Articles: low-back-pain.
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Complement Ther Clin Pract · Feb 2009
Randomized Controlled TrialA pilot study on using acupuncture and transcutaneous electrical nerve stimulation to treat chronic non-specific low back pain.
The present study tests whether a combined treatment of acupuncture and transcutaneous electrical nerve stimulation (TENS) is more effective than acupuncture or TENS alone for treating chronic low back pain (LBP). ⋯ Combined acupuncture and TENS treatment is effective in pain relief and QOL of low back improvement for the sampled patients suffering from chronic LBP.
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Ann Phys Rehabil Med · Feb 2009
Return to work of 87 severely impaired low back pain patients two years after a program of intensive functional rehabilitation.
Return to work is the main long-term objective of rehabilitation programs for patients with chronic low back pain (LBP). ⋯ Sick leaves remained significantly reduced and the number of workers who were at work significantly increased at 2 years after an intensive program.
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Given reports about variation in opioid prescribing, concerns about increasing opioid use and its associated negative consequences make understanding the sources of variability important. The aims of the study were to assess the extent of and factors associated with geographic variation in early opioid prescribing for acute, work-related, low back pain (LBP). ⋯ Geographic variation of early opioid prescribing for acute LBP is important and almost fully explained by state-level contextual factors. The study suggests that clinician and patient interaction and the subsequent decision to use opioids are substantially framed by social conditions and control systems. Am. J. Ind. Med. 52:162-171, 2009. (c) 2008 Wiley-Liss, Inc.
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J Manipulative Physiol Ther · Feb 2009
Randomized Controlled Trial Comparative StudyEffects of spinal manipulation on trunk proprioception in subjects with chronic low back pain during symptom remission.
The purpose of this study was to examine the immediate effects of spinal manipulative therapy (SMT) on trunk proprioception in subjects with asymptomatic chronic low back pain (CLBP) and determine if those effects lasted 1 week. ⋯ Results suggest SMT had minimal immediate effect on trunk proprioception. The effects noted occurred in session 1, implicating learning as a potential source. Learning, from repetitive proprioception training, may enhance neuromuscular control in subjects with CLBP before the use of therapeutic exercise. Subjects showed smaller deficits than previously reported for TTDPM or DM, suggesting proprioception deficits may correlate with pain level.
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Clinical therapeutics · Feb 2009
Oxymorphone extended release for the treatment of chronic low back pain: a retrospective pooled analysis of enriched-enrollment clinical trial data stratified according to age, sex, and prior opioid use.
This study assessed the potential effects of age, sex, and prior opioid use on the response to oxymorphone extended release (ER) in patients with moderate to severe chronic low back pain. ⋯ In the enriched population of patients who successfully titrated to oxymorphone ER, oxymorphone ER was effective and generally well tolerated, independent of patients' age, sex, or previous opioid use.