Articles: low-back-pain.
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Randomized Controlled Trial Clinical Trial
Capacity of the clinical picture to characterize low back pain relieved by facet joint anesthesia. Proposed criteria to identify patients with painful facet joints.
Prospective randomized study to compare the efficacy of facet joint injection with lidocaine and facet joint injection with saline in two groups of patients with low back pain, with and without clinical criteria that were determined in a previous study to implicate the facet joint as the primary source of the pain. ⋯ A set of five clinical characteristics can be used in randomized studies to select lower back pain that will be well relieved by facet joint anesthesia. These characteristics should not, however, be considered as definite diagnostic criteria of lower back pain originating from facet joints.
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Randomized Controlled Trial Comparative Study Clinical Trial
One-year follow-up comparison of the cost and effectiveness of chiropractic and physiotherapy as primary management for back pain. Subgroup analysis, recurrence, and additional health care utilization.
A randomized trial was conducted in which patients with back and neck pain, visiting a general practitioner, were allocated to chiropractic or physiotherapy. ⋯ Effectiveness and costs of chiropractic or physiotherapy as primary treatment were similar for the total population, but some differences were seen according to subgroups. Back problems often recurred, and additional health care was common. Implications of the result are that treatment policy and clinical decision models must consider subgroups and that the problem often is recurrent. Models must be implemented and tested.
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Scand J Rehabil Med · Sep 1998
Comparative StudySubacute and chronic low back pain. Reliability and validity of a Swedish version of the Roland and Morris Disability Questionnaire.
The purpose of this study was to investigate test-retest reliability and concurrent validity of a Swedish version of the Roland and Morris Disability Questionnaire (RM-Sw), and to describe demographic factors in patients with low back pain of at least 4 weeks' duration seeking outpatient physical therapy treatment in primary care settings. Seventy-two patients participated in the study. ⋯ Gender, education and occupation were only moderately related to RM-Sw scores, explaining 14% of the variance in the scores. It is concluded that RM-Sw is a reliable and valid measure of functional ability in low back pain.
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Clinical Trial Controlled Clinical Trial
Reliability of physical examination items used for classification of patients with low back pain.
The purpose of this study was to examine the interrater reliability of measurements obtained by examiners administering tests proposed to be important for classifying low back pain (LBP) problems. ⋯ The results suggest that experienced therapist who had trained together were able to agree on the results of examinations and obtain an acceptable level of reliability. Future work should focus on testing of reliability when more than one therapist performs the examination and when therapist not trained by the test developer to administer the examination perform the tests. [Van Dillen LR, Sahrmann SA, Norton BJ, et al. Reliability of physical examination items used for classification of patients with low back pain.
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Population-based, cross-sectional, mailed survey. ⋯ Low-intensity/low-disability low back pain is a common problem in the general population. Approximately 11% of the adult population studied had been disabled by low back pain in the previous 6 months.