning the prevalence and incidence of back pain, the underlying risk factors and health care utilization due to back pain. ⋯ Back pain belongs to the major individual and societal health problems in Germany. While extensive epidemiological evidence exists for the prevalence of back pain, its severity, course and associated risk factors, little systematic knowledge is available about the medical treatment of back pain.