Articles: low-back-pain.
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Comparative Study
Physiotherapy for low back pain: differences between public and private healthcare sectors in Ireland--a retrospective survey.
European clinical guidelines for low back pain (LBP) recommend early referral of appropriate patients to health services such as physiotherapy. The current study aimed to investigate any differences between the physiotherapy management of LBP, and the physiotherapist and patient profiles in public and private health settings in Ireland. ⋯ Findings showed longer waiting times, and a higher number and duration of physiotherapy treatments for acute and chronic LBP in the public setting suggesting the need to develop publicly funded primary healthcare in Ireland.
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To measure knowledge of Israeli low back pain (LBP) clinical practice guidelines among different subgroups of primary care doctors, prior to designing an intervention programme to enhance guideline adherence in practice. ⋯ Striking differences exist between subgroups of primary care doctors regarding their knowledge of LBP guidelines. These differences will require the design of multiple interventions tailored to each subgroup.
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Subchondral signal abnormalities have been suggested to play an important role in chronic low back pain (LBP) syndromes. Their natural course is not well known. In this study the morphology and natural course of isolated subchondral signal abnormalities in the lumbosacral spine were analyzed with MRI. ⋯ They seem to have a highly variable course. There appears to be a link between endplate lesions and subchondral signal abnormalities. Further study is needed to explain the contribution of these findings to low back symptoms.
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Multicenter Study
Low back pain in drivers exposed to whole body vibration: analysis of a dose-response pattern.
Analysis of a dose-response pattern between exposure to whole body vibration (WBV) and low back pain (LBP) in a group of drivers. ⋯ The investigation found a dose-response pattern between WBV exposure and driving-related LBP. No indication of a dose-response pattern was found between WBV exposure and 12-month LBP. Although this dose-response pattern is only an indication, these findings imply that WBV exposure might contribute to the onset of driving-related LBP.
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Randomized Controlled Trial
[Back school for patients with non-specific chronic low-back pain: benefits from the association of an exercise program with patient's education].
has been used as a way of preventing and treating back pain since 1969, but reports in the literature on its effectiveness remain controversial. The purpose of this trial was to evaluate efficacy of a back school program for non- -specific chronic low-back pain. ⋯ The Back School program proposed in this study seems to be effective for non-specific chronic low back pain.