Articles: low-back-pain.
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Low back pain (LBP) is a significant issue with considerable impact on people's lives and economies. A plethora of research has investigated interventions to manage LBP. However, despite considerable knowledge translation efforts, individuals with the condition frequently use management strategies considered to be "ineffective." To address this concern, our aim was to explore why people with LBP choose the management strategies they do. ⋯ These outcomes suggest that people with LBP are likely to have nuanced reasons for choosing the management strategies they use, and this can contrast with the outcomes tested in empirical studies. Our findings suggest that researchers may need to broaden or rethink which outcomes they measure and how, including by meaningfully engaging consumers in research design. Furthermore, clinicians could better explore their patients' reasons for using the strategies they do before suggesting they discard existing strategies or offering new ones.
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This study aimed to capture day-to-day changes in pain intensity in individuals with low back pain (LBP), which may be indicative of patients' ability to modulate their pain levels. A secondary aim was to explore the presence of latent subgroups characterized by pain level, intraindividual pain variability, and change in pain over a 14-day period. ⋯ These findings provide support that day-to-day changes in pain, coping, and affective responses are meaningful and provide additional evidence of pain variability as a potential phenotypic characteristic.
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Complementary and integrative medicine (CIM), including mind-body medicine (MBM), is a treatment option that has been proved to alleviate symptoms in patients with low back and neck pain. ⋯ MBM is a popular treatment option for people with low back and neck pain. Practitioners of CIM are also being sought out by people with such complaints. Further research in this direction is relevant.
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Evaluate the Impact Stratification Score (ISS) measure of low back pain impact that assesses physical function, pain interference, and pain intensity. ⋯ This study provides support for the reliability and validity of the ISS as a patient-reported summary measure for acute, subacute, and chronic low back pain. The ISS is a useful indicator of low back impact.
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JAMA internal medicine · Oct 2021
Effectiveness of App-Delivered, Tailored Self-management Support for Adults With Lower Back Pain-Related Disability: A selfBACK Randomized Clinical Trial.
Lower back pain (LBP) is a prevalent and challenging condition in primary care. The effectiveness of an individually tailored self-management support tool delivered via a smartphone app has not been rigorously tested. ⋯ Among adults who sought care for LBP in a primary care or an outpatient spine clinic, those who used the selfBACK system as an adjunct to usual care had reduced pain-related disability at 3 months. The improvement in pain-related disability was small and of uncertain clinical significance. Process evaluation may provide insights into refining the selfBACK app to increase its effectiveness.