Articles: low-back-pain.
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Randomized Controlled Trial Multicenter Study Clinical Trial
Implementation of clinical guidelines on physical therapy for patients with low back pain: randomized trial comparing patient outcomes after a standard and active implementation strategy.
An active strategy was developed for the implementation of the clinical guidelines on physical therapy for patients with low back pain. The effect of this strategy on patients' physical functioning, coping strategy, and beliefs regarding their low back pain was studied. ⋯ The authors found no additional benefit to applying an active strategy to implement the physical therapy guidelines for patients with low back pain. Active implementation strategies are not recommended if patient outcomes are to be improved.
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Clinical biomechanics · Jun 2005
Randomized Controlled Trial Clinical TrialSupplementation of general endurance exercise with stabilisation training versus general exercise only. Physiological and functional outcomes of a randomised controlled trial of patients with recurrent low back pain.
Determination of the mode of action of new exercise techniques in different back pain populations is lacking. The effectiveness of supplementing an exercise programme with stabilisation exercises concerning physiological and functional parameters in non-specific back pain patients is unknown. ⋯ An 8-week stabilisation exercise-enhanced approach presented equal benefits to a general endurance-based exercise programme for patients with recurrent non-specific back pain. A slightly steeper slope for the erector spinae in the G group was the only electromyographic fatigue alteration noted. Concomitant strength improvement probably reflects neural input changes rather than histochemical muscle changes. Physical exercise alone and not the exercise type was the key determinant for improvement in this patient group.
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Randomized Controlled Trial Clinical Trial
A randomized, double-blind, placebo controlled triphosphate in study of oral adenosine subacute low back pain.
To assess the efficacy and safety of oral adenosine triphosphate (ATP) in subacute low back pain. ⋯ Oral ATP might have an early acting effect in subacute low back pain.
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Ann Readapt Med Phys · Jun 2005
Randomized Controlled Trial[Effect of music therapy among hospitalized patients with chronic low back pain: a controlled, randomized trial].
To evaluate the influence of music therapy in hospitalized patients with chronic low back pain. ⋯ Our results confirmed the effectiveness of music therapy for hospitalized patients with chronic low back pain. Music therapy can be a useful complementary treatment in chronic pain and associated anxiety-depression and behavioural consequences.
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Randomized Controlled Trial Multicenter Study Clinical Trial
Surgical stabilisation of the spine compared with a programme of intensive rehabilitation for the management of patients with chronic low back pain: cost utility analysis based on a randomised controlled trial.
To determine whether, from a health provider and patient perspective, surgical stabilisation of the spine is cost effective when compared with an intensive programme of rehabilitation in patients with chronic low back pain. ⋯ Two year follow-up data show that surgical stabilisation of the spine may not be a cost effective use of scarce healthcare resources. However, sensitivity analyses show that this could change-for example, if the proportion of rehabilitation patients requiring subsequent surgery continues to increase.