Articles: low-back-pain.
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Comparative Study
Do medical factors predict disability in older adults with persistent low back pain?
Persistent low back pain (LBP) is one of the most common and challenging persistent pain conditions in older adults. Medical comorbidity also is common in these individuals, but its impact on disability has not been examined. The purpose of this study was, using a cross-sectional design, to examine the functional impact of pain-related and general medical comorbidity on 100 community dwelling older adults (mean age 74.3) with persistent mechanical LBP. ⋯ Individual regression coefficients, however, indicated that only pain duration (r=-0.36, P<0.05) and pain severity (r=0.37, P<0.001) were significantly associated with function/disability. Despite the prevalence of medical co-morbidities in older PLBP subjects, they appear to be of limited utility in understanding level of disability. These findings also underscore the need to optimize pain treatment in independent older adults to optimize physical function and delay the onset of dependent living status.
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J Orthop Sports Phys Ther · Nov 2004
Randomized Controlled Trial Clinical TrialThe influence of experience and specialty certifications on clinical outcomes for patients with low back pain treated within a standardized physical therapy management program.
Secondary analysis of a randomized trial. ⋯ With the standardized protocol utilized in this study, it appears that the therapist-related factors of increased experience and specialty certification status do not result in an improvement in patients' disability associated with low back pain.
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Comparative Study
Individual or group rehabilitaion for people with low back pain: a comparative study with 6-month follow-up.
To compare the effectiveness of group rehabilitation and individually dosed rehabilitation in treating chronic low back pain. ⋯ These tentative results suggest that group rehabilitation can compete with individual rehabilitation at least in short-term follow-up.
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Randomized Controlled Trial Comparative Study Clinical Trial
Early intervention for the management of acute low back pain: a single-blind randomized controlled trial of biopsychosocial education, manual therapy, and exercise.
A single blind randomized controlled trial comparing two models of care for patients with acute simple low back pain. ⋯ At short-term, intervention is more effective than advice on staying active, leading to more rapid improvement in function, mood, quality of life, and general health. The timing of intervention affects the development of psychosocial features. If treatment is provided later, the same psychosocial benefits are not achieved. Therefore, an assess/advise/treat model of care seems to offer better outcomes than an assess/advise/wait model of care.