Spine
-
Randomized Controlled Trial
Acetaminophen improves analgesia but does not reduce opioid requirement after major spine surgery in children and adolescents.
A randomized, placebo-controlled, double-blind study to evaluate the effect of intravenously (IV) administered acetaminophen on postoperative pain in children and adolescents undergoing surgery for idiopathic scoliosis or spondylolisthesis. ⋯ IV-administered acetaminophen 90 mg/kg/day, adjuvant to oxycodone, did improve analgesia, but did not diminish oxycodone consumption during 24 hours after major spine surgery in children and adolescents. All acetaminophen concentrations were in nontoxic levels.
-
Randomized Controlled Trial
Guiding low back claimants to work: a randomized controlled trial.
A single-blinded, randomized controlled trial. ⋯ Claimants should be routinely reassured and advised about LBP to allow early and safe RTW during a disability evaluation before any side effects of being sick-listed have settled.
-
Randomized Controlled Trial Comparative Study
A randomized controlled trial on the effectiveness of a classification-based system for subacute and chronic low back pain.
A randomized controlled trial. ⋯ The classification-based system used in this study was not effective for improving physical therapy care outcomes in a population of patients with subacute and chronic low back pain.
-
Randomized Controlled Trial
Tracheal traction exercise reduces the occurrence of postoperative dysphagia after anterior cervical spine surgery.
We designed a novel anterior cervical spine surgery preoperative treatment comprising mechanical trachea/esophagus traction and compared the postoperative outcome regarding dysphagia with nontreated patients. ⋯ Dysphagia could be reduced in patients with multiple-level fusion after anterior cervical spine surgery by preoperative TTE treatment.
-
Randomized Controlled Trial
Effect of core stability exercises on feed-forward activation of deep abdominal muscles in chronic low back pain: a randomized controlled trial.
A randomized controlled trial. ⋯ Abdominal muscle onset was largely unaffected by 8 weeks of exercises in chronic LBP patients. There was no association between change in onset and LBP. Large individual variations in activation pattern of the deep abdominal muscles may justify exploration of differential effects in subgroups of LBP.