Articles: low-back-pain.
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Randomized Controlled Trial Clinical Trial
The use of intradiscal steroid therapy for lumbar spinal discogenic pain: a randomized controlled trial.
A prospective randomized study of the therapeutic effect of intradiscal steroid injection compared to a saline placebo. ⋯ This study demonstrates that intradiscal steroid injections do not improve the clinical outcome in patients with discogenic back pain compared with placebo.
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Comparative Study
Responsiveness of pain, disability, and physical impairment outcomes in patients with low back pain.
Cohort study. ⋯ Physical impairments are routinely measured in clinical practice and clinical research, but the lower responsiveness indicates that this approach is not optimal. Our findings suggest that more emphasis should be placed on change in pain and disability scores than on change in physical impairments.
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Observational prospective study. ⋯ The psychometric properties (test-retest reliability, construct validity, and responsiveness) of the French version of the Fear Avoidance Belief Questionnaire are acceptable, and fear, avoidance, and belief can now be assessed in French-speaking patients with low back pain.
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Patients completing a multidisciplinary pain treatment were contacted to obtain 13-year follow-up information on pain, mood, employment, and general health. ⋯ The data lend support to the long-term effectiveness of multidisciplinary treatment programs for chronic low back pain.
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Arthritis and rheumatism · Apr 2004
Prognosis and quality of life in patients with acute low back pain: insights from a comprehensive inception cohort study.
To investigate the respective contribution of various biologic and psychosocial factors, especially initial health-related quality of life (HRQOL), in the natural history of acute low back pain (LBP) and to evaluate the impact of this condition on HRQOL. ⋯ This study highlights the large contribution of work-related factors, but also initial HRQOL, to the prognosis of LBP. It also suggests that LBP impairs HRQOL mainly through compensation and inappropriate medical care, and that, in turn, impaired HRQOL favors the condition becoming chronic. These findings have implications for future research into the management of LBP.