Articles: low-back-pain.
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J Manipulative Physiol Ther · Nov 2001
Comparative StudyA descriptive study of medical and chiropractic patients with chronic low back pain and sciatica: management by physicians (practice activities) and patients (self-management).
A practice-based study of ambulatory patients with low back pain noted a long-term outcome advantage for self-referred chiropractic (DC) patients over medical (MD) patients within a subgroup of patients with chronic low back pain and radiating pain below the knee. The frequency of self-care education by physicians in both provider cohorts coupled with current thinking on management of chronic low back pain led to an exploration and description of physicians' noncore practice activities and patients' self-management attitudes and behaviors. ⋯ The chiropractic encounter may have enhanced patients' self-efficacy motivation, leading to better coping abilities and better pain and disability outcomes. Understanding, respecting, and capitalizing on the role and influence of psychosocial factors can help all physicians become more effective healers and counselors for their patients with back pain.
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J Manipulative Physiol Ther · Nov 2001
Case ReportsThe centralization phenomenon in chiropractic spinal manipulation of discogenic low back pain and sciatica.
To describe 3 cases of discogenic low back pain and leg pain in which the centralization phenomenon was used in determining chiropractic treatment and prognosis. ⋯ Assessment of the centralization phenomenon provided valuable diagnostic and prognostic information regarding chiropractic side-posture manipulation in this case series.
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Zhonghua yi xue za zhi · Oct 2001
Randomized Controlled Trial Clinical Trial[Posterior interbody fusion or posterolateral fusion for discogenic low back pain].
To investigate the surgical results of posterior interbody fusion or posterolateral fusion for discogenic low back pain. ⋯ Posterior interbody fusion for lumbar discogenic pain have a better clinical result than posterolateral fusion for discogenic low back pain. Interbody fusion is of choice for lumbar discogenic pain.
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Comparative Study
[Role of surgical treatment of low back pain and lumbo-sciatica].
Low back pain alone without any sciatica is not an appropriate indication for lumbar disc surgery. The only exception might be a clinically and radiologically proven segmental instability. However a conservative multidisciplinary treatment should precede surgery. ⋯ The appropriate surgical indication and the postoperative reeducation are of utmost importance for good results. The patients history, neurological examination, neuroradiological imaging and failed conservative treatment modalities are key elements to define appropriate surgical candidates. Microdisectomy remains the "gold standard" for surgical treatment of lumbar disc disease assuring a better quality of life at long term follow up.
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Comparative Study
Analysis of the convergent and discriminant validity of published lumbar flexion, extension, and lateral flexion scores.
Articles reflecting the convergent or discriminant validity of the lumbar range of motion tests were reviewed and compared. Mean scores and standard deviations for lumber range of motion from healthy control subjects were plotted against those from patients with low back injuries. ⋯ Convergent and discriminant validities of the lumbar range of motion tests currently require further substantiation. Absolute lumbar range of motion scores may not be suitable as the sole determinants of low back pathology diagnosis. Implications for using the lumbar range of motion tests to characterize low back injuries in medicolegal situations are discussed.