Articles: low-back-pain.
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J Orthop Surg (Hong Kong) · Aug 2009
Correlation of low back pain to a high-intensity zone of the lumbar disc in Indian patients.
To assess the correlation between low back pain and a high-intensity zone (HIZ) of the lumbar disc in Indian patients. ⋯ The presence of an HIZ is not diagnostic of a disrupted and painful disc, and should be interpreted together with other prevailing symptoms and clinical findings.
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Review Meta Analysis Comparative Study
Sterile water injection for labour pain: a systematic review and meta-analysis of randomised controlled trials.
Up to one-third of labouring women will experience painful 'back labour'. Sterile water injected lateral to the lumbosacral spine is a simple and well-researched approach to this pain. ⋯ We believe that a large RCT should be mounted to validate our findings regarding the impact of sterile water injections on mode of delivery.
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Review Meta Analysis
Systematic reviews of low back pain prognosis had variable methods and results: guidance for future prognosis reviews.
Systematic reviews of prognostic factors for low back pain vary substantially in design and conduct. The objective of this study was to identify, describe, and synthesize systematic reviews of low back pain prognosis, and explore the potential impact of review methods on the conclusions. ⋯ There is an immediate need for methodological work in the area of prognosis systematic reviews. Because of methodological shortcomings in the primary and review literature, there remains uncertainty about reliability of conclusions regarding prognostic factors for low back pain.
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Multicenter Study Clinical Trial
Effectiveness of a low back pain classification system.
One goal of low back pain (LBP) assessment is to direct clinicians to specific subgroups that benefit from particular treatment approaches. ⋯ LBP is a heterogeneous condition and treatment results may significantly improve when clinically relevant syndromes are determined initially to guide treatment. Classifying LBP based on pattern recognition shows promise to help clarify future clinical trials and surgical referrals.
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Multicenter Study
Screening for elevated levels of fear-avoidance beliefs regarding work or physical activities in people receiving outpatient therapy.
Screening people for elevated levels of fear-avoidance beliefs is uncommon, but elevated levels of fear could worsen outcomes. Developing short screening tools might reduce the data collection burden and facilitate screening, which could prompt further testing or management strategy modifications to improve outcomes. ⋯ The lack of differential item functioning in the FABQ scales in the sample tested in this study suggested that FABQ screening could be useful in routine clinical practice and allowed the development of single-item screening for fear-avoidance beliefs that accurately identified subjects with elevated levels of fear. Because screening was accurate and efficient, single IRT-based FABQ screening items are recommended to facilitate improved evaluation and care of heterogeneous populations of people receiving outpatient rehabilitation.