Spine
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Randomized Controlled Trial Clinical Trial
Does early intervention with a light mobilization program reduce long-term sick leave for low back pain?
A controlled randomized clinical trial was performed. ⋯ Early intervention with examination, information, and recommendations to stay active showed significant effects in reducing sick leave for patients with low back pain.
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Randomized Controlled Trial Comparative Study Clinical Trial
Early intervention in whiplash-associated disorders: a comparison of two treatment protocols.
A prospective randomized trial in 97 patients with a whiplash injury caused by a motor vehicle collision. ⋯ In patients with whiplash-associated disorders caused by a motor vehicle collision treatment with frequently repeated active submaximal movements combined with mechanical diagnosis and therapy is more effective in reducing pain than a standard program of initial rest, recommended use of a soft collar, and gradual self-mobilization. This therapy could be performed as home exercises initiated and supported by a physiotherapist.
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Randomized Controlled Trial Clinical Trial
Instrumented and noninstrumented posterolateral fusion in adult spondylolisthesis--a prospective randomized study: part 2.
A prospective randomized study was performed. ⋯ Lumbar posterolateral fusion performed in situ for adult isthmic spondylolisthesis relieves pain and improves function. The use of supplementary transpedicular instrumentation does not add to the fusion rate or improve the clinical outcome.
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Randomized Controlled Trial Comparative Study Clinical Trial
Surgery versus conservative management in adult isthmic spondylolisthesis--a prospective randomized study: part 1.
A prospective randomized study was performed. ⋯ Surgical management of adult isthmic spondylolisthesis improves function and relieves pain more efficiently than an exercise program.
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Randomized Controlled Trial Comparative Study Clinical Trial
Treatment of acute low back pain with the COX-2-selective anti-inflammatory drug nimesulide: results of a randomized, double-blind comparative trial versus ibuprofen.
A prospective, randomized double-blind comparative trial. ⋯ The results confirmed that the COX-2-selective inhibitor nimesulide is an effective and well-tolerated agent for use in general practices to treat acute low back pain. The incidence of gastrointestinal side effects seems to be lower with nimesulide than with ibuprofen.