Articles: low-back-pain.
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A systematic review of published observational studies. ⋯ There is no firm evidence for the presence or absence of a causal relationship between radiographic findings and nonspecific low back pain.
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Randomized Controlled Trial Clinical Trial
Multidisciplinary rehabilitation for chronic back pain in an outpatient setting: a controlled randomized trial.
Based on existing models for pain chronicity and effective treatment strategies for patients with chronic low back pain, a multidisciplinary rehabilitation programme for an outpatient group setting was developed. The main treatment components address the patient's physical functional capacity (functional restoring), cognitive and affective processes (pain management strategies), and behavioural and ergonomical aspects (back school elements). Short-term (immediately after intervention) and long-term effects (at 6-months follow-up) of the intervention were assessed in a randomized controlled study. ⋯ In contrast to post-treatment results, there were also significant improvements in strength and endurance. Overall results testify to the effectiveness of the intervention programme. Future studies (with larger sample sizes) should aim at a further improvement of functional capacity and disability perception, an analysis of differential treatment effects, and strategies for an improved long-term maintenance of the changes induced by the programme.
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Orthopaedic nursing · Jan 1997
ReviewThe use of magnetic resonance imaging in the diagnosis of lumbar disc disease.
Low back pain is a common malady, affecting up to 80% of adults at some time. Our diagnostic capabilities have been markedly improved with the introduction and evolution of magnetic resonance imaging. MRI is an accurate modality in the diagnosis of disc herniation, as well as recurrent disc herniation, degenerative disc disease, and other abnormalities that may present as back pain.