Articles: low-back-pain.
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Clinical therapeutics · Feb 2009
Oxymorphone extended release for the treatment of chronic low back pain: a retrospective pooled analysis of enriched-enrollment clinical trial data stratified according to age, sex, and prior opioid use.
This study assessed the potential effects of age, sex, and prior opioid use on the response to oxymorphone extended release (ER) in patients with moderate to severe chronic low back pain. ⋯ In the enriched population of patients who successfully titrated to oxymorphone ER, oxymorphone ER was effective and generally well tolerated, independent of patients' age, sex, or previous opioid use.
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Randomized Controlled Trial Multicenter Study
Effectiveness of a lumbar belt in subacute low back pain: an open, multicentric, and randomized clinical study.
Multicentric, randomized, and controlled study of clinical evaluation of medical device in subacute low back pain. ⋯ Lumbar belt wearing is consequent in subacute low back pain to improve significantly the functional status, the pain level, and the pharmacologic consumption. This study may be useful to underline the interest of lumbar support as a complementary and nonpharmacologic treatment beside the classic medication use in low back pain treatment.
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Randomized Controlled Trial
The pain quality response profile of oxymorphone extended release in the treatment of low back pain.
In controlled trials of analgesics, the primary outcome variable is most often a measure of global pain intensity. However, because pain is associated with a variety of pain sensations, the effects of analgesic treatments on different sensations could go undetected if specific pain qualities are not assessed. This study sought to evaluate the utility of assessing the multiple components of non-neuropathic pain in an analgesic clinical trial. ⋯ The results indicate that oxymorphone ER has different effects on different pain qualities of low back pain. The responsivity of the PQAS items and scales to the results of treatment with an effective and generally well-tolerated dose of an analgesic, and the ability of the PQAS items and scales to discriminate between an active analgesic and placebo, support their validity as outcome measures. The findings support the utility of using pain descriptor measures for (1) identifying the effects of pain treatments on different pain qualities and (2) targeting pain treatments to those patients who experience certain types of pain.
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Ann Phys Rehabil Med · Feb 2009
Multicenter Study[Multicenter multidisciplinary training program for chronic low back pain: French experience of the Renodos back pain network (Réseau Nord-Pas-de-Calais du DOS)].
To evaluate the short- and long-term effectiveness of the multidisciplinary training program (MTP). To show the benefits which the network organization brings to the treatment of chronic low back pain (CLPB). ⋯ The MTP was effective in reducing back pain intensity, functional disability, symptoms of anxiety and depression and in improving quality of life, flexibility and isometric muscle endurance time. It was possible to propose the MTP to both men and women. A network organization effectively contributes to the harmonization of evaluation methods and brings coherence to the treatment of CLBP patients.
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Complement Ther Clin Pract · Feb 2009
Randomized Controlled TrialA pilot study on using acupuncture and transcutaneous electrical nerve stimulation to treat chronic non-specific low back pain.
The present study tests whether a combined treatment of acupuncture and transcutaneous electrical nerve stimulation (TENS) is more effective than acupuncture or TENS alone for treating chronic low back pain (LBP). ⋯ Combined acupuncture and TENS treatment is effective in pain relief and QOL of low back improvement for the sampled patients suffering from chronic LBP.