Spine
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Randomized Controlled Trial Multicenter Study
Education of patients after whiplash injury: is oral advice any better than a pamphlet?
Randomized parallel-group trial with 1-year follow-up. ⋯ Prognosis did not differ between patients who received personal education and those who got a pamphlet. However, a systematic tendency toward better outcome with personal communicated information was observed and the question how patients should be educated to reduce the risk of chronicity after whiplash is worth further investigation, since no treatment have been proven to prevent long-lasting symptoms, and all forms of advice or educational therapy are so cheap that even a modest effect justifies its use.
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Randomized Controlled Trial Multicenter Study Comparative Study
The effectiveness of manual physical therapy and exercise for mechanical neck pain: a randomized clinical trial.
Randomized clinical trial. ⋯ An impairment-based MTE program resulted in clinically and statistically significant short- and long-term improvements in pain, disability, and patient-perceived recovery in patients with mechanical neck pain when compared to a program comprising advice, a mobility exercise, and subtherapeutic ultrasound.
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Review of studies on sciatica prevalence and synthesis of available evidence. ⋯ Sciatica prevalence estimates vary considerably between studies. This may be due to differences in definitions, methods of data collection and perhaps populations studied. Suggestions are made on how to improve accuracy of capturing sciatica in epidemiological studies.
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Comparative Study
Clinimetric testing of three self-report outcome measures for low back pain patients in Brazil: which one is the best?
Translation, cross-cultural adaptation, and clinimetric testing of self-report outcome measures. ⋯ The results from this study demonstrate that the Brazilian-Portuguese versions of the RMDQ, the FRI and the PSFS have similar clinimetric properties to each other and to the original English versions. Of allthe measures tested in this study the PSFS seems the most responsive. These measures will enable international comparisons to be performed, and encourage researchers to include Portuguese speakers in their clinical trials.
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Retrospective analysis of magnetic resonance imaging (MRI) and clinical findings about chemical radiculitis-associated anular tear in patients with radiculopathy. ⋯ The perianular enhancement adjacent to anular tears on MRI may be relevant in the diagnosis of symptomatic chemical radiculitis.