Articles: low-back-pain.
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Descriptive prognostic study. ⋯ Age and intensity of pain are the strongest predictors of outcome. Accumulation of days on sick leave is predicted by the duration of sick leave at entry and the type of work, but not by pain, perceived disability, or satisfaction with work.
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The objective of this cross-sectional study was to study associations between low back pain (LBP) and modes of transport to school and leisure activities among adolescents. The study population included all adolescents in eighth and ninth grade in two geographic areas in eastern Norway. Eighty-eight adolescents participated (mean age 14.7 years), making the response rate 84%. ⋯ Walking/bicycling more than 8 km weekly to regular activities was inversely associated with LBP in multivariate analysis (OR 0.3; 95% confidence interval 0.1-1.0). No associations were found between passive journeys and LBP. The results raise the question for future research of whether lack of active transport may be one cause behind the increase in juvenile LBP.
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Randomized Controlled Trial Multicenter Study Clinical Trial
Acupuncture for chronic low back pain in older patients: a randomized, controlled trial.
To determine if acupuncture is an effective, safe adjunctive treatment to standard therapy for chronic low back pain (LBP) in older patients. ⋯ Acupuncture is an effective, safe adjunctive treatment for chronic LBP in older patients.
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Randomized Controlled Trial Comparative Study Clinical Trial
The effect of a fear-avoidance-based physical therapy intervention for patients with acute low back pain: results of a randomized clinical trial.
A randomized clinical trial with 4-week and 6-month follow-up periods. ⋯ Patients with elevated fear-avoidance beliefs appeared to have less disability from fear-avoidance-based physical therapy when compared to those receiving standard care physical therapy. Patients with lower fear-avoidance beliefs appeared to have more disability from fear-avoidance-based physical therapy, when compared to those receiving standard care physical therapy. In addition, physical therapy supplemented with fear-avoidance-based principles contributed to a positive shift in fear-avoidance beliefs.
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The importance of analgesic drugs in the treatment of low back pain is a matter of intense debate. Based on the current literature, a multidisciplinary approach combining drug treatment with physical and psychotherapy has proven to be the most successful treatment of back pain. ⋯ This chapter reviews the historical background of analgetic drugs and provides an overview of the current diagnostic and therapeutic options in the treatment of back pain. Recommendations are given based on the results of current randomized controlled studies.