Articles: low-back-pain.
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Low back pain (LBP) in children was considered for many years to be a rare condition revealing a serious disease, but in the last two decades, epidemiological studies have shown that the prevalence of nonspecific LBP in children is high. This study was aimed at analyzing the prevalence, severity, consequences and associated factors of LBP in children. A cross-sectional study was undertaken in two preparatory schools in the city of Monastir, Tunisia, in April 2002. ⋯ Two factors were associated with chronic LBP: dissatisfaction with school chair, OR=1.62 (95% CI, 1.46-3.32) and football playing, OR=3.07 (95% CI, 2.15-5.10). The prevalence of LBP among Tunisian schoolchildren and adolescents is high. This requires preventive measures and longitudinal studies, which are very important from the standpoint of public health.
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J Manipulative Physiol Ther · May 2005
Controlled Clinical TrialSupplemental care with medication-assisted manipulation versus spinal manipulation therapy alone for patients with chronic low back pain.
To measure changes in pain and disability for chronic low-back pain patients receiving treatment with medication-assisted manipulation (MAM) and to compare these to changes in a group only receiving spinal manipulation. ⋯ Medication-assisted manipulation appears to offer some patients increased improvement in low back pain and disability. Further investigation of these apparent benefits in a randomized clinical trial is warranted.
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Z Orthop Ihre Grenzgeb · May 2005
Clinical Trial[What questions are appropriate for predicting the risk of chronic disease in patients suffering from acute low back pain?].
The objective of the study was to develop a brief questionnaire to determine the risk of chronification for patients suffering from lumbar (low) back pain who are consulting a physician for the first or second time. ⋯ Based on these questions, it was possible to predict the chronification of back pain with a probability of 78.05 %. A corresponding questionnaire and an evaluative table were developed.
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Clinical biomechanics · May 2005
Clinical Trial Controlled Clinical TrialThe influence of different unloading positions upon stature recovery and paraspinal muscle activity.
To determine whether stature recovery and paraspinal muscle activity can be altered in individuals with and without chronic low-back pain by assuming different unloading positions. ⋯ Elevated muscle activity was found in the chronic low-back pain group supporting the existence of this explanation for delayed stature recovery. The gravity inverted position resulted in the lowest EMG and the greatest stature recovery. Further research is required to determine whether improving stature recovery has clinical implications by reducing pain/disability.
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We compared the diagnostic accuracy of lumbar facet blocks guided by either conventional fluoroscopy or CT fluoroscopy (CTF). Seventy-one blocks were performed with conventional fluoroscopy, and 58 were performed using CTF. ⋯ The CTF group had a greater percentage decrease in pain (79.5% +/- 31.1%) than did the conventional fluoroscopy group (55.5% +/- 38.0%; P < .0005). We conclude lumbar facet blocks by using CTF guidance results in greater diagnostic accuracy than do conventional fluoroscopy.