Articles: low-back-pain.
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Randomized Controlled Trial Multicenter Study Comparative Study
A multicentre, randomised, double-blind study comparing the efficacy and tolerability of intramuscular dexketoprofen versus diclofenac in the symptomatic treatment of acute low back pain.
Low back pain is an important medical problem in Western industrialised countries. NSAIDs are one of the main options for symptomatic pain relief in the early management of this painful condition. Dexketoprofen is an NSAID belonging to the arylpropionic acid group that has demonstrated good analgesic efficacy and a good safety profile in different acute and chronic painful conditions. ⋯ From the results of this study it can be concluded that dexketoprofen 50mg administered twice daily intramuscularly provides a clinically relevant analgesic effect with good tolerability after single and repeated doses in patients with acute severe low back pain.
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Bmc Musculoskel Dis · Jan 2007
Randomized Controlled TrialChiropractic and exercise for seniors with low back pain or neck pain: the design of two randomized clinical trials.
Low back pain (LBP) and neck pain (NP) are common conditions in old age, leading to impaired functional ability and decreased independence. Manual and exercise therapies are common and effective therapies for the general LBP and NP populations. However, these treatments have not been adequately researched in older LBP and NP sufferers. The primary aim of these studies is to assess the relative clinical effectiveness of 1) manual treatment plus home exercise, 2) supervised rehabilitative exercise plus home exercise, and 3) home exercise alone, in terms of patient-rated pain, for senior LBP and NP patients. Secondary aims are to compare the three treatment approaches in regards to patient-rated disability, general health status, satisfaction, improvement and medication use, as well as objective outcomes of spinal motion, trunk strength and endurance, and functional ability. Cost-effectiveness and cost-utility will also be assessed. Finally, using qualitative methods, older LBP and NP patient's perceptions of treatment will be explored and described. ⋯ To our knowledge, these are the first randomized clinical trials to comprehensively address clinical effectiveness, cost-effectiveness, and patients' perceptions of commonly used treatments for elderly LBP and NP sufferers.
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J Manipulative Physiol Ther · Jan 2007
Randomized Controlled Trial Controlled Clinical TrialDynamic surface electromyographic responses in chronic low back pain treated by traditional bone setting and conventional physical therapy.
This study compared the dynamic surface electromyographic (EMG) activities of back muscles and pain before and after traditional bone setting and physical therapy. ⋯ Both treatments seem to have a positive influence on back muscle function by improving muscle symmetry; however, the treatments had no effect on the flexion-relaxation phenomenon after 1 month. Active back exercise at home together with rehabilitation treatments might be effective and improve function for patients with chronic low back pain.
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Bmc Musculoskel Dis · Jan 2007
Randomized Controlled TrialRationale, design, and protocol for the prevention of low back pain in the military (POLM) trial (NCT00373009).
There are few effective strategies reported for the primary prevention of low back pain (LBP). Core stabilization exercises targeting the deep abdominal and trunk musculature and psychosocial education programs addressing patient beliefs and coping styles represent the current best evidence for secondary prevention of low back pain. However, these programs have not been widely tested to determine if they are effective at preventing the primary onset and/or severity of LBP. The purpose of this cluster randomized clinical trial is to determine if a combined core stabilization exercise and education program is effective in preventing the onset and/or severity of LBP. The effect of the combined program will be compared to three other standard programs. ⋯ We have presented the design and protocol for the POLM trial. Completion of this trial will provide important information on how to effectively train Soldiers for the prevention of LBP.
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Bmc Musculoskel Dis · Jan 2007
Randomized Controlled TrialDesign considerations in a clinical trial of a cognitive behavioural intervention for the management of low back pain in primary care: Back Skills Training Trial.
Low back pain (LBP) is a major public health problem. Risk factors for the development and persistence of LBP include physical and psychological factors. However, most research activity has focused on physical solutions including manipulation, exercise training and activity promotion. ⋯ In this paper we describe the rationale and design of a randomised evaluation of a group based cognitive behavioural intervention for low back pain.