Articles: low-back-pain.
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Comparative Study
A longitudinal study on the predictive validity of the fear-avoidance model in low back pain.
Recently, fear-avoidance models have been quite influential in understanding the transition from acute to chronic low back pain (LBP). Not only has pain-related fear been found to be associated with disability and increased pain severity, but also treatment focused at reducing pain-related fear has shown to successfully reduce disability levels. In spite of these developments, there is still a lack in well-designed prospective studies examining the role of pain-related fear in acute back pain. ⋯ A backward ordinal regression analysis showed previous LBP history and pain intensity to be the most important predictors of end of study GCPS. Of the fear-avoidance model variables, only negative affect added to this model. Our results do not really support the longitudinal validity of the fear-avoidance model, but they do feed the discussion on the role of pain-related fear in early stages of LBP.
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Arch Phys Med Rehabil · Sep 2005
Comparative StudyPreliminary development of a clinical prediction rule for determining which patients with low back pain will respond to a stabilization exercise program.
To develop a clinical prediction rule to predict treatment response to a stabilization exercise program for patients with low back pain (LBP). ⋯ It appears that the response to a stabilization exercise program in patients with LBP can be predicted from variables collected from the clinical examination. The prediction rules could be used to determine whether patients with LBP are likely to benefit from stabilization exercises.
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Arch Phys Med Rehabil · Sep 2005
Randomized Controlled Trial Comparative Study Clinical TrialLumbar spine segmental mobility assessment: an examination of validity for determining intervention strategies in patients with low back pain.
To examine the predictive validity of posterior-anterior (PA) mobility testing in a group of patients with low back pain (LBP). ⋯ Patients with LBP judged to have lumbar hypomobility experienced greater benefit from an intervention including manipulation; those judged to have hypermobility were more likely to benefit from a stabilization exercise program.
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J Manipulative Physiol Ther · Sep 2005
Randomized Controlled Trial Comparative StudyA randomized clinical trial of manual versus mechanical force manipulation in the treatment of sacroiliac joint syndrome.
To investigate the effect of instrument-delivered compared with traditional manual-delivered thrust chiropractic adjustments in the treatment of sacroiliac joint syndrome. ⋯ The results indicate that a short regimen of either mechanical-force, manually-assisted or high-velocity, low-amplitude chiropractic adjustments were associated with a beneficial effect of a reduction in pain and disability in patients diagnosed with sacroiliac joint syndrome. Neither mechanical-force, manually-assisted nor high-velocity, low-amplitude adjustments were found to be more effective than the other in the treatment of this patient population.
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Reg Anesth Pain Med · Sep 2005
Identifying neuropathic pain among patients with chronic low-back pain: use of the Leeds Assessment of Neuropathic Symptoms and Signs pain scale.
Although the literature contains information about prevalence and incidence of low-back pain (LBP), little information is available about the contribution of the neuropathic element to LBP. Our study was designed to investigate the prevalence of neuropathic pain among a sample of chronic LBP patients in Saudi Arabia by use of the Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) pain scale. ⋯ Neuropathic pain is a major contributor to chronic LBP, and the LANSS pain scale is a useful tool to distinguish patients with neuropathic pain from those with nociceptive pain.