Articles: low-back-pain.
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Observational prospective study. ⋯ The psychometric properties (test-retest reliability, construct validity, and responsiveness) of the French version of the Fear Avoidance Belief Questionnaire are acceptable, and fear, avoidance, and belief can now be assessed in French-speaking patients with low back pain.
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Randomized Controlled Trial Clinical Trial
The use of intradiscal steroid therapy for lumbar spinal discogenic pain: a randomized controlled trial.
A prospective randomized study of the therapeutic effect of intradiscal steroid injection compared to a saline placebo. ⋯ This study demonstrates that intradiscal steroid injections do not improve the clinical outcome in patients with discogenic back pain compared with placebo.
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Historical cohort study. ⋯ Contrary to Functional Capacity Evaluation theory, better Functional Capacity Evaluation performance as indicated by a lower number of failed tasks was associated with higher risk of recurrence. The validity of Functional Capacity Evaluation's purported ability to identify claimants who are "safe" to return to work is suspect.
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Patients completing a multidisciplinary pain treatment were contacted to obtain 13-year follow-up information on pain, mood, employment, and general health. ⋯ The data lend support to the long-term effectiveness of multidisciplinary treatment programs for chronic low back pain.
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Comparative Study
Responsiveness of pain, disability, and physical impairment outcomes in patients with low back pain.
Cohort study. ⋯ Physical impairments are routinely measured in clinical practice and clinical research, but the lower responsiveness indicates that this approach is not optimal. Our findings suggest that more emphasis should be placed on change in pain and disability scores than on change in physical impairments.