Articles: low-back-pain.
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Randomized Controlled Trial Multicenter Study
A randomised controlled trial of acupuncture care for persistent low back pain: cost effectiveness analysis.
To evaluate the cost effectiveness of acupuncture in the management of persistent non-specific low back pain. ⋯ A short course of traditional acupuncture for persistent non-specific low back pain in primary care confers a modest health benefit for minor extra cost to the NHS compared with usual care. Acupuncture care for low back pain seems to be cost effective in the longer term.
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Randomized Controlled Trial
Validity of the new Backache Index (BAI) in patients with low back pain.
The Backache Index (BAI) is applied to patients with low back pain (LBP) in order to help therapists, doctors, and surgeons perform physical examinations easily. It is carried out within a short space of time (<2 min) without using inclinometric instruments. ⋯ The BAI appears to be a reliable and valid assessment of overall restricted spinal movements in case of LBP and discriminates between successful and unsuccessful treatment outcome.
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J Altern Complement Med · Sep 2006
Randomized Controlled Trial Multicenter Study Controlled Clinical TrialInterventions and physician characteristics in a randomized multicenter trial of acupuncture in patients with low-back pain.
Descriptions of the interventions used in acupuncture studies are often incomplete. The aim of this paper is to describe participating trial physicians and interventions in a randomised trial of acupuncture for low back pain. ⋯ For most trial physicians, the semistandardized acupuncture strategy used in this trial was an acceptable compromise for an efficacy study. However, a relevant minority of participating trial physicians stated that they would have treated patients differently outside of the trial.
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Randomized Controlled Trial
Pragmatic randomized trial evaluating the clinical and economic effectiveness of acupuncture for chronic low back pain.
In a randomized controlled trial plus a nonrandomized cohort, the authors investigated the effectiveness and costs of acupuncture in addition to routine care in the treatment of chronic low back pain and assessed whether the effects of acupuncture differed in randomized and nonrandomized patients. In 2001, German patients with chronic low back pain were allocated to an acupuncture group or a no-acupuncture control group. Persons who did not consent to randomization were included in a nonrandomized acupuncture group. ⋯ Nonrandomized patients had more severe symptoms at baseline and showed improvements in back function similar to those seen in randomized patients. The incremental cost-effectiveness ratio was euro10,526 (euros) per quality-adjusted life year. Acupuncture plus routine care was associated with marked clinical improvements in these patients and was relatively cost-effective.
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Randomized Controlled Trial Multicenter Study Comparative Study
Randomized controlled trial of specific spinal stabilization exercises and conventional physiotherapy for recurrent low back pain.
Pragmatic, multicentered randomized controlled trial, with 12-month follow-up. ⋯ Patients with LBP had improvement with both treatment packages to a similar degree. There was no additional benefit of adding specific spinal stabilization exercises to a conventional physiotherapy package for patients with recurrent LBP.