Articles: low-back-pain.
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J Manipulative Physiol Ther · Jul 1994
Randomized Controlled Trial Clinical TrialThe short-term effect of a spinal manipulation on pain/pressure threshold in patients with chronic mechanical low back pain.
The purpose of this study was to evaluate the pain/pressure threshold of selected myofascial points in subjects with chronic mechanical back pain after a single manipulation or mobilization. ⋯ The absence of significant changes may be attributed to the selection of myofascial points, the instrument sensitivity to small changes, the differences in baseline measures and the absence of effect from one intervention.
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Clinical Trial
Sacroiliac joint: pain referral maps upon applying a new injection/arthrography technique. Part II: Clinical evaluation.
A pain referral map generated from Part I of this study was tested in 54 consecutive patients. Pain diagrams, completed by each patient, were compared to the map generated from sacroiliac injections in 10 volunteers (Part I). Two clinicians, blinded to the examination of each individual, selected the diagrams most consistent with the pain map. ⋯ Patients can be successfully screened for sacroiliac joint dysfunction based on comparison with a pain referral map. Further study on the false negative rates of sacroiliac pain maps is needed.
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Clinical Trial
Sacroiliac joint: pain referral maps upon applying a new injection/arthrography technique. Part I: Asymptomatic volunteers.
Pain pattern mapping of the sacroiliac joint in asymptomatic volunteers was investigated. Prospective evaluation of 10 volunteers who received sacroiliac joint injections was performed. The injections consisted of contrast material followed by Xylocaine. ⋯ A pain referral map was successfully generated using provocative injections into the right sacroiliac joint in asymptomatic volunteers.
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Randomized Controlled Trial Clinical Trial
Intensive physical and psychosocial training program for patients with chronic low back pain. A controlled clinical trial.
The authors conducted a controlled clinical trial with 1-year follow-up to define the effectiveness of an intensive physical and psychosocial training program on patients with low back pain. ⋯ The intervention program could improve physical disability, but to improve occupational handicap, activities of the whole society (social legislation, labor market policy) are needed.
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Randomized Controlled Trial Comparative Study Clinical Trial
Assessing change over time in patients with low back pain.
This study compared the ability of the Roland-Morris (RM), Oswestry (OSW), and Jan van Breemen Institute (JVB) pain and function questionnaires to detect change over time. ⋯ Based on the latter finding, we believe the RM questionnaire may be the preferred instrument for assessing change over time in patients with low back pain.