Articles: low-back-pain.
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Comparative Study
Aerobic fitness in patients at work despite recurrent low back pain: a cross-sectional study with healthy age- and gender-matched controls.
The aims of this study were to compare the aerobic fitness level of working patients who have recurrent low back pain with those of healthy age- and gender-matched controls, and to investigate the relationship of aerobic fitness level with pain intensity, general health, perceived disability, fear-avoidance beliefs and self-efficacy. ⋯ This study suggests no overall difference in predicted aerobic fitness level for a sample of subjects with recurrent low back pain compared with healthy controls. This is perhaps because all the patients were still at work despite the pain. The results indicate, however, that the factors associated with aerobic fitness differ between men and women.
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Clinical Trial
Balneotherapy in elderly patients: effect on pain from degenerative knee and spine conditions and on quality of life.
Balneotherapy is an established treatment modality for musculoskeletal disease, but few studies have examined the efficacy of spa therapy in elderly patients with degenerative spine and joint diseases. ⋯ This study showed that balneotherapy is an effective treatment modality in elderly patients with osteoarthritis of the knee or with chronic low back pain, and its benefits last for at least 3 months after treatment.
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Neurological research · May 2008
Intradiscal electrothermal treatment for chronic discogenic low back pain: a prospective outcome study of 39 patients with the Oswestry disability index at 18 month follow-up.
The authors evaluate the efficacy of intradiscal electrothermal therapy (IDET) for discogenic pain on outcome of patients using the Oswestry disability index (ODI) after 18 month follow-up. ⋯ Although various alterations in outcome scores have been reported in previous works, we found nearly four in five patients (79.48%) who clearly benefited from this therapy. This procedure may become a middle step for carefully selected group of patients who failed non-operative treatment before surgical intervention.
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To evaluate the effect of a media campaign on popular beliefs about LBP, and eventual changes in sick leave, imaging examinations, and surgery. ⋯ A media campaign on LBP should not be limited to small areas and low-budget. A much larger investment is needed for a media campaign to have sufficient impact on public's beliefs on LBP to lead to altered sickness behaviour.
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Am J Phys Med Rehabil · May 2008
Case ReportsPostpartum sacral stress fracture: an unusual case of low-back and buttock pain.
Low-back and buttock pain is a common complaint during pregnancy and the postpartum period and is usually attributable to mechanical lesions of the pelvis. Sacral stress fractures are unusual but important causes that should be considered in differential diagnosis. To date, only eight postpartum sacral stress fractures have been reported in the literature. ⋯ There was no history of trauma, excessive weight gain, strenuous physical activity, or contribution of mechanical factors. The question remains whether this is an insufficiency fracture or a fatigue fracture. Clinicians should consider sacral fracture during pregnancy and the postpartum period as a diagnostic possibility in patients with low-back and/or buttock pain.