Articles: low-back-pain.
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Arthritis and rheumatism · Apr 2007
Randomized Controlled TrialA brief pain management program compared with physical therapy for low back pain: results from an economic analysis alongside a randomized clinical trial.
Guidelines for the management of acute low back pain in primary care recommend early intervention to address psychosocial risk factors associated with long-term disability. We assessed the cost utility and cost effectiveness of a brief pain management program (BPM) targeting psychosocial factors compared with physical therapy (PT) for primary care patients with low back pain of <12 weeks' duration. ⋯ PT is a cost-effective primary care management strategy for low back pain. However, the absence of a clinically superior treatment program raises the possibility that BPM could provide an additional primary care approach, administered in fewer sessions, allowing patient and doctor preferences to be considered.
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Randomized Controlled Trial
Physical capacity tasks in chronic low back pain: what is the contributing role of cardiovascular capacity, pain and psychological factors?
To explore the association of personal and body functions with physical capacity tasks used in the evaluation of chronic low back pain (CLBP) treatment. ⋯ Cardiovascular capacity, pain intensity, fear of injury/movement, cognitions, and depression had statistically significant but clinically minor effects on several, but not all capacity tasks. Radiating pain, age and duration of complaints had no significant influence at all. Due to anthropometric differences men outperformed women on most tasks. Apparently the influence of many personal, physical but especially psychological factors on the selected capacity tasks is not high at all. This might indicate that these tasks are more objectively measuring physical capacity than expected.
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Randomized Controlled Trial
Client-centered therapy vs exercise therapy for chronic low back pain: a pilot randomized controlled trial in Brazil.
Psychological interventions targeting maladaptive pain behaviors and depressive symptoms are commonly used in the management of chronic pain. ⋯ This was the first study to investigate the effects of client-centered therapy and exercise for patients with chronic LBP. Our results showed that client-centered therapy is less effective than exercise in reducing disability at short term.
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Reanalysis of data derived from longitudinal cohort studies. ⋯ We recommend the 5-item CWOM as a brief clinical measure for whiplash because it is quick to administer and score, and has excellent measurement properties. The CWOM may need to be supplemented with other questionnaires (e.g., when assessment of psychological or emotional health is required).
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Randomized Controlled Trial
A pilot study of the effects of high-intensity aerobic exercise versus passive interventions on pain, disability, psychological strain, and serum cortisol concentrations in people with chronic low back pain.
Given the complex nature of chronic pain, the effects of high-intensity aerobic exercise on pain, disability, psychological strain, and serum cortisol concentrations in people with chronic low back pain were investigated. ⋯ Regular high-intensity aerobic exercise alleviated pain, disability, and psychological strain in subjects with chronic low back pain but did not improve serum cortisol concentrations.