Articles: low-back-pain.
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Comparative Study Clinical Trial Controlled Clinical Trial
The effect of lumbar fatigue on the ability to sense a change in lumbar position. A controlled study.
A cross-sectional study in patients with recurrent/chronic low back trouble and healthy control subjects. ⋯ Lumbar fatigue impairs the ability to sense a change in lumbar position. This feature was found in patients and control subjects, but patients with low back trouble had poorer ability to sense a change in lumbar position than control subjects even when they were not fatigued. There seems to be a period after a fatiguing task during which the available information on lumbar position and its changes is inaccurate.
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Br J Obstet Gynaecol · Jul 1999
Randomized Controlled Trial Clinical TrialLabour pain treated with cutaneous injections of sterile water: a randomised controlled trial.
To evaluate the relief of pain in labour with subcutaneous and intracutaneous injections of sterile water, compared with placebo. ⋯ The new subcutaneous method of administering sterile water, as well as the earlier described intracutaneous injection method, were effective for the relief of pain in labour.
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A need to consider possible gender differences in pain research has been recognized by researchers during the last decades. As part of a psychometric evaluation of the Swedish version of the Multidimensional Pain Inventory (MPI-S), we performed gender-differentiated analyses of the internal consistency, validity and sensitivity to change of the MPI-S in a sample of 235 individuals (129 females, 106 males) suffering from long-term non-specific pain from the lower back and/or neck region. The construct validation and sensitivity analyses were performed by using validated self-report measures and direct observational assessment techniques as external constructs. ⋯ Altogether, the results showed a similar pattern across gender, although some divergences were detected, such as the substantially weaker negative correlation between perceived supportive behaviour from significant others and punishing responses for males compared to females. In conclusion, we recommend the use of sections 1 and 2 of the MPI-S as a psychometrically evaluated and comprehensive instrument in the assessment of individuals suffering from chronic non-specific low back pain or neck pain. Copyright 1999 European Federation of Chapters of the International Association for the Study of Pain.
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Meta Analysis Comparative Study
The effectiveness of acupuncture in the management of acute and chronic low back pain. A systematic review within the framework of the Cochrane Collaboration Back Review Group.
A systematic review of randomized controlled trials. ⋯ Because this systematic review did not clearly indicate that acupuncture is effective in the management of back pain, the authors would not recommend acupuncture as a regular treatment for patients with low back pain. There clearly is a need for more high-quality randomized controlled trials.