Articles: low-back-pain.
-
To examine the consistency of internist judgments about low back pain; to examine the influence of different clinical factors on those judgments. ⋯ While there is little agreement among internists regarding judgments of low back pain, individual physicians hold consistently to their opinions. These findings suggest that management of low back pain may be idiosyncratic, potentially compromising patient care.
-
Randomized Controlled Trial Clinical Trial
Training in back care to improve outcome and patient satisfaction. Teaching old docs new tricks.
We examined clinical outcomes and patient perceptions of back care given by physicians before and after an intensive course of training in back care and limited manual therapy techniques. ⋯ A structured clinical approach to low back care may bring modestly improved clinical outcomes and patient satisfaction.
-
Prospective case series with historical controls (normative data). ⋯ Levels of aerobic fitness in patients with chronic low back pain are comparable with those in healthy subjects.
-
A systematic review and meta-analysis of studies on the putative mechanisms of action of lumbar supports in lifting activities. ⋯ There is evidence that lumbar supports reduce trunk motion for flexion-extension and lateral bending. More research is needed on the separate outcome measures for trunk motion before definite conclusions can be drawn about the work conditions in which lumbar supports may be most effective. Studies of trunk motion at the workplace or during specified lifting tasks would be especially useful in this regard.