Spine
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The ability of three new methods of scoring the Pain Drawing to predict psychological distress in two cohorts of 100 patients with chronic low back pain was investigated. ⋯ Using the new scoring systems, it was not possible to identify distressed patients with sufficient sensitivity/specificity, nor to differentiate between organic and nonorganic pain patterns.
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Meta Analysis
Methodological quality of randomized clinical trials on treatment efficacy in low back pain.
This was a review of criteria-based meta-analyses. ⋯ Although a considerable number of randomized clinical trials have been carried out to evaluate the efficacy of interventions in low back pain, their methodological quality appears to be disappointingly low. Future trials are clearly needed, but much more attention should be paid to the methods of such studies.
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This was a cross-sectional analytic study. ⋯ The sacroiliac joint is a significant source of pain in patients with chronic low back pain and warrants further study.
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This study is an analysis of national survey data from 5 sample years. ⋯ Back pain remains a major reason for all physician office visits. This study describes visit, referral, and management patterns among specialties providing the most care.
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A survey of the prevalence of cervical zygapophysial joint pain was conducted. ⋯ In this population, cervical zygapophysial joint pain was the most common source of chronic neck pain after whiplash.