Articles: low-back-pain.
-
Comparative Study
Effects on sick-leave of a multidisciplinary rehabilitation programme for chronic low back, neck or shoulder pain: comparison with usual treatment.
To test the outcome of active multidisciplinary treatment in an outpatient setting upon sick-leave status among patients with neck, shoulder and low back pain. ⋯ Long-term effects of active multidisciplinary treatment were superior to treatment as usual in all diagnostic groups.
-
Scand. J. Rheumatol. Suppl. · Jan 2004
Clinical TrialTreatment of chronic low back pain with tropisetron.
Various pathophysiological processes can lead to chronic back pain, which necessitates a differentiated therapeutic approach. In addition, psychic and psychosocial processes may influence the clinical picture. ⋯ A marked improvement in pain could be achieved in an open study by treating back pain of a primarily somatic nature with the 5-HT3 receptor antagonist tropisetron. A reduction in pain of > or =50% was reported by 76% of the patients. These results should be substantiated by the corresponding randomized, placebo-controlled, double blind studies that are needed to investigate the true benefit of treating back pain with 5-HT3 receptor antagonists.
-
Comparative Study
Attitudes and beliefs of Brazilian and Australian physiotherapy students towards chronic back pain: a cross-cultural comparison.
The attitudes and beliefs of physiotherapists and students can potentially influence the outcome of treatment of low back pain. These attitudes and beliefs may be influenced by external factors, such as ethnicity. No study that compared the attitudes and beliefs of physiotherapy students from different cultural backgrounds, such as from Brazil or Australia, towards chronic low back pain was found. The purpose of the present study was therefore to compare the attitudes and beliefs of Brazilian physiotherapy students with those of Australian physiotherapy students and to published data from North American healthcare providers, and to investigate whether a history of chronic low back pain affects students' attitudes and beliefs. ⋯ As demonstrated by higher HC-PAIR scores, the Brazilian physiotherapy students agree more strongly with the notion that low back pain justifies disability and activity limitation than do Australian physiotherapy students and North American healthcare providers. A history of chronic low back pain does not affect students' attitudes and beliefs.
-
Comparative Study
Psychosocial factors predictive of occupational low back disability: towards development of a return-to-work model.
This paper focuses on the identification and testing of potential psychosocial factors contributing to an integrated multivariate predictive model of occupational low back disability. Psychosocial predictors originate from five traditions of psychosocial research: psychopathological, cognitive, diathesis-stress, human adaptation and organizational psychology. The psychosocial variables chosen for this study reflect a full range of research findings. ⋯ The key psychosocial predictors identified were expectations of recovery and perception of health change. Also implicated, but to a lesser degree, were occupational stability, skill discretion at work, co-worker support, and the response of the workers' compensation system and employer to the disability. All psychosocial models were better at predicting who will return than who will not return to work.
-
Ortop Traumatol Rehabil · Dec 2003
Morphine or bupivacaine in controlling postoperative pain in patients subjected to knee joint arthroscopy.
Background. We investigated the efficacy of intra - articular bupivacaine with morphine administration after knee joint arthroscopy.
Material and methods. The present study compared intra- arthicular bupivacaine with intra-arthricular morphine for postoperative analgesia in 56 patients (21 women, 35 men) (age 20-70, mean 39.8) undergoing knee joint arthroscopy.
Intraoperatively, the patients received anaesthesia spinaly (0.5 % Marcaine spinal ASTRA) and immediately following surgery received 10 ml intra-arthricular injection consisting either of 0.5 % bupivacaine (group I), 5 mg morphine + 0.9 % saline (group II). ⋯ Intra-arthricular administration of each solution was well toleratede and non side effects were noted.
There was non significant difference among the two groups in monitored parameters. The mean time of postoperative analgesia was 185,7 +/- 25.3 min for bupivacaine group and 390.3 +/- 35,4 min for morphine group.
Total amount proefferalgan supplamentation was the highest in group I.
Conclusions. Postoperative intra- arthricular injections of bupivacaine and morphine for patients undergoing knee joint arthroscopy can provide a safe and effective analgesia and therefore shound be recommended and widely implamented into the clinical use as a standard procedure.