Spine
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Randomized Controlled Trial Multicenter Study
Feasibility of using short message service to collect pain outcomes in a low back pain clinical trial.
Observational study nested within a randomized controlled trial. ⋯ SMS supplemented with phone interviews, but not SMS alone, is a feasible option to collect simple data within a back pain clinical trial setting.
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Multicenter Study
Prognostic factors for reduction of activities of daily living following osteoporotic vertebral fractures.
Prospective cohort study. ⋯ These results identified presence of middle column injury of the vertebral body and lack of regular exercise before fracture as prognostic factors for reduced ADL. With clarification and validation, these risk factors may provide crucial tools for determining subsequent OVF treatments. Patients showing these prognostic factors should be observed carefully and treated with more intensive treatment options.
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A cross-sectional magnetic resonance imaging (MRI) study. ⋯ Herniations were most likely in the subjects with recent onset or persistent (3-yr period) low back symptoms, although they were also detected in subjects with no symptoms. The clinical relevance of herniations on MRI remains to be evaluated in the context of symptoms.
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Comparative Study
Guidelines on low back pain disability: interprofessional comparison of use between general practitioners, occupational therapists, and physiotherapists.
Individual semistructured qualitative interviews. ⋯ To address identified barriers, a process of care is proposed by fitting tasks to the most compatible providers. The task of GPs could focus on pain management through medication, red flag screening, encouragement to stay active, and reassurance. The tasks of PTs could center on pain management, general exercise, and encouragement to stay active. The tasks of OTs could focus on disability prognosis, yellow flags management, and return to activity parameters. The efficacy of this process of care to prevent persistent LBP disability should be assessed in a trial.
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Multicenter Study
The association of patient characteristics and spinal curve parameters with Lenke classification types.
Retrospective review. ⋯ Lenke types vary by sex, frequency magnitude, patient age, and patient self-image, which should be considered in designing studies.