Articles: low-back-pain.
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Randomized Controlled Trial Clinical Trial
Randomised controlled trial for evaluation of fitness programme for patients with chronic low back pain.
To evaluate a progressive fitness programme for patients with chronic low back pain. ⋯ There is a role for supervised fitness programmes in the management of moderately disabled patients with chronic low back pain. Further clinical trials, however, need to be established in other centres to confirm these findings.
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Meta Analysis
Methodological quality of randomized clinical trials on treatment efficacy in low back pain.
This was a review of criteria-based meta-analyses. ⋯ Although a considerable number of randomized clinical trials have been carried out to evaluate the efficacy of interventions in low back pain, their methodological quality appears to be disappointingly low. Future trials are clearly needed, but much more attention should be paid to the methods of such studies.
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The ability of three new methods of scoring the Pain Drawing to predict psychological distress in two cohorts of 100 patients with chronic low back pain was investigated. ⋯ Using the new scoring systems, it was not possible to identify distressed patients with sufficient sensitivity/specificity, nor to differentiate between organic and nonorganic pain patterns.
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Ann Fr Anesth Reanim · Jan 1995
[Low back pain and headache during immediate postpartum. Role of obstetrical epidural analgesia].
The rate of low back pain and headache following parturition seems to be higher in patients delivered under epidural analgesia. The aim of this study, performed in the immediate postpartum (up to 3rd day) and including 200 patients delivered vaginally, was to assess the incidence and the risk factors of low back pain and headache. A total of 31.5% of them complained of low back pain (LBP+) after parturition. ⋯ The influence of epidural analgesia is questionable, as there was no difference between duration of labour and duration of epidural analgesia, if used, between the two groups. Patients for whom epidural analgesia was required are probably more susceptible to pain during pregnancy. Patients who suffered from postpartum headache (PPHDA+) were comparable to those who did not (PPDHA-).(ABSTRACT TRUNCATED AT 250 WORDS)